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Apartment For Sale in New Westminster
705 69 JAMIESON COURT, New Westminster, British Columbia V3L5R3 Canada
- PROPERTY TYPESingle Family
Welcome Home to #705 with an unobstructed, panoramic view from this spacious end unit. Built by Bosa, this solid concrete building has fabulous amenities with an indoor pool, gym, sauna -amp;amp; hot tub. This suite has over 1200 sq.ft of living space. 2 bedrooms on opposite sides, the master with a walk-in closet -amp;amp; full ensuite + a 2nd bath. Floor to ceiling windows allow for maximum natural light. Massive updates including a fully renovated kitchen, renovated baths, flooring, lighting, a custom pantry and a Murphy bed with closet organizers. 2 small pets permitted (20-amp;quot; @ shoulders). Hot water -amp;amp; gas fireplace included in maintenance fees. (id:9345)...
Transaction Type: For sale
Building Type: Apartment
Ownership Type: Strata
Maintenance Fee: 393.00
M.Fee Payment Unit: Monthly
Video Link: Click here to View
Fixture: Drapes/Window coverings
Constructed Date: 1991
Appliances: All
Amenities: Recreation, Shopping
Pool Type: Indoor pool
Features: Central location, Cul-de-sac, Elevator
This Apartment is for sale in New Westminster and its located at 705 69 JAMIESON COURT, New Westminster, British Columbia V3L5R3. This property's asking price is $719,900. It has 2 Bedroom(s) and 2 bathroom(s). This property has 1203 sqft covered area.
To get more information about 705 69 JAMIESON COURT, New Westminster, British Columbia V3L5R3, Please call:
Harmeet Singh Grewal: 604.375.6196
Disclaimer: The data relating to real estate on this website comes in part from the MLS® Reciprocity program of either the Real Estate Board of Greater Vancouver (REBGV), the Fraser Valley Real Estate Board (FVREB) or the Chilliwack and District Real Estate Board (CADREB). Real estate listings held by participating real estate firms are marked with the MLS® logo and detailed information about the listing includes the name of the listing agent. This representation is based in whole or part on data generated by either the REBGV, the FVREB or the CADREB which assumes no responsibility for its accuracy. The materials contained on this page may not be reproduced without the express written consent of either the REBGV, the FVREB or the CADREB.


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Critics Consensus:
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All Critics (8)
| Fresh (6)
| Rotten (2)
The Witch in the Window never gels into anything substantial; if feels less like a full-fledged horror film than a muted, bargain-bin approximation of one.
Andy Mitton's The Witch In The Window is one of the most beautifully crafted horror films to hit screens in many years. Mitton's film is a perfectly precise piece of genre cinema, filled with wonderful character moments as well as skin-crawling scares.
The Witch In The Window is a deliberately slow-paced, quietly sorrowful film about a man trying to reconnect with his family. By prioritizing character development, Mitton has crafted an emotionally rich film that...has the capacity to chill.
The Witch in the Window is unlikely to become the next big sleeper hit, but then it doesn't aspire to be - it aspires to tell a good scary story.
Straightforward with a coda so telegraphed that it loses whatever emotional epiphany it was meant to deliver, The Witch in the Window is obvious, predictable, and stilted in its worst moments.
The Witch in the Window is a valiant stab at injecting new life into an old and familiar tale.
Mitton's film never goes where you expect, while deploying its horror tropes to show the cracks and fissures in contemporary America's nuclear family structure. Its ending, so poignantly bittersweet, is very hard-earned...
Mitton's handling of the supernatural elements - casually introduced and incorporated into the edges of domestic experience - proves extremely unsettling, even as everything shifts towards a hard-earned poignancy that is both haunting and sublime.
I feel like I've already gone through this, probably more than I should have in all honesty, but I'll go through it again. My father was never there for me. A few days out of, soon-to-be, thirty-one years doesn't really count. I don't know if you could say that I'm bitter. Honestly, I'm really not, because my mom and my aunt (the two women who raised me) probably did a better job than if my dad had actually been involved. I'm not bitter, but I do not want anything to do with him or his family again. Not because of anything that was done to me, more something they did to my mother that I will never forgive or forget, no matter what happens. I've even said this that, as selfish as this may be, if my father ever wanted to clear the air, I would not do it. No matter what. Regardless, that's neither here nor there, I suppose. In some ways, I do wonder what it is like for kids like Finn in this movie, where the father comes and goes and if somehow that is actually worse than, say, kids like me, whose fathers are completely absent. I wonder if there's that constant hope, for the kids in this situation, of finally their dad is staying with them for good, before that hope is forcefully taken away from them when the father finally ends up leaving. That seems like so much worse, honestly. It shouldn't surprise anyone, least of all the parents, if the kid involved in a situation like this ends up having some sort of behavioral problems. And that's what brings us to this movie, as Finn, a product of this type of home, where the father comes and goes, is sent off with Vermont with his father to help fix up this house that Simon, theoretically, hopes to sell. Finn is sent with his father after, apparently, using the internet to watch some a violent video of this guy being decapitated. Anyway, long story short, the house Simon bought is, apparently, haunted by this old woman that died in it however many years back. Here's the thing about this movie and that is the fact that if you're looking for a thrilling haunted house film like, say, The Conjuring, you're barking up the wrong tree. This is much more of a slow burn, exploring the relationship between Simon and his son. The core of the movie is that relationship and, given that, the film spends a lot of time with Simon and Finn just being a father and son, them interacting with each other and getting to understand each other better. In that regard, the movie is excellent, because the interactions between the two don't feel forced or unnatural. I'm not saying it's realistic, but this portrayal of a relationship between a father and son is much more effective than many movies I've ever seen. On the other hand, however, the horror doesn't really do much for me. It's not like there's really that much to begin with, but what is there feels one-dimensional. Andy Mitton also wrote and directed We Go On, which was also a character-driven horror movie. But I do think that the horror in We Go On felt far more pertinent to the narrative in the movie. It was a story that dealt with coming to terms with our own mortality, so the lead character being able to see the ghost of this dead man that tethered itself to him made perfect sense. Here, however, the haunted house doesn't feel as important to the story, just something that Andy Mitton threw in there because he thought the father/son angle might make things a bit boring. And I can get that. While I do think that the relationship between Simon and Finn is the best part of the movie, it's also not entirely exciting. They're just fixing up a house and talking about stuff, there's no real sense of urgency for the most part. The haunted house angle gives them that. It gives everything that Simon and Finn are doing purpose, but it's not great and, while the idea of the ending is a good one, I don't think it's as emotionally satisfying as the movie thinks it probably should be. And this is a shame, because I like a lot of this film's ideas and, like I said, I love the interactions between Simon and Finn. Alex Draper is good as Simon and Charles Tackett holds his own as Finn. It's just that I don't think the horror and the more character-driven stuff is as skillfully handled as it was in We Go On, a superior movie (in my mind). And that's ok, I honestly don't have a problem with people who liked this movie more than I did as, currently, this has a 3.2 (out of 5) average on Letterboxd. Like I said, I can see how people might like this more than I did. There's a lot to like here. But, in my estimation, what I liked about the movie didn't really carry over into making this a good movie. I got a lot of positive to say about this movie but, when you put all the pieces together, it still falls slightly short of being good. That's odd for me, but that's just the way it is. I'd say it's even solid, but no way would I say that this is good. I only really do feel comfortable giving this an average score. Horror feels tacked on, the ending falls flat and the relationship between father and son, while the best part of the movie, also does not make for enthralling entertainment. I wouldn't recommend it, but it's obvious that more people than not have gotten more out of this than I did. So, if this seems like your cup of tea, then go ahead. Don't let my opinion dissuade you from that in the slightest.
