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To use a bit of Cowellian parlance, Josie Long has been on quite a journey in recent years. I mean, who knew that an act once marginally twee-er than a Bagpuss tea cosy would be the one to rescue political stand-up from its New Labour-era doldrums? However, her latest show, Romance and Adventure, begins with a less metaphorical, more muscle-exerting trip: a mountain climb in Kenya that left her troubled by her penchant for "super aristocratic" pursuits. It's the cue for a vexed life appraisal, fuelled by turning 30, in which feelings of political and personal inadequacy elide. Why, she wonders, does she continue to shop at her corporate bête noire, Tesco? And, as a bona fide leftie, is she destined to "be born, live, fight and die" on the losing team in any case?
Well, no, is the Long and short of it, as her familiar optimism returns via renegade touring, Alasdair Gray quotes, and naming her toilet "Michael Gove". Indeed, though the show may be predicated on insecurity, her smiley subversive shtick is more self-assured than ever. She's always been a wonderfully conversational performer, but here there are great set-pieces, too: you'd have to scour Edinburgh far and wide to find a single skit funnier than her transformation of Ed Miliband into a roughneck revolutionary. And where she's previously apologised for her principled fury, now she gives it gloriously free rein. "If you haven't done anything for charity by the time you're 29," she snaps, "then what you could do is jump off a building – and, by all means, get sponsorship." A slightly pat – and, yes, twee – sign-off leaves a few too many questions hanging. But the main one is: how long can the Foster's Comedy Award continue to escape her now?
As for the newcomers category, buzz would suggest that the South African Trevor Noah is a strong bet. The mixed-race comic's identity angst is the cornerstone of this Edinburgh debut: a substantial topic, given that he was "born as a crime" to an illegally partnered white Swiss father and black Xhosa mother during the apartheid era. The salve, though, is that it has afforded the boyish 28-year-old a privileged perspective on the absurdities of racial demarcations and assumptions in his home country and beyond. His show, The Racist, spins off from an eye-opening trip to the US, where, hoping to be embraced as black, he instead encounters whole new strains of prejudice – for example, the way mixed-race celebrities are recategorised as soon as they become successful. Similar observational jewels stud an hour that benefits from the quiet authority of Noah's deceptively soft-spoken delivery – and whether mimicking Obama or a casually bigoted Kentucky fan, he makes for a deft impressionist to boot.
The doomy title of Alan Davies's new show is Life is Pain, although "Life is a Pain" would better sum up its desultory disgruntlement. Back on stage for the first time in a decade, the fortysomething star uses his return to bore on about the developments of the intervening years. So we get wide-eyed bafflement at social networking, smartphones and internet porn, and misty-eyed nostalgia for student japes, dial phones and the lingerie section of the Freemans catalogue.
At one point, he even, bafflingly, makes a meal out of Facebook poking, an activity and comedic subject that one's maiden aunt would likely consider passé. Suffice to say, it's a plodding, superficial hour, with occasional lurches into crudeness that smack of showboating desperation. There's one good passage, in which Davies imagines the thoughts of his crying baby; it's just a shame that his own psyche remains elusive by comparison.
Allow me to regress a little. Representing Hollywood this year, albeit tangentially, is Jessie Cave, a 25-year-old actress who starred in the Harry Potter franchise. Riffing off her association with childhood fantasy, Bookworm sees Cave hosting the inaugural session of her new book club amid a Play School-style set complete with cardboard Wendy house. However, as she obsesses over The Lion, the Witch and the Wardrobe and freaks out over Fifty Shades of Grey, it becomes clear that literature is providing unhealthy amounts of escapism for this mildly deranged woman-child. It's a curious, compelling fiction, with something of the warped whimsy of a Wes Anderson movie, and its scattily charismatic star is certainly one to watch – as is her teenage sister Bebe, playing the most delightfully gormless comic sidekick since Dame Edna's Madge.
Sillier still is Back to School, an immersive production that transforms a community centre, an outpost of the Pleasance, into the shambolic secondary St Dumbiedykes and provides us, its pupils, with a whistle-stop bad education. The press blurb's claim that the piece is a response to the "psychological experiments of Milgram and Zimbardo" seems a fanciful way to dress up an hour and a half of jolly nostalgia kicks. But, in that respect, it works admirably, with the committedly eccentric performances of the teaching staff provoking committed mischievousness from the student body in return. Though, split into different "forms" as we were, I was sad to have missed out on the sex education class.
Please, sir, can I have some more?
Jessie Cave and "Back to School" to 26 Aug, Josie Long and Trevor Noah to 27 Aug ( all 0131-226 000); Alan Davies begins a UK tour at Venue Cymru, Llandudno, on 5 Sep (0844 844 0444)Reuse content


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Description: Now a special 30th-anniversary edition in both hardcover and paperback, the classic bestselling history The New York Times called "Original, remarkable, and finally heartbreaking...Impossible to put down" Bury My Heart at Wounded Knee is Dee Brown's eloquent, fully documented account of the systematic destruction of the American Indian during the second half of the nineteenth century. A national bestseller in hardcover for more than a year after its initial publication, it has sold almost four million copies and has been translated into seventeen languages. For this elegant thirtieth-anniversary edition -- published in both hardcover and paperback -- Brown has contributed an incisive new preface. Using council records, autobiographies, and firsthand descriptions, Brown allows the great chiefs and warriors of the Dakota, Ute, Sioux, Cheyenne, and other tribes to tell us in their own words of the battles, massacres, and broken treaties that finally left them demoralized and defeated. A unique and disturbing narrative told with force and clarity, Bury My Heart at Wounded Knee changed forever our vision of how the West was really won.
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List price: $17.00Edition: 2ndCopyright year: 2001Publisher: Henry Holt & CompanyPublication date: 1/23/2001Binding: PaperbackPages: 512Size: 5.50" wide x 8.50" long x 1.00" tall Weight: 1.232Language: English
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The Black Chair(2009)
A non fiction book by Phil Carradice
With injuries serious enough to get him sent home from the front line, Danny begins the journey back to Wales, and his beloved Angharad. But his recovery cannot really begin until he has fulfilled a promise to a friend.
Similar Books by other authors...
Used availability for Phil Carradice's The Black Chair
See all available used copies of this book at Abebooks UK or Abebooks US
Paperback Editions
February 2009 : UK Paperback
|Title: The Black Chair (Pont Readalone)
Author(s): Phil Carradice
ISBN: 1-84323-978-7 / 978-1-84323-978-9 (UK edition)
Publisher: Pont Books
Availability: Amazon Amazon UK Amazon CA
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Gorgeous ship, outstanding service
Sail Date: April 01, 2011
Reviewed: 6 years ago
Traveled As: Family (older children)
Room Type: Balcony
Pros: Beautiful brand new ship, outstanding service
Cons: Lots of kids (not surprising!)
Recommends Disney Dream? Yes!
Category Ratings
Click table then swipe to view all columns.
Click table then swipe to view all columns.
|Food and Dining
|Cruise featured "rotational" dining, where guests moved among three uniquely-themed dining rooms each night. Food and service were both very good.
|Cabin / Stateroom
|Loved it! Room felt spacious and offered everything we could need.
|Service and Staff
|Very good. Only negative was bar server, who when asked if they had a non-alcoholic selection on their tray for a 16-year old guest, told me it was "okay, she could have it since there's not a lot of alcohol in it." Was surprised by that inappropriate and lax attitude on a Disney ship.
|Lots to choose from, all very well organized.
|Ship Quality
|Brand new ship - knockout! Felt like we were in a grand resort hotel.


