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Terms & conditions
In the following terms & conditions "the photographer" shall mean Vicki Newman trading as Photographvie. "The client(s)" shall be those persons defined as bride and groom in the wedding booking. It is agreed that the following terms set out the total agreement made between the parties and that no variation or modification of this contract shall be effective unless agreed by both parties in writing.
A non-refundable booking fee of £100 paid via BACS as well as full acceptance of the terms and conditions as published on the photographer's website secures the time and services of the Photographer for the wedding and is nonrefundable or transferable in the event of cancellation, it being the agreed loss suffered by the photographer due to cancellation. The booking fee will be deducted from the cost of the client's chosen package when calculating the final balance due. Payment in full of the remaining balance paid via BACS will be due 2 weeks before the wedding day. Weddings that are postponed to a later date will retain the fee as long as the photographer can re-schedule for the new date and time.
The details of the wedding arrangements are to be agreed beforehand in writing (email is acceptable). The Client shall notify the Photographer of any changes to these details in writing. The Photographer/s cannot be held liable for delays or disruption in their delivery of the service until any changes are received, and acknowledged in writing.
The Client may cancel this contract at any time by giving written notice to The Photographer/s but in doing so shall forfeit any monies paid. Cancellation less than 6 weeks before the wedding will result in the payment in full becoming due. All cancellations must be in writing.
For a booking involving a church ceremony or at certain venues, the photographer's movements are sometimes restricted by the official in charge. The area from which the photographer is able to cover the ceremony may not be the photographer's choice and the photographer cannot accept responsibility for any obstructed view should this be the case.
All images remain the property of Photographvie and copyright remains with Photographvie at all times. There will be a print release included with digital images that allows you to print the images as you like and share online - please tag Photographvie where possible. Please do not edit or use any of your photographs commercially.
The Photographer/s shall be granted artistic licence in relation to the poses photographed and the locations used. The Photographers judgement regarding the locations/poses and number of images taken shall be deemed correct. Due to the variation of the weather and the willingness of subjects it may not be possible to capture all the images requested.
In the unlikely event of the assigned Photographer being unable to attend your wedding due to unforeseen circumstances, we reserve the right to appoint another photographer to attend your wedding on our behalf to undertake the wedding photography to his/her best ability.
In the unlikely event of a total photographic failure or cancellation of this contract by either party or in any other circumstance the liability of one party to the other shall be limited to the total value of the contract. Neither party shall be liable for indirect or consequential loss.
Any directions issued to clients, their guests or employees during a photographic shoot are deemed to be at said persons own risk. The photographer cannot be held responsible for any personal accidents during a photographic shoot.
Digital images will be available to view and download within 3 weeks of your wedding day. USB's and other bespoke products can take up to 6 weeks to arrive from the day of your wedding and will be hand delivered or posted by Royal Mail recorded and signed for service.
The principal photographer will be Vicki Newman, and where applicable a 2nd Photographer of her choice will be provided at no extra cost. They will be the ONLY stills Photographers allowed to attend for financial gain. (Videographers attendance by agreement.)
All image sizes are nominal. The Photographer will provide a pleasing colour balance but cannot guarantee exact colour matching owing to anomalous reflectance caused by a combination of certain dyes and materials especially man-made fibers. It is sometimes impossible to record on film or digitally the exact colour as seen by the human eye.
Additional retouching, digital manipulation and artist finishing is available to the Client as an additional paid service.
The due performance of this contract is subject to alteration or cancellation by either party owing to any cause beyond their control.
Thanks again for booking with Photographvie and if you have any further questions please get in touch.


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103 Elliott Industrial Drive
Woodstock, GA 30189
Correctly aligned tires will reduce tire wear, and ensure that your vehicle travels straight and true (without "pulling" to one side). Your tires should be checked during routine maintenance, but if you notice uneven tire wear or your car is pulling to one side, you should have a qualified automotive technician examine your car. You can trust the technicians at Giddeons Automotive to thoroughly examine your vehicle's tires and correct the alignment if necessary. Call us at 678-494-6473 if you have any questions or want to schedule an appointment.
Our alignment services include:
Wheel alignment (or simply alignment) is standard car maintenance that involves adjusting the angles of the wheels so that they are set to the manufacturer's specifications. The main purpose is to let the suspension and the steering systems operate at their desired angles - this reduces tire wear. We can perform all forms of alignments - cambolt, shims, and cam-eccentric on all four wheels. To have experts handle your car's alignment, visit Giddeons Automotive.
To learn more about our Alignment services, call us at 678-494-6473 or request a quote by clicking below:
This is the first time an auto service shop has earned my trust in over 20 years. I've taken both of my cars to them over the past 4 years and they have ALWAYS been up-front and honest with me... even when the RIGHT thing to do doesn't make them any money. One of my cars recently had a catastrophic failure and Giddeons diagnosed and gave me the bad news. Due to the significant cost I took the car to another shop for a second opinion which (no surprise to me) confirmed what Giddeons told me. Giddeons did a great job getting the car back on the road again and I'm still happy to call them my trusted auto shop.
They take very good care of our cars and are reasonable on their prices. They also turn them around pretty fast if we book an appointment.
I've never taken any of my cars anywhere else. Honest service and really good people who are genuinely always there to help.
Really nice place! The person who rung me up was very polite. I went in for a tire rotation which was 20 bucks. I decided to wait inside and to my surprise the waiting area/pay area was very nice and classy. Would recommend this shop.
Technology (google) helped me find this place but amazing service keeps me coming back year after year. In the 4 years I have lived in Woodstock I have brought all 5 of the family cars here with issues from tire alignment to cracked cylinders. They always approach the solution with my budget and the safety of my family in mind.
I was in the process of searching for a "new" used vehicle, and I would have Giddeons do the inspections (They would do a basic inspection first where they wouldn't charge me if the vehicle wasn't in good enough condition to continue to be inspected... Happened every time except twice). They treated the process as if they were the ones buying the vehicle. I must have called them a hundred times with questions I had about vehicles, and they never got frustrated with me. Without Giddeons I wouldn't have found a vehicle in nearly as good of condition as the one I'm driving now. If you're looking for a mechanic go to Giddeons. They won't let you down. Thanks again for going above and beyond for me!

subset: commoncrawl


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The Imaginaries
Just in case knowing us by voice isn't enough.
TONY (he/him) is a writer in Tucson, AZ, where he met Kend several years ago upon their mutual desert move for the MFA Creative Writing program at the University of Arizona. He's getting a PhD now in geography, where he thinks about things like where science comes from and the ways and places that queer people can identify as doers or learners of science. He's also a photographer and a recovering sketch comedy artist.
KEND (they/them) is a librarian who solo hikes when having a good weekend and writes scathing reviews of mediocre books when having a bad weekend. They spent most of their childhood falling out of trees and their adulthood accidentally setting fire to the kitchen. Kend has an MFA in Creative Nonfiction Writing through the University of Arizona and is polishing off an MS in Library Science while trying to sleep occasionally and make friends and do this adulting thing with style and panache. Kend is the true triple threat: asexual, aromantic, and agender. Suck it up, patriarchy.


text: Australia-China Council Grants Media release 31 August 2016 Today I announce the recipients of 31 new grants funded by the Australia-China Council (ACC). The ACC Grants Program strengthens links between Australia and China, Hong Kong, Macau and Taiwan by supporting innovative activities to promote mutual understanding and foster stronger relations. Australia's partnerships with China, Hong Kong, Macau and Taiwan are vital to our economic, strategic and security interests. Australia is also richer for the shared understandings that holistic engagement brings. The projects will focus on the strategic priorities of promoting exchanges in arts and culture, education, economic diplomacy and Australian Studies in China. Successful ACC grant proposals include: A visit to China by the Port Adelaide Football Club's Aboriginal Academy; Facilitating youth engagement, leadership, innovation and entrepreneurship initiatives including the Australia-China Youth Dialogue and the China Australia Millennial Project; Sponsoring the December 2016 Australia-China tourism forum in Adelaide; Addressing mental health education for health professionals in China; and Supporting Indigenous cultural engagement through the visit of Australian band B2M to Taiwan. The ACC was established in 1978 and has made a significant contribution to strengthening Australia's relationship with China. More information about the ACC, the grants program and the full list of successful grant recipients is available on the Australia China Council website. Media enquiriesMinister's office: (02) 6277 7500DFAT Media Liaison: (02) 6261 1555


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The Erasmus+ Master Loan is now available in France, Spain and the UK. The scheme aims to give graduates access to more affordable loans to study for a Masters degree in another country.
The loan is to help Masters students with their living and tuition costs when studying in a different country from their country of residence. The terms of the loan are designed to make repayment easier, including:
In the UK, the Erasmus+ master loan is offered through Future Finance for students from the UK taking their Masters degree in one of the 33 Erasmus+ Programme countries or for students from these countries moving to the UK to study for their Masters. Applications or enquiries must be made directly to FFLC.
See https://www.erasmusplus.org.uk/master-loan for full information and eligibility criteria


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Encantos is a purpose-driven brand studio committed to helping kids become creative thinkers so they can "learn how to learn". We do this through the power of play, using both digital and physical media, toys and experiences. We design, develop and distribute creator-led stories that are inspired by a world of cultures.
Nuria Santamaría Wolfe
Susie Jaramillo


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I recently had this debate with someone and would love to know your thoughts... SCENERIO:
You are working a day job...it's paying the bills and affording you your current life style which is pretty comfortable. You don't hate it, as a matter of fact, you love the people there, but the work is just not fulfilling you. You are going along as normal and suddenly you realize that it's not your life's purpose and your energy shifts and now you are starting to feel antsy, you begin to hate being there because something in your spirit says you should be doing something else. You then figure out exactly what that something else is and now you really resent being at your day job. Your spirit voice is screaming, "Leave your day job, live your purpose, take the risk," while your practical voice is screaming, "Don't be impulsive, you have responsibilities." There is no real easy way to phase out from one to the other. If you choose your spirit voice, you will have to take a leap of faith if you want to try to live your purpose and there are no guarantees. If you choose your practical voice your life remains as is.
Would you choose to take the leap and live your purpose? Why or why not? And if yes, at what point would you leap; When you first realize you aren't living your purpose or when you figure out what your purpose is or at another point?
Holla at me peeps!!! VIEW/POST A COMMENT