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12 December, 2016
Champagne Wedding Sash
Posted in : Champagne1 on by : Darryl Tags: Champagne Wedding
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When the French similar to the Champagne to get youthful and youthful, the English prefer their Champagne being rounder and mellower, therefore they prefer aged wines. A little bit getting old of wines inside of a dim cabinet is suggested for the majority of champagnes. Atleast 6 months for normal wines in addition to a minimal of eight several years for Classic wines Plastic Stemless Champagne Flutes
A Vintage Champagne is just one on which the 12 months of your harvest is printed to the bottle. This can be an unblended wine from the single harvest in that year. They're frequently regarded outstanding and therefore, also have a premium. New wonderful vintage has become during the years 1990, 1995 and also to some extent 1996.
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Read more: Hollow Stem Champagne Flutes


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August 30, 1988
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she always gets a spurt out of me ~ Mike
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Victoria Rae
Victoria Rae Black was born in Milwaukee Wisconsin on August 30, 1988. She is 5'9 and 118 lbs with a great set of natural 34C boobs. Victoria has long brown hair and stunning brown eyes. She has no tattoos and has her belly button pierced. Victoria does both hardcore and softcore shoots, and really does a nice balance of both. She has worked for such large adult companies as Twistys, Digital Desire, Naughty America and Reality Kings. Please feel free to check out all of our sexy Victoria Rae Black picture and video galleries.
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Victoria Rae Black has just exploded in the porn world in 2011. Victoria was added to Barelist a few years after we started the site, and has already become one of the most popular stars on the site. Victoria is extremely skinny, but being so tall she is just something to behold. She also has a very nice set of C cup tits. Victoria started out doing softcore scenes, but soon moved on to doing hardcore boy-girl as well. We tend to think with her mind blowing good looks, Victoria really does the best in glamour style shoots.
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she always gets a spurt out of me
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Love stroking to her :)
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Spectra 9 Plus Portable Double Electric Breast Pump
This is a Portable Double Electric Breast Pump (9 ) by Spectra. It comes with a complete double kit so you can double pump . It has a nozzle for each milk collection kit, making it easy to swap from single to double pumping. It has a letdown mode and the ability to adjust suction strength and cycle speed together. It has an inbuilt rechargeable battery, LCD display, a battery indicator and a timer. It is lightweight and slimline and can easily slip into your handbag. It is a closed system whic
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Spectra S2 Hospital Grade Double Electric Breast Pump
This is a Hospital Grade Double Electric Breast Pump (S2) by Spectra. It has a powerful 320mmHg suction, double pumping, massage mode to encourage speedy letdown, ability to adjust both suction strength and cycle speed, night light and timer. It is quiet and portable. It is a closed system which means that there is no way for milk to get into the pump motor. This is important because milk particles in the pump motor can lead to the growth of mould and is a potential source of virus transmission
19 hours ago
RRP $379.00 - pay only $245 here for the same pump with loads of extra parts. Extras include 4 x pump bottles, an extra (brand new) duckbill valve, 28mm flange, a brand new backflow protector and tubing, and new Medela pump bags (about half a box's worth). This breast pump has a handy nightlight and inbuilt rechargeable battery for pumping on the go. Comes with all the parts ready for double pumping. All pump parts pictured are in excellent condition with no damage or faults. The pump is in
Spectra S2 Breast Pump.
Spectra s2 double breast pump, hospital grade. Comes with everything needed for double pumping. Just missing 1 bottle but avent new and sold style fit the flanges. Also comes with box and all manuals Purchased under 6 months ago, used mainly for 2 months then once every now and then. Been stored the last two months as haven't needed. This pump has helped me keep up supply, and also build a stash plus donate milk. It an amazing pump but sadly our journey has started slowing down and now the p
Spectra Dew 350 electric breast pump
Very good condition breast pump. I didn't use much because my baby refuse take a bottle. Almost new.
Pink spectra Dew 350 hospital grade breast pump
Electric breast pump only used for two months. Brand new backflow valves included.
Spectra Portable Breat Pump
Spectra Portable Breast Pump Great working condition Pump accessories are included and would just need to be sterilised. Otherwise, new parts can be purchased from the spectra website.
Lacteck BabyMotion flanges & Pump2Baby bottle
I am a stockist for Lacteck (as well as other brands - see the bottom of this ad). All items are new, in original packaging BabyMotion flanges - directly compatible with Medela 2-piece flanges or compatible with Spectra with an adapter (also available). In sizes 21mm, 24mm, and 27mm. Made of soft, BPA-free silicone. To aid in comfort and output (results are not guaranteed) Pump2Baby bottle - attaches to a narrow neck flange (adapters available to connect to Spectra wide flanges) and a
NEW Spectra S2 to buy or rent with free delivery*
I am an authorized stockist for Spectra® in Perth. These are one of the best and most affordable hospital grade pumps available in Australia Features 'Hospital grade' (capable of initiating and maintaining supply and possibly increasing it) Double electric pump 2 modes with 6 speed options Adjustable suction strength Display with timer Night light Quiet Closed system Available to rent or buy. Rentals are used but come with 2 sealed kits. Any money you pay on a rental comes off the
Lactation consultant services
I am a mother, midwife, NICU nurse, and lactation consultant (IBCLC). I had a very rough breastfeeding journey with my daughter despite being a midwife and having worked in neonatal ICU for almost 8 years. So I have lots of 'practical' experience, rather than just theory or textbook knowledge Lactation consultant appointments are available in the comfort of your own home, within 20km of Morley. Reasons to see a LC: If you need help with breastfeeding - sore/damaged nipples, worried abou


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A local man was arrested Thursday on charges of possessing cannabis after police stopped his vehicle and allegedly found marijuana and a smoking device in his pocket. Marc A. Magiera, 26, 660 E. Liberty St. also was charged with possession of drug paraphernalia and speeding, police said.
A local man was arrested Thursday on...
R. Kelly surrenders to Chicago police after being charged with sexually abusing 4 alleged victims
What happened? A timeline of the Jussie Smollett case
Judge scolds Jussie Smollett over allegations he staged racist, anti-gay attack: 'Vile and despicable'
Copyright © 2019, Chicago Tribune


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One of the most powerful tools you have for growing giving is saying thanks! Contributors to your church's ministries should know you are grateful for their support. Saying thanks expresses gratitude, grows giving, and makes you feel good. It only takes a few minutes to say, "Thanks for giving!"
Watch The Power of Thanks to learn four practical strategies that will significantly impact your ministry funding from Horizons' Managing Partner, Joe Park.
Take your church's giving to the next level and start the new year strong. These 25 big ideas from Horizons Stewardship will help you get there. If giving was flat, the number of church donors has declined, or your ministry for 2019 is not fully funded, these 25 ideas offer the strategies you're looking for.
Engaging and keeping givers is a huge struggle for most churches, and the competition for charitable dollars continues to be fierce. If you want to grow giving and see your vision become a reality, 25 Big ideas offers the help you need in this free download.
If you are already a Giving365 subscriber, click the user icon at the top right of the menu.
Horizons is pleased to announce the launch of Giving Intelligence — a video series offering helpful advice from the Horizons team of generosity experts. Leading off is Horizons' Founder, Clif Christopher, author of several books on giving including, Not Your Parents' Offering Plate and his most recent, God vs. Money.
In this first in a series, Clif identifies the three reasons why people say they choose to give. These reasons have important implications for churches, especially during these times of intense competition for charitable dollars. Click below to view the first Giving Intelligence series video.