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Hello and welcome to Leeds Modern Quilt Guild
We are a bunch of friendly quilters who meet once a month for a full day of sewing in Leeds city centre.
Sick of sewing at home alone? Want to meet some like minded quilters? Learn some new skills, or share some of your own? We're a very laid back group who all have a desire to spend a day sewing, or chatting, or eating cake !
New members are always welcome, so if you fancy seeing what we are all about, when and where we meet, then check out our other pages and see if we can tempt you.


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- anonim
- ABD, Bayan, 41+
- Acemi Göçebe
- 5 Değerlendirmeler
Excellent location. The staff is always courteous and willing to help with any situations that may arise. I always enjoy my stay at this hotel. Will go back again and again.
- anonim
- ABD, Çift, 25-30
- Acemi Göçebe
- 5 Değerlendirmeler
We had to wait a very long time to check in (much longer than a usual hostel). A door alarm woke us up at 6am (we originally planned to sleep longer...), we didn't see any member of the staff. Other than that, we had a very good experience.
- anonim
- Irlanda, Erkek, 18-24
- Acemi Göçebe
- 1 Değerlendirme
Very overpriced! We paid over $500 for a 5 night stay in the "deluxe double" room. Let me tell you there was nothing "deluxe" about this room - a tiny box room with a bunk bed that took up almost all of the measly amount of space available, a refrigerator and a static ridden television that had 2 decent quality channels. We were also locked out of our room during our final days stay due to the incompetence of one member of staff when checking us in, booking us in for only 4 nights. AVOID!
Hostelworld Mobil Uygulamaları
Yeni Hostelworld mobil uygulamalarıyla hareket halindeyken rezervasyon yapın.


text:
Great Cruise
Sail Date: April 23, 2012
Reviewed: 5 years ago
Traveled As: Couple
Room Type: Oceanview
We will defineitly consider NCL in the future.
Pros: Visiting the cities of Bahamas
Cons: Food in Buffet not very flexible
Recommends Norwegian Sky? Yes!
Category Ratings
Click table then swipe to view all columns.
Click table then swipe to view all columns.
|Ship Quality
|Food and Dining
|Cabin / Stateroom
|Service and Staff


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Cooper shareholders approve $2.5 billion Apollo deal
Cooper Tire and Rubber Co shareholders on Monday approved the US company's USD 2.5 billion sale to India's Apollo Tyres Ltd, in a transaction that would create the world's seventh-largest tyre maker.
Bangalore: Cooper Tire and Rubber Co shareholders on Monday approved the US company's USD 2.5 billion sale to India's Apollo Tyres Ltd, in a transaction that would create the world's seventh-largest tyre maker.
The approval brought Apollo one step closer to completing the takeover, although hurdles remain due to opposition from workers at Cooper's joint venture in China and US labour issues that could delay the deal.
If completed, the deal would be the second-largest US acquisition by an Indian company and one of the top 10 outbound takeovers from Asia's third-largest economy, according to Thomson Reuters data.
About 96 percent of the shares that were voted at a Cooper shareholder meeting on Monday were in favor of the merger. The company said about 78 percent of Cooper's outstanding common shares were voted at the shareholder meet.
Shareholders stand to receive USD 35 per Cooper share, a premium of more than 40 percent to its price before the acquisition announcement on June 12. Cooper shares rose 3.5 percent to a high of USD 31.44 after the shareholder meeting on Monday, before closing at USD 30.80.
Cooper Chairman and Chief Executive Roy Armes said in a statement the deal would create a "USD 6.6 billion leader in the tyre industry with a strong global footprint".
Still, Cooper shares have slipped since rising close to the offer price as roadblocks to the acquisition emerged due to worries over the debt burden of the new owner.
"You're putting pressure on the company by the amount of debt that they want to use to buy this and so I think the market will always be skittish in the situation," said Chris DeMuth Jr, portfolio manager at US-based Rangeley Capital. Rangeley Capital owns less than 5 percent in Cooper, he said.
Workers at Cooper's China joint venture, Cooper Chengshan Tire Co in China's eastern Shandong province, have been striking against the deal for about three months, while its local partner has filed a lawsuit seeking to dissolve the business arrangement.
Separately, a US arbitrator ruled Cooper could not sell two of its factories in the country until a collective bargaining agreement was reached between Apollo and members of the plants' union.
The two companies have said they hope the deal will get the final all-clear by the end of the year.
Apollo plans to fund the acquisition entirely through debt, most of which will be raised through Cooper, whose market value is currently nearly four times that of the Indian company.
Apollo, whose shares have lost a quarter of their value since the deal was made public, hopes to gain a foothold in the world's two biggest auto markets, China and the United States, by buying Cooper.
Shareholder approval of the deal also means Apollo can start drawing down loans that have already been committed by banks, according to a source with direct knowledge of the matter.
Apollo declined comment on Monday, while Cooper did not respond to an email seeking comment outside US business hours.
The banks financing the deal include Standard Chartered and Morgan Stanley.


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text:
All About Growing Lettuce
Learn the ins and outs of growing lettuce, including Loose-leaf, Butterhead, Romaine and Crisphead varieties. All types of lettuce grow best in cool weather, so plan to add it to your garden in spring or fall.
Fast-growing loose-leaf lettuce comes in a range of colors and leaf types, such as oakleaf.
Illustration by Keith Ward


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Cairo, Feb 7 (PTI) The embattled Egyptian regime andthe emboldened opposition groups remained deadlocked todayover the nation''s future as protesters were adamant thatPresident Hosni Mubarak should step down before progress wasmade on a deal to initiate landmark constitutional reforms.
Fresh pressure also mounted on Mubarak as US PresidentBarack Obama clearly indicated that there could be no goingback to the pre-protest era in Egypt, and said Washington wasready to work with a future representative government in thenorth African country.
Thousands of protesters stayed put at the now iconicTahrir Square for the 14th successive day and foiled attemptsby the army to squeeze them into a smaller area as Mubarak''sgovernment was holding its full cabinet meeting to focus onrestoring order.
The opposition groups did not appear too optimistic onthe deal reached with the government yesterday in abreakthrough meeting with Vice President Omar Suleiman.
A statement issued from Suleiman''s office after themeeting said that the government had offered to form acommittee to suggest required constitutional amendments by thefirst week of March, pursue corrupt officials, undo curbs onmedia freedom, liberalise communication, lift an emergency lawin the country and open an office to look into the release ofpolitical prisoners.
But the opposition which included the dominant MuslimBrotherhood termed these proposals as "insufficient" anddemanded that there could be no move forward unless Mubaraksteps down.
Meanwhile, life started returning to the streets ofCairo as shops and offices opened after several days and somepeople returned to work.
Army tanks, however, continue to guard key buildingsand important installations of the city which has been at thecentre of an unprecedented uprising against the ruling regime.
The agreement reached with the regime on forming aconstitutional reform committee notwithstanding, theopposition appeared unsure on whether to trust the governmenton its promises to follow through on the deal.
A Brotherhood leader said the government has not madeany concrete movement on the ground to display its seriousnesson the question of politcal reform.
"We cannot call it talks or negotiations... The MuslimBrotherhood went with a key condition that cannot be abandoned... that (Mubarak) needs to step down in order to usher in ademocratic phase," MB leader Abdul Moneim Aboul Fotouh said.
He said he "did not see any ... seriousness so far.
They (the government) have failed to take concrete measurementon the ground".
"If they were serious, the parliament would have beendissolved, also a presidential decree ending the emergencylaw," he said. .