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About house building
As the name suggests and putting it simply, house builders build houses. From identifying suitable spaces to develop, to building the homes, to marketing them and selling them. When it comes to working for a house builder, there's far more to get excited about than just bricks and mortar.
The current housing shortage is one of the most important issues the country faces, and that means that house building is at the top of the political agenda. Each of the main political parties agree that something needs to be done to increase the supply of houses in order to catch up with demand and help reduce prices. And while the problem cannot be solved by house builders alone, we will undoubtedly play a vital part in helping to solve the issue.
And that's where you come in. If we are to rise to the challenge and build the homes that the nation needs, then we need the best and brightest of Britain's workforce, now and in the future. With the best of British talent on our side, we'll be one step closer to eliminating the housing shortage.
Who we are
There's more to house building than bricks and mortar – unless you're a bricklayer that is. We do everything from identifying great spaces to selling the houses themselves. With the current housing shortage at the top of every political agenda, we're building homes the nation needs.
A career in house building can be incredibly versatile. We work with communities to find suitable locations and collaborate with architects and planners to design great places. Then to actually build a home, we need everything from craftsmen to project managers and sales advisors.
All of these roles come together to make each home as attractive, affordable and efficient as can be. That means keeping them warmer in the winter, cooler in the summer, and helping families save money on bills all year round.
Key facts and figures
- 300,000 – the amount of homes it is estimated we need to build every year to meet the needs of the country.
- 181,310 – the number of new homes added to the housing stock in 2014/15 (1)
- 152,329 – the number of new home registrations recorded by the NHBC for 2015/16.
- 106,000 – the number of new jobs that house building has created over the past two years.
- 1.5 – the number of direct jobs created for every new home built.
- 0.9 – the number of jobs sustained in the supply chain.
- £3 – the amount created in the economy for every £1 spent on housing.
- 0.5% – the amount added to the UK's GDP for every 50,000 new homes built.
(1) Housing supply – new dwellings, conversions and changes of use (such as office to residential) reached 181,310 in 2014/15, the highest number recorded since 208/9. Factoring in 10,610 demolitions, net supply was 170,690.


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International Language Day
Year 5 International Language Day at Robert Blake
On Wednesday 27th September, year 5 went to Robert Blake to celebrate International Language Day. On arrival, the children had a fantastic opportunity to order breakfast from a French café – it was delicious! During the morning, the children all participated in a range of activities, where they were introduced to a huge range of languages, such as Lithuanian, Afrikaans, Slovakian and Russian; some even had a go at learning a Bulgarian dance!
The children and adults had an amazing time. 'It was such an exciting morning!' 'I loved learning all the new words – lots of them were similar to our English words!'


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March 3: Madhya Pradesh in pictures
Mar 03, 2015 20:44 IST
The Sun reaches the shore of the day setting the Indore skyline afire on Tuesday evening. (Shankar Mourya/HT photo)
RSS members along with their supporters participate in a rally in New Delhi to protest against PEB scam. (HT photo)
MP governor Ramnaresh Yadav on his way to Raj Bhawan. He returned to Bhopal from New Delhi on Tuesday evening. (Praveen Bajpai/HT photo)
People protest against IDA for its failure to complete the construction of Kesar Bagh rail overbridge in Indore even after 8 years. (Shankar Mourya/HT photo)
Madhya Pradesh Congress leaders stage a daylong dharna in Bhopal to protest against attacks on minorities. (Praveen Bajpai/HT photo)
A large number of villagers dangle to a jeep to attend Bhagoriya festival at Alirajpur in Madhya Pradesh. (Praveen Bajpai/HT photo)
trending topics


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St Kilda Accommodation welcomes The South East Gretna Australia, we offer superb holiday with our professional team, locate your provider today from our extensive range of listings.
Address: 3411 Lyell Highway, Gretna TAS 7140
Address: 662 Marked Tree Road, Gretna TAS 7140
Address: Lyell, Gretna TAS 7140
copyright © 2019 St Kilda Accommodation. All rights reserved.


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biotrail is...
A forest trail, where you can learn how nature has been inspiring innovations. Infoboards describe various natural phenomena. The story of each board continues with a video presenting applications of these ideas into technology or science.
The trail passes along Saimaa lake shore next to Lappeenranta University of Technology, Finland - an environment where technology meets nature. Follow Skinnarilankatu to the North and soon you will see the introduction board on your right. Or you can walk the trail online on this website.
The biotrail was born within the walls of Lappeenranta University of Technology from an idea of a systematic creativity Professor and inspiration of students. But its implementation owes to Environmental Bureau of Lappeenranta city, who supported the project, provided funding and helped with administrative issues.
The biotrail contributors are...
Ilkka Räsänen
Funding, support and technical implementation
Jarmo Karhula
Funding, support and technical implementation
Gera Minkin
Kati Koikkalainen
LUT Junior University, 'BIOTRAIL to children' developer
Kaisa Tanhola
Sammonlahti school teacher, 'BIOTRAIL to children' developer


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This guide describes how the automated reporting and alerts can be configured.
Applies To...
- Mimecast Synchronization Engine v4 and later.
The automated reporting and alerts functionality, allows administrators to configure a Mimecast Synchronization Engine site to receive the following by email:
- Reports: A high level overview execution of scheduled tasks assigned to a site. Reports include:
- A list of scheduled tasks, when no issues have been determined.
- A list of scheduled tasks that have been delayed, when a delay in task execution has been determined.
- A list of scheduled tasks in progress, at the time the report is generated.
- Alerts: Notifications triggered by scheduled task executions, for all tasks assigned to a site.
To configure the reports and alerts, you must have edit permission to the Synchronization Engine site. See the Mimecast Synchronization Engine: Synchronization Engine Administrator Role page for further details.
To configure a Mimecast Synchronization Engine site:
- Log in to the Administration Console.
- Click on the Administration toolbar button. A menu drop down is displayed.
- Click on the Services | Synchronization Engine Sites menu item.
- Click on a Synchronization Engine Site running v4.0 or later.
- Complete the Automated Reporting and Alerts configuration options as required:
Field /Option Description Scheduled Task Reports
If selected, administrators receive a high level overview of scheduled tasks. The report is aimed at reducing schedule task overlaps, helping administrators to see which tasks have not been able to execute given the assigned schedule. Reports are generated at hourly intervals.Where multiple sites have been configured to be included, they are consolidated into a single report.
Scheduled Task Alert Type(s)
Provides administrators with real time alerts of scheduled task results, based on one or more of the following statuses:
- Error
- Warning
- Success
This removes the need to access the Administration Console to check on scheduled task results. The alerts are triggered when a task has finished executing and reported its status back to Mimecast. The content of the alert is a detailed task summary.
Task Report & Alert Recipient(s)
Specify the email addresses of the users who'll receive the reports. Enter either a single email address, or a comma separated list (without spaces) of email addresses.
- Click on the Save Automated Alerts Settings button.


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9 Must-Have Halloween Books for Toddlers
Boo! It's almost Halloween, and your kiddo is getting ready for a ghoulishly good time. They're a bit young for the Exorcist kind of fun, but they're totally into friendly ghosts, good witches, adorably fuzzy black cats, and anything else that screams "Halloween!" without being threatening. While you're getting into your fave Stephen King novel, your tot needs something tamer. And that's why we've got these low-fright Halloween reads for you!
1. Click, Clack, Boo! by Doreen Cronin and Betsy Lewin ($18): Your tyke adores Click, Clack, Moo, so it looks like it's time to try the Halloween-ified version of the beloved children's book. When farmer Brown (figuratively) hits the hay, the barnyard animals are all antics — and tricks of course.
2. Who's There, Little Hoo? by Brenda Ponnay ($10): Just like your kiddo may be, Little Hoo is kind of nervous about Halloween. And that's totally okay. This nerve-fighting book shows young children that the holiday doesn't have to be scary at all.
3. Who's There on Halloween? by Pamela Conn Beall, Susan Hagen Nipp, and Charles Reasoner ($6): This board book brings your little one a whole cast of Halloween characters. It's an easy read, features completely calm (totally kid-friendly) illustrations, and will help your toddler or preschooler feel a-okay about those witches, ghosts, and ghouls their big sib is talking about.
4. Little Blue Truck's Halloween by Alice Schertle and Jill McElmurry ($13): It's a flap book! Come on, you know your kiddo can't get enough of picking up those fab little flaps. As Little Blue Truck picks up his little animal friends for a costume party, your child gets to lift and… surprise! They'll discover what each animal is dressed up as.
5. Honk! Quack! Boo! by Tad Hills ($17): Duck & Goose are going trick-or-treating. Of course they are: After all, it's Halloween. Duck may be dressed up as a ghost — def adorable rather than spooky — and this book is much more sweet than scary.
6. Halloween ABC by Nosy Crow and Jannie Ho ($7): Halloween books aren't just pure entertainment. Some can be educational too. Your tot can get a jump on their ABC skills while pointing to pictures of notable Halloween creatures and critters.
7. Trick or Pete by Kimberly and James Dean ($6): Your child is all about Pete the Cat. You've read all the books something like a zillion times. Well, add one more to the list: Pete's taking on Halloween, trick-or-treating his way through the neighborhood. To make this easy read even better, it has lift-up flaps so that your child can enjoy the same surprises that Pete does.
8. Halloween Good Night by Rebecca Grabill and Ella Okstad ($18): The whimsical illustrations and poetic text will hold your preschooler's attention for the whole story. A gentle intro to some of Halloween's top characters — mummies, ghosts, and witches, to name a few — it's perfectly non-scary.
9. Emu's Halloween by Anne Mangan and David Cornish ($10): Your child may say, "Mommmmy, what's an emu?" when you pull this one out. But that's a good thing! This kid-friendly Halloween pick is all about Aussie animals. Learning about critters from across the world and celebrating Halloween at the same time isn't a bad thing at all.
What's your child's favorite Halloween activity? Tweet us @BritandCo!
Brit + Co may at times use affiliate links to promote products sold by others, but always offers genuine editorial recommendations.


