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Most of you like premium apps and using them is really interesting as you must have experienced. But not all of you tried it yet. But would you like to try it? If yes, then don't worry, you don't need to pay for it. You can simply download the app called Lucky Patcher. Now let us click on continue reading and read-Lucky Patcher is an app which will let you download the premium apps and use it in free of cost. You just need to download the app and install it in your android device and then you can download any app and use it. Let us download it now.
How to download Lucky Patcher v7.28.2?
Now since you have read about the app, you must be thinking about how can we download this app because you can not find this app in an official store. However, we have made the work easy. Don't worry, you can simply use our link to download the app. Starting with the process, you need to click on the link first and download the file of the app. After downloading the file, you have to enable the unknown sources by going into the settings of your phone and once done, you need to then agree to the terms and conditions. After agreeing to the terms and conditions, all you need to do is to install the app. But where to find the link? Well, for finding the link, you don't need to do any extra effort at all. Click on download Lucky Patcher.


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QUO does not charge for performances. Instead we invite our hosts to make a charitable donation which we pass on to our three chosen charities. These are:
The Carpenters Arms which is a rehabilitation centre for men.
Coping with Cancer in Leicester and Rutland which provides practical and emotional support for anyone affected by cancer.
Living without Abuse which provides help and support for anyone suffering abuse.

subset: commoncrawl


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Ole Marius Myrvold
Staff member
- Sep 29, 2009
- 8,240
- 4,361
Adam AntWe may include additional time zone Rallys if requested.
Monday 9th & Tue 10th March 2015
REMEMBER - You need RSRBR 2015 with Update 02 AND Fix 02 to drive the event.
A little Opel is unveiled!
Sessions: RD Ant EUX / RD Ant EU / RD Ant US / RD Ant OC
Monday 9th & Tue 10th March 2015
REMEMBER - You need RSRBR 2015 with Update 02 AND Fix 02 to drive the event.
A little Opel is unveiled!
Sessions: RD Ant EUX / RD Ant EU / RD Ant US / RD Ant OC
If you request an additional session to be created, please sign up and make the request at least 12 hours before the requested start time so that we have time to see the request and create the session. Late requests will not be accepted. Any sessions with no drivers 12 hours before session start. Will not be created!
Car Pack: R2 - Opel Adam only!
Damage: Reduced
SS01: World Stages - Sardian - Tarmac - Dry - Day
SS02: BTB Belgium - Cretes Lamonriville 1997 - Tarmac - Dry - Day
SS03: BTB Belgium - Cretes Pont 2007 - Tarmac - Dry - Day
SS04: World Stages - Northumbria Tarmac - Tarmac - Dry - Day
SS05: World Stages - Swiss Tarmac - Tarmac - Dry - Day
SS06: World Stages - PTD Rallysprint - Tarmac/Gravel - Dry - Day
SS07: Japan - Tanner 2 - Snow - Dry - Day
EUX Start: 17:00 GMT Monday *
Europe Start: 20:00 GMT Monday *
US Start: 03:00 GMT Tuesday (10PM Eastern (USA), 8PM Mountain Time, Monday) *
Oceania Start: 08:30 GMT Tuesday (8:30 PM EDST) *
All sessions will be combined together for an overall result for the event. You can run as many sessions you like. However, only the first you did reach split 1 on one of the stages will count!
· Please sign up in the following format: RD Name - Real Name (if real name is NOT provided as RD name, or in textbit under RD name for Premium Members) - RSRBR2015 Name - Session.
· Click here to read the password!
· You will require the RSRBR 2015 mod with update 02 and fix 02 to be able to race!
· You will also require the R2 car pack and the BTB Belgium Track Pack.
· Teamspeak is highly recommended, and adds to the fun.
· Take a screenshot of RSCenter, or save your times, showing your final results at the end of the rally (including the car you drove!). This is in case any of your stages are missed by the server. If there's a discrepancy, please post your times ASAP so we're not adjusting times over 24 hours later.
· You must stick with the same car throughout the rally - if you change, your times for those stages will be defaulted.
· If you are new to Richard Burns Rally, we have provided a set of guidelines and links to help you get up and running: Here[/


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Thursday October 15th 2020, 10am
Auction Location: Garber Coop, 500 W. Main, Covington, OK 73730
Property Location: N3010 Rd & E0490 Rd Douglas OK 73733
3 miles west of Covington, OK (Hwy 74) on Skeleton Rd. Then Ľ mile north. 7907 S. 162nd.
This 80± acre tract would be an excellent addition to many operations in the area. Provides excellent cover for wildlife. Excellent grazing for livestock. Only Ľ mile off of paved Skeleton Rd..
Legal Description: N/2 of SW/4 Section 9 21N W4 Garfield County
Possession at Closing
Pre- Auction Offers: Sellers are NOT entertaining any pre-auction offers.
Preview on your own during daylight hours.
Minerals: Selling Surface Rights Only.
Internet Bidding: will be available by logging on to www.lippardauctions.com to register. Neither the auction company nor the sellers are responsible in the event of loss of internet signal by either side.
Terms on Real Estate: 10% of the total purchase price is to be placed in escrow with the balance being due upon delivery of marketable title.
Disclaimer: All information has been taken from sources believed reliable; however, no guarantee is being made by the seller nor the auction company. Bidders should satisfy themselves as to any inspections prior to bidding. Bidders should satisfy themselves as to condition, age, etc. prior to bidding. Any announcements made the day of the auction shall supersede all advertising or comments.
Exceptional 155 acre +/- property located adjacent to Seneca, SD. This unique property includes a 2007 Morton building (48x60x18) that has approximately 948 of living area. Living area has 2 bedrooms with each having their own bathroom, kitchen/dining/sitting area, large bathroom/laundry room, hickory cabinets, Geo-thermal heating and cooling, additional in-floor heat in bedrooms & kitchen. Shop area has two overhead doors (14h x 18w & 14h x 11w), large counter top w/ cabinets, Geo-Thermal & auxiliary Reznor propane heater, floor drain and overhead storage room. Quonset (60 x 32) has concrete floor and includes a large steel storage rack. 139.3 Acres of FSA cropland acres w/ balance building site and trees. Great opportunity for year round living or a hunting headquarters!
Thorpe Realty & Auction - Jim Thorpe Broker


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Liver transplantation currently represents a sound therapy for pediatric patients affected with biliary atresia.
Download our presentation pack to discover benefits and risks of liver transplant in pediatric patients suffering from atresia, survival rates, and when to opt for this procedure:
Liver transplant in pediatric patients affected with biliary atresia
An interesting letter published by Corriere della Sera, and the answer to it by Jean de Ville de Goyet – Director of the Department for the Treatment and Study of Pediatric Abdominal Diseases and Abdominal Transplantation at ISMETT – can be consulted at the following link:
My daughter is on the transplant waiting list, how can I become a donor? (Published on "Corriere della Sera")
For further information, please contact our physicians specialized in pediatrics.
Email: firstname.lastname@example.com
Fax: + 39 091 21 92 400


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Babel Ascending Expansion Announced
Fedeen Games has announced that Forsaken World Mobile will be expanding soon with Babel Ascending. Players will be able to check out the literal tower of Babel dungeon that features 100 floors with tons of monsters and epic loot. In addition, three new world bosses will be roaming around waiting for packs of players to find them and take them down.
But it's not all fire and blood for Forsaken World Mobile. Fedeen is happy to reveal that players will now be able to forge in-game marriages with the new wedding system. There's always been plenty of swordplay and spell-slinging to be found, but now it'll be balanced by romance - and perhaps even true love.
Check out a new trailer on the Forsaken World Mobile site.