PO Box 627
Cabot, Arkansas 72023


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^ Cisco Systems, Inc. (2004). Internetworking Technologies Handbook. Networking Technology Series (4 ed.). Cisco Press. p. 233. ISBN 9781587051197. Retrieved 2013-02-15. [...] VPNs using dedicated circuits, such as Frame Relay [...] are sometimes called trusted VPNs, because customers trust that the network facilities operated by the service providers will not be compromised.
It is possible for some background services to send information across that initial, unsecured connection before the VPN loads. To be fair, the risk is relatively minor for most usage profiles. If you're establishing a connection automatically to your corporate server, you will definitely want to check with your IT team about how they want you to set things up.
TorGuard is incorporated in St. Kitts and Nevis, and operates out of offices mostly in the US. But most people shouldn't be worried about the legal jurisdiction of their VPN's offices—we detail the reach of government surveillance above. In short, we think a privacy-focused VPN with public leadership that can be trusted not to collect information about their customers is a better choice in any country, rather than an opaque company run from the most liberty-ensuring country on the planet.
If your only streaming a movie from some apk here and there, does it even pay to use a vpn? Seems vpn's log your real info, you may seem suspicious because if you use a vpn you could be hiding something, it's really unclear that they protect your identity anyway when push comes to shove. Seems safer to just stream through the apk without a vpn in a lot of ways. Maybe better to just trust your major isp not to bother you then trust a 3rd party vpn.
VPN technology was developed as a way to allow remote users and branch offices to securely access corporate applications and other resources. To ensure safety, data travels through secure tunnels, and VPN users must use authentication methods -- including passwords, tokens or other unique identification procedures -- to gain access to the VPN server.
We considered native apps for Windows, Mac, and Android to be mandatory because they're easier to use than open-source or third-party VPN apps like Tunnelblick; that in turn makes it easier to stay secure. For more-advanced users, adding VPN connections to Wi-Fi routers can help secure all connections on a home network without having to manage devices individually.
The service uses Advanced Encryption Standard with a 256-bit key, a common method employed by VPN services. Connections are protected using 2048-bit public key encryption. For privacy, the service offers a malware detection software. What is good about the software is that it can be downloaded and used without providing any personal information. This holds as long as you use the free version of the software and never contact customer support.
That said, many VPN providers are based outside the US, which complicates enforcement. Jerome continued: "Users can file complaints in a local jurisdiction, and local data protection laws may have more effective enforcement mechanisms. For example, privacy and confidentiality of communications are fundamental rights in the European Union. Data protection authorities in EU-member states are empowered to handle complaints brought by individuals and then provide users with information about the outcome of any investigation. But it is unclear how effective any of these remedies will be."
The NordVPN client provided one of the most attractive interfaces, and connecting to a VPN server was straightforward and very quick. We found performance to be somewhat spotty, however, with our fastest connection running at 53 Mb/s down and 26 Mb/s up, compared to 125 Mb/s down and 20 Mb/s with the VPN connection turned off. We did have an issue connecting to Netflix, but Amazon Prime Video ran without issue. Our other internet tests went without a hitch.
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Because few VPN companies offer live support, we appreciate when they at least provide easy-to-follow resources on their websites. Detailed setup guides with step-by-step instructions are available for every platform IVPN supports, and it breaks down troubleshooting advice into language that's easy to understand. ExpressVPN also has clear, helpful support articles, but other services aren't as straightforward. It's harder to find the right information on TorGuard's support site, and its articles aren't as novice-friendly. If you need to submit a ticket for a specific problem, you can expect a quick response from all the companies we tested—IVPN and TorGuard both responded to us in minutes, and PIA took the longest at one day. ExpressVPN was the only one of our finalists that offered tech support over live chat. (Other companies provide live chat only for sales and signup support.)
The TorGuard Windows client was easy to install and made quick work of connecting to a VPN server, including the ability to choose a server location prior to connecting. The internet speed on our test system dropped from our usual 125 Mb/s download to 53 Mb/s, and our upload ran at 17 Mb/s compared to our usual 20 Mb/s. That's not the best performance in our testing, but all internet services that we tested worked without a hitch, including Netflix and Amazon Prime Video.
To choose the best VPN for you, don't just look at the price, not least because many services offer massive discounts if you take out a longer term subscription. Start with the basics: how many simultaneous connections can you have? Are there particular security protocols you want to use? Does the provider have servers in the places you'll want to use it from and the places you want to connect to? How much data will they log about you, and how long do they keep it for?
Since it takes research to find out if a VPN service has a history of good or bad behavior, we've done the legwork to find the best VPN out there. In order to win our seal of approval, the service has to protect online privacy; allow you to keep anonymity; offer a good variety of locations from which to direct your traffic; offer fast, reliable performance; and provide an easy-to-use interface.
Computer and software providers work hard to make sure that the devices you buy are safe right out of the box. But they don't provide everything you'll need. Antivirus software, for example, consistently outperforms the built-in protections. In the same vein, VPN software lets you use the web and Wi-Fi with confidence that your information will remain secure. It's critically important and often overlooked.
With a name like TorGuard, the software better offer strong protection. The software's hallmarks lie in its ability to connect to a melange of services for different activities, with four different packages available based on various needs. The VPN service will run you $10 each month, but there's a cheaper proxy service if all you need to do is hide your IP address from the world.
Even though Tor is free, we don't think it's the best option for most people. If you aren't familiar with Tor, this handy interactive graphic shows how it protects an Internet connection, and this series goes into more detail about how Tor works. Runa Sandvik, a former researcher with The Tor Project who is now part of the information security team at The New York Times (parent company of Wirecutter), described it as "a tool that allows users to remain anonymous and uncensored." When we asked expert Alec Muffett about whether he personally used a VPN, he told us he actually spent most of his work time using Tor. But Tor has a reputation for slow connections, can be blocked by some websites, and isn't suitable for some peer-to-peer applications like BitTorrent.
In 2011, a LulzSec hacker was arrested for his involvement with an attack on the Sony Pictures website. Cody Kretsinger used HideMyAss VPN to conceal his identity, but the company complied with a court order to hand over evidence that led to his arrest. This occurred in spite of the company's pledge not to keep any logs of user activity. HMA says it does not log the contents of its users' internet traffic, but it does keep detailed metadata logs that include users' real IP addresses, which was enough to charge Kretsinger with a crime.
The solution is also able to bypass firewalls through stealth connections. Additional security is provided through an ad and malware blocker, which can be switched on and off. For those who enjoy torrenting, the software supports such process, with certain servers optimized for P2P networks. This is designed to keep high-speed browsing on other connections. However, the service warns users to keep torrenting activities confined to specific cities around the world.
Though TorGuard's support site offers in-depth information, finding specific info is harder, and the site is not as easy to follow as those for our top pick or ExpressVPN. TorGuard provides helpful video tutorials, but they're two years old now and don't show the latest versions of the company's apps. As with most of the VPNs we contacted, TorGuard support staff responded to our help ticket quickly—the response to our query came less than half an hour after we submitted it on a weekday afternoon. Still, if you're worried about getting lost in VPN settings or don't like hunting for your own answers, IVPN is a better fit.
Nowadays, the world of technology is defined by the best available VPNs in the market. Users from different occupation and backgrounds have carefully selected VPNs that meet their requirements. Currently, VPNs are among the most prominent monoliths in the tech modern world for their non-compromise in privacy. Tech geeks use virtual private network making their business secure from technological breaches like frauds and hacking. Globally, many people use best-paid VPNs to have access to streaming services like Netflix. To make your online lifetime secure and invulnerable, you need a top VPN app.
Hopefully, you're not a candidate for government surveillance, but who knows. Remember, a VPN protects against your internet service provider seeing your browsing history. So you're protected if a government agency asks your internet service provider to supply records of your internet activity. Assuming your VPN provider doesn't log your browsing history (some VPN providers do), your VPN can help protect your internet freedom.