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Key Contacts
Friday, October 18, 2019
Haematology and Blood Bank
This laboratory carries out investigations on diseases of the blood and blood forming organs. It also provides blood transfusion services and provision of blood components e.g platelet concentrate. The tests in Heamatology include:
Full blood counts.
Absolute platelet counts.
Prothombin time (P T) & I N R determination.
Activated partial thromboplastin time (APTT).
Haemoglobin phenotype.
Glucose-6-phosphate dehydrogenate assay (G6PD ASSAY).
Erythrocytes Sedimentation rate (ESR).
Recticulocyte counts.
Lupus Erythromatosus test.
Bone marrow aspirate and Biopsy for investigation Hematological disorders.
Under blood transfusion services, we have:
Blood grouping (for ABO, Rh and other blood group systems).
Direct antihuman globulin test (DAT).
Indirect antihuman globulin test (IAT).
Grouping and cross matching.
Blood donor's Clinic.
HIV screening (fourth generation ELISA for P24antigen and HIV antibodies)
Hepatitis-B- infection Marker screening like:
Hepatitis-B Surface antigen (HBsAg).
Hepatitis-B envelope antigen /antibody (HBclgM).
Hepatitis-C virus screening (anti-HCV).
The turn-around time for most of the tests is 24 hours except in cases where samples are analyzed in batches for accuracy e.g phenotype. The department runs Haematology Day Care and Clinic for sickle cell patients and other haemoglobinopathes; haematological malignancies and Consultants therein also collaborate with other departments to diagnose and treat oncology cases and HIV/AIDS and its complication. The department has the capacity to train Resident Doctors in Haematology, School of Medical Laboratory Scientists Students, and provide supports for post-graduate researches in relevant fields. More accurate haematological diagnosis is provided with the aid of of our recently purchased Flow Cytometer to identify cluster of differential antigens to support and strengthen morphological diagnosis. The department hosts a Sickle Cell Club which has been formally inaugurated and is a subgroup of the Sickle Cell Club of Nigeria. This is to help support our patients, morally, psychosocially and when possible financially.
We focus on the whole family.
Dr. V.A Mabayoje
HOD Haematology and Blood Transfussion Department.
Powered by MIS, LAUTECH Teaching Hospital Osogbo.
Email us at firstname.lastname@example.com.
The Hospital that metamorphosed to a Teaching Hospital was founded in 1928 by the British Colonial Administration as a 15-bed "African Hospital" primarily to cater for the medical needs of black people in the area, then known as Osun and Ife/Ijesha medical areas.
Dr. Moore was the first Medical Doctor in charge of the hospital in 1928. By 1934, Dr. Henry Doherty became the first indigenous Medical Doctor to head the hospital. A former Federal Minister of Health in Tafawa Balewa administration, Dr. M. A. Majekodunmi, also headed the hospital from 1944-1946. Dr. D. A. Laosebikan served the longest time as the Principal Medical Officer in charge of the Hospital from 1978-1989. The nation-wide workers' strike of 1945 forced the Colonial Administration to relax its apartheid policy of discrimination between whites and blacks. Consequently, the Osogbo "African Hospital" was renamed "General Hospital" like other sister institutions throughout the country then. By the late 1960s, specialist medical care was already being carried out by specialist staff. This specialist status of the hospital has so remained till April 1998. With the creation of Osun State, the Hospital was upgraded to a State Hospital. In 1993, Osun State Government acquired a private medical facility i.e. Mercyland Hospital, located some 3 kilometers away from the State Hospital, Estate Area in Egbedore Local Government Area, to become an Annex of the State Hospital, Osogbo. The General and Mercyland Hospitals were released to LAUTECH for the purpose of establishing a Teaching Hospital by an edict promulgated by Osun State Military Administrator, Lt. Col. Anthony Obi, the visitor to the university. The edict was gazetted on 25th September, 1997 (No. 3 Vol. 9; Osun State Notice No. 24) which was amended by Edict No. 2 of 1999 Osun State, dated 25th March, 1999. The pioneer Hospital Management Board was inaugurated on 29th July, 1999 by the Executive Governors of Oyo and Osun States, Alhaji Lam Adesina and Chief Bisi Akande respectively in Osogbo. There are two wings of the Teaching Hospital -the General Hospital and Mercyland Hospital wings. Clinical programmes for the first set of medical students began on 27th April, 1998.
The hospital presently has a total of 323 beds and another set of 12 bedded facilities at Ilie Health Center and 6 bedded facilities at Akogun Health Center bringing the total beds to 341. Presently, the Hospital has an Out-patient Department (O.P.D) comprising of the general clinics and all special clinics. The Surgery Outpatient Department serves all the specialities of surgery i.e. General surgery, Orthopaedic surgery, Plastic, Urology, Paediatric Surgery and Neurosurgery. The hospital has a theatre complex and four main theatre suites, a recovery room and an intensive care unit. It also has an Accident and Emergency theatre which takes care of emergency cases. There is also another theatre for labour room. The Accident and Emergency Unit has been recently expanded to include two consulting rooms, one room for Records, four couches to admit and resuscitate patients and Nurses station There is a ward for male surgical patients which admits in General Surgery, Plastics, Urology and Neurosurgery, a female surgical ward for admission of patients from all surgical specialities, a male Orthopaedic ward for Orthopaedic and trauma male patients as well as a Paediatrics Surgical ward and a Burns unit
The corporate visions of
Teaching Hospital are as follows:
To improve the standard of
Teaching Hospital in order to compete in its core competence areas such as training, medical research and services effectively in the country and the world at large.
To provide support for the health care program of the government.
Produce high quality and versatile medical doctors, medical specialists and allied health professionals that can compete favourably with many others in the world.
Provide high quality health care services.
Provide community-based and health-term oriented approach in medical training.
Provide leadership in medical knowledge and practice through clinical researches.
Enhance the capacity and skill of medical practitioners in the public service and private sector through continuous medical education.
Provide support for health care programme of the government.


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In the event you look back just 10 or 15 years ago within the swimming pool trade, you'll find that roughly ninety% of all inground swimming swimming pools had a diving board. However at this time, the pattern has accomplished an almost a hundred and eighty-diploma flip. All of our diving boards can be found in stunning designer colors to match your yard décor, even colors to enhance your pool slide or powder coated or SealedSteel rails. Environmental corrosives can have an effect on the best way your pool appears too. S.R.Smith makes use of solely stainless steel hardware and in addition has quite a lot of stands with minimal exposed metal that can carry out well in challenging pool environments.
Questions on diving boards? As always, please feel free to go away your ideas below. Nicely, obviously, the answer is a powerful NO. Children could also be adamant about wanting certain things with their swimming pool, however when it comes right down to it, what they really want is water—pure and easy. Make your swimming pool the center of family enjoyable with one in every of these diving boards. The diving boards of right this moment simply ain't what they was. This is due to their rigidity and stiffness.
Pool Supply Unlimited affords a choice of diving boards to satisfy any commercial needs. In an effort to do a diving pool the fitting manner, it actually must be a minimum of 38-39 ft. lengthy. Please use the Contact Us page for any questions or inquiries and will contact you shortly! Diving boards had major spring 15 years in the past. At the moment, it's powerful to find a diving board that has very much spring in any respect, primarily as a result of manufacturers are petrified of lawsuits.
Usually, house owner's insurance coverage goes up when you add a diving board. The percentages vary relying on the coverage, however that is simply the way in which it's. It goes hand-in-hand with the protection factor. While all of our diving boards may be put in on new pools, offered they meet safety requirements, we even have a couple of choices for alternative diving boards. Typically, folks don't own a swimming pool so as to add extra stress to their life. Most want a tranquil place to relax and have enjoyable.
To make sure most security and efficiency of your diving gear, here are some issues to contemplate when deciding on a diving board for your pool. Steven and his team have the experience and dedication to successfully advise, provide, set up and preserve your diving board gear. Research have shown that most people will spend about eighty% of their time within the play area of an inground pool.
Pool Supply Unlimited provides a collection of diving boards to satisfy any commercial wants. In an effort to do a diving pool the suitable way, it actually needs to be a minimum of 38-39 ft. long. Please use the Contact Us web page for any questions or inquiries and can contact you shortly! Diving boards had main spring 15 years ago. Today, it is powerful to discover a diving board that has very much spring at all, mainly as a result of producers are petrified of lawsuits.
If youngsters have water, they'll have fun. Non-diving swimming pools are inclined to have a lot more play area than traditional diving swimming pools. Youngsters are quite often shocked at how content they're with no diving board on their swimming pool. Hay muchas maneras diferentes de contactarnos, y nos gustaría hablar con usted sobre las preguntas de su compra, ayudarle a diagnosticar los problemas de su equipo y escuchar acerca de cómo podemos mejorar y todo lo que está en su mente.
All of our diving boards can be found in stunning designer colors to match your yard décor, even colors to enrich your pool slide or powder coated or SealedSteel rails. Environmental corrosives can have an effect on the way your pool looks too. S.R.Smith makes use of solely stainless-steel hardware and also has quite a lot of stands with minimal exposed metallic that will perform nicely in challenging pool environments.