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- Autor: LANCASTER, ANNIE
Produto disponível até 15min após
a confirmação do pagamento!
a confirmação do pagamento!
Você pode ler este livro digital em vários dispositivos:
It's the winter of 2003. Annie and Tom have itchy feet. Living and dying in the same small area of Newcastle, England, and never seeing any other part of the world doesn't appeal to them one bit. But where, on this great big planet, would they be happy? New Zealand or Australia: too far away.Scotland or Yorkshire: not far enough.Spain or France: Too dumb to learn a language!So when Tom is offered a position as a tattoo artist, working in a brand new studio in Cork city, Ireland, the decision is made and their adventure unfolds.Travelling by ferry in their trusty camper van Tom is first to arrive. While he is getting settled into his new job and looking for somewhere to live, Annie is up the walls dealing with everything back in Newcastle. One sunny morning in July Annie waves goodbye to family, friends and the place she's called home since the day she was born, and sets off for her new life in Ireland with Tom and their three sons: seventeen-year-old Jack, sixteen-year-old Jamie and Robin who is seven.Each member of the family shares a different level of excitement and enthusiasm as they settle into the mouse and ant infested bungalow they rent from a local farmer for a year.Eventually their goal is in sight when they spot their dream house: an almost derelict farmhouse in the beautiful countryside of West Cork. With no building experience, some very laid back local tradesmen and a budget about half of what they need to complete the work, they begin the renovation.The building schedule goes nowhere according to plan and family life is strained to say the least.Have Annie and Tom made the biggest mistake of their lives, uprooting their whole family only to end up living in a dilapidated caravan in the middle of building site? Or, will their dream of a self-sufficient existence in their beautiful country farmhouse materialise. Read Annie's journal and experience the laughter, the tears and the many nervous breakdowns that ensue as the family's re-location story unfolds.
Detalhes do Produto
- Formato: ePub
- Subtítulo: ANNIE'S JOURNAL
- Origem: IMPORTADO
- Editora: AUK AUTHORS
- Assunto: Biografias
- Idioma: INGLÊS
- Edição: 3
- Ano de Edição: 2015
- Ano: 2015
- País de Produção: Canada
- Código de Barras: 2000939858572


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Great getaway!
Sail Date: January 23, 2012
Reviewed: 5 years ago
Traveled As: Couple
Room Type: Inside
Pros: The ship was very nice, food was awesome, watching first run movie on the big screen under the stars!, ATV excursion, and the pirate encounter were awesome!
Cons: The port of Falmouth is still new, very nice at the port but the town is a little sketchy. Shop at the port and stick to the excursions and it will be a get stop.
Recommends Carnival Destiny (RETIRED) 28? Yes!
Category Ratings
Click table then swipe to view all columns.
Click table then swipe to view all columns.
|Ship Quality
|Very clean! It is an older ship but is still awesome.
|Cabin / Stateroom
|Food and Dining
|Service and Staff


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Romantic Anniversary Ideas
Are you feeling hesitant to experiment with some new ideas? Just go with the flow. There is no harm if you play "stupid cupid" for a change. It's only going to add a spark to your anniversary. If you are wondering what to plan, you can choose from some top romantic ideas given below:-
- Home cooked Candle Night Dinner
The best place where you feel at home and at ease with your partner is your house. Plan up a home cooked romantic candle light dinner. You can also choose a farm house or your garden area for the same. Add your personal touch to it and make it romantic. Play love songs to create a romantic ambiance. Use scented candles to light up the table, strewn over with rose petals. If you don't have scented candles use the regular silver or golden candles, and any floral fragrance to enhance the set up.
- Picnic at Night
All of us have been to picnic in the day time with our husbands and boyfriends. Getting out in the night is not only exciting but enthralling when it's with our better halves. Perhaps you've always dreamt of being out night long with your love by the waves or the moonlight. All you have to do is find a romantic spot like a natural lake or a cityscape and simply be there with your beloved.
Everything that your partner loves from cookies, wine, chocolates, salads, muffins and pack in your anniversary goodie pouch.
- Romantic Photo Shoot
Ever thought of getting "clicked together" on your anniversary? This sweet anniversary idea would sure pep up your celebrations and make you feel happy. Shortlist a photographer renowned locally and go for a photo shoot. It's also great deal of fun to dress up and look good for one another. You can later frame it as your anniversary photo.
- Surprise Visit
Moments of surprise in love remains eternal forever. You can create one such moment like this. Show up in your partner's office with a pack of chocolates and a bouquet and wish him/her in front of everyone. If you think your partner would feel embarrassed in front of everyone, pick them up from office and wish "Happy Anniversary" in the car. Don't forget to get a small chocolate cake and candle.
- Recreate the first date
Your first date will always remain charming and romantic even after years of marriage. Though you cannot go back to that same day, you sure can relive that moment once again. What best day to do it than your anniversary? Date for a week leading up to your anniversary day, on the same place you met first. Why not propose your wife all over again on your anniversary? Utter the magical words and see her eyes glitter in love and happiness.
When it's about your anniversary it's always about sharing beautiful moments together. With romantic anniversary ideas you are sure to create romantic moments wrapped with love and passion.
- Chocolate Valentine Ideas
- Exotic Dating Ideas
- Seasons of Love
- Hugs - The Priceless Pleasure of Life
- Wedding Proposals
- Romantic Holidays
- Love Is Forever
- Rain And Romance
- Sunset And Beyond
- Falling Asleep In Your Arms
- The Beauty of Her Beauty
- It is all About Togetherness
- Lets walk the miles of smiles together
- Save the date..It's our big day!
- Watch my legs speak for me
- Dress to Impress your dream man!
- Let your fingers do the talking!
- Stylize your nails!
- Don't just make love, enjoy love!
- Make your lips Irresistible
- Every kiss has to be different
- Lingerie kindles Longing!
- Why make me Wait?
- Love Picture Quotes
- Life Picture Quotes
- Best Friend Picture Quotes
- Boyfriend Picture Quotes
- Girlfriend Picture Quotes
- Crush Picture Quotes
- Friendship Picture Quotes
- Inspirational Picture Quotes
- Love Hurts Picture Quotes
- Missing You Picture Quotes
- Motivational Picture Quotes
- Thinking of You Picture Quotes