Before you decide which best home VPN network client you want to download and install on your device, take some time to ask yourself a few questions, the most important of them being "what exactly do you need the VPN for?" For example, do you want a VPN for your Windows computer? Regardless of the platform or firmware that your devices operate on, certain aspects of a VPN are critical and should be considered before making the purchase. Regardless of why you need a VPN, unlimited access to all the Internet has to offer is of top importance when making your decision. With a VPN like Express VPN or NordVPN, you will be able to surf securely and privately. There are a number of features you might want from a VPN - unlimited number of devices, fast surfing speeds, Android and iOS apps, major VPN protocols. All are important in choosing the right VPN for you. Check out our guide to choosing the right unlimited VPN for your needs to help you decide which of the best VPNs in 2018 is right for you.
Increasingly, mobile professionals who need reliable connections are adopting mobile VPNs.[33][need quotation to verify] They are used for roaming seamlessly across networks and in and out of wireless coverage areas without losing application sessions or dropping the secure VPN session. A conventional VPN can not withstand such events because the network tunnel is disrupted, causing applications to disconnect, time out,[31] or fail, or even cause the computing device itself to crash.[33]
TorGuard's signup and payment process is also fine but not stellar. Compared with that of IVPN, the checkout process is clunky, and using a credit or debit card requires entering more personal information than with our top pick. The easiest option for anonymous payments is a prepaid debit card bought locally. Otherwise, like most providers, TorGuard accepts a variety of cryptocurrencies, PayPal, and foreign payments through Paymentwall. That last service also allows you to submit payment through gift cards from other major retailers. We don't think this method is worth the hassle for most people, but if you have some money on a fast-food gift card you don't want, turning it into a VPN service is a nice option.
IVPN goes further than the other leading candidates we considered by being transparent about who runs the service and is responsible for your privacy. The company lists its core team on its website, and its small team has an online presence on a variety of platforms. In contrast, only one employee at ExpressVPN has a public face: VP of marketing Harold Li gave us detailed answers to questions about policies and internal security, but couldn't tell us much about who else worked there. (We discuss ExpressVPN in more detail in the Competition section—that company was almost our top pick but for this issue.)
These services offer many ways to connect, including without the service's client software; support operating systems and devices, such as routers or set-top boxes, beyond just the "big four" operating systems (Windows, Mac, Android and iOS); have hundreds, or even thousands, of servers in dozens of countries; and generally let the user sign up and pay anonymously.
Norton WiFi Privacy performed very well in our latest round of speed tests. In the UK, we got FTP and HTTP download speeds of around 9.5MB/s (76Mb/s). Using endpoints in the Netherlands, that HTTP speed went up to 10.1MB/s (81Mbit/s). U.S. speeds were also very good, exceeding our non-VPN reference download at 5.8MB/s (46.4Mbit/s) for FTP and 4.8MB/s (38.4Mbit/s) for HTTP downloads.
Cost: There's a 3 day free trial you can grab but you'll still need to enter your credit card. Otherwise, you can pay for VyprVPN every month for $9.95/month (or buy a year at once to bring that down to $5/month). Additional, there's a Premium plan for $12.95/month (or $6.67/month when billed annually) that lets you use your account on up to five devices at once, plus it supports Chameleon.
When we tested other aspects of IVPN's performance, it also satisfied our requirements. On the default settings, our real IP address didn't leak out via DNS requests or IPv6 routing, let alone a standard IP address checker. The DNS-requests check indicated that the app was using the company's internal DNS servers and that they were correctly configured. None of the 12 services we tested disclosed our true IP address (though some showed mismatched IPs). Every VPN we considered had to operate its own DNS servers in-house and not rely on ISP servers or public options like Google's, which give third parties a chance to log or analyze the sites you visit. IVPN currently disables all IPv6 connectivity, though the company is looking at solutions to securely support it soon. Most companies we considered do the same; OVPN was the only company to support IPv6 addresses at the time of our testing.
Some VPN services will limit the total amount of data you can send and receive, either in one connection session or over the period of a month. Other VPN services will limit the speed of the data, effectively sharing less of their pipe with you than might be optimal. That could slow your browsing experience to a crawl or completely prevent you from watching streaming video.
A VPN encrypts all of the Internet traffic between your computer and the VPN server, preventing anyone on your local network, or connection points along the way, from monitoring or modifying your traffic. Beyond the VPN server (in other words, on the rest of the way to whatever Internet server you're connecting to), your traffic mixes with traffic from other people on the VPN and the rest of the Internet. Ideally, that makes your traffic traceable only to the VPN server, not to your home, office, or computer. You can read a more detailed explanation in our post about what a VPN is and when using one makes sense.
Since December 2017, when the FCC decided to burn Net Neutrality to the ground, more and more people have become obsessed with online privacy (or lack thereof). Your internet provider can choose to slow down your internet if they want, and they could also go after sites like Netflix and demand money for offering high viewing speeds. And keeping your illegal stream or questionable search history private? Forget about it.
Finding the best free VPN is an exercise in balancing those restrictions. TunnelBear, for example, lets you use any server on its network but limits you to 500MB-1GB per month. Avira Phantom VPN lets you use as many devices as you like and any server you like, but also restricts you to 500MB per month. AnchorFree Hotspot Shield also places no limits on the number of devices, but restricts you to 500MB per day and only US-based servers. Kaspersky Secure Connection also doesn't limit your devices but doesn't let you choose a VPN server—the app does it automatically.
Increasingly, mobile professionals who need reliable connections are adopting mobile VPNs.[33][need quotation to verify] They are used for roaming seamlessly across networks and in and out of wireless coverage areas without losing application sessions or dropping the secure VPN session. A conventional VPN can not withstand such events because the network tunnel is disrupted, causing applications to disconnect, time out,[31] or fail, or even cause the computing device itself to crash.[33]


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Rated 5/5 Stars
Become Immortal
Spells ► Health ► Immortality ► Become Immortal
This spell will allow an individual to be a true immortal.
You will need the following items for this spell:
- None
Casting Instructions for 'Become Immortal'
Say this 3 times:
Immortality, come to me. Immorality, I call you to me. Make me immortal, a true immortal I ask of thee. Immortality, enter into me I ask of thee So mote it be.
This spell is permanent and irreversible. This spell will increase any magical thing about you tenfold.
Its best if you cast this spell at night with the moon showing at its fullest ( a full moon) You can use any ingredient you so desire. The more ingredients and methods of casting this spell is put into this spell the more powerful the effects.
Jpascucci666 has been a member of the site for 1 year, since May 12, 2017
Added to Spells Of Magic on May 17, 2017
Last edited on May 19, 2017
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Last edited on May 19, 2017
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Three applications illustrate how companies are beginning to embrace data solutions while establishing a foundation for more ambitious initiatives in the future.
The construction business faces a major productivity challenge. While labour productivity in the global economy has increased by an average of 2.8 per cent a year over the past two decades, and in manufacturing by an impressive 3.6 per cent, the construction sector has registered a mere 1 per cent annual improvement. As the capital-project partners responsible for execution, engineering and construction (E&C) firms are well positioned to drive changes that can help close this troubling gap.
To do so, some are turning to data-driven solutions that have already revolutionized many other corners of the economy. These techniques are emerging as vital tools for improving capital project outcomes and reducing risk. By enabling E&C companies to leverage the vast amounts of data they already collect, analytics can uncover critical insights that both speed up and improve the quality of management decisions. In particular, they can help project teams assess market conditions, portfolio composition, and individual project performance.