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The *Not So* Pretty Side of Business
Before I hop into some helpful tips, I wanted to let you know we've added a brand new collection to our gallery!! It's a collection that all of our product-selling members will love, as it's featuring some pretty packaging!
OK, onto the helpful tips...
Being an entrepreneur can sound pretty glamorous. You get to work from home, set your own hours, no horrible boss, and we can't forget about all of that pretty stationary we see on #bossbabes Instragram feeds!
But in truth, things are not so easy or so pretty. Burnout, level of confidence, and loneliness (plus a myriad of other things!) also come with the entrepreneurial package.
After suffering through some health setbacks earlier this year, I realized how important it is to take care of ourselves!
Today, I am sharing 4 tips that might help you on your quest for balance:
Tip # 1: Set working hours
One of the perks of being an entrepreneur is that we can work whenever and wherever! But what often happens is that we end up working way beyond a standard 8 hour work day. Instead, give yourself the freedom to set your own hours.
Most productive at 6 AM? Then get started bright and early! Need a midday break? Great, clear out a few hours in the early afternoon for that yoga class!
What's important is that you build a schedule that fits your lifestyle, and stick to it! Your body and mind knows exactly what it needs to be healthy and successful!
Tip # 2: Don't forget to socialize
Being a boss babe in 2018 means a lot of screen time! With no watercooler colleague meetups in sight, it can quickly become just a gal, her music subscription, and her trusty laptop. As entrepreneurs who work alone or on small (and often virtual) teams, it's important to build your own work culture.
Be sure to schedule a lunch with a friend or business pal, head out to those networking events, join a mastermind or a book club. Make sure you're making an effort to socialize in real life!
Tip # 3: Get a hobby!
It's so easy for an entrepreneur to focus all of their energy around growing their business. Time or money invested elsewhere seems to be a waste. But it's so important to invest in yourself as a person!
So rather than buying another business book, pick up that new best seller! Instead of taking a business centric course, take a cooking class. Get out there and do something you love!
Tip # 4: Celebrate your accomplishments
In my opinion, this is one of the most important tips! Being your own boss means that you are not getting a pat on the back from your colleague or getting recognized at a team meeting. When you hit a business milestone or complete a project, be sure to CELEBRATE! Grab your friends and go out for a night on the town, stay at home with your hubby, order-in your fav meal and pop a bottle of champagne, or treat yourself with your favourite spa treatment!
Be sure to recognize your own hard work, dedication and general awesomeness!
We hope you find these tips helpful!
Xo Alisha + The Stock Boutique Team


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Steve Richardson - General Manager of Rowland Projects
Steve Richardson is based in Melbourne and is General Manager of Rowland Projects. Initially Steve created and operated many businesses such as, The Fitz, Eat and Retro café then some twenty years ago he joined Peter Rowland. He has held numerous titles within the Peter Rowland Group including Director of Food and General Manager Catering and Events, General Manager National Gallery of Victoria, NGVI & NGVA – Peter Rowland, General Manager Melbourne Museum – Peter Rowland. He is currently heading up the Rowland Special Project division and works with architects to provide specialist knowledge for kitchen design.
You're sitting in my comfy chair what is your favorite chair?
I love the shape and the simplicity of the original Grant Featherston chair. Although I'm seeing more and more of the copies around, the shape still grabs me.
I'd like to offer you a relaxing drink what would that be? Coffee, tea, or maybe something stronger and why is it your favorite?
I'm in and out of cafés, restaurants and function rooms all day, every day, so I'm continually drinking coffee. I'm a big coffee drinker, but I don't drink coffee at home. I live in Fitzroy North, most mornings before work I'll drop in to a café, for a coffee and chat before starting my day. I vary my cafes depending upon who I would like to bump into. Around Fitzroy we are spoilt for choice.
My favorite drink is to enjoy a pinot noir from an oversized glass. I love the aromas of the currant or berry, the soft tannins and the rich lush taste of cherry and plum.
If it's a late night, I'm partial to a cognac, if I'm having cheese.
A hot summer's day it's hard to go past a gin and tonic or an Aperol and blood orange juice.
How did you first become involved with food and how did your career develop?
I'm a chef by trade, although I don't get to rattle many pans these days. I almost enjoy it when things go wrong so I have a chance to jump behind the range and cook a few meals.
After my apprenticeship I opened one of the first cafés of a modern style in Brunswick Street, Fitzroy. The Fitz had a philosophy of serving restaurant style meals in a café environment. It became so busy I opened a second shop two doors down to enable us to hold more stock and include a preparation area. The front section was Melbourne's first serious juicery, Terry Durack and Jill Dupleix described it in one of their books as one of Melbourne's top ten hidden secrets.
I have owned and operated eight food businesses across Melbourne.
Rowland's is a major brand in the food market. How did you come to join the company?
I joined Rowlands as director of wine and food after selling the Fitz in 1993 and instantly loved the challenge of the new job.
Tell me about Rowland Projects?
Rowland Projects has grown out of necessity. As the company expanded, the demand for hospitality solutions grew. Initially it was a department that serviced our own sites and then expanded to a consultancy. We design food establishments with better kitchen flow, minimise the crossing over of staff and maximising the consistency of a central kitchen. From a kitchen background and having CAD drawing skills I had the ability to streamline menus, design establishments, develop systems, train staff, include the latest of kitchen technology and minimise costs. We now additionally contract to outside architects and designers.
What are some of the challenges involved with being GM of Rowland Projects?
We are always fighting for an increase in the footprint of back of house areas. To be honest you only have to tell someone you're bringing twenty people over to their house for dinner and they change their mind about size of kitchens and equipment needed.
Remote refrigeration or heat exchange of these motors and running water-cooled motors through the cooling towers of large multi-story buildings, grease traps and exhaust air with return air always present a design challenge.
What are some of the highlights of your time at Rowlands?
I loved the time I was sponsored by the Italian Government to eat across Italy. Can you imagine siting back with a blazing fire nearby in a room of a castle, eating a tomato blistered by the coals wrapped in malanzane encasing a buffalo mozzarella, it was delicious.
I loved the experience of tendering for a major event like the Grand Prix seventeen years ago when the event first came to Melbourne and then building a village to feed everyone. The concept is still relevant today.
I loved it when Ron Walker, Chairman of Melbourne Major Events, requested I go to Manchester, England to cater for a large Australian party using Australian Ingredients to welcome the Commonwealth Games to Australia.
It still makes my hair stand on end when I walk between the many marquees and help to solve menu interpretations at the Birdcage over the Melbourne Cup period. I love it when I build and design a local café for an interested person and I sit down for the very first coffee served.
How has providing food and arranging events changed over the last decade?
Regulations, regulations, regulations
Hand basins within five meters, grease traps, canopies in marquees, food safety plans, energy ratings etc etc etc …
Temperature controlled core cooking, sous-vide, blast chilling and regulations, regulations, regulations !
What is the next exciting challenge for you personally?
I have vast experience in hospitality, from large-scale events, street level cafes, high-end corporate entertainment to boardrooms. I would like to give back to the community. As an example I mildly assisted in a new kitchen for Fare Share to help feed the homeless on large scale. I found I wanted to give more of my time than required and it gave me new energy to contribute. I'll look around and contribute my services into similar projects.
Personally I'm into core good quality ingredients, and the local farmer is the hero.
As a hobby I attend two local accredited farmer's markets, Gasworks and Slow Food, Abbotsford Convent, as a stallholder selling my own muesli mix. It's all about the high quality of core ingredients and the good they can provide for your body and wellbeing.
Steve Richardson, General Manager, Rowland Projects.
I worked for Peter Rowlands as a contractor many years ago when I was a partner in a food business called Blakes Feast Wholesale. We created and made large volumes of food for organisations such as Rowlands who catered to major events. I remember one year delivering one tonne of salad in individual portions for the Grand Prix in Melbourne. Salad has never been the same since! Steve was working on this event but we didn't finally meet until a few years ago.


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Foundation is not an easy makeup product to purchase, there is so much to consider and it can easily look bad if the shade is incorrect or the undertone doesn't match or the formula doesn't match your skin type….and it goes on.
I don't know if its just me, but sometimes it takes me a long time to figure out that a foundation isn't working for me. I think because we are so close to the mirror when we put our makeup on, it becomes hard to tell if its in line with our overall body colour…maybe its just me.Read More


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Tim 'The Tool Man' Taylor just might be coming back to television, if star Tim Allen has anything to say about it. The Last Man Standing actor recently revealed that he's "very interested" in a Home Improvement reboot and has even spoken to some of his former cast members, who seem to be on board as well.
Allen starred in the hit sitcom, part of the TGIT line-up for eight seasons, from 1991 - 1999. The show was based on Allen's stand up routine and became an instant hit after it aired. Allen played the loveable father of three sons, Tim 'The Tool Man' Taylor, who often sought advice for his everyday problems from his neighbor, Wilson. Wilson, played by the late Earl Hindman, was only ever seen standing behind the fence that separated his and Taylor's back yards. Patricia Richardson played his wife, Jill, while Zachery Ty Bryan, Jonathan Taylor Thomas, and Taran Noah Smith played his sons. Richard Karn and Debbe Dunn, who replaced a then unknown Pamela Anderson, also starred as Taylor's co-stars on his show within a show, 'Tool Time'.
RELATED: Lost in Space Reboot Gets a Trailer
With an almost fever pitch level of excitement over the upcoming Roseanne reboot, as well as the success of other '90s sitcoms revivals like Fuller House, Allen was asked by Entertainment Tonight about his thoughts on a Home Improvement reboot. The actor stated he'd be "very interested" in bringing back the show. "I can't say everybody, but it has been floated," Allen told ET. "And more than I would have expected said, 'Yeah, that would be cool to do it years later,' like Roseanne." The actor even hinted that he'd take the lead, as did Roseanne's Sarah Gilbert, in rallying the cast members to come on board. "I like that idea," Allen said.
While fans may be eager to see Tim 'The Tool Man' Taylor back on the small screen, Allen admits he may have mixed feelings since his most recent show, Last Man Standing, was cancelled last year:
"I still miss Last Man Standing. We didn't get our seventh year. I adored that show. It's like having a new dog and now to go back to the old dog? I don't know. I like both characters, but yeah, I'd be very interested in that idea."
With the buzz surrounding the Roseanne reboot and Allen voicing his willingness to consider a Home Improvement reboot, it would be suprising if a network didn't at least attempt to look into the possibility. During its run, it was one of the most watched sitcoms in the U.S. market and not only launched the career of Allen and Anderson, but created teen hearthrobs out of the actors who played Allen's sons, especially Jonathan Taylor Thomas. While nothing has been decided, everyone might want to start practicing Tim Taylor's trademark Simian grunt again. Well, everyone but Bob Vila.
We will bring you more Home Improvement-related news as it comes our way.
Source: Entertainment Tonight