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Talking turkey: So there's a fresh push by congressional appropriators to get a budget conferees to produce a top-line spending number by turkey-carving time.
House Appropriations Committee Chairman Hal Rogers (R-Ky.) and Senate Appropriations Committee Chairwoman Barbara MikulskiBarbara MikulskiBipartisan friendship is a civil solution to political dysfunction Dems press for paycheck fairness bill on Equal Pay Day After 30 years celebrating women's history, have we made enough progress? MORE (D-Md.) wrote a letter on Thursday urging the budget conference to land a spending deal for 2014 before Thanksgiving.
It is the first of three important deadlines in the coming months — the government is funded through Jan. 15 and the debt ceiling extended until Feb. 7.
But appropriators argue that to help their cause in getting a budget in place they need that figure by Nov. 22.
Thanksgiving is late — Nov. 28 — but lawmakers usually head out of town the week before.
The leaders argue that Dec. 13 leaves only a month to conference the 12 appropriations bills, pass them in the House and Senate, and have them signed into law before Jan. 15.
The final deadline would be Dec. 2 , the leaders said.
But there weren't many positive signals this week.
The band of budget conferees met for the first time on Wednesday, and members picked up the fight over whether new tax revenue should be included.
They also want a number for fiscal 2015 so they have something to work with and can wrap up work on the 12 spending bills on time next year.
Right now, the government is running on a stopgap measure following the end of a 16-day government shutdown in October.
The last time detailed appropriations bills were passed was for fiscal 2012, and in that case a huge omnibus bill was used.
"We believe that if an agreement on a discretionary spending number can be reached early, it will allow for more thoughtful and responsible spending decisions, set the parameters for the budgetary savings that need to be reached in your budget conference, and build momentum for a larger budget agreement that addresses the nation's wide range of fiscal challenges," the letter says.
Sure, there are ways to crank out the bills if they run all the way to the Dec. 13 date, but observers are hoping for bigger things out of the budget conference that go well beyond discretionary spending numbers.
House Budget Committee ranking member Chris Van Hollen (R-Md.) said getting a quick deal makes sense.
"Replacing the job killing sequester and adopting top line budget numbers should be a key priority of the budget negotiations. The Conference Committee should pick up the pace of the negotiations so we can get an agreement by Thanksgiving and give the Appropriations Committees time to do their work," he said.
Investing summit: U.S. Trade Representative Michael FromanMichael FromanUS will investigate aluminum imports as national security hazard Overnight Finance: WH floats Mexican import tax | Exporters move to back GOP tax proposal | Dems rip Trump adviser's Goldman Sachs payout Froman heads to Council on Foreign Relations MORE and Secretary of State John KerryJohn KerrySenate GOP healthcare plan is the next man-made disaster Changing America: America's growing education divide Speaker Ryan, the fate of our policy toward Russia rests in your hands MORE will be among the Obama administration's Cabinet officials to address the SelectUSA meeting on Friday. The two-day summit is aimed at generating foreign interest in investing in the United States.
Food stamp changes: More than 47 million people who receive food stamps will see a drop in their benefits beginning Friday, as Congress continues negotiations on the program.
Beginning in November, a temporary benefit from the 2009 economic stimulus that boosts food stamp dollars will no longer be available. For a family of four, that means $36 less a month.
The program has expanded rapidly in recent years amid the economic downturn, more than doubling costs since 2008 — rising to about $80 billion a year.
House Republicans want to cut the program by $40 billion over 10 years while the Senate plan calls for a modest decrease of $4.5 billion. Lawmakers are aiming to reconcile their differences during a House-Senate conference, which started on Wednesday.
Trade meetings: Trans-Pacific Partnership countries, including the United States, will hold a series of meetings around the United States and in Mexico and Chile in the next month to tackle various parts of the ongoing negotiations. Leaders of the 12 nations involved in the talks have said they would like to complete the agreement by the end of the year, although U.S. Trade Representative Michael Froman has emphasized that he won't settle on a less than agreeable deal just to hit a self-imposed deadline.
ISM Index: The Institute for Supply Management will release its October index that measures the the manufacturing sector's pace of growth.
— Paul says Yellen will win Senate confirmation despite holds
— Vietnam weighs threatening WTO action over catfish
— Dems renew 'nuclear option' talk
— CBC scolds the Senate for blocking Watt's nomination
— Senate Republicans block Watt's nomination
— Retail industry intensifies push for tax reform
— Momentum builds for permanent 'doc fix'
— Obama administration ramps up efforts to attract foreign investment, create jobs
— Regulator says more funding needed to enforce new rules
Catch us on Twitter: @VickoftheHill, @peteschroeder, @elwasson and @berniebecker3
For tips and feedback email email@example.com.


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"How much do you have to hate somebody to believe that everlasting life is possible, and not tell them that?"
Therefore every scribe who has been trained for the kingdom of heaven is like a householder who brings out of his treasure what is new and what is old.
Monday, 22 December 2008
An honest atheist
New Advent has a very useful blog which rounds up stories from all over the place. One source often used is The Anchoress. Yesterday there was this interesting video of Penn Jillette, an American entertainer who is an avowed atheist. He tells of how a good, honest man complimented him and gave him a bible, admitting that he was proselytising. He speaks of his respect for those who proselytise, saying:


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Who knew Griffin Marc had testicles?
This is so lame… why do we hate on Griffin Marc? Oh bc you don't want something from him? Where did all the gossip go? This site needs a transformation…. apparently somewhere down the line somebody lost the desire to be entertaining. um……… anyway its a hot pic but embarrassing not for him but for this site passing this off as what "weho confidential" thinks will keep their traffic going…….. going down the shitter… … ppppppppppppppppoopReplyDelete
NOTICE: WeHo Confidential does not assume any responsibility for comments posted on articles. Furthermore, comments published under Aliases or as "Anonymous" currently remain private and confidential.


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Pronto Xi's Inventory Management provides you with the flexibility required to meet the requirements of a broad range of industries. It is the platform for Pronto Xi Sales Orders and Purchase Orders, and is fully integrated with the General Ledger. Using Pronto Xi Inventory Management, you have complete stock visibility and can track your inventory by warehouse for recording of quantity, movement and other relevant information. Importantly, it provides your console to inventory changes that result from processing in other areas of your business such as Sales Orders, Purchase Orders and Manufacturing.
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Medicines That Can Cause Nausea and Vomiting
Current as of: November 10, 2016
Many nonprescription and prescription medicines can cause nausea or vomiting. A few examples are:
If you think that your nausea or vomiting may be caused by a medicine:
Current as of: November 10, 2016
This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.
To learn more about Healthwise, visit Healthwise.org.
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- Autor: GURNAH, ABDULRAZAK
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An extraordinary depiction of the life of an immigrant, as he struggles to come to terms with the horror of his past and the meaning of his pilgrimage to EnglandDear Catherine, he began. Here I sit, making a meal out of asking you to dinner. I don't really know how to do it. To have cultural integrity, I would have to send my aunt to speak, discreetly, to your aunt, who would then speak to your mother, who would speak to my mother, who would speak to my father, who would speak to me and then approach your mother, who would then approach you. Demoralised by small persecutions and the squalor and poverty of his life, Daud takes refuge in his imagination. He composes wry, sardonic letters hectoring friends and enemies, and invents a lurid colonial past for every old man he encounters. His greatest solace is cricket and the symbolic defeat of the empire at the hands of the mighty West Indies. Although subject to attacks of bitterness and remorse, his captivating sense of humour never deserts him as he struggles to come to terms with the horror of his past and the meaning of his pilgrimage to England.
Detalhes do Produto
- Formato: ePub
- Origem: IMPORTADO
- Editora: BLOOMSBURY PUBLISHIN
- Assunto: Literatura Internacional
- Idioma: INGLÊS
- Edição: 1
- Ano de Edição: 2016
- Ano: 2016
- País de Produção: Canada
- Código de Barras: 2001052519807