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while my browsing throughout sites, I found an article about "Old Sana'a". I was attracted by the most wonderful pictures of that great town. Therefore, I decided to re-publish the article in my blog. The original article is in Arabic and it has been putting as a one part too.
Old Sana'a♥ is one of the oldest cities in the world. It are also registered as one of the 25th most important historical landmark in the world by UNESCO. It features traditional architecture and beautiful buildings. Some of its buildings were built more than 500 years ago. they are still inhabited by people until today.
Old Sana'a♥ is famous in multi- floors houses which may amount to seven floors. That depends on the economic situation and social status of the house's owner.
In the past, the first floor of the house was usually as storage for keeping their food and other things which was needed in the standard of living. whereas the other floors was used for housing according to a particular system. There are orchards among the old houses which are called "Maqashim"
Decoration of outer walls of the houses is made by Lime
"burnt Gypsum"
credit: anoar.maktoobblog.com


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Risk Mgt, Claims & Ins
What's New (Last 31-60 Days)
Tips on caring for animals and pets before, during and after a disaster
Health and safety concerns regarding animals kept in non-Red Cross public evacuation centers
Guidance for the care of animals entering shelters and for persons working with or handling the animals
Guidance for the care of animals & for persons working with or handling the animals in response to disasters
Chemical and biological weapons, bioterrorism
There are four biosafety levels
Category A Diseases/Agents, Category B Diseases/Agents, Category C Diseases/Agents
Preparation and Planning for Bioterrorism Emergencies
Source for bioterrorism information
In-depth information and resources
Emergency preparedness checklists, bomb threat checklists
Useful for EAP planning
Computer disaster recovery plan
The Role of IT in Mitigation, Preparedness, Response and Recovery
Anti-terrorist activities
As designated by the US Dept of State
United Nations global counter-terrorism strategy
Dam Safety
Dam safety, flood control, etc.
Construction specs manual with sections related to earth dams & levee construction
Earthquake preparation advice
Unified Facilities Criteria UFC 3-310-04
Prevention guide to promote personal safety and health before, during & after an earthquake
Guidelines on emergency evacuation programs, fire drills, etc.
Discussion of OSHA requirements for emergency evacuation and fire prevention plans
Flood hazard mitigation materials
Consumer guide to assist with flood cleanup safety and much more
Government Services
US federal , state and local government disaster response services
Helps prepare the USA for a deliberate bioterrorism attack
Hazardous waste and spill containment emergency response - hazmat teams
Outlines procedures to take with chemical spills and information on sorbent materials
Advice on spill control products
Health Services
Emergency plans and disaster guidance for health care facilities
Guidelines focus on the unique aspects of a nuclear or radiological event involving mass casualties
Topics include infection control, medical management, patient advisement, dialysis care and much more
For community shelters regarding basic infection control information to prevent transmission of infection
Basics of triage in mass casualty events
Protection of hospital emergency department personnel during the receipt of contaminated victims
Guidelines on how to prevent losses from hurricanes
Hurricane recovery resources including hurricane readiness, food & water safety, evacuation centers & much more
Bioterrorism and mail hazards - mail bomb warning indicators
How to handle anthrax threat letters
All relevant security guidelines
Natural Hazards
Fact sheets on floods, earthquakes, hailstorms, hurricanes, windstorms, etc
Series of 12 guides to promote health & safety before, during & after emergencies & disasters
Understanding natural hazards and their risks
Pandemic Crisis
Resources for businesses and employees on pandemic crisis management
Different categories should be taken into consideration when a business drafts a pandemic action plan
Power Outages
Safety tips for a blackout
Impact of Power Outage on Vaccine Storage
Tips to help you prepare for and cope with sudden loss of power
Radiological emergency response
Provides basic information about dirty bombs
Rescue training and emergency response materials
Safety and health guidance for workers involved in responding to hurricanes
Advice for first responders from the US CDC
Reference materials on thunderstorms, lightning, tornadoes, hail
Construction specs for lightning protection
What to do before, during and after a hurricane to promote safety
Prevention guide to promote personal health and safety before, during and after a tornado
Survival Supplies
Advice on emergency supplies, disaster kits, food storage, water potability
Discusses emergency preparedness related to food, supplies, first aid kit
How to prepare to shelter in place
Volcanic hazards
Volcano risk reduction strategies
5 risk zones in qualitative terms
Extreme cold and ice storm disaster safety, winter storm preparation
Brochure on cold weather injury prevention guidelines
Please report broken links by referencing the number in brackets in grey.


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After the success of the first edition in 2018, where nearly 75% of exhibitors met or exceeded their objectives, organisers have taken the strategic decision to host the second edition of Fastener Fair USA in Detroit, MI, at the Cobo Center on 22nd – 23rd May 2019.
The upcoming 2019 show offers manufacturers and distributors another valuable opportunity to showcase their latest technologies and solutions, as well as the opportunity to share expertise through top-notch educational programmes.
"The feedback we received from 2018 exhibitors on their ROI was really positive. Hosting the show in Detroit is a strategic decision to continue to build our brand in the Midwest and market the show to growing end user industries such as automotive and aerospace," explains Jessica Boweak, exhibition manager for Fastener Fair USA. "The Midwest features a strong manufacturing base to whom we are actively promoting the show."
Technology and solutions for the entire industrial supply chain
Manufacturers and distributors of industrial and construction fasteners, assembly and installation systems, fastener manufacturing technology, MRO supplies, and services, will all find the right mix of decision makers walking the show floor.
More than 2,300 registrants from a variety of industries packed the exhibit hall in 2018 – looking for solutions for their business challenges. Visitors included mechanical engineers, product designers, purchasers, and R&D personnel from industries such as automotive, aerospace, agriculture and construction equipment OEMs, distribution, home appliances, consumer electronics, furniture, wind power, oil and gas, power transmission/hydraulic/pneumatic, and on-and-off highway equipment.
For 2019, over 50% of the exhibit space has already been reserved by leading companies including Intools Incorporated, Carlo Salvi USA, Machine Insight LLC, Brighton Best, Dörken MKS-System GmbH & Co. KG, Atotech, AVK Industrial Products, Unbrako LLC, American Ring, Kistler Instrument Corp, National Machinery, and Loomis International.
At the 2019 edition, Fastener Fair USA will also introduce an Adhesives and Bonding Pavilion, highlighting other joining technologies for industrial use.
Showcasing expertise
New for 2019, the show will feature two stages on the exhibit hall floor to offer concurrent education tracks targeted to distributors, as well as end users. Fastener Training Institute will present two pre-show workshops for the second time, one focusing on the automotive market and fastener technology. The other will provide Fastening 101 training to newcomers in the industry, including a new mentor component where newcomers will be paired up with industry veterans during their time at the show for additional learning, support, and networking.
"We encourage industry experts to use the show as a platform to share their knowledge with attendees representing the full supply chain at the show," comments Jessica. "We've been told that our education sessions offer unique value not seen at other fastener events, so we are looking forward to aggressively showcasing and marketing these sessions."
Fastener Fair USA is inviting industry professionals to submit proposals to participate in educational sessions scheduled for the show. To be considered, industry professionals should submit a proposal on fastening and fixing technology, innovations, case stories, and solutions, using the Speaker Submission form on the Fastener Fair USA website: www.fastenerfair.com/usa/exhibitors/become-a-speaker/
Having joined the magazine in 2012, Claire developed her knowledge of the industry through the numerous company visits, exhibitions and conferences she attended both in the UK and abroad.
Claire prides herself on keeping readers well informed and up to date with the latest industry news.
Don't have an account? Sign Up
Signing up to fastenerandfixing.com enables you to manage your account details.