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Sociable ?nternet sites Helps Numerous men Seeking For Females of ages26 Березня 2018
Social bookmarking is one of the concept brought out good through social dating sites. Males seeking women no longer have to advertise their needs because of lonely columns in the classifieds and in the magazines. Dating foreign girls helps the search for perfect dating partners. You can also connect with locals through dating sites.
Males seeking women should be dedicated in do all it takes to get the best woman. Learning methods to treat women will help you encounter attractive locals. Learning dealing with girls is an important aspect nevertheless if you are a shy guy it will not help you a lot if you can not overcome the habit. Exploit online correspondence to build your self-confidence and the ability to connect with and approach people. Meet up with locals as well as international probable dates without fear.
Women typically fall in love easily and so once you have got them hooked it will become irreversible. They will be blinded by your flirting online and chances are that your physical looks will certainly not change a thing concerning her love feelings towards you.
To meet locals after online dating increases the chances of financial success since you have enough background materials about your first wedding date. The physical meeting is only used for clarification of the witout a doubt acquired basic information. Males seeking women online have got that added advantage. There isn't a unwanted panicking.
Social networking has really helped these unlucky brothers. Should you be a shy guy, help to make online flirting your best pasttime. The art of flirting helps many shy people overcome shyness. They are usually allergic to first physical meetings and will do smaller to impress a woman. Unless the girl is interested in the guy and needs little or no coercing, the guy may possibly face rejection and this mostly lowers his self-esteem.
On the other hand, social networking is a convinced way to meet locals with local pubs, restaurants, weddings among other social gatherings. Men seeking women do not miss in such sites. They try very hard to look their best and they arm themselves with love quotes, flirting quotes and love lyrics. It is a good try you can get better results because of online dating.
If you happen to live in Toronto or during Ontario you can also land relating to the partner of your dreams online. Many people have the misconception which usually online dating is used to facilitate long distance relationships. It will also act to bring people in the same area together who does be perfect partners. Native online dating is gaining popularity considering that it is not possible to be near each other all the time.
Men trying to get women can now do it but without the tension of approaching a lady physically. Online dating helps men and women that meet locals to nurture their relationships to the next level. The first meeting is only your tip of an iceberg. Loads of effort is needed to nurture their bond. The online correspondence helps enchantment grow to unprecedented amounts.
Local social networking through online dating is a perfect option for all the shy type of guys. Scared guys rarely develop cultural skills since they always timid away from big crowds. That they feel intimidated by guests and they will rarely make a primary move towards an attractive partner.
Read more:mybunnyblog.com


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Thank you to the Heights High School Band and University of Houston Band musicians who are generously donating their time to run the instrument petting zoo this year!
The Instrument Petting Zoo gives attendees a chance to have an up-close look at string, brass, woodwind, and percussion musical instruments. Attendees will have the opportunity to play some of the instruments under the supervision of musicians from area schools.
Petting Zoo Goals
To provide children (and adults) the opportunity to explore the various families of musical instruments
To provide hands-on opportunities to touch, feel, and play string, wind, brass, and percussion instruments
Petting Zoo Outcomes
Participants learn to identify the family to which a given instrument belongs
Children learn the proper way to hold and play a musical instrument
Young children delight in having a musical instrument respond to their attempts to play it
Adults who have not played an instrument since high school discover that the ability to make beautiful sound from the instrument is still present
Both children and adults often seek further instruction or lessons
Adults often begin practicing their instruments again and participate in local ensembles


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Personal Walk Arounds
Instructor: James Cook
COST: Three Hour Session: $240.00
What's a walk around? It's three hours with your camera and coaching by James Cook, as you take photographs of your chosen subject matter.
What do you want to shoot? What would you like to do better?
Whether it's how to use your camera, how to observe and compose, how to deal with light and shadow or how to improve your technique in any way - this is the best learning opportunity we offer.
Take your pick of Saugatuck, Douglas, Oval Beach, Saugatuck Harbor Natural Area, Saugatuck Dunes State Park, a garden or....
Weather cancellations are your choice. Jim is ready to work with you to make exceptional images in any conditions.
Walk arounds are best scheduled in advance, but short notice can often be accomodated.
One companion can be included at no extra charge.
We offer other custom workshops as well.
Contact us directly for more info by email. Tell us about your desires. We'll respond promptly and thoughtfully about how we may help you achieve your goals.


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Weekend news round-up (7.29)By Julio Franco
AMD Reveals Phenom Model Numbers - AMD's latest roadmap reveals the company's model numbers for the performance and mainstream Phenom X4 and X2 processors. Despite AMD issuing model numbers, the clock speeds are still ballpark figures and not yet set in stone. AMD has two Phenom X4 and three X2 models planned. Three of the models are set for a Q4'2007 launch. Dailytech.
Microsoft Announces Second Beta of Visual Studio 2008. Also announced: The last version of the Silverlight rich media software code before the final version ships. PC World.
The brand new $113 Toshiba HD-DVD Player? (kinda) Sure, Blu-ray had lots of good news this week. But the HD DVD camp has been answering the trend with prices that are putting HD DVD players close to what many of us would consider an affordable and, as a result, reasonable HD solution. TG Daily.
Microsoft on Mac gains: Apple's not even close: At a conference of analysts and reporters yesterday, Microsoft CEO Steve Ballmer and chief operating office Kevin Turner took pains to point out that their operating system is still far and away the biggest in the world. Salon.
"The Simpsons Movie" Earns Big D'oh! "The Simpsons Movie" turned doughnuts into dollars over the weekend, raking in $71.9 million to debut as the top movie this week. Forbes.


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The moderating effects of leadership style on subordinates' perceptions of decision effectiveness : a partial test of the Vroom-Yetton model
Research indicates that following the Vroom-Yetton (1973) Normative Model of Leadership reliably predicts successful managerial decision-making. However, this model overlooks the basic leadership style of the decision maker. This omission is seen as a possible reason why the Vroom-Yetton model has not been strongly supported in studies using subordinate self-reports, particularly in situations in which autocratic behaviour is prescribed. Recent investigations into Bass' (1985) leadership theory have found the effects of transformational leadership augment the impact of transactional leadership on subordinates' perceptions of managerial effectiveness and performance. To see if a manager's basic leadership style (i.e., transformational or transactional) moderates subordinate perceptions of decision effectiveness, a laboratory experiment involving 258 university commerce students was conducted. Leadership style was manipulated, along with the manager's "correct" or "incorrect" decision behaviour in terms of the Vroom-Yetton normative model. Results indicated that managers profiled as transformational leaders who behaved consistently with the Vroom-Yetton model when autocratic decision-making was prescribed, received ,significantly higher ratings on decision effectiveness and satisfaction criteria by subjects placed in the role of subordinates, than managers in the transactional or control (no leadership profile provided) conditions. In addition, managers profiled as transformational leaders were rated significantly higher than those in the transactional and control conditions, even when they engaged in autocratic behaviour when the Vroom-Yetton model called for a group approach to decision making. These findings suggest that leadership style does moderate subordinates' perceptions of decision effectiveness and a manager's effective application of the Vroom-Yetton model. Implications of these findings for both theory and practice are discussed, and directions for future research are identified.... [Show full abstract]


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Article 370, which gives special status to J-K, is permanent: HC
The Jammu and Kashmir high court has ruled that Article 370 of the Constitution that grants the state special status is "permanent" and "beyond amendment, repeal or abrogation".india Updated: Oct 12, 2015 01:10 IST
The Jammu and Kashmir high court has ruled that Article 370 of the Constitution that grants the state special status is "permanent" and "beyond amendment, repeal or abrogation".
"Article 370, though titled 'Temporary Provision' and included in Para XXI titled 'Temporary, Transitional and Special Provisions', has assumed a place of permanence in the Constitution," the 60-page judgment said.
The division bench observed on Saturday that the constituent assembly (of 1957) was given the power to recommend to the President that Article 370 be declared to cease to operate, and that it did not make such a recommendation before its dissolution on January 25, 1957. Therefore, the court said, "it (Article 370) is beyond amendment, repeal or abrogation in as much as the constituent assembly of the state, before its dissolution, did not recommend its amendment or repeal".
The judgment assumes significance as a petition challenging Article 35A, which upholds the state's special status, has been submitted in the high court. The J-K assembly's autumn session was also rocked by protests demanding a discussion on 35 A that was disallowed by the speaker.
The opposition National Conference, pressing for strengthening of Article 35 A, said the judgment should "settle once and for all the debate on abrogation or repeal of Article 370".
"We have always maintained that it cannot be touched, now it has the stamp of the judiciary as well. So people who keep taking up these issues (BJP) should know it can have very bad consequences in the state," said party leader Nasir Aslam Wani.
The ruling PDP, a coalition partner of the BJP, said the judgment vindicated its stand and "strengthening Article 370 is part of the agenda of our alliance".
"The judgment should be seen positively, and people should not panic but have faith in the judiciary as there is no uncertainty," said Waheed ur Rehman Parra, political adviser to chief minister Mufti Mohammad Sayeed.
The BJP's has traditionally stood for repealing Article 370 but has recently been silent on it, which many attribute to coalition dharma.
Underlining that J-K, while acceding to the Dominion of India, didn't merge with it but retained limited sovereignty, the high court said, "The limited sovereignty or special status stands guaranteed under Article 370 — the only provision of the Constitution that applied to the state on its own."
"The constitutional framework worked out by the Dominion of India and the state reflected in Article 370 has its roots in paras 4 and 7 of the Instrument of Accession," it went on to say.
Parliament's legislative power over J-K is confined to three subjects mentioned in the Instruments of accession — defence, foreign affairs, and communications.
"The President, however, has the power to extend to the state other provisions of the Constitution as also other laws that relate to the subjects specified in the Instrument of Accession. While extending such provisions and laws, the exercise of the power involves consultation with the state government," the court said. But, it added, only "consultation" was required, not concurrence.
First Published: Oct 12, 2015 00:17 IST


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America Is Not Guaranteed
Throughout history we have been reminded of the fragility of the American idea.
Throughout history we have been reminded of the fragility of the American idea.
Yale grad. Columbia professor. TV alum. Working actor.
When I was a kid, I thought about running for president.
Traitor. Treason. Easy words to throw around. Not an easy reality to accept.
Flint still doesn't have clean water.
Today's Supreme Court ruling in the Muslim ban case will be remembered in history as the Roberts court's Korematsu.
Juneteenth ascends in importance as a national commemoration of the emancipation of American slaves.
It was a time of fear.
I was 13 years old.
The distance of fault. The distain of truth. The audacity of self. The past few days have revealed much about the state of our nation.
Dr. Martin Luther King Jr. passed away 50 years ago today at the age of 39.
When I was a kid, I wanted to be a journalist.