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*From the UBC, Pulmonary Research Laboratory, St. Paul's Hospital, Vancouver, BC, Canada.
Correspondence to: Stephan F. van Eeden, MD, Pulmonary Research Laboratory, St Paul's Hospital, 1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada; e-mail: firstname.lastname@example.com
(PMNs) are essential for host defense, but they also mediate tissue
injury and have been implicated in the pathogenesis of several
important diseases, including those that may trigger acute lung injury
and ARDS.1–2 In these conditions, activated PMNs
accumulate in lung microvessels and cause endothelial damage, increased
vascular permeability, and produce tissue injury.3– The
PMNs that mediate these changes come from either those already in the
vascular space where they either circulate or marginate along vessel
walls, or those released from the bone marrow into the vascular
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Daily Archives March 20, 2014
I just started a blog (teenpundit.wordpress.com) How do I maximize my traffic and best monetize it?
March 20, 2014 Monetise Your Website
Question by brandonkiser99: I simply began a blog site (teenpundit.wordpress.com) Exactly how do I maximize my website traffic and ideal monetize it?
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What do you believe? Solution listed below!Read More


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Great cruise
Sail Date: June 25, 2012
Reviewed: 4 years ago
Traveled As: Couple
Room Type: Oceanview
Pros: Private tour of engine room via Make a Wish fundraising auction win
Cons: Weather stopped us from Cococay Stop
Recommends Majesty of the Seas? Yes!
Category Ratings
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Click table then swipe to view all columns.
|Ship Quality
|Food and Dining
|Cabin / Stateroom
|Service and Staff
|Very funny and pleasant cruise director


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The semi-final clash between the defending champions Spain and Portugal had to be decided on penalties after both teams cancelled each other out for 120 minutes. Coach Del Bosque said Fabregas, who scored the crucial penalty to take Spain to the final, had specifically asked him to take the final penalty.
"Of course, all five penalty-takers offered to take the last one," the 61-year old said. "Cesc told me he wanted to take the fifth one to be able to take the winner; they all wanted to. Sergio Ramos knew that Rui Patrício would go to one side for all the penalties and that's why he decided to do what [Andrea] Pirlo did in the previous match," Del Bosque was quoted as saying in UEFA.com.
The former Real Madrid coach, however, praised the Portuguese side but said his side were 'lucky' in the penalty shoot-out.
"Portugal were superior when it came to defending. We didn't have that many opportunities, so it was very balanced. In extra time, it was slightly different, and then we had lots of luck in the penalty shoot-out. I want to congratulate Portugal because they played a great tournament, but we were lucky this time," Del Bosque said.
Del Bosque defended his decision to substitute midfield maestro Xavi Hernandez to inject pace with Jesus Navas and Pedro Rodrigues. He further praised his players for keeping their cool for 120 minutes.
"Xavi wasn't playing badly, he played very well, but he was tired and we wanted more pace on the pitch. Pedro [Rodriguez] and [Jesus] Navas were more active and provided more attacking strength. Xavi has had a great tournament," he said.
"We created more problems for Portugal after introducing those players. It was vital and the players are getting more mature in each match. Extra time proved they are very experienced," he added.
Del Bosque described the second semi-final as a 'top game' but was not concerned about their opponents in the final.
"The other semi-final will be a top game and whoever our opponents are, the final will be a great match. But we don't care who our opponents are," he said.
OneIndia News


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How-to Install IntelliJ IDEA on Linux Debian Distro Guides ListFebruary 24th, 2013 by Regaz
IntelliJ Quick-Start for Debian Linux
This Article Presents a Series of Links to Step-by-Step Guides about How-to Install & Getting-Started Quickly the Latest IntelliJ IDEA Free Community Edition for Java, Groovy, Scala & Android Development Debian Linux Distro.
To Make the Entire Process Easier to Visualize and Retain the Posts Includes the Basic Screenshots of the Essentials Steps Involved.
The Content and Details of Guides are Expressly Reduced to Give Focus Only to the Essentials Instructions and Commands and Make Tuts Easier to Read & Digest ;)
Installing IntelliJ IDEA on Debian Linux
- IntelliJ Quick-Start on Debian Stretch 9
- IntelliJ Quick-Start on Debian 8 Jessie
- IntelliJ Quick-Start on Debian 7 Wheezy
(Visited 77 times, 1 visits today)
Tags: Debian, Debian Distro, Guides List, How-to, Install, IntelliJ, IntelliJ IDEA, IntelliJ IDEA 12, IntelliJ IDEA Latest, Java, JebBrains, Linux, Tutorial


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Music video by Jonathan McReynolds performing Limp. 2015 Entertainment One US LP http://vevo.ly/pL1HBz.
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- Research
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Gelardin is now offering a full range of photo and poster printing services to Georgetown faculty, students and staff. Our prints are available on a number of different paper types, sizes and inks. For more details about our printers and what we offer, check out our poster printing form.
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The Maker Hub is proud to announce the installation of its latest piece of maker equipment, the Universal Lasers VLS4.60 Laser Cutter.
Spend a little time getting to know Emily Minton, the Library's Program and Events Coordinator!


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There's a nice Hershey's inclusion in this week's sale at CVS. The 2 and 2.5 oz bags of the new Hershey's Snack Mix and Snack Bites are priced at $1.99, but this week they are Buy One, Get One 50% OFF. We have a nice high-value coupon to pair with the sale that makes these just $0.49 each!
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On March 9, 1954, Cornell captured its fourth EIBL (Ivy League) championship thanks to a buzzer beating shot by an Ithaca native-son. Cornell has won eight EIBL/Ivy League titles (1913, 1914, 1924, 1954, 1988, 2008, 2009 and 2010.) Above, the cover of the March 10 Cornell Daily Sun. Below, the articles in full.
Also back during the 1953-1954 season, a regular beat writer for Cornell men's basketball was legendary Dick Scaap '55. Below, a December 17, 1953 article by Dick Schaap, recapping Cornell's victory over Harvard. Schaap's son, Jeremy, would follow in dad's footsteps, writing for the Cornell Daily Sun, graduating Cornell in '91 and ultimately landing at ESPN.