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This summer, win big at Mercato Mall as INFINITI of Arabian Automobiles partners with the luxury shopping destination as part of the Dubai Summer Surprises 2019 to reward one lucky shopper with a brand-new INFINITI QX70.
Highly desired by the affluent, style-conscious customers, INFINITI will showcase its iconic QX70 at the mall as part of the campaign, enabling visitors to gain a first-hand view of the luxury vehicle that meets their lifestyle aspirations.
To win, visitors to Mercato Mall or Town Centre Jumeirah will only have to spend a minimum of AED200 at any of the retail stores and present the bill to the guest service desk to receive a raffle ticket. The winner will be selected through a raffle draw on August 4th in the presence of officials of the Dubai Department of Economic Development.
Michel Ayat, CEO of Arabian Automobiles, said, "As a long-term partner of the Dubai Festivals & Retail Establishment's initiatives, including the Dubai Summer Surprises, we are committed to creating innovative customer experiences that further delight residents and visitors to Dubai. The partnership with Mercato Mall for our INFINITI QX70 campaign assures the exceptional opportunity to win one of the most desirable vehicles. We put our customers at the heart of everything we do and such campaigns will further elevate their lifestyle."
The INFINITI QX70, with a 3.7 litre V6 engine and 7-speed automatic transmission, assures sporty performance and is stylishly designed with meticulous attention to detail in the exteriors and interiors as well as advanced safety features.
Nisreen Boustani, PR & Corporate Communications Manager of Mercato and Town Centre Jumeirah, said: "It is our immense pleasure to partner with INFINITI of Arabian Automobiles. Mercato always strives to reward shoppers with prestigious prizes. We chose to reward one with a brand-new INFINITI QX70 as it not only offers an exceptional driving experience but also a whole new way of luxury living. Don't miss the chance and spend AED 200 at Mercato or Town Centre Jumeirah to enter the raffle draw and win the INFINITI QX70 luxury car."
The campaign also builds on the partnership between Arabian Automobiles Company and Mercato Mall with the Dubai Festivals & Retail Establishment, which organises the Dubai Summer Surprises. As one of the premium venues of the summer event that welcomes visitors from across the world to Dubai, Mercato Mall will display the QX70 prominently from June 21.
Visit Mercato Mall today to enjoy the DSS activities, explore the DSS offers and avail of the opportunity to win a QX70 from INFINITI of Arabian Automobiles.
Source: Cicero and Bernaya


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March 3, 2014 by Robert Franklin, Esq.
I've read a fair amount on the subject of same-sex marriage and same-sex parenting. To be blunt, those who oppose either have utterly failed to make their cases. The simple truth is that marriage can only be strengthened if we allow all adults to do it. I understand that various biblical references cast marriage as the union of a man and a woman and frown on homosexuality. I also understand that homosexuality is every bit as much a part of human nature as heterosexuality and that the line between the two is far from bright. I also understand that essentially no one in this country wants to live strictly according to every principle enunciated in the Bible and fewer still want to inflict that on everyone else. I further understand that the First Amendment to the Constitution is entirely clear that the government could never do such a thing even if it wanted to.
As to gay men and lesbian women as parents, there is no evidence that they're any better or worse at bringing up children than are heterosexual men and women. Admittedly the social science on the subject is incomplete and inconclusive, but from what we know, lesbian women and gay men do just fine in the parenting department. I agree with the notion that male/female parenting can create a type of synergy from the typical parenting styles of men and women. But of course not all men and women conform to those stereotypical parenting roles. Likewise, parents, including gay and lesbian ones, tend to conform themselves to the parenting style of their partner. So if one tends to take the stereotypically feminine role, the other will tend to compensate by being more of a "dad."
And of course children benefit from having two parents in their lives, even if they're of the same sex. That's because two parents tend to earn more than one and therefore can provide a variety of educational and other benefits a single parent can't manage. They also bring twice the "social capital" that a single parent does. That is, they have greater extended families, more aunts, uncles, cousins and grandparents, all of whom can offer childcare and the type of wisdom, guidance and opportunities they typically bring to their relationships with children. Does Johnny need a summer job when he's 15? Uncle Jake might be able to help him, but not if Uncle Jake's brother, Johnny's dad, has never been part of his life.
That's why stories like this one are at once so heartening and so sad (Local 12, 2/13/14). Years ago, Michele Hobbs was in a relationship with another woman named Kelly Mullen. The two decided to have a child and, with the assistance of a sperm donor, they had a daughter, Lucy, whom Mullen conceived, carried to term and gave birth to.
But because Hobbs had no biological relationship with the child, the State of Ohio's laws ruled she could not be her parent. Never mind that Hobbs had played the part of doting "dad" while Mullen was pregnant; never mind the two agreed to be Lucy's parents in every way; never mind that Hobbs did exactly that; and never mind that the little girl bonded with Hobbs and thought of her as her parent. No, none of that mattered, because, when the two broke up, Hobbs became a legal non-person in Lucy's life. Mullen cut off contact between the two and there was not a thing Hobbs could do about it because, according to Ohio law, she and Lucy were strangers. (Dickens's Mr. Bumble was right, "the law is a ass.")
So now Hobbs is in another relationship, this time with a woman named Amanda Broughton. Once again, the two decided to have children and this time too, it was Hobbs' partner who conceived and gave birth. She had twin boys, Wyatt and Knox who are now one.
But Hobbs had learned her lesson from the debacle with Mullen. She and Broughton decided to make sure that, even if they separated, Hobbs wouldn't lose out and neither would Wyatt and Knox. To both women's immense credit, they both decided to do what was necessary to establish Hobbs not only as the boys' actual mother, but as their legal one as well.
The only question was, "How to do that?" Ohio doesn't allow same-sex partners to marry or adopt, and Hobbs has no biological relationship to the two children, so what was to be done? Well, it turns out there was a way past the obstacle Ohio laws place in the way of loving same-sex parents.
The two researched the matter and discovered that an unnamed southern state's laws on the subject are less than clear, so they traveled there and completed the adoption of Wyatt and Knox by Hobbs. That adoptive relationship is recognized by Ohio even though, had the pair attempted to have Hobbs adopt the boys there, she'd have been refused.
So congratulations to Hobbs and Broughton; congratulations to Wyatt and Knox. The two women deserve it for their dogged perseverance in securing Hobbs' parental rights against the opposition of the State of Ohio.
Hobbs and Broughton have spent thousands of dollars on the legal process for Hobbs adopting the twins. Hobbs is still not listed as a parent on the boys' birth certificates. But, Hobbs and Broughton hope a lawsuit filed by four same-sex couples that are expecting children could lead to that. The couples have asked a federal judge to name both parents on their children's birth certificates.
Theirs is a success story of sorts, which is why I called it heartening. But it's also outrageous, which is why I called it sad. The fact is that the vast majority of same-sex couples have neither the money, the time nor the education to combat the laws and bureaucracies of states that would rather open a vein than allow fit, loving same-sex parents care for children who need them. Perhaps the wise legislators of Ohio can explain how it makes sense to stand between two little boys and one of their loving parents? How did it make sense to deny Lucy Mullen her loving and supportive relationship with Michele Hobbs?
If they can figure that one out, I hope one of them calls me, because I certainly can't.
Children need parents. Everyone's better off when children are raised by parents who love them, and that's true irrespective of the parents' sex. It's the exact same argument for keeping fathers in the lives of their children post-divorce. There's no way it makes sense not to.
The obvious conclusion is that states like Ohio should drop their opposition to same-sex marriage. That way same-sex couples wouldn't have to jump through the hoops and spend the money that Hobbs and Broughton did. They'd have parental rights because they're married. In the event of divorce, neither parent would automatically lose out and neither would the children.
It's something that's seldom mentioned in the endless arguing about same-sex marriage. Gay men and lesbian women can have children the same as their straight counterparts. What happens to the children when those relationships break up? We shouldn't be punishing those children out of a misplaced desire to deny marriage to people of the same sex.
National Parents Organization is a Shared Parenting Organization
National Parents Organization is a non-profit that educates the public, families, educators, and legislators about the importance of shared parenting and how it can reduce conflict in children, parents, and extended families. Along with Shared Parenting we advocate for fair Child Support and Alimony Legislation. Want to get involved? Here's how:
- Become an official member of the National Parents Organization team.
- Join our Facebook Page.
Together, we can drive home the family, child development, social and national benefits of shared parenting, and fair child support and alimony. Thank you for your activism.
#MicheleHobbs, #AmandaBroughton, #KellyMullen, #Ohio, #adoption, #same-sexmarriage