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Case Reports in Transplantation
Volume 2017, Article ID 3197042, 6 pages
Eculizumab for Thrombotic Microangiopathy Associated with Antibody-Mediated Rejection after ABO-Incompatible Kidney Transplantation
1Department of Nephrology and Organ Transplantation, CHU Rangueil, Toulouse, France
2Department of Nephrology and Transplantation, University Hospital of Strasbourg, Strasbourg, France
3Université Paul Sabatier, Toulouse, France
4INSERM U1043, IFR-BMT, CHU Purpan, Toulouse, France
Correspondence should be addressed to Nassim Kamar; email@example.com
Received 23 August 2017; Accepted 16 November 2017; Published 28 December 2017
Academic Editor: Ryszard Grenda
Copyright © 2017 Luca Lanfranco et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Thrombotic microangiopathy is a form of antibody-mediated rejection (ABMR): it is the main complication of ABO-incompatible (ABOi) kidney transplantation (KT). Herein, we report on two cases of ABMR with biological and histological features of thrombotic microangiopathy (TMA) that were treated by eculizumab after ABOi KT. The first patient presented with features of TMA at postoperative day (POD) 13. Because of worsening biological parameters and no recovery of kidney function, despite seven sessions of immunoadsorption, a salvage therapy of eculizumab was started on POD 23. Kidney function slightly improved during the first 4 months after transplantation. Eculizumab was stopped at month 4. However, kidney function worsened progressively, leading to dialysis at month 13 after transplantation. The second patient presented with features of TMA at POD 1. In addition to immunoadsorption therapy, eculizumab was started on POD 6. Kidney function improved. Eculizumab was stopped on POD 64 and immunoadsorption sessions were stopped on POD 102. At the last follow-up (after 9 months), eGFR was at 43 mL/min/1.73 m2. Our case reports show the beneficial effect of eculizumab to treat ABMR after ABOi KT. However, it should be given early after diagnosing TMA associated with ABMR.
1. Introduction
Mid- and long-term kidney allograft survival rates have been shown to be similar after living-donor ABO-compatible (ABOc) and ABO-incompatible (ABOi) kidney transplantation (KT) [1–3]. In order to ensure successful ABOi KT, the titers of isoagglutinins that are directed against the donor should be decreased: apheresis and rituximab are used to decrease isoagglutinin levels.
Antibody-mediated rejection (ABMR) remains the main complication of ABOi KT. Thrombotic microangiopathy (TMA) is a form of ABMR. It is still a matter of debate whether ABMR is mediated by natural (IgM) or immune (IgG) isoagglutinins. In both cases, ABMR occurs through the activation of the complement system [4]. Eculizumab, a monoclonal anti-C5 antibody that blocks the complement cascade, was used to prevent or treat refractory ABMR after ABOc [5–7] or ABOi KT [8, 9]. Herein, we report on two cases of ABMR with biological and histological features of TMA that were treated with eculizumab after ABOi KT.
2. Case 1
A 64-year-old man (group O) received a first ABOi living unrelated-donor KT for nephroangiosclerosis. The donor was his spouse (group AB). Before, at, and after transplantation, anti-HLA antibodies were assessed by the Luminex SA assay and remained negative. At baseline, anti-A and anti-B isoagglutinin titers that were assessed using hemagglutination were 1/80 and 1/10, respectively. The desensitization protocol included eight nonspecific immunoadsorption sessions (Adasorb® reusable columns, Fresenius, Bad Homburg, Germany), two specific-IA sessions (Glycorex® column, Lund, Sweden), and rituximab (375 mg/m2 given for 30 days before transplantation). At transplantation, both anti-A and anti-B isoagglutinin levels were at 1/5. Basiliximab induction therapy was given on days 0 and 4 (20 mg each). Tacrolimus, mycophenolic acid, and prednisolone were started 12 days before transplantation and were continued thereafter.
At postoperative day (POD) 3, the patient presented with partial kidney allograft venous thrombosis that required surgery, and the graft was reimplanted. Consequently, the patient recovered diuresis, but no graft function. On POD 13, a kidney biopsy was performed and showed the presence of thrombotic microangiopathy without microcirculation inflammation and no features of T-cell mediated rejection. C4d staining was positive. At that time, serum creatinine level was 546 μmol/L (Figure 1). Hemoglobin level was 10.1 g/dL. Schistocyte count was <15. Lactate dehydrogenase was 636 IU/L. Platelet count had decreased from 155,000/mm3 at transplantation to 116,000/mm3. Tacrolimus trough level was 9.7 ng/mL. Anti-A and anti-B isoagglutinin levels stayed at 1/5. Complement fraction levels were within the normal ranges. No autoimmune disease or phospholipid syndrome was evidenced. Classical viral infections were ruled out. Genetic analysis for the complement pathway ruled out atypical HUS.
We concluded treatment with isoagglutinin-induced ABMR. Hence, we started apheresis using plasma exchanges followed by nonspecific IA sessions . Because of a worsening of platelet count (36,000/mm3 at day 22) and no recovery of kidney function, a salvage therapy using eculizumab was decided upon. It was started on day 23 at a dose of 900 mg per week for 4 weeks and then 1200 mg every 2 weeks. The platelet count rapidly increased to 96,000/mm3 (day 29). Hemoglobin level slightly improved and the patient recovered modest kidney function, which permitted dialysis to be stopped at POD 30 (SCr of 460 μmol/L, eGFR CKD Epi 11 mL/min). Kidney function improved during the first 4 months after transplantation and platelet counts returned within the normal range.
At month 4, a control kidney biopsy was performed: it revealed no features of cellular or ABMR, but sequelae of the previous TMA episode (t0, i0, g0, v0, ptc0, cg0, cv0, ci2, and ct2). Hence, eculizumab was stopped at month 4. Between months 4 and 12, platelet count remained within the normal range and isoagglutinin levels were unchanged. Conversely, kidney function remained impaired and worsened progressively. At month 13 after transplantation, he started dialysis again.
3. Case 2
A 48-year-old man (group O) received a second ABOi living unrelated-donor KT for IgA nephropathy. The donor was his spouse (group A). No anti-HLA donor specific antibodies (DSA) at or after transplantation were detected. At baseline, natural and immune anti-A isoagglutinins titers were 1/64 each (using hemagglutination). The desensitization protocol included six immunoadsorption sessions (Immunosorba, Fresenius, Bad Homburg, Germany) and rituximab (375 mg/m2 given 34 days before transplantation). At transplantation, natural and immune anti-A titers were 1/8 and 1/16, respectively. An antithymocyte globulin induction therapy was given from days 0 to 4 (1.3 mg/kg/d). Tacrolimus, mycophenolic acid, and prednisolone were started at 14 days before transplantation and were continued thereafter.
After transplantation, the patient recovered diuresis without a decrease in serum creatinine levels. At POD 1, the patient presented with biological features of TMA, including hemolytic anemia, thrombocytopenia (platelet count at 49,000/mm3), and no improvement in kidney function (Figure 2). Anti-A level was 1/4. Anti-A-mediated ABMR was suspected and plasmapheresis was initiated: a daily session was given between PODs 1 and 4 and then 3 times weekly until POD 42.
Due to the severity of the clinical and biological presentation, eculizumab was given at a dose of 900 mg on POD 6, 17, 24, and 36 and then of 1200 mg on POD 50 and 64. A first kidney biopsy was done on POD 12 (Figure 3(a)) and revealed thrombotic microangiopathy, glomerulitis (g3), peritubular capillaritis (cpt2), and a peritubular C4d deposition. No histologic sign of acute cellular rejection was seen. Rapidly after initiation of eculizumab, hematological parameters improved, as well as kidney function (Figure 2). Hemodialysis sessions were stopped at POD 16. The patient was discharged at POD 37. At that time, serum creatinine level was at 114 μmol/L (eGFR 62 mL/min/1.73 m2). During the first month after transplantation, natural isoagglutinin anti-A remained below 1/4 and immune isoagglutinin anti-A increased transiently to 1/16. ADAMTS 13 activity was normal (81%), and genetic analysis for the complement pathway ruled out atypical HUS.
At POD 53, serum creatinine levels increased from 110 to 154 μmol/L, with increasing immuno-anti-A antibody titers, from 1/8 to 1/16, but without biological features of TMA. A second graft biopsy showed an acute mixed rejection (t2 i2 ti2 g2 cpt2) without TMA lesions (Figure 3(b)). Three methylprednisolone pulses were given and immunoabsorption sessions were restarted (2 session/week for 6 weeks). Eculizumab was stopped at POD 64 and immunoadsorption sessions were stopped at POD 102. Kidney function improved. A third graft biopsy was performed on POD 102. It did not reveal any sign of rejection or TMA. At the last follow-up (after 9 months), serum creatinine level was 160 μmol/L (eGFR 43 mL/min/1.73 m2).
4. Discussion
ABMR is a well-known complication of ABOi kidney transplantation. Most AMR episodes are associated with activation of the complement pathway. ABMR is mediated by the classical pathway cleavage of C3 into C3b and C3a and the downstream formation of the membrane-attack complex, sC5b-9. Eculizumab is a humanized anti-C5 monoclonal antibody that blocks C5b-9 and C5a formation, which prevents the proinflammatory, prothrombotic, and lytic functions of complement [10]. Eculizumab is approved for treatment of paroxysmal nocturnal hemoglobinuria and atypical hemolytic and uremic syndrome (aHUS). Because of its mechanism of action to target the complement pathway, it has been also used in desensitization protocols to prevent ABMR [11, 12]. Although the incidence of ABMR was decreased in patients given eculizumab-based desensitization protocols, compared to those having not received eculizumab [11], at one year, chronic AMR lesions were similar in both groups [12].
Eculizumab has been also used to treat ABMR in ABO-compatible [5–7] and ABOi kidney-transplant patients [8, 9], as well as after ABOi pancreas [8] and heart transplantation [13]. In addition, in vitro and in vivo, eculizumab was found to inhibit hemolytic reaction after ABO-incompatible red blood-cell transfusion [14, 15].
Biglarnia et al. have reported a case of an intentional ABOi deceased-donor kidney and pancreas transplantation with severe ABMR that occurred at POD 9 during a rebound of isoagglutinins, despite immunoadsorption treatment. The use of two doses of eculizumab (600 mg at PODs 10 and 14) successfully treated the acute episode. At 6 months after transplantation, both kidney and pancreatic functions were normal [8].
Stewart et al. have reported a case of accelerated ABMR that occurred very early after ABOi KT, caused by a rebound in isoagglutinin levels [9]. Biological and histological features of TMA were observed. In the absence of any improvement, despite plasmapheresis, rituximab, intravenous immunoglobulins, and splenectomy, eculizumab was given as a salvage therapy at PODs 8, 10, 12, 14, and 21 [9]. The patient recovered kidney function and had a functional graft at 1 year after transplantation.
Recently, Ikeda et al. have reported two cases of TMA that occurred very early after ABOi kidney transplantation [16]. In both cases, patients had biological and histological features of TMA. Eculizumab was given for 2 and 3 months, respectively, in addition to intravenous immunoglobulins, rituximab, and a few sessions of plasmapheresis (2 and 4 sessions, resp.) [16]. In both cases, biological features of TMA disappeared and kidney function recovered [16].
Similar to the four previous published cases [8, 9, 16], our two patients presented with ABMR and biological features of TMA very early after transplantation. Both were initially treated by apheresis, and eculizumab was added thereafter. Similar to previous published cases [8, 9, 16], in one of the two cases (case 2), a rebound (slight and delayed) in isoagglutinin level was observed. It is important to note that, in the first case, immune isoagglutinin levels were not assessed at that time. In both cases, features of TMA regressed rapidly. The second patient had good kidney function at the last follow-up whereas the first patient had lost his kidney allograft at month 13 after transplantation. This can be explained by the fact that eculizumab was started at POD 23 in the first case, which was much later than for the second patient (POD 6) and the time-periods reported in previous reports [8, 9, 16].
In aHUS, it has been shown that early initiation of eculizumab was associated with greater improvement in kidney function [17]. Finally, it is important to note that eculizumab can fail to prevent [18] and treat ABMR [7], suggesting that there may be other pathways involved in the ABMR mechanisms.
To summarize, we describe the beneficial effect of eculizumab to treat ABMR after ABOi KT. We suggest that eculizumab should be given very early in ABOi KT patients presenting biological and histological features of TMA than can be related to ABMR.
Consent to publish was obtained from both patients.
Conflicts of Interest
The authors declare no conflicts of interest.
Authors' Contributions
Luca Lanfranco and Melanie Joly equally participated in this study. Luca Lanfranco and Melanie Joly collected the cases and wrote the paper. Arnaud Del Bello, Laure Esposito, Noelle Cognard, and Peggy Perrin participated in the patients' follow-up. Bruno Moulin reviewed the paper. Nassim Kamar and Sophie Caillard designed the study and wrote the paper.
- N. Kohei, T. Hirai, K. Omoto, H. Ishida, and K. Tanabe, "Chronic antibody-mediated rejection is reduced by targeting B-cell immunity during an introductory period," American Journal of Transplantation, vol. 12, no. 2, pp. 469–476, 2012. View at Publisher · View at Google Scholar · View at Scopus
- G. Opelz, C. Morath, C. Süsal, T. H. Tran, M. Zeier, and B. Döhler, "Three-year outcomes following 1420 ABO-incompatible living-donor kidney transplants performed after ABO antibody reduction: results from 101 centers," Transplantation, vol. 99, no. 2, pp. 400–404, 2015. View at Publisher · View at Google Scholar · View at Scopus
- M. Okumi, D. Toki, T. Nozaki et al., "ABO-Incompatible Living Kidney Transplants: Evolution of Outcomes and Immunosuppressive Management," American Journal of Transplantation, vol. 16, no. 3, pp. 886–896, 2016. View at Publisher · View at Google Scholar · View at Scopus
- O. R. Blume, S. E. Yost, and B. Kaplan, "Antibody-mediated rejection: pathogenesis, prevention, treatment, and outcomes," Journal of Transplantation, vol. 2012, Article ID 201754, 7 pages, 2012. View at Publisher · View at Google Scholar
- J. E. Locke, C. M. Magro, A. L. Singer et al., "The use of antibody to complement protein C5 for salvage treatment of severe antibody-mediated rejection," American Journal of Transplantation, vol. 9, no. 1, pp. 231–235, 2009. View at Publisher · View at Google Scholar · View at Scopus
- B. J. Orandi, A. A. Zachary, N. N. Dagher et al., "Eculizumab and splenectomy as salvage therapy for severe antibody-mediated rejection after HLA-incompatible kidney transplantation," Transplantation, vol. 98, no. 8, pp. 857–863, 2014. View at Publisher · View at Google Scholar · View at Scopus
- M. Burbach, C. Suberbielle, I. Brochériou et al., "Report of the inefficacy of eculizumab in two cases of severe antibody-mediated rejection of renal grafts," Transplantation, vol. 98, no. 10, pp. 1056–1059, 2014. View at Publisher · View at Google Scholar · View at Scopus
- A.-R. Biglarnia, B. Nilsson, T. Nilsson et al., "Prompt reversal of a severe complement activation by eculizumab in a patient undergoing intentional ABO-incompatible pancreas and kidney transplantation," Transplant International, vol. 24, no. 8, pp. e61–e66, 2011. View at Publisher · View at Google Scholar · View at Scopus
- Z. A. Stewart, T. E. Collins, A. J. Schlueter et al., "Case report: eculizumab rescue of severe accelerated antibody-mediated rejection after ABO-incompatible kidney transplant," Transplantation Proceedings, vol. 44, no. 10, pp. 3033–3036, 2012. View at Publisher · View at Google Scholar · View at Scopus
- V. Frémeaux-Bacchi and C. M. Legendre, "The emerging role of complement inhibitors in transplantation," Kidney International, vol. 88, no. 5, pp. 967–973, 2015. View at Publisher · View at Google Scholar · View at Scopus
- M. D. Stegall, T. Diwan, S. Raghavaiah, L. D. Cornell, J. Burns, and P. G. Dean, "Terminal complement inhibition decreases antibody-mediated rejection in sensitized renal transplant recipients," American Journal of Transplantation, vol. 11, no. 11, pp. 2405–2413, 2011. View at Google Scholar
- L. D. Cornell, C. A. Schinstock, M. J. Gandhi, W. K. Kremers, and M. D. Stegall, "Positive crossmatch kidney transplant recipients treated with eculizumab: outcomes beyond 1 year," American Journal of Transplantation, vol. 15, no. 5, pp. 1293–1302, 2015. View at Publisher · View at Google Scholar · View at Scopus
- C. A. Irving, A. R. Gennery, V. Carter et al., "ABO-incompatible cardiac transplantation in pediatric patients with high isohemagglutinin titers," The Journal of Heart and Lung Transplantation, vol. 34, no. 8, article no. 5994, pp. 1095–1102, 2015. View at Publisher · View at Google Scholar · View at Scopus
- C. Weinstock, R. Möhle, C. Dorn et al., "Successful use of eculizumab for treatment of an acute hemolytic reaction after ABO-incompatible red blood cell transfusion," Transfusion, vol. 55, no. 3, pp. 605–610, 2015. View at Publisher · View at Google Scholar · View at Scopus
- C. R. Fata, E. A. Gehrie, and P. P. Young, "Eculizumab inhibits hemolysis in a model of ABO-incompatible red blood cell transfusion," Transfusion, vol. 55, no. 7, pp. 1823-1824, 2015. View at Publisher · View at Google Scholar · View at Scopus
- T. Ikeda, M. Okumi, K. Unagami et al., "Two cases of kidney transplantation-associated thrombotic microangiopathy successfully treated with eculizumab," Nephrology, vol. 21, pp. 35–40, 2016. View at Publisher · View at Google Scholar · View at Scopus
- C. M. Legendre, C. Licht, P. Muus et al., "Terminal complement inhibitor eculizumab in atypical hemolytic-uremic syndrome," The New England Journal of Medicine, vol. 368, no. 23, pp. 2169–2181, 2013. View at Publisher · View at Google Scholar · View at Scopus
- A. Bentall, D. B. Tyan, F. Sequeira et al., "Antibody-mediated rejection despite inhibition of terminal complement," Transplant International, vol. 27, no. 12, pp. 1235–1243, 2014. View at Publisher · View at Google Scholar · View at Scopus