Usually, E&C firms must decide whether to bid on a project based on incomplete information. Major construction projects often have a five- or 10-year timeline, if not longer, which makes it difficult to accurately define the scope and predict likely complexities or complications up front. Companies rely on staff experience to weigh potential risks and profitability, but those judgments are subject to inherent biases and may be affected by ambitious growth targets or individual incentives.
Misjudging risks and underestimating costs can prove disastrous. In a business with typical margins of 5 to 7 per cent, underestimating a bid by 10 per cent without the ability to recover the extra costs can make the project an expensive money-loser for the E&C firm. Conversely, overpricing a project by building in too big a contingency cushion will likely mean the loss of the contract—something a firm can ill afford in an industry with win rates of merely 15 to 25 per cent.
Data modelling can replace cognitive bias and flawed assumptions with fact-based insights about a project's statistical chances of success. By analysing historical information such as types of labour and contract arrangements, regional spending trends, and project size, analytics can assess the probabilities of project outcomes. Those, in turn, enable teams to better evaluate the attractiveness of a given project, re-balance the portfolio away from jobs that tend to underperform and calculate the right level of contingency to include in a bid.
When E&C firms receive bids from subcontractors, they turn to procurement specialists to assess the quotes. These individuals often rely on parametric estimates to evaluate the quoted costs and tap the expertise of project managers, slowing down the process. Complex estimates pass through multiple reviewers, with each one adjusting the estimate based on his or her own experience and judgement (as well as potential bias).
Despite these extensive consultations, the lack of an empirical foundation makes it hard for engineering companies to credibly challenge a subcontractor's estimates beyond relying on generalized rules of thumb. In addition, while many companies maintain (and subscribe to) databases of parametric cost factors for bidding, they rarely follow up with the actual costs at the end of their projects to gauge the accuracy of those estimates.
Analytics can provide a solution to these problems. By analysing individual drivers of past project costs, such tools can enable E&C companies to rapidly assess a realistic level of effort and cost for a project and compare those figures to subcontractor quotes.
Traditional project controls often lag the incurrence of costs by days or weeks, which makes them an effective tool for retrospective reporting but not for managing ongoing projects. The controls also don't account for the interconnectivity of different metrics and the unique combinations that may have outsized effects on performance.
Unable to continually track and grapple with all the data a project generates, managers tend to follow a few key performance indicators. The resulting incomplete picture of the project's daily progress can lead to flawed decisions on the ground.
Analytical tools can deliver a significant improvement on this front by allowing companies to quickly and continuously analyse project data and assess progress, enabling managers to react faster to potential problems. With real-time or near-real-time project controls in place, an E&C firm can track events or problems known to correlate with the erosion of bid margins, such as a one-day weather delay or three consecutive days of a subcontractor's failure to complete designated tasks.
Engineering and construction firms wishing to prepare for the digital age will need to establish a new operating model. Such a shift requires treating digital initiatives as part of the core strategy, adapting processes and organizational structures, and ensuring staff have the necessary training to deploy, troubleshoot, and lead digital initiatives. But the first step in such transformations is applying analytics to assess current operations and performance.
Companies also need to establish standards for the data they collect in the future. Whether it's a full-fledged data management system or simply a standard way of tagging and collecting information, standards for what you want to collect and how you collect it are critical to a long-term analytics strategy.
As digitization penetrates all parts of the economy, including engineering and construction, capitalizing on the insights hidden in data will become essential. E&C companies reluctant to invest in the systems and skills needed to harness what they have collected should remember that competitors who have successfully made the move are already reaping significant benefits. Firms that embrace analytics can make sharper bids, thus avoiding unprofitable projects and increasing their win rates on those with strong margin potential. They conduct savvier negotiations with subcontractors, reducing costs and increasing decision speed. And they anticipate problems with ongoing projects, allowing managers to intervene before potential delays and cost overruns turn into real ones. As the industry increasingly deploys these tools, the companies that get in early will likely emerge as leaders.
Source: McKinsey & Company- Capital Projects & Infrastructure
Are you looking for an IT job, Finance job, Engineering job, or a Contracting assignment? Contact Network Recruitment, the centre of recruitment excellence.
Did you know that the informal sector provides employment and income to more than 2.3 million people and business owners in South Africa? In addition, studies reveal that one in six South Africans who are employed, work in the informal sector. Although South Africa's informal sector is believed to be small in comparison with other developing countries, its demonstrating sustainable growth, particularly in respect of employment.
Any small enterprises with less than five employees, based in low earning neighbourhoods, and which generate low earnings are considered to belong in the informal sector. These enterprises are not incorporated or registered for taxation.
The effect this sector has in poverty-stricken areas is remarkable – it alleviates poverty. These economic activities provide income for people in these areas. In fact, these enterprises provide about 850 000 paid jobs, according to a 2013 study which revealed that this is almost twice the amount the formal mining sector made that year.
The study further reveals that while 60 000 jobs were lost due to employment cut-backs, 150 000 jobs were created by one and multi-person enterprises. Further studies uncovered that the sector, mainly in the construction, retail trade and services, manufacturing and communication industries, created more than half a million jobs in the sector in 2013.
However, reports suggest that while the informal sector has a positive impact on the country, it does bear the risk of closing down within six months. Researchers estimated that the loss of 100 jobs in the informal sector is equivalent to losing 60-80 jobs in the formal sector, something policymakers should take into account.
Not entirely. However, it should be an integral part of solving the problems of poverty, unemployment and inequality by absorbing people not employed by the formal sector.
If the country aims to attain economic growth, it needs a clearly defined inclusive economic growth strategy that allows the poor to participate. An enabled, well-supported and increasingly dynamic sector will positively influence the economy through job creation and comprehensive growth. As a result, the country will have an informal sector that generates more practical incomes and better quality employment.
Different approaches such as formalisation and providing financial services will enable this sector to flourish as a new member of the economy.
Java and C have still ranked the most popular programming languages in the world, but will Kotlin take over?
According to the Tiobe Index for January 2019, Java, C, and Python remain the most popular programming languages in the world. Other popular languages include C++ and Visual Basic, all ranked highly on the index.
While Python gained popularity significantly over the past year, Java remains the most popular language. It has dominated the rankings for years and still shows high year-over-year growth, meaning it is not going anywhere for now.
There are multiple reasons for the extended popularity of this programming language, from its ease of use and capability to its widespread adoption and development.
Many developers learn Java as one of their first programming languages, with its relatively simple syntax making for easier reading and understanding of functionality. The language is also object-oriented and has a useful API, which provides many easy-to-use features.
While these make for a powerful and accessible programming language, the popularity of Java is the direct result of its adoption across platforms and its community investment. Oracle has made Java available for free to all developers, and this has cultivated a strong community which produces a large collection of open-source libraries.
Perhaps most importantly, Java can run independently on the Java Virtual Machine – making it ideal for web programming and cross-platform applications. Java developers can create applications for desktops, mobile, online platforms, and more, thanks to the language's versatility.
The programming language currently has a variety of uses and is used to build everything from Google docs to mobile games. Most commonly, it is a tool to make small application models for use in web environments like e-commerce websites or financial trading platforms.
A number of useful software platforms are also created using Java, including Netbeans, Eclipse, and IntelliJ. While it can be used to build impressive video games like Minecraft, it can also be used in an embedded environment, as any system only needs 130KB of RAM to use Java technology.
The versatile programming language has also become the default for scientific applications. The programming language is taught at universities and various other educational institutions worldwide, and is also available as a course from massive online open course (MOOC) platforms, including Udemy, EdX, and Coursera.
Java is not without its competitors though, even though they do not appear in the top 10 rankings for popularity of programming languages. While it does not appear on the top 10 list, Tiobe predicts that the programming language Kotlin will enter the top 20 list this year due to its rapidly growing popularity.