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Raam pilots used high spec drones to perform an aerial survey of roofing saving time, money and inconvenience.
Project type: Commercial
Tags: Aerial Survey, Roofing,
The properties at Albany Road, North London, were in need of a roof survey. To erect scaffold to carry out investigatory works would have cost in the region of £20,000. RAAM Construction Ltd were able to employ state of the art modern technology using our high spec drone to provide our client with accurate high resolution images of the exact problem areas without impacting at all on the property or residents. This non intrusive, very quick and efficient piece of equipment was able to save our client considerable time, money and inconvenience.
Within a matter of minutes the problem areas were clearly identified, with the client been able to see visual proof for themselves, and a solution for repair works were offered, accepted and provided there and then. From initial inspection to repair all works were completed same day at saving considerable money compared to alternative methods.
Finchley – N12 »


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With 2018 marking the first year millennials' spending power surpasses the baby boomers', analysts at Bernstein Research said discerning the food habits of this younger generation takes on a new urgency.
In a recent research report delving into how the group spends its food dollars, the analysts conclude that millennials eat a higher share of their meals in restaurants than any other demographic. In addition, millennials are the most likely to have purchased prepared meals, regardless of where they eat them, compared with Gen X, baby boomers and traditionalists.
The millennial group spends far less time on food prep than older generations, despite working the fewest hours per week, even fewer than traditionalists, who are often retirement age, the report said.
And millennials allocate the highest share of their food budgets to prepared food: 7.5 percent vs. 6.6-6.9 percent for the other generations. Bernstein said this preference persists across all income levels for the group. Delivery is also pervasive in the lives of millennials.
"So far, restaurants seem to be winning the battle for share of stomach among millennials, with millennials spending the most time eating out of any of the generations," the Bernstein analysts wrote.
"This prioritizing of convenience above all else is a positive for restaurants generally. … And it is especially advantageous for those offering delivery and to-go. The lower inclination to shop around or look for coupons is also why everyday value resonates so well and why price point offers ($5.99 pizza, $1 menus) are unlikely to go away any time soon."


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American Trading is now buying, selling, and trading firearms!
When buying a firearm there are two options shipping or local pickup.
1). All shipped fire arms must be shipped to an FFL! No Exceptions!
If you are having a gun shipped, it your responsibility to provide us with a copy of the FFL where the gun will be shipped. This can be done by email or fax. If we don't receive the FFL within 72 hours, the order will be cancelled and you will be given a refund minus the 3% Credit Card Processing fee.
2) For Local Pickups, Please have a valid ID that has your current address. If your current ID does not have your current address you will need a government issued document with your current address. (City water bill, City/Township Tax bill, Car registration etc.)