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Term 4 and not the week before is the time to start to take your swimming seriously if you want to clean up at the next school swimming sports competition.
Parnell Swim Club is not a swim school. We're a competitive swimming club that work with young athletes between the ages of 7-18 to take their swimming to the next level. We know how to have fun too. We affectionately call our young athletes the Wolf Pack and with the best coaches who have enjoyed international success themselves in the competitive swimming arena, if your swimmer wants to get seriously fast in the pool - then you need to contact us today.
Try us for free with our Term 4 promotion or if you can't wait until then, contact us today as we're still training through these school holidays.


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Building anew while preserving history.
807 Franklin is currently the site of an historic grand Victorian home with a large side yard. KMA has secured planning approval to move this structure to a new location in the neighborhood (at 635 Fulton Street next to a Victorian-era mortuary) and rehabilitate/restore both of them into housing. The cleared project site will be developed into 48 new units of rental housing in an eight-story concrete structure with outlooks over Hayes Valley and Jefferson Park. Sixty-four percent of the units will be two and three bedrooms, suitable for family living.
A simple structural grid and full-height fenestration with private balconies supports a minimalist Bauhaus aesthetic and high degree of transparency. The rooftop and rear yard will support outdoor living for the residents: seating and gathering, an outdoor kitchen and farm table, raised planters, planted dog run, and artificial turf.
The project will seek LEED Gold certification with photovoltaic power generation and solar preheating on the roof, healthy interior finishes, and efficient mechanical systems. A portion of the units will be affordable housing.