Kotlin is designed to fully integrate with Java and the Java Virtual Machine but offers more syntax that is concise and the option to compile to JavaScript. It also fixes a number of issues, which Java suffers from. For example, its null reference is controlled by the type system, arrays in Kotlin are invariant, it has proper function types and does not have checked exceptions.
Google also officially supports Kotlin for mobile development on Android, and the language is included as an alternative to Java in Android Studio. Kotlin is currently ranked at 31 on the Tiobe Index, but it is expected to soar up the rankings over time.
However, it still has a long way to go before it takes on Java for the title of the most popular programming language in the world.
Source: MyBroadband
Empowering females in Africa could be the answer we need to combat climate change, writes www.infrastructurene.ws.
For Africa to be better equipped to fight climate change, cope with disasters and build its green energy sector it needs to empower its women and girls.
This was the view of African delegates discussing the implementation of the Paris Agreement in Katowice Poland recently.
According to Mafalda Duarte, head of the Climate Investment Fund, research shows that agreements on the environment are more likely to be ratified and projects around natural resources, such as water, are more likely to succeed if women are involved in decision making.
Dana Elhassan, senior gender expert at the African Development Bank added that empowering women in the context of climate change empowers a family, a community and a country.
"You cannot solve a problem with half the team. A lot of the unpaid work that women do, such as collecting firewood and water, and caring for the family, are massively affected by climate change – so we have to make sure adaptation initiatives address their needs, vulnerabilities and potential," she said.
When women are empowered equally to men there is a massive leap forward in economic gains: a recent McKinsey study found that if women were participating economically as much as men, they would be adding 28 trillion dollars to global GDP by 2025.
In Africa, lack of access to finance has resulted in an estimated $42 billion financing gap for women entrepreneurs across business value chains.
Yet unlocking African women's ingenuity and giving them access to finance could generate technological advancements that help deal with climate change, believes the African Development Bank.
Source: www.infrastructurene.ws
Blockchain, the new technology associated with cryptocurrencies, promises to bring about a substantial change to industries such as accounting and auditing. It is said that in future it will be as significant to the accounting industry (through automation and streamlining of manual processes) as the software that is currently being utilised to record and reconcile financial transactions.
What are the benefits of blockchain?Working as a global and public ledger, blockchain cannot be tampered with or corrupted even if you're the owner of the accounting system. This is due to that fact that it doesn't have a central database. This permanent cryptographically sealed document creates a trail of financial DNA allowing information to be stored across a number of computers, making hacking technically impossible while allowing participants to verify and audit transactions without a third party (like lawyers etc.).
Real-time updatesFurthermore, it is perfect for financial and accounting applications as information is updated in real-time and each 'block' or transaction is time-stamped. In addition, data cannot be deleted as changes and all amendments are transparent. This assists in curbing any fraudulent activity.
Faster auditsAccording to Charles Pittaway, Managing Director of Sage Pay, "transparency and standardisation will enable auditors to verify many of the records they need to look at automatically. This could, within the next 10 to 15 years, reduce the manual tasks involved in auditing, though it is likely that human auditors will still be needed to sign off audits and provide advice around complex transactions". This way, audits will become faster, simpler, more reliable and less prone to error.
Simplified transactionsBlockchain will simplify financial transactions between a company and its supplier. Rather than keep and reconcile records of the same transaction, the two parties will record them on a shared blockchain ledger, allowing them to streamline invoicing, payments and other business-to-business transactions. "Other future applications for blockchain in accounting might include authenticating the ownership and history of an asset the company is buying or selling," Pittaway mentions.
While automation is inevitable for accountants and auditors, Pittaway says there will still be a demand for financial professionals and practices as clients will still require strategic advice in numerous industries.
Are you looking for a Finance job, or a Contracting assignment? Contact Network Recruitment, your trusted partner in specialist IT, Finance and Engineering placements for 30 years.
Lorraine Steyn is the founder of Khaniysa Real Systems (KRS), an organisation that delivers ICT consulting and software development services to businesses and government departments across the country. Having launched KRS in 1987 at the age of 24, Steyn was the first women to become a Delphi Certified Developer in South Africa.
Today she is an esteemed leader in the ICT industry and runs a business that employs over 60 Software Developers. Furthermore, her organisation helps young programmers to make their mark in this profession.
While women have made significant progress, Steyn says there is more that needs to done especially in technical fields. "Women have made some progress, but only in what is referred to as "soft" titles such as Project Managers, Designers, Scrum Managers and Social Media Managers whereas women are still a minority in technically related fields like software engineering and development," Steyn explains.
Here are five tips that can help to close the gap in the ICT sector.
According to Steyn, gender stereotypes and roles are what influences a young girl's career choice. By changing the common stereotype of giving boys problem-solving toys and girls toys that encourage them to be nurturers, parents should consider buying their daughters toys that stimulate problem-solving skills.
One important point Steyn raises is that boys are exposed to tech at an early age through computer gaming thus putting them ahead of the pack. "Boys have an edge through computer gaming. From an early age, computing devices are often given to boys and not girls, Steyn explains. To even the playing field, she suggests that girls be given the same encouragement and opportunity as boys to participate in this sector.
To prevent women from moving to 'soft skills' roles in this profession, organisations should aim at creating a supportive working environment. Create a company culture that cares about the development and well-being of female employees; a culture that includes them in meaningful projects, provides them with the opportunity to work autonomously and which encourages participation in organisational decision-making. Supportive work environments will affect the opportunities available to women in this sector.
In a previous article, we outlined how having a gender diverse leadership is beneficial to your business. Studies have indicated that women in leadership roles provide many benefits for companies. It has been said that software teams that embrace gender diversity tend to outperform homogenous teams.
Female developers often feel isolated in this profession. Access to female mentors is a vital component for success. In an article WeThinkCode_ co-founder, Arlene Mulder, mentioned that sometimes all we (women) need is someone to believe in us and encourage us to be bold enough to pursue our dreams. Mentors can provide women in this sector with perspective, help them to view problems through a different lens and help them find success faster.
Stats indicate that the finance industry is in need of females more specifically female CAs(SA). In their current issue, Accountancy SA, featured eight brilliant women who have managed to find their truest purpose in life and are taking the industry by storm.
Watch the video below to hear what career advice they have for aspiring female CAs(SA).
Are you looking for an IT job, Finance job, Engineering job, or a Contracting assignment? Contact Network Recruitment, your trusted partner in specialist IT, Finance and Engineering placements for 30 years.
Women in the mining sector have overcome a range of challenges. Therefore, in honour of women's month, Mining Review Africa editor's, Laura Cornish, recognises women in this sector.
Watch the below video of Cornish, as she shares her view on the phenomenal achievements of women in the mining industry.
Are you looking for an Engineering job, or a Contracting assignment? Contact Network Recruitment, your trusted partner in specialist IT, Finance and Engineering placements for 30 years.
The continued improvement in female-occupied C-suit and entrepreneurial roles indicates that great strides have been made to bridge gender inequality in Science, Technology, Engineering and Mathematics (STEM)-related sectors. However, studies show that while more females are graduating from universities, they remain a minority in STEM fields.
Statistics from the World Economic Forum (WEF) reveal that women in South Africa are being under-represented in maths and statistics (4:5), ICT and technology (2:5), as well as engineering, manufacturing, and construction (3:10). This poor representation is restricting South Africa's economy.
PwC Africa's Chief Economist, Lullu Krugel, says that although the tech sector is an exciting, and fast-moving one, women prefer to avoid careers in this sector. She explained that part of the reason for this is the low numbers of young girls pursuing STEM subjects at school and at higher-education levels. Their research also indicates that if companies don't change various cultural and behaviour drives, it's unlikely that this matter will be resolved in the near future.