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These stocks are recording strong cash flows and are reasonably valued. So, a price rise...
Divergence between the PMI indices for manufacturing and services, and the actual data (growth rates) and IIP figures will continue since the nature of these indicators is different
The Purchasing Managers' Index (PMI) for manufacturing in the month of February is at a year high of 52.5 compared with 51 in April '13. On the other hand, the GDP estimates released last week suggested that the manufacturing industry slowed down by -1.9% in Q3 FY14 compared with the growth of 2.5% in the corresponding quarter of last fiscal.
Likewise, the PMI services index for the month of February stands at a low of 48.8 maintaining its deterioration for the eighth consecutive month. However, the services industry emerged as one of the strong performers in the recent estimate of GDP growth in Q3 FY14, points out a research note.
Are we today facing severe stagnation or are we facing a contradiction due to the indicators selected for analysis? This is the dilemma for analysts of the Indian economy. According to CARE Ratings, divergence between the PMI indices for manufacturing and services and the actual data (growth rates) released under the GDP estimates and IIP figures will continue since the nature of these indicators is different. The PMI captures in a way the level of confidence or perception based on a comparison over the immediate previous period, while growth rates are over the same period of the previous year thus adjusting to an extent the seasonal component. Each of these concepts has their own uses but the PMI may not be taken to be reflective of the growth in the concerned sector.
Growth in the services sector is high, as revealed in the quarterly estimates of GDP. Please see table below:
According to the research note, the PMI services index has remained below 50 from July 2013 onwards. The index has fallen from 50.7 in April '13 to 48.8 in February 2014. The index below 50 indicates that the services sector has witnessed negative growth based on the responses by the private companies. Please see chart below:
In contrast, there is stagnation in the manufacturing sector, as can be seen from the charts below:
The sluggish growth in FY14 is a result of weak consumer demand, and low investments partly due to the high interest rates maintained by RBI (Reserve Bank of India) in its bid to fight inflation. Further, manufacturing sector having recorded negative growth for the last three consecutive months vis-à-vis the same time window in FY13 is indicative of the stagnation the manufacturing industry is currently encountering.
Higher credit to services and personal loans may partly explain elevated core CPI inflation
Increased lending to consumers (personal loans) amid slowing investment suggests there is a demand slowdown. The RBI (Reserve Bank of India) is trying to orchestrate just this by hiking interest rates (to slow consumption growth and services price inflation). It might however, take much longer than expected, points out Nomura in a research note on bank lending. Hence, higher credit to services and personal loans may partly explain elevated core CPI (consumer price index) inflation.
Credit is one of the most important channels through which monetary policy affects aggregate demand and inflation. Hence, the divergence in the nature of bank lending has important implications including the one above. It could also, partly explain the divergence of manufacturing inflation (core WPI – wholesale price index – about 3% year-on-year) from services price inflation (core CPI – consumer price index - about8%). This is because, although manufacturing growth has tumbled, services demand remains relatively high, fuelled partly by credit, explains Nomura.
Credit growth by sector in the Indian banking system is shown in the chart below:
The research note says that after a sharp slowdown in 2011-12, credit growth has stabilised at around 15% y-o-y in the last year. However, although the headline number is stable, there are sectoral divergences. Specifically, credit growth to industry has steadily moderated, while loans extended to services sectors and personal loans have risen.


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CHESTER – Major budget proposals under the purview of the police and fire departments were reviewed last week in a joint meeting with the board of selectmen and budget committee.
That meeting, on Thursday, Jan. 21, was the first time the budgets were reviewed by the groups, and while traditionally the selectmen will review the budgets and then send their recommendations to the budget committee for its review, the two groups agreed to meet together in an effort to streamline the process.
The big numbers reviewed were the police and fire budgets, but each of these departments has one or more smaller budgets under its control as well.
The fire department's budget has a relatively large percentage increase in its proposal this year and saw the more in-depth review.
Questions from the selectmen and committee spanned the gamut from energy costs to radios to outfitting to warrant articles that the department may float.
The bottom line fire proposal going into the meeting totaled $292,049, an 8.4 percent increase, but the selectmen agreed to one major increase to that number.
EMS (emergency medical service) supplies and equipment, going from $4,000 to $8,000, was discussed – a sum that fire chief Rich Antoine said was reduced in the current year's budget but which remained as a needed expense – as well as the 100 percent increase in outfitting, from $6,000 to $12,000. The former is for needed supplies for the ambulance, much of which is covered by transport fees, the latter the result of outdated firefighting outfits.
Fire Capt. Greg Bolduc explained that National Fire Protection Association (NFPA) guidelines want gear to be updated at least every 10 years, but the department has 18 sets of gear that are older than that, the oldest going back to 1998.
Bolduc noted that not only does the department not have equipment for trainees to use at Fire Academy, but when it needs to be cleaned, there aren't spares.
A set of turnout gear costs more than $2,000, and the department is looking to update its inventory in coming years.
Additional funds are included to also update EMS uniforms.
Budget committee members sought additional information about many of the lines, and chair Mike Weider, throughout the meeting, pointed out costs that he thought would be better incorporated into the town's planning tool, the Capital Improvements Plan (CIP), something voters agreed to fund at last town meeting.
The fire proposal ended up seeing a $14,000 increase when selectmen agreed a CPR (cardiopulmonary resuscitation) device initially proposed for a warrant article was important enough to put into the budget.
The department was looking at including this device and new defibrillators – a cost of $62,000 – in warrant articles this year.
Selectmen noted concern with including lifesaving equipment in warrant articles. Selectman Jack Cannon said he was not comfortable leaving such equipment to the whim of voters.
On a suggestion by Weider, selectmen indicated approval of asking voters to pull money out of the CIP fund for the defibrillators.
The CPR device, explained the department's Mike Gilbert, will administer mechanical compressions to heart patients. Gilbert noted that chest compressions are crucial to the survival of heart attack victims and the machine gives constant compressions at the correct rate and depth, and eliminates human error.
While selectman Joe Castricone said the machine shouldn't be Chester's problem but Derry's instead – Derry provides contracted ambulance service to Chester, selectman chair Steph Landau questioned that wisdom. The equipment is something that could save a life, and as someone who has needed such services in the past, he said he understood it was a small cost to save a life.
"I want to see my grandkids get married," said Landau. "That's a necessity."
The board did not formally approve this budget, instead waiting for an updated bottom line from finance director Joanne Smith after it was agreed to add in the CPR machine.
The police department's budget proposal saw a quicker review, but while coming in higher than the current year, that cost is attributed to a single line.
This bottom line proposal comes in with a 6.55 percent increase at $581,566, attributable to a request for a part-time detective position at a cost of $39,000.
Without that position the proposal would see a reduction over current year expenses. Reductions are seen in the chief's salary and full-time salaries. An increase has been included in the part-time line, from $43,459 to $52,000.
Chief Aaron Berube explained that he has a person in mind for the detective role, and as the position is part time and the person is retired, the cost for the role would be limited to wages.
This position would handle many of the duties that Berube was taking care of prior to his move to chief late last year. The department doesn't have certified detectives in a variety of areas, said Berube.
The department is also looking for an increase in the animal control budget, to handle animal-specific duties that currently take officers off the road.
The town handles an average of 260 animal control-related service calls a year, said Berube, in addition to about 75 unlicensed dogs whose owners need to be forced to license them per state law. Each of those unregistered canines can take up to an hour of officer time, said the chief.
And while officers can be taken off the road to handle animal-related calls, there are instances where outside agencies have to be called in or the work will not be done. Berube pointed to a recent drunk driving accident that saw a dog ejected from a vehicle and subsequently dragged down the road. Sandown's animal control officer was called in to handle the issue.
Because of the particulars of that accident, without that support from Sandown the dog would have had to be left on the side of the road while other concerns were dealt with, said Berube. The chief is looking for a part timer to be on call for such issues to take that burden off regular patrols and police work.
Berube said the $2,500 cost was a baseline to establish the position, but he would look to expand it next year if it were seen to benefit the community.
This cost can be potentially offset by dog licensing fees.
Weider sought more information about the scope of the position and whether the town would be responsible for any animal care as a result of the position. The town would transport animals elsewhere for care and boarding, responded Berube.
The police and animal control budgets were approved unanimously by the selectmen and will see further review by the budget committee in coming weeks.