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I remember around this time last year, I think I wrote that as shitty as 2016 was, 2017 would probably be a lot worse, and because I'm one of those people, I'm happy to report I was right. I mean, what a steaming pile of shit, right? Even Tom Petty died … Tom Petty! If you didn't like Tom Petty, at least a little bit, I'm pretty sure we can't be friends.
But I guess there was a ray of hope there at the end, right? Doug Jones defeated Judge Roy Moore in a special election for Attorney General Jeff Sessions' vacated seat in the U.S. Senate. Let's set aside for a moment that Judge Roy Moore was even a credible candidate in the first place. Let's pay no mind for a moment that Moore was facing many credible allegations that he had sexually abused teenagers in the past. I mean, it's awful that he did those things, but let's forget about them for a moment. Let's forget that despite these allegations, and even though he'd been asked to bow out of the race, even by level-headed members of his own party, he soldiered on and thought it would be best to turn on his accusers, taking a page out of a playbook that got another accused abuser elected into a higher seat in the government (not naming names), and tried to turn himself into the victim. Let's set that aside and remember that even before these allegations, Moore had gone on the record stating that he thought homosexuality should be considered a crime and that Keith Ellison should be prohibited from serving in Congress because he is a Muslim. Let's ignore that Moore was also one of those "birther" dudes who believed, erroneously, that President Obama wasn't born in the United States (which seemed to work out fine for someone else who ran for office last year). And despite all these things, this Moore guy was able to win a primary and become a candidate for one of our two major political parties (I'm not going to name which one) and eventually even received the support of said party and an endorsement from the U.S. President said party shoehorned into the White House last year under our watch.
Let's also forget that despite all these things, Moore carried 48.4 percent of the votes (650,436 as of this writing, according to CNN.com) and lost the election by a scant 1.5 percent. Let's be happy that Doug Jones won.
I'm not trying to rain on anyone's parade, I swear. Jones becoming senate-elect in Alabama is far better than the alternative. I admit that when my wife and I watched a replay of the special election coverage on YouTube, we were cheering and smiling. It felt good, even though I have to admit the only thing I really know about Alabama is that the Auburn/Alabama college football game is a really big deal down there—or at least that's what sportscasters would have me believe. Maybe therein lies the problem. I don't understand where the 650,436 people are coming from at all, and expect they have no idea why I'm usually voting for the other person. Do they think that I'm some godless liberal prick who eats kale by the truckload? Do they think that I think that they're a bunch of toothless rednecks who fornicate with their cousins?
The thing is, I don't. I don't think they're backward, uncivilized rubes. The truth is, I don't think about them much at all. In fact, if this special election in Alabama hadn't been so dominant in this end-of-year news cycle, I probably wouldn't have uttered the word "Alabama" at all this year. I'm not sure if that's a good thing or a bad thing, all I know is that I have a lot of shit of my own to deal with, as I'm sure the 650,436 Roy Moore voters do. They probably don't care about me all that much, so maybe that's why when they hear something on Fox News or whatever that people like me are trying to make the country into homosexual Christmas haters by buying venti frappuccinos at Starbucks, they probably don't have the time to fact check and find out that it's totally false. They probably don't even know that I've never, ever had a frappuccino. Crazy, right? Here I am, all liberal as fuck and all, and I just drink stupid, boring, regular coffee—OK, with unsweetened almond milk, but that's besides the point.
So I just wanted to take the time and say to the Moore voters: Hi, I hope you have a Merry Christmas and a Happy New Year. I hope you'll give Doug Jones a chance. Again, I don't know much about him, but his acceptance speech was humble, and he seems like a good guy. Heck, even Charles Barkley likes him, so that's gotta count for something. I also hope you'll convince your candidate that it's time to stop being such a snowflake and concede the race already, because as of this writing, he hasn't.
And to anyone else reading, Happy 2018! I hope all of you have a great holiday season and drink a lot of wine and eat a lot of food and have a lot of laughs with your family, friends and loved ones. We could all use a healthy dose of cheer to close out yet another tumultuous turn around the sun.


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Farewell summer, we hardly knew thee. Hello autumn! A time for fellowships & fresh starts, you know a time to come clean. Ex Fabula kicked off Season Seven Thursday night with a StorySlam at Garfield's 502. The sold out crowd was treated to a truly eclectic mix of true, personal stories centering on the evening's theme of Come Clean. The wonderful emcee duo that is Dasha Kelly and Leah Delaney shared laughs, updates and Ultra Shorts throughout the evening.
First to the stage was Jim Winship. His vacation tale included a shower scene, malarious insects and getting lost in the jungle with his spouse. Next up, Nancy Bird's surprise story demonstrated that sometimes the best gift you can give is a good, honest lie. Then, Elaine Maly caught the crowd's attention by sharing how penance intended for her sons turned into atonement for her past transgressions. Sorry not sorry.
After a brief intermission, Mark Steidl stepped up and shared his narrative of young love; how life happens; and how there are some endings we never see coming. Newcomer Nakia Hood's story is a bizarre episode of reality television; complete with gloves, mysteriously misplaced keys and a plot twist that left the crowd in shock and disbelief. Fellow first timer Samantha Collier snagged the hearts of the audience with her narrative about life not always being swimming pools and rainbows; sometimes you have to leave things behind and paint a wall. Before the evening's final intermission, one more first-time storyteller graced the stage. Smiling, Wanda Richards Miller offered words of wisdom on how parents aren't supposed to lie before justifying something every parent needs: alone time.
The evening was rounded out by three additional first time storytellers. What a delight! Greg Koss, an admitted recovering car salesman, recalled a harrowing encounter involving a quizzical older couple, aggressive bargaining and a broken toenail. Daniel Lattimore tickled the audience with his narrative of faking it as a seasoned comedian at the age of nineteen. One can recognize bad advice from comedic elders when they get it, right? Insert awkward moment and cricket sounds here. Final newcomer and raconteur of the evening, Bekah Klussendorf has been waiting her entire life to tell her story. Standing bravely in front of the full house, she shared the long process toward becoming her authentic self.
As votes were collected and counted, the audience was treated to special guest tellers LaMarr Franklin & Mac Weddle. The duo shared snippets from their lifelong friendship, which included their difference in age, being a pain in each other's backside and working together. In the end, many congratulations were in order for the Audience Favorite Elaine Maly! Way to go!!
It was a wonderful evening. A new season! Ten storytellers! Thanks to all of them for braving the stage and sharing. Special thanks to Milwaukee Film, the evening's sponsor, as well as venue host Garfield's 502. Ex Fabula appreciates all of its sponsors, volunteers & members for their continued support and contributions in helping to further build the community. We have much in store this season and look forward to seeing you all!


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Explain 'meaningful dialogue', door always open for India for OBOR: China
Earlier yesterday, Mr Xi urged major multilateral institutions to join the Belt and Road initiative, stressing the importance of rejecting protectionism in seeking global economic growth. investment firm specialising in frontier and illiquid markets. ASEAN countries should use China's Belt and Road initiative to develop their business ties to an enhanced level, said one of its key officials.
Supreme Court Strikes Down Two Gerrymandered North Carolina Districts
Kagan, in return, said Alito and the dissenters accepted the word of the North Carolina legislature rather than the three-judge panel that heard evidence in the case and found the congressional districts unacceptable. Now legal analysts say that the decision has thrown the door wide open for more lawsuits of partisan congressional district lines. The redrawn lines benefitted Republican candidates in other districts.
Orbotech Ltd. (NASDAQ:ORBK) Reviewed By Analysts
Finally, Penserra Capital Management LLC raised its position in shares of Orbotech by 75.0% in the first quarter. Press coverage about Orbotech (NASDAQ:ORBK) has been trending somewhat negative on Thursday, according to Alpha One. They expect $0.60 earnings per share, up 3.45% or $0.02 from last year's $0.58 per share. Another trade for 15,470 shares valued at $2.84 million was made by Allen Bertrand Marc on Tuesday, May 2.
Trump tells Russians Comey was a 'nut job'
Mark Warner, D-Va., the committee's vice chairman. Director James Comey has committed to testify in open session before the Committee. Director Comey served his country with honor for many years, and he deserves an opportunity to tell his story.
Farley named VP, president of global markets for Ford
He will report to new Ford CEO Jim Hackett . Hackett said he wants Ford to make decisions faster, and will put a smaller group of top executives at the table to make sure that can happen. He also served as interim athletic director of the University of MI from 2014-2016. Investors also worry that Ford is falling behind its rivals. Most recently, Hackett served as chairman of Ford Smart Mobility , a subsidiary of Ford formed to accelerate the company's plans to design, build, ...
Aadhaar's entire architecture is of state surveillance of the citizens, SC told
The bench, however, took exception to an outburst by Divan, which came after he had failed to secure an interim stay on the purported notification or a particular undertaking from Rohatgi. He said the Aadhaar was merely an executive scheme when the restraint orders were passed but now the Parliament has passed a law. The apex court, however, had allowed the Centre to seek Aadhaar card voluntarily from citizens fro extending benefits of schemes like LPG subsidy, Jan Dhan scheme and Public ...