As such, it's time for educational institutions and companies to collaborate with each other in order to change the perceptions and educate youth about the variety of career opportunities available. Furthermore, if young girls develop an interest in STEM fields, this will place all genders on a level playing field when they start thinking about their career paths. This solution is to make ICT or tech and engineering more appealing to young girls and start teaching the fundamentals of each sector at an early stage.
According to the Executive Director of UN women, Dr. Phumzile Mlambo-Ngcuka, this quest for gender equality and women empowerment should be a universal matter. While addressing delegates at the 9th Thabo Mbeki Africa Day Lecture on 25 May 2018, she emphasised that when it comes to gender equality, it's all-hands-on-deck. "Under-representation of women in decision making bodies from parliaments to media houses, to Boards of Corporation is a global problem," she explained.
Although great strides have been made to advance women in STEM-industries, more still needs to be done. Closing the gender gap can in return reduce unemployment rates and alleviate poverty.
Did you know that about 80% of South Africa's electricity is from coal plants and only 7% is from renewable energy sources? Many experts think it's time for government to prioritise the latter. In a keynote address at the African Utility Week conference in Cape Town earlier this year, Energy Minister Jeff Radebe informed delegates that government will integrate renewable energy sources into the current energy infrastructure.
This means that government intends to include renewable energy as a means to provide a sizable portion of the country's electricity needs. Radebe reiterated the country's commitment to collaborate with independent power producers as he applauded government's "very successful independent power producers' procurement programme". The plan is to open a new round of renewable agreements with independent power producers in November this year in the hopes of unlocking investments worth R50 billion.
Although the renewable energy market in the country is reasonably young, K2 Management South Africa country director, Hebren James, told media house Creamer Media that South Africa is ahead of the curve. Hebren explains that this is due to power purchase agreements (PPAs) that have been accepted by the National Treasury.
James believes that the Renewable Energy Independent Power Producer Procurement Programme (REIPPPP) has so far been a monumental success for the renewable energy market in the country as it has created a suitable environment for competitive bidding, resulting in continued market confidence.
Radebe advised delegates that to date government has concluded 91 projects with a capacity of 63 000 MW. Of the 91 projects, 63 have a combined capacity of 3 800 MW which has been connected to the grid. In addition, approximately R136 billion has already been invested in the country's economy with investments in the range of R56 million expected over the next three to five years.
South Africa will be joining countries such as Egypt, Ethiopia, Kenya and Morocco who have already incorporated renewable energy into their electricity infrastructure and have seen what a significant role it plays. This will also aid the economy, as thousands of jobs will be created for South Africans participating in these projects.
However, if you're in the engineering sector and are currently in search of a career move, click here to search and APPLY online. Contact Network Recruitment, your trusted partner in specialist IT, Finance and Engineering placements for 30 years.


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With iPads now in the hands of millions, studies have begun to examine how the superhyped tablet is fitting into real life, and whether the opportunity for publishers and advertisers is as big as they hoped.
Qualitative research from Ball State University examined how attitudes toward iPads changed after owning one for 24 hours. According to the report, "A Play Date with the iPad," study participants found the iPad was best for leisure activities. Content creation was too difficult on the device but ideal for content consumption.
iPad users were impressed with applications optimized for the device, especially iBooks, Apple's ereader app. They emphasized its value as an entertainment device—which meant some were not as interested in owning one because they felt they did not have a need for a new entertainment-based screen. Some productivity-oriented participants considered the tablets inefficient.
In the UK, a survey by copywriting firm Cooper Murphy Webb found that iPad owners had taken to the device in a big way, also for entertainment purposes. More than two in five said they used the tablet at least 10 hours weekly, and almost a quarter said it had become their primary entertainment device, ahead of TV and trailing PCs by just 9 percentage points.
The iPad was considered the No. 1 delivery method for newspapers and magazines, and its popularity for books was even greater: 41% of iPad owners preferred to read on the device, vs. 36% who liked hard copies better. iPads were also the top gaming device for owners of the tablets, beating out consoles by 2 percentage points.
Most users didn't find iPads very portable, though. More than 60% said they rarely or never took their iPad when they left home, while just 5% did so always.
The focus on content consumption rather than creation should be a boon for both marketers and publishers, who are hoping to generate revenues through app sales and ad support. With newspapers, magazines, books and gaming some of the top uses of the iPad thus far, the tablet is building the reputation content owners and advertisers hoped for as an entertainment-oriented device.
Keep your business ahead of the digital curve. Learn more about becoming an eMarketer Total Access client today.
Check out today's other article, "Movie Industry Slouches Toward Digital Future."
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African Journal of Thoracic and Critical Care Medicine - latest Issue
Volume 24 Number 3, September 2018
Ignorance is never bliss when it comes to patient careAuthor Richard van Zyl-SmitSource: African Journal of Thoracic and Critical Care Medicine 24, pp 102 –102 (2018) http://dx.doi.org/10.7196/SARJ.2018.v24i3.226More Less
Young doctors do not have a lot of experience, and may at times not know what they are doing. This is absolutely understandable and acceptable, as long as they know that they do not know. The doctor who does not appreciate his ignorance is most dangerous. In medical training and education, keeping up to date with new trends in treatment or research can be challenging, especially if it is in an area that one does not frequently encounter. To evaluate the level of knowledge, surveys are often sent out to assess knowledge and practice. Do they know the latest guideline on asthma? Are they treating diabetes according to the latest statement? Frequently, and not unsurprisingly, they are not following current recommendations, as was beautifully illustrated in a slightly dated study performed in the UK in 2007 to assess adherence to the British Thoracic Society (BTS) guidelines for spontaneous pneumothorax. The guidelines, originally published in 1993, were updated in 2003, a pre- and post study was performed after an intensive 60-minute training session outlining the initial audit findings and then doing a re-audit. Somewhat depressingly, the original proportion of guideline deviations (26.9%) was no different to the post-intervention audit (32.1%).
Acute pulmonary embolism in South AfricaAuthor Richard RaineSource: African Journal of Thoracic and Critical Care Medicine 24, pp 103 –103 (2018) http://dx.doi.org/10.7196/SARJ.2018.v24i3.224More Less
Pulmonary embolism is a common problem associated with significant morbidity and mortality. In this issue of the AJTCCM, Meel et al. report on a retrospective analysis of patients with pulmonary embolism diagnosed by computed tomographic pulmonary arteriography (CTPA) at an academic hospital in Gauteng Province. The diagnosis was made in 30% (n=147/498) of CTPA procedures. This diagnostic rate compares favourably with European figures (20% - 30%), and is far better than the rate of <10% reported in the USA. Concerns have been raised about the overuse of CTPA, which is not necessarily a benign procedure. There are potential risks associated with administration of contrast, including kidney injury and anaphylaxis, as well as radiation exposure to breast and other tissues. Overdiagnosis and overtreatment have been described, with complications related to unnecessary anticoagulation in individuals with isolated subsegmental pulmonary emboli. The diagnostic rate reported by Meel et al. is acceptable, particularly when CTPA often gives other information on these patients, many of whom are HIV-reactive and have other infections or disease processes.
An unusual cause of haemoptysis in childhood : a case report and literature reviewAuthors: S. Chaya, R. de Decker, M. Zampoli and A. VankerSource: African Journal of Thoracic and Critical Care Medicine 24, pp 104 –106 (2018) http://dx.doi.org/10.7196/SARJ.2018.v24i3.191More Less
Haemoptysis is uncommon in children and the diagnosis is challenging. We describe a 14-year-old child who presented with haemoptysis secondary to a suspected congenital broncho-oesophageal fistula. This is a rare condition and the symptoms are insidious, occasionally beginning in childhood but may present only in adulthood. The case report describes the presentation, diagnosis and management of broncho-oesophageal fistulas, with a review of the current literature.