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Miami's Got Talent
Next time your art school nemesis gives you grief for staying put in your hometown while he racks up student loans at Pratt, force him to do a Google search on Miami-based artist Jillian Mayer. In her short career, the Florida International University grad has given birth to herself on film, made a flick about the life of 2 Live Crew rapper Luther Campbell that was showcased at the Guggenheim Museum, and become a YouTube sensation for her hilarious tribute to her future spawn with "I Am Your Grandma." Suck on that, Sallie Mae! Mayer's work stands in stark contrast to the adage that you have to leave home to truly make it, which makes her a natural pick for the exhibition of winners for the 23rd annual South Florida Cultural Consortium Visual and Media Arts Fellowship Awards at the Art and Culture Center of Hollywood. Saturday's free opening reception feature works by South Florida artists including Mayer, Asser Saint-Val, and Victoria Gitman.
Sat., Sept. 10, 6 p.m.; Tuesdays-Sundays, 10 a.m. Starts: Sept. 10. Continues through Oct. 2, 2011
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Jaipur, Jun 3 (UNI) Sixteen Gujjar protesters, who were killed in police firing in Pillukapura-Karwadi near Bayana on May 23 during the Gujjar stir for ST status, were cremated while protesters blocked traffic on the Jaipur-Delhi, Jaipur-Agra and Alwar-Mathura rail routes for the second successive day today.
The bodies of 16 firing victims which were lying at the dharna site at Pillukapura-Karwadi since May 23 were handed over to their next of kin after autopsies last night.
The families of 13 victims had taken away the bodies for cremation but two of them later returned with the corpses at the dharna site, said Rajasthan Water Resources Secretary SN Thanvi, who has been camping in Bayana for the past 12 days.
While 11 bodies were cremated at their native places in Dausa, Bharatpur, Karauli and Sawai Madhopur districts, the remaining five were cremated at a farm in Karwadi village near dharna site itself, he said.
A farmer-Sughad Singh- has donated 3 bighas of land for cremation of bodies in Karwadi village, Mr Thanvi said.
The post-mortem on 19 victims, which began at the 'dharna' site in Sikandara yesterday, was being completed today. Autopsies on the bodies of two Gujjars who had died in police firing in Kushalipura in Sawai Madhopur on Friday last, were also conducted at Kushalipura.
However, a final decision on their cremation was yet to be taken.
The blockade and 'dharna' at the Arnia Railway station in Dausa district being staged by Gujjar women since Sunday night continued with protesters blocking the Jaipur-Delhi and the Jaipur-Agra rail routes.
Protesters also blocked Jaipur- Dausa-Agra Road for sometimed near Bhadana in Dausa district. Authorities had persuaded the protesters to clear the road, police said.
Groups of armed Gujjar youths blocked the Alwar-Mathura line at Brij Nagar railway station in Bharatpur yesterday.
The busy Delhi-Mumbai route via Bayana, Sawai Madhopur and Kota has also been closed since May 23 due to the ongoing dharna on the rail tracks at Pillukapura-Karwadi.
On the twelfth day of the Gujjar stir today, the situation remained calm by and large. However, despite Chief Minister Vasundhara Raje's fresh invitation to Gujjar leaders for a dialogue, no progress in the process of peaceful solution to the stir could be made during the past 24 hours.
The process for talks could make further headway after the completion of cremation of victims, a government spokesman said.


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Uefa has announced that a partial stadium ban will be imposed on CSKA Moscow when they play their next Champions League match at the Arena Khimki, following the racist behaviour from their fans during last week's encounter with Manchester City.
The Russian club's supporters were accused of making monkey noises by City midfielder Yaya Toure, leading to the European governing body charging CSKA with racist conduct.
It means that the club will have to play their match against Bayern Munich on November 27 with a section of their stand shut, although Uefa stopped short of implementing a complete stadium ban as this was the Russian champions' first offence on racial grounds.
They had strongly denied any wrongdoing after releasing a statement claiming that their fans boo and jeer opposition players but not racial abuse them, but Uefa have taken a very different approach to the incident.
A statement by Uefa read: "The fight against racism is a high priority for UEFA.
"The European governing body has a zero-tolerance policy towards racism and discrimination on the pitch and in the stands.
"All forms of racist behaviour are considered serious offences against the disciplinary regulations and are punished with the most severe sanctions.
"Following the entry into force of the new disciplinary regulations on 1 June, the fight against racist conduct has been stepped up a level - resulting in more severe sanctions to deter any such behaviour."
Despite claiming to take a "zero-tolerance" approach and implementing the "most severe sanctions", a partial stadium ban seems like neither of those protocols. Toure had called for something drastic to be done to prevent further incidents, and with the 2018 World Cup due to take place in Russia, he said black players could even boycott the tournament altogether.
The City captain on the night, Toure said: "If we aren't confident at the World Cup, coming to Russia, we don't come.
"I want to see Uefa do something and take some action. We have to be as strong as possible otherwise they will continue like that.
"Maybe they could ban the stadium, I don't know, for a couple of years or a couple of months."
CSKA provided an immediate response claiming that they were "surprised and disappointed" with the allegations, and that Toure's accusation was completely "unfounded".
Uefa are yet to announce their findings of the investigation into why referee on the night Ovidiu Hategan failed to follow the governing bodies protocol when racial abuse is reported by a player.
Under the agreed guidelines, a referee should stop a game to ask for an announcement to be made instructing the abuse to stop. Should it continue, the referee can then act to take both teams off the pitch, and if necessary cancel the game altogether.
However, Hategan failed to report Toure's complaint to the safety officer, forcing Uefa president Michel Platini to call for a full internal investigation into why the Romanian hadn't done so. City are due to meet CSKA again next week in the return group match at the Etihad, although both clubs are yet to respond to the recent verdict.
- More about:
- Manchester City