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Women's Wellness Retreat 1/27/18
During this six hour relaxing retreat, you will rotate through three different workshops focusing on mind, body, and spirit wellness, presented by three experts in their fields, Denise Melito, Kathryn Higgins, and Peggy DeLong. There will be a social break for a nutritious lunch, provided by Ethos Health. There will also be vendors with products and/or services related to wellness. Please join us for this very special event!
Register at http://18.104.22.168/~drpeggyd/services/community-services/


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Model: 3620821 | By
With its angular legs, deep tufting and tailored flair, this accent chair is clearly inspired by the best in mid-century design. The barrel style is as cool and relevant now as it was then. Textural weave of the upholstery so enriches the neutral hue.
Product Features
* Payments based on rent-to-own agreements (RTO). Some items not available at all locations.
* This is a rental-purchase agreement and no ownership rights are acquired until total amount is paid or early buyout is exercised. Products advertised are new. Total cost does not include sales tax and other charges (such as late charges) that you may incur. Example: $17.99 x 104 weeks = $1870.96 PLUS TAX. See the full cost of ownership below.
Copyright 2018. Rent Mart. All Rights Reserved. Designed by Imagery Marketing Group.


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Style: Attack | Reaction: 10.1 | Vibration: 8.4
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Wang Yangming (王陽明, 1472–1529) was a Ming Chinese idealist Neo-Confucian philosopher, official, educationist, calligraphist and general. After Zhu Xi, he is commonly regarded as the most important Neo-Confucian thinker, with interpretations of Confucianism that denied the rationalist dualism of the orthodox philosophy of Zhu Xi. He was known as Yangming Xiansheng or Yangming Zi (both mean "Brilliant Master Yangming") in literary circles....
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text: Explore the entire universe as you try to create your own civilization in a war filled with strategies and powerful enemies! Play Galaxy Battleship on PC and MAC with BlueStacks and start your intergalactic journey as a planet commander where you must build your own base and expand your territory, technologies and military force in order to survive! To do that, you must release the leader in you, organize your own space fleet to defend yourself against the Space Pirates and other powerful enemies. Let's be honest, it won't be easy, but with hard-work and dedication, there is nothing that can't be achieved. Especially when we are talking about Galaxy Battleship! Cooperate with other players and strive together as many greater challenges are yet to come. Don't be mistaken by the intergalactic visuals and scenarios. After all, the year might be further ahead, but it's nothing different from those conquering days responsible for civilization as we know by now. Download Galaxy Battleship on PC with BlueStacks and improve your journey with ultimate freedom as you try to prove your worth as the greatest conqueror of the universe!