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Autism spectrum disorder (ASD) is a neurodevelopmental disorder affecting approximately 1 in 88 individuals in the United States. General characteristics of ASD include deficits in verbal and nonverbal communication, social interaction, and restricted and repetitive behaviors and interests. Regardless of ASD symptoms, research indicates that individuals with this disorder prefer to engage with activities they find interesting and motivating.
During this talk research and findings will be presented developed by exploring both how and why individuals with ASD choose and interact with technology, especially popular media such as video games and the perceptions of their parents about games and related technologies. Attendees to this session will gain insight on how, and why games might be effective for children with Autism and the best paths to successfully addressing Autism populations with games.


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After all of the hype of the presidential primary, the confusion of various state propositions and local initiatives, and the backbiting of contentious mayoral and city attorney races, San Diego voters may be surprised to find three contests for Superior Court judgeships at the very bottom of their ballot. While the other races often seem to offer only posturing and empty rhetoric, judge elections operate under an entirely different set of rules, ethics and constraints. Not to mention that in judges we expect to find integrity, honor and high standards-expectations we long ago abandoned for our other political figures.
In the largest of this year's three Superior Court contests, five candidates, including Joseph Brannigan, Dave Hendren, Lisa Laqua, Edward Peckham and Daniel Sullivan, are all vying for the soon-to-be-vacated judgeship in Office 24. With so many candidates and more than 50 percent of the vote needed to win the election outright, the race will almost certainly end in a November runoff between the top two vote getters in this election.
But winners will be declared when incumbent judges face challenges in the two other Superior Court contests. In the race for Office 5, James McMillan is hoping to unseat Judge Kevin Enright and in Office 8, Robert Plumb is trying to send Judge Robert Coates packing. However, previous elections tell us both challengers, McMillan and Plumb, face long odds of winning.
While not entirely perfect, races for Superior Court judgeships are anything but politics as usual. That might help explain why they are historically among the most ignored elections. According to the San Diego County Registrar of Voters, of the nearly 700,000 voters who turned out for the March 2000 primary election, more than one third declined to vote in Superior Court races.
Although these seemingly inconsequential elections are afterthoughts for most voters, the winners have more power than many realize. A strong argument can be made that Superior Court judges can have a greater impact on the lives of ordinary San Diegans than the President of the United States.
Brannigan, a federal prosecutor and candidate for the judgeship in Office 24, notes that Superior Court judges rule on all of the civil and criminal cases that come before state courts. In San Diego County alone, Superior Court judges handle more than 4 million causes of action each year.
"You can have a proposition that's voted on by the people or a law that's passed by the legislature and it can be declared null and void by a judge," he says. "Judges are the people's representatives in the judicial branch. There is a lot of power right there."
In San Diego County there are currently 126 Superior Court judges and two vacant seats. Each judgeship is assigned an office number, which only serves to distinguish them and does not correspond to a geographical location or specific judicial assignment. Judges serve six-year terms, and roughly one third of the 128 seats are up for grabs every election year. Because they are tough to beat, sitting judges are rarely challenged and because unopposed elections do not appear on the ballot, the general public only sees a fraction of these otherwise ceremonial elections.
The truth is that the vast majority of judges are never actually elected to office. Most are appointed by the governor after a sitting judge retires before the end of his term. The two currently vacant judgeships in San Diego County will be filled when Gov. Arnold Schwarzenegger appoints judges. When the governor appoints replacements, they hold the seat until the end of the original judge's term. If the appointed judge is not challenged in an election, he will continue to hold the position for another six years. A judge may serve an unlimited number of terms consecutively.
When a sitting judge decides to retire at the end of his term, as Judge J. Richard Haden from Office 24 did, a flock of attorneys, all patiently waiting to shed the slimy coats of their profession and dawn the dignified robes of judgeship, rush to get their name on the ballot.
To qualify, a candidate must have been a member of the California Bar or a state judge for a decade prior to the election and be both a registered voter and U.S. citizen. They also face an unofficial review by their peers. The San Diego Bar Association conducts a secret survey of its members and holds closed-door interviews with each candidate before giving them a rating of well qualified, qualified, lacking qualifications or unable to evaluate. The ratings serve as a good indicator of how the candidates' colleagues feel they will perform as judges, but are not scientific.
Lisa Laqua, an attorney and candidate for Office 24, was the only candidate in this election to receive a rating of lacking qualifications. However, she contends that during her interview she was asked if she sleeps with judges to get favorable rulings.
"I thought that was absolutely appalling," she says. "Just the fact that question would be asked made me seriously question the integrity of that organization and make me wonder if I was getting a fair shake with them."
Laqua, the only woman running for a judgeship this election, did say that she dated a judge in the past but that he never presided over any of her cases. She says she still hopes to pick up a large percentage of women voters and win Office 24 outright.
In some instances, such as the races for Offices 5 and 8, an attorney will challenge a sitting judge, but it's a gutsy move and a difficult feat to pull off. Cathy Glaser, campaign services supervisor for the San Diego County Registrar of Voters, says in her 30 years at the registrar's office she can only remember one sitting judge who lost on the ballot.
"Sitting judges rarely get challenged and even more rarely do they lose," she says.
While the brave souls who challenge sitting judges may be ambitious, she says they should not be mistaken for crackpots. Challenges often arise because of conflicting legal opinions or disputed rulings in cases, but one current candidate, McMillan, who is running for Office 8 and also made an unsuccessful bid for a judgeship in 1992, says he sees challenging a sitting judge as a public service.
"There are judges floating around out there that shouldn't be judges," he says. "I'm able to do something about it-I can run. I think even if I lose, my opponent will be a better judge for it. He has to go out and meet the people and he hasn't had to do that before."
When a new candidate is elected to the bench, he is not guaranteed the office or assignment of his predecessor.
"It is up to the presiding judge to assign judges to responsibilities and locations," says Stephen Love, executive officer of the San Diego County Superior Court. "Typically those are one-year assignments."
This flexibility allows a candidate challenging a sitting judge to pick his opponent from the crowd of 25 or more sitting judges whose seats happen to be up for election that year.
"I just picked the target that has the most baggage," says McMillan.
While the races for Superior Court judgeships are nonpartisan, they also lack one of the key components of most elections: issues. Because the judges are bound by the Judicial Code of Ethics, they are forced to bite their tongues on all cases, controversies and matters that may someday come before the court.
"Judges, irrespective of their personal views or beliefs, have a duty to follow the law," says Judge Enright, who currently holds Office 5. "The personal beliefs and views of the individual judge are ultimately not relevant to the judge's role in our society."
With little more than the weather to talk about, candidates are forced to rely heavily upon on their candidate statements, which appear in the sample ballot, to explain why they are well suited for a position on the bench. Many include their educational background, professional experience and the types of cases they have tried in the past. Some list the endorsements they have collected, especially those from individuals or groups within the legal community. These endorsements do seem to have some sway with voters as the candidates who lack them often have a tough time getting elected.
Peckham, a candidate for Office 24, says he knows police and judicial endorsements are important, but he has not sought them to avoid the appearance of bias. "It has gotten to be a real emotional and philosophical challenge for me to not seek endorsements while at the same time wanting to get elected," he says.
Despite no fundraising limits, most Superior Court candidates raise less than $20,000, according to the registrar's office. It's not uncommon for many to pay the majority of their campaign bills with their own money.
Although some candidates may employ a part-time campaign consultant, their campaign staffs are typically small, comprising just a handful of volunteers. While the candidates try to walk precincts in person, they often also end up hanging their own signs on telephone poles around the county.
"For the most part, my campaign is me, my wife and my family," says Hendren, a deputy district attorney and candidate for Office 24. "It's not like I have some big machine here."
Of course, the races for Superior Court judgeships are not entirely free of the typical trappings of politics. Given the opportunity, many of the candidates in this election will fire shots across their opponent's bows, but lack of media attention and public interest serves to dampen their power and limit the impact of their political rhetoric.
As always, incumbents have an advantage because they have a record to run on. Thousands of jurors and trial participants have already had the opportunity to see the judges in action. As an added bonus, many uniformed voters tend to take an "if it's not broke don't fix it" approach to these contests and titles like "superior court judge," "federal prosecutor" and "deputy district attorney" may carry more weight with voters than "lawyer" or "attorney."
"I think there is a different perception between lawyers and judges," says Hendren. "Judges are well esteemed and respected and, well, you have heard all of the jokes about lawyers."
Finally, Superior Court judgeships make excellent springboards for those ambitious individuals who aspire to eventually cash in the everlasting dignity of their position for fleeting political power. Just ask San Diego Mayor Dick Murphy, who spent a decade as a Superior Court judge before sidestepping over to his current position.
Those voters still not convinced that the contests for Superior Court judges merit their attention on Election Day may wish to consider that in California next month judges are expected to rule on the legality of San Francisco's homosexual marriages, decide the fate of death-row inmates, sentence convicted murders, settle divorces and resolve thousands of traffic violations. In short, their decisions will impact nearly every citizen in ways we cannot yet fathom.Which candidate is best for the job? For whom should you vote? We wouldn't presume to know. You be the judge.


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With ServiceMax, you can handle complex work orders with ease. ServiceMax enables you to manage trencher job scheduling, trencher mobile worker management, and invoicing much more efficiently.


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The author of this piece, Kurt Eichenwald, has epilepsy and suffers from seizures. This is why he is so angry about these ridiculous claims coming from the Trump campaign regarding Hillary's health. Newsweek let him use language in the magazine that they would not normally allow because of how angry he was at Sean Hannity. I invite you to click on the link below and read his article.
He appeared on what is becoming my favorite Sunday Morning Show AM Joy on MSNBC.