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"Del Closed Fist" is a long form improv comedy show with professional wrestlers. Touring the country, this show brings your love of wrestling and comedy to one stage. Featuring a rotating cast of wrestlers from WWE, NXT, Lucha Underground, ROH, NJPW, & Evolve.
Call 323 962-7560 to purchase tickets or purchase them online. (Free for iO students and performers)


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SUNY Upstate Medical University, Syracuse, NY
SESSION TITLE: Cancer Student/Resident Case Report Posters III
SESSION TYPE: Medical Student/Resident Case Report
PRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PM
INTRODUCTION: Leptomeningeal carcinomatosis is a rare but grave consequence of advanced cancers with median overall survival of 2-3 months. Patients can present with a broad range of symptoms, hence, diagnosis requires a high index of suspicion.
CASE PRESENTATION: We present a case of a 71 year old female with h/o ovarian cancer s/p TAH-BSO, pulmonary adenocarcinoma s/p left lung lobectomy who presented to the hospital with a one month history of intermittent lightheadedness and headaches. Recent bone and PET scan did not reveal any residual malignant disease. Her mentation progressively deteriorated and she became very drowsy. An EEG showed diffuse slow waves. A contrast enhanced MRI showed lateral, 3rd and 4th ventricular enlargement with non-specific bilateral peri-ventricular signal hyper-intensity. CSF analysis revealed glucose 7mg/dl, protein 110mg/dl and mild lymphocytic leukocytosis. Cytology was positive for malignant cells likely adenocarcinoma consistent with a diagnosis of LM. As the patient had poor performance status with encephalopathy, she was not suitable for any therapeutic intervention. She was eventually discharged on hospice care.
DISCUSSION: LM occurs in 5% of advanced cancer, and in only 1% without evidence of any brain metastasis. It can have a varied presentation depending on site of involvement, most commonly as headache (39%). Altered mental status is found in only 16% of cases and is associated with poor prognosis. Although, commonly associated with breast cancer, 10-26% cases occur in lung cancer. Diagnosis is achieved through neuroimaging (contrast enhanced MRI) and CSF analysis. CSF cytology positive for malignant cells is still the gold standard with highest specificity. Our case is unique as the patient had no evidence of residual malignant disease based on bone and PET scan findings one month prior to presentation and her only symptoms were headache with altered mental status. Our case points to the fact that we should keep a low threshold to do MRI and CSF analysis in patients presenting with neurological symptoms including altered mental status with h/o solid tumors as even though LM is associated with a poor prognosis, early intervention can help improve neurological symptoms, prolong survival or assist in palliative measures.
CONCLUSIONS: Although a diagnosis of LM represents a poor prognostic marker for cancer patients, it is important to keep a high index of suspicion for diagnosis in patients presenting with typical signs and symptoms as this provides an opportunity for effective intervention that can improve quality of life.
Reference #1: Clarke JL, Perez HR, Jacks LM, et al. Leptomeningeal metastases in the MRI era. Neurology 2010; 74:1449
Reference #2: Jayson GC, Howell A. Carcinomatous meningitis in solid tumours. Ann Oncol 1996; 7:773
Reference #3: Clarke JL. Leptomeningeal metastasis from systemic cancer. Continuum (Minneap Minn) 2012; 18:328
DISCLOSURE: The following authors have nothing to disclose: Dhruv Lowe, Shreya Sinha, Arunpreet Kahlon
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Roberto Mancini will come through the mini-crisis at Manchester City and put the club back on course for the title with victory over Fulham tomorrow.
Kevin Keegan, who managed both teams, also believes the Italian will even go on to beat his own reign at City of 46 months which, when it ended in March 2005, was the longest at the club for over 25 years.
Mancini's ability to cope with the pressure of being in charge of one of the world's richest clubs - City have lost four of their last eight games and are out of the Champions League and both domestic cup competitions - was called into question when City lost their Premier League points lead over Manchester United with defeat at Everton on Tuesday.
The 47-year-old took the blame for that shock result, insisting he had not prepared well enough, had made mistakes in training and thought Everton were going to be easy opposition.
But Keegan, who knows better than most about the burdens of managing a big club after two spells at Newcastle, believes Mancini was employing a diversionary tactic.
The former England boss said: "My guess is that Mancini was trying to deflect attention away from the players, because they let him down.
"David Silva? He's been City's talisman but the English season is long, hard and he's looked jaded.
"Yaya Toure has been good in different games and Sergio Aguero and Edin Dzeko have done well. But Silva has been the one who consistently, up to now, has driven them forward and created the chances. And he just looks a bit flat. But I'm sure Mancini has looked at the fixture list and said to his players, 'Right, after the next seven or eight games we could virtually ensure that we're champions of this country'."
Opposition over the next couple of months includes Fulham, Aston Villa, Blackburn, Bolton, Swansea, Chelsea, Sunderland and Arsenal.
"Those next eight fixtures are all there to be won," added Keegan.
Mancini will, however, have to enter that run of matches accepting that he will never have complete control of his team's destiny while the Carlos Tevez affair continues to haunt the club.
Keegan said: "Is Tevez going? Is he staying? It is draining to deal with. He's also got players like [Mario] Balotelli. He could win City the League but he could cost them it as well. He's one of 'those' players. I saw him at Chelsea where for half an hour he put on the best display I've ever seen from a forward away from home. He was brilliant. But the next 60 minutes? Nothing!
"Can Mancini last longer than I did? Definitely. I don't think there's any doubt he's got it within him and I still think City will win the League."
Perhaps not, though, if Mancini takes Fulham as lightly as Everton.
Keegan added: "It is a game that has taken on bigger importance because if City were to lose again, or even draw, the press and the fans would really be on Mancini's back.
"I do think City will win it. But it's never easy against Fulham. For the last three or four years their away record has been relegation stuff but under Martin Jol they look more organised. Look at the way they came back from 2-0 down to draw with City at the Cottage earlier in the season.
"I'm sure Martin will tell his players to frustrate City for the first half hour then see what happens, maybe nick a goal from a set-piece."
Kevin Keegan is the lead football analyst on ESPN, and will join Ray Stubbs and John Barnes in presenting the Manchester City - Fulham match tomorrow as part of ESPN's Free Weekend of sport for Sky, BT Vision, TopUp TV and Freeview viewers. For more info go to espn.co.uk/tv
- More about:
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- Everton
- Kevin Keegan
- Manchester United
- UEFA Champions League


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BusinesspiXlogic, Inc. Location(s)US - Los Altos, CA TitleAssociate Software Development Engineer Requisition ID 8107R Job Description piXlogic, the Visual Search Company, is the world leader in advanced search solutions for images and videos. Our5/9/2017 Los Altos, CA Save This Job
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text: Great idea for a garage. I made a bike rack for 6 bikes. Ended up purchasing 5-10' Sticks of 3/4" PVC36 - Tees10 - ElbowsGlueNo need for the end sections since 6 bikes long make it very stable. Also, if you have bikes with 19" or larger tires, it's good make the extension longer so the tires goes all the way into the slot. Thanks.View Instructable »


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