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Where: Mouille Point, Sea Point
When: Saturday, 8 April 2017
Time: 09:00 till 14:00
E-mail: firstname.lastname@example.com
Where: Mouille Point, Sea Point
When: Saturday, 8 April 2017
Time: 09:00 till 14:00
E-mail: firstname.lastname@example.com
In commemorating Autism awareness in the Month of April…. Be a part of this wonderful event. More details to follow in the weeks to come. Please share with your friends and family!
When: Saturday, 8 April 2017
Time: 08:00 till 13:00
Where: Mitchell's Plain and surrounds
Misophonia, also known as selective sound sensitivity syndrome, starts with a trigger. It's often an oral sound — the noise someone makes when they eat, breathe, chew, yawn, or whistle. Sometimes a small repetitive motion is the cause — someone fidgets, jostles you, or wiggles their foot.
The literal definition of misophonia is hatred of sound but a person with misophonia does not simply hate all sound. People with misophonia have specific symptoms and triggers and are sensitive to only certain sounds (and occasionally to visual triggers). Any sound can become a problem to a person with misophonia but most are some kind of background noise. People call the collection of sounds that they're sensitive to their trigger set. It is possible to add to one's trigger set over time.
Please note, some people find that reading about triggers has the potential to make them take on new triggers. Some people also avoid hearing or imagining sample trigger sounds for the same reason. If you think that learning about new trigger sounds could in any way be a problem for you, then there's no need to read the lists below.
Mouth and Eating: "ahhs" after drinking, burping, chewing, crunching (ice or other hard food), gulping, gum chewing and popping, kissing sounds, nail biting, silverware scraping teeth or a plate, slurping, sipping, licking, smacking, spitting, sucking (ice, etc), swallowing, talking with food in mouth, tooth brushing, flossing, tooth sucking, lip smacking, wet mouth sounds, grinding teeth, throat clearing and jaw clicking.
Breathing/Nasal: grunting, groaning, screaming, loud or soft breathing, sniffling, snorting, snoring, sneezing, loud or soft talking, raspy voices, congested breathing, hiccups, yawning, nose whistling and wheezing.
Vocal: humming, muffled talking, nasally voices, overused words such as um or ah (repeated words), sibilant sounds (S, P, T, CH, K, B sounds), singing, gravelly voices, bad singing, soft whisper-like voices and whistling.
Environmental: clicking from texting, keyboard/mouse, TV remote, pen clicking, writing sounds, papers rustling/ripping, ticking clocks, texting and cell phone ringtone.
Utensils/metals: dishes clattering, fork scraping teeth, silverware hitting plates or other silverware and rattling change in pockets.
Plastic: water bottle squeezing/crinkling, breaking hard plastic and bouncing balls.
Wrappers: plastic bags crinkling/rustling, plastic bags opening or being rubbed and crinkling food packages.
Cars: sitting idling for long periods of time, beep when car is locked, car doors slamming, keys banging against steering column and turn signal clicking.
Heavy equipment: lawnmowers, leaf blower, air conditioners and chain saws.
Impact sounds: other people's voices, muffled bass music or TV through walls, doors/windows being slammed and basketball thumps.
Animal noises: dogs barking, bird sounds, crickets, frogs, dogs or cats licking, drinking, slurping, eating, whining, dogs scratching themselves and trying to bite their fleas and claws tapping.
Baby: Baby crying, babbling, adults using baby talk and kids yelling.
TV: loud TV or radio.
Body Movement related: Foot shuffling (dry feet on floor/carpet) or tapping, finger snapping, foot dragging, heels, flip flops, knuckle/joint cracking, eye blinking, nail biting and clipping, eating, chewing, fidgeting, hair twirling, movements out of the corner of eyes, repetitive foot or body movements, jaw chewing/movement.
If you have a mild reaction, you might feel:
If your response is more severe, the sound in question might cause:
This lifelong condition usually starts between the ages of 9 and 13 and is more common with girls. It comes on quickly, but isn't related to any one event.
Because your ears are normal and your hearing is OK, the doctor may have trouble with a diagnosis. Misophonia is sometimes mistaken for anxiety or bipolar or obsessive-compulsive disorder. Some doctors think it should be classified as a new disorder.
An audiologist may help by evaluating whether a person has misophonia or some other audiological issue. Audiologists can suggest the use of earplugs and fit them to an individual. These can be made to supply white noise or other sounds to mask problem noises.
Psychologists can help people by evaluating and studying behavior and mental processes. A plan for reducing stress and coping with the symptoms of misophonia could be developed by a psychologist familiar with the condition.
A psychiatrist is a medical practitioner specializing in the diagnosis and treatment of mental illness. Although misophonia is not thought to be a psychiatric condition, psychiatrists can prescribe medication to treat symptoms such as anxiety, insomnia, feelings of rage/fear, and depression.
Changes in sensory perception can be evaluated by a neurologist.
Occupational Therapists
An occupational therapist may help with assessing treatments to develop, recover, or maintain the daily living and work skills of people with a physical, mental, or cognitive disorder.
Having spent the last six years of my life very closely involved with the autism community I often cannot see the wood because of the large forest surrounding me. Let me explain. Out son, John, has moderate ASD – indeed his autism has been described as "classic". You know the sort of thing all the triad boxes ticked.
Which means that I have often ignored other types of autism and similar conditions on this blog.
Well today I want to rectify this. In this blog post we would like to focus on a condition related to autism called Fragile X Syndrome. They are related in so far as around 50% of children with FXS also have a diagnosis of autism. So I'd like to share the brilliant infographic below. If you could share it on I would be very grateful.
As you may know Fragile X Syndrome which is also known as Martin–Bell syndrome or Escalante's syndrome is the most common genetic intellectual disability. According to most figures it affect 1 in 4,000 boys and 1 in 6,000 girls. Around 50% of people with FXS will also have a diagnosis of autism. There are also high rates of ADHD within the Fragile X community.
That being said one of the best ways of increasing awareness, acceptance and understanding of a condition is to get people to share their stories. It would be great if people with FXS or their loved ones would consider telling your story in the comment section below. Anything you would like to share will be of great interest but you might like to consider the following question:-
a) Do you have FXS or what is your relationship to a person with Fragile X Syndrome?
b) What were the earliest signs and symptoms of Fragile X Syndrome?
c) What treatments and therapies were used and how effective were they?
d) How many people in your family have Fragile X?
e) What one bit of advice would you give to a family who discovered they were carrying FXS?
Thanks very much for your help and can we ask you to share this blog post and infographic once again?
Fragile X Inforgraphic by the National Fragile X Foundation – See more at: https://fragilex.org/2013/foundation/fragile-x-infographic/#sthash.toNC99S0.dpuf
Experimental brain-imaging method predicts autism based on early differences in brain growth; potential for earlier diagnosis and therapy for high-risk infants
The newest study out of the Infant Brain Imaging Study (IBIS) found early differences in the growth rate of the brain that distinguished which infants at high risk for autism would develop the condition.
If larger studies confirm the findings, the method could become the first to accurately predict autism in the first year of life – allowing for earlier detection and behavioral treatment for high-risk babies. Due to the expense and technical difficulty of the method, it would probably not be appropriate for universal screening.
The paper appears online in the journal Nature.
Autism Speaks helps fund IBIS through a grant to senior investigator Joseph Piven, a developmental psychiatrist with the University of North Carolina School of Medicine. IBIS is also part of the Autism Speaks Baby Siblings Research Consortium. The study and the consortium follow babies born to parents who already have a child on the autism spectrum. Because autism tends to run in families, these "baby sibs" are at relatively high risk for developing the condition.
"The results of this new analysis are directly in line with our organization's goal to lower the age of autism diagnosis to enable earlier intervention," comments Mathew Pletcher, Autism Speaks' interim chief science officer. Earlier this month, researchers reported that the average age of diagnosis remains stubbornly stuck around age 4, even for severe forms of autism. This is despite the fact that the condition usually can be diagnosed around age 2 through a behavioral assessment.
In the new study, the investigators tracked 106 high-risk baby siblings of children who had autism. For comparison, the study also included 42 low-risk infants who had no immediate family members with autism. All the babies underwent behavioral evaluations and noninvasive brain imaging at 6, 12 and 24 months.
Of the 106 high-risk infants, 15 developed autism, as diagnosed through their behavioral assessment at age 2. None of the low-risk babies developed autism.
Looking at the brain images taken at 6 and 12 months of age, the investigators found an increased rate of brain-surface expansion in the infants who later developed autism. This hyper-expansion did not occur in any of the babies who did not develop autism.
The investigators also found that the early hyper-expansion of the brain's surface led to an overall overgrowth in brain volume between 12 and 24 months. What's more, the volume overgrowth corresponded with the appearance of social difficulties, and the degree of overgrowth corresponded with the severity of these difficulties.
Finally, the researchers developed a computerized formula (machine-learning algorithm) that could predict autism with 80 percent accuracy based on the brain-images taken at 6 and 12 months.
"This study strongly suggests that we will be able to identify useful clinical biomarkers of autism before the emergence and consolidation of symptoms," Dr. Piven says. "This will enable intervention during a time when the brain is most malleable."