Do specialist pulmonologists appropriately utilise thoracic surgery for drug-resistant pulmonary tuberculosis? A surveyAuthors: G. Alexander and R. PerumalSource: African Journal of Thoracic and Critical Care Medicine 24, pp 107 –112 (2018) http://dx.doi.org/10.7196/AJTCCM.2018.v24i3.185More Less
Background. Adjuvant lung resection in patients with drug-resistant tuberculosis (DR-TB) not only is cheaper than a 2-month course of drug therapy for multidrug-resistant tuberculosis (MDR-TB) but also, more importantly, has a higher cure rate than medical therapy alone. The cure rate for some MDR-TB patients treated with adjuvant lung resection is about 90%. With the more severe forms of DR-TB, surgical cure rates in selected patients remain high, whereas cure rates decrease when only medical therapy is used. In addition, adjuvant lung resection for DR-TB in selected patients with HIV co-infection does not appear to have a higher complication rate.
Objective. To determine whether specialist pulmonologists in South Africa utilise thoracic surgical intervention for DR-TB appropriately.
Methods. A cross-sectional survey was conducted among pulmonologists of the South African Thoracic Society. The study tool was a predesigned, anonymous questionnaire that included 17 closed-ended questions about the role of cardiothoracic surgery in the management of DR-TB. Results. A 50% response rate was achieved. The majority of respondents did not know the indications for adjuvant lung surgery in the setting of DR-TB, but would have altered their referral behaviour had they been aware of these indications.
Conclusion. Participating pulmonologists' uncertainty regarding optimal use of adjuvant lung resection for DR-TB suggests the need for local guidelines and education initiatives relevant to the management of these patients. These strategies should include the participation of both the pulmonologist and the cardiothoracic surgeon.
The clinical features and management of pulmonary embolism at Chris Hani Baragwanath Academic HospitalAuthors: S. Meel, A. Peter and C. MenezesSource: African Journal of Thoracic and Critical Care Medicine 24, pp 113 –117 (2018) http://dx.doi.org/10.7196/AJTCCM.2018.v24i3.195More Less
Background. Pulmonary embolism (PE) is the most common cause of preventable deaths in hospitalised patients.
Objective. To determine the prevalence and associated features of PE at Chris Hani Baragwanath Academic Hospital (CHBAH) over a period of one year.
Methods. A retrospective study was performed of patients with acute PE, as confirmed by computed tomography of the pulmonary arteries (CTPA).
Results. A total of 498 CTPAs were requested during the study period. PE was confirmed in 147 (30%) of these cases. The mean age of the patients with PE was 46.8 (15.5) years. More than 40% of the patients with PE were HIV positive, of whom more than 60% had a CD4 count <200 cells/μL. Wells' and revised Geneva scores indicated comparable clinical probability of PE. Only 15% of the patients with high-risk PE were thrombolysed, with no documented complications. There were clear contraindications for thrombolysis in only two cases, but no reasons were stated for the other cases where thrombolysis was not utilised. None of the patients had a surgical or percutaneous embolectomy. A mortality rate of 24% was found among patients diagnosed with a PE; of these, 13 (46%) presented with high-risk PE and 2 were thrombolysed. Age >40 years was the only significant predictor of mortality, as indicated by both univariate and multivariate analyses.
Conclusion. PE is a common medical condition at CHBAH. The heavy infectious disease burden in the South African setting makes the diagnosis of PE challenging. Its management needs further optimisation to improve clinical outcomes.
Lung transplantation in South Africa : indications, outcomes and disease-specific referral guidelinesAuthors: G.L. Calligaro, J. Brink, P. Williams, A. Geldenhuys, M. Sussman and T. PennelSource: African Journal of Thoracic and Critical Care Medicine 24, pp 118 –122 (2018) http://dx.doi.org/10.7196/AJTCCM.2018.v24i3.217More Less
Lung transplantation (LT) is a robust therapy for advanced lung disease, which offers recipients extended and good-quality survival. In South Africa (SA), patients have historically had limited access to this therapy, particularly if unfunded. LT has been used as a successful therapeutic intervention for a wide variety of end-stage pulmonary parenchymal and vascular diseases, but the most common diseases that lead to LT are chronic obstructive pulmonary disease, interstitial lung disease, cystic fibrosis, alpha-1-antitrypsin deficiency and pulmonary arterial hypertension. Timing of referral for LT can be challenging and is disease specific, influenced by the rate of progression of the disease, the development of associated comorbidities, and access and response to advanced therapies. Advances in recipient and donor selection, surgical technique and postoperative management have improved early survival, but mortality remains higher than for other solid organ transplants. Rejection and infection remain major causes of early post-transplant death, while chronic rejection is the major cause of death after the first year. Survival is heavily influenced by the underlying lung disease. In this review, we summarise the indications and contraindications for LT, remind pulmonologists of the availability of this therapy in SA and offer guidelines for the timely referral of suitable candidates.
Aspirin may slow the progression of emphysemaAuthor Alan PeterSource: African Journal of Thoracic and Critical Care Medicine 24, pp 123 –123 (2018) http://dx.doi.org/10.7196/SARJ.2018.v24i3.225More Less
The search for a factor other than smoking cessation that can mitigate lung function decline in chronic obstructive pulmonary disease (COPD) is ongoing, with disappointing results from interventions that have seemed theoretically promising, such as statins. A recent report from the MESA (Multi Ethnic Study of Atherosclerosis) Lung Study, examined another of these hypotheses: antiplatelet therapy.


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|Cierra Ramirez
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|Scott Krinsky
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|Downtown Julie Brown
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There either is or is not, that's the way things are. The colour of the day. The way it felt to be a child. The saltwater on your sunburnt legs. Sometimes the water is yellow, sometimes it's red. But what colour it may be in memory, depends on the day. I'm not going to tell you the story the way it happened. I'm going to tell it the way I remember it.
The Lizzie Bennet Diaries is an innovative, original episodic video and social media series produced for the web. Adapting Pride and Prejudice to the modern era, Lizzie Bennet tells the classic Jane Austen tale from the point of view of an Elizabeth "Lizzie" Bennet who grew up in a world of cell phones, video cameras, and social media. The series was created by popular YouTube personality Hank Green and Streamy Award winning web video writer Bernie Su.
The holiday season is bringing more than cheer for actress Jessica Capshaw. The Grey's Anatomy star announced on Monday that she and her husband, Honest Company co-founder Christopher Gavigan, are expecting their fourth child. "The holidays have certainly arrived … All of our lives are being added to by the lights, the music and cheer!!" she captioned a photo of her family at a Christmas tree farm on Instagram. "This year our family has reason to further broaden our smile … baby number four is on the way!! I am a lucky, lucky girl…"
The quickest way to tell whether an actor is serious about his or her career is to look at their "headshot".Is it a professional photo? Or is it a snapshot taken on prom night? If you're using a snapshot, it's like showing up to race the Indy 500 in a VW Beetle. Nobody is going to take you seriously. I'm sorry, people… you can send me as much angry e-mail as you want about this, but it's true! Don't tell me you're destined to be a major Hollywood star but you cannot scrape together the cash to get professional headshots.
The Grinch from Dr. Seuss' How the Grinch Stole Christmas! The Musical stole the spotlight at the Empire State Building's 86th Floor Observatory December 14, 2012, to promote the musical's limited holiday engagement. Discover the magic of Dr. Seuss' classic holiday tale as it comes to life on stage. Featuring the hit songs "You're A Mean One, Mr. Grinch" and "Welcome Christmas," The Grinch discovers there's more to Christmas then he bargained for in this heart-warming holiday classic.
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