In addition, the study's findings may stimulate further research into the relationship between early brain overgrowth and autism, which some previous studies have likewise documented.
For example, the researchers note that the brain overgrowth they detected occurred primarily in parts of the brain linked to processing sensory information (sound, sight, touch, etc.). In recent years, there has been increasing interest in the role that sensory issues may play in autism's hallmark communication and social difficulties and repetitive or restricted behaviors.
The Autism Speaks blog features opinions from people throughout the autism community. Each blog represents the point of view of the author and does not necessarily reflect Autism Speaks' beliefs or point of view.
Following a gluten-free diet can lead to higher than normal levels of two toxic metals, according to one new study.
Gluten-free diets are crazy popular. In fact, recent research found that *way* more people in the U.S. are eating GF than the number of people who have celiac disease—about 1 million more, to be specific. Now, new research has revealed a reason that might make those folks want to reconsider. (Thinking about giving up gluten? Here are six common gluten-free myths.)
A new study published in the journal Epidemiology showed that people who follow a GF diet are exposed to higher levels of arsenic and mercury, both considered to be toxic chemicals. Yikes! If you've ever heard about mercury poisoning, you know this is a big deal. Both arsenic and mercury have been linked to cancer and other chronic diseases, even in low amounts of exposure. Alarmingly, when the authors tested people who follow gluten-free diets, they found that they had twice the normal amount of arsenic in their urine and 70 percent more mercury in their blood on average than is considered normal. To be clear, the amounts of these substances are not enough to actually poison you. But scientists are concerned about the negative health effects they could have on people over time.
So why were levels of these two toxic metals so high? Gluten-free replacement products usually substitute rice flour in the place of regular flour. Rice flour is more likely to contain small amounts of both arsenic and mercury that the rice absorbs from fertilizer, soil, and water. So if you're eating large amounts of bread, cookies, or crackers made with rice flour, you could unintentionally up the levels of these substances in your body. Eating a lot of regular rice can up your levels, too. Of course, it's possible to be gluten-free without eating rice. But since it's one of the most common GF grains, it's a mainstay in many gluten-free diets. (Did you know that gluten sensitivity can now be diagnosed with a finger prick?)
Of course, for those who suffer from celiac disease (an autoimmune disorder where the ingestion of gluten leads to damage in the small intestine) or a gluten intolerance, maintaining a gluten-free diet isn't a choice—you've just got to do it! But plenty of people still voluntarily follow gluten-free diets in the name of health and weight loss. It's worth noting that there aren't many benefits to cutting out gluten if you don't have an intolerance, and research shows that gluten-free diets aren't so great for long-term weight loss. While it's one thing to go gluten-free if you need to, more and more research—including this new study—shows it's simply not the healthiest diet you can follow.
For the first time, a new study suggests it's possible to predict within the first year of life if a child will develop autism.
Researchers say they were able to identify with more than 90 percent accuracy which babies would go on to be diagnosed with the developmental disorder by age 2.
The findings published Wednesday could be a game changer, pointing to the possibility of identifying children on the spectrum at far younger ages and before behavioral symptoms become apparent, researchers said.
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"The results of this study are a real breakthrough for early diagnosis of autism," said Robert T. Schultz who directs the Center for Autism Research at the Children's Hospital of Philadelphia and worked on the study published in the journal Nature. "While we have known for some time that autism emerges in subtle, gradual ways over the first few years of life, this study offers the first firm evidence before a child's first birthday predicting whether certain high-risk children are likely to be diagnosed with autism."
Currently autism can reliably be diagnosed as early as age 2, but most kids aren't flagged until after age 4, according to the U.S. Centers for Disease Control and Prevention.
Research suggests that autism intervention is most successful the earlier it begins, so scientists are eager to find reliable methods of spotting the disorder at younger ages.
The study looked at 106 infants considered to be at high risk for autism because they had an older sibling with the developmental disorder and 42 low-risk infants. Magnetic resonance imaging, or MRI, scans were conducted on each child at 6, 12 and 24 months of age.
In children who ultimately developed autism, growth of the brain's surface area was significantly more rapid between ages 6 and 12 months as compared to other kids, the study found. What's more, the overall size of affected children's brains grew at a faster rate between ages 12 and 24 months.
Among babies at high risk, the brain differences between ages 6 and 12 months alone could predict whether a child would have autism with 80 percent accuracy, researchers said.
However, by considering other factors as well including additional brain measurements and the child's sex, the researchers used a statistical approach known as machine learning to assess with near perfect accuracy who would develop autism.
"If we are able to replicate these results in further studies, these findings promise to change how we approach infant and toddler screening for autism, making it possible to identify infants who will later develop autism before the behavioral symptoms of autism become apparent," Schultz said.
The findings could point to opportunities for new treatments and the potential to intervene before brain differences progress substantially, researchers said.
"We haven't had a way to detect the biomarkers of autism before the condition sets in and symptoms develop," said the study's senior author, Joseph Piven of the Carolina Institute for Developmental Disabilities at the University of North Carolina. "Now we have very promising leads that suggest this may in fact be possible."
For any therapist seeking to specialize in feeding, the best piece of advice I could give you is to become a sponge. Take courses and workshops, read as many articles as you can, talk to and learn from your colleagues, join special interest groups on Facebook and ASHA etc., follow blogs, observe other therapy sessions, and don't forget – learn from the children you treat as well. They will be your best teachers.
Feeding issues are complex. So take in as much information as you can from as many outlets as you can. But, take it all in with a grain of salt, because not every strategy will work for every child. Over the past 35 plus years, a number of people have told me that their way was the only way. Although that certainly would have made my job easier if it were true, I've never been able to use any one method "by the book." Each child is different, so it will be up to you to evaluate their needs and cater treatment accordingly.
A long time ago my father-in-law gave me a piece of advice that has stuck with me ever since – listen to what everyone suggests, consider it graciously, and then do what's right for you. In therapy, this means learning all of the different techniques out there, having all of it in your "bag of tricks" as resources, and then deciding which strategies are appropriate in which situations.
To any parents who may be reading this: if you're concerned about your child's feeding development or any eating problems, I cannot stress enough the importance of finding an experienced feeding therapist to do an evaluation. No article online or otherwise is an adequate substitute for an in-person evaluation with a trained professional. We don't bite – trust me! But we will do our best to help your child take a bite.
Below are some tips and tricks that have been effective with the children I have personally seen for feeding therapy. It is my sincere hope that some of these tips are helpful for you as well:
• Be an investigator. Any underlying medical reasons for refusing foods must be managed first, so discuss with the pediatrician, study the medical history, and refer out for additional tests/evaluations when necessary. Are there any GI issues for instance? Reflux? If so, those must be handled first. I don't recommend any oral intervention until all medical issues have been handled, as that can create more aversions. Don't forget seeing a dentist to rule out any underlying issues there, too.
• Consult with other professionals: a nutritionist, a physical therapist for positioning, an occupational therapist for sensory, etc. Treating individuals with feeding problems requires a team approach.
• Try to get to the root of why they are refusing foods and work from there. Is it oral motor and/or sensory related? Is it oral defensiveness? Texture aversions? Perhaps they didn't go through a mouthing phase? Etc.
• Establish trust first. Assess the situation – if the child seems hesitant or not fully at ease with you in the first session, just talk and play games and be goofy. It's important that the child feels comfortable with you before starting any feeding intervention. This may take a few sessions or even longer to establish rapport.
• Be calm and supportive. Children can be very adept at sensing any frustration, overeagerness, being in a rush, etc. so constantly monitor what emotions you are displaying. Work at maintaining a stress-free therapy atmosphere by staying relaxed, patient, and showing them that you care.
• Never force a child to mouth, bite, chew, lick, or taste anything. I can't emphasize this enough.
• Be flexible and willing to adapt on a whim. If the child is showing interest in a particular doll – Great! Use that doll in therapy. Feed the doll. Have the doll feed you. Have the doll feed the child. What kinds of foods does the doll like? And so forth. The same goes for speech therapy as well. Use the child's interest(s) to your advantage to get the best results.
• Get the parents involved – they must follow through at home.
• Get anyone else who has direct contact with the child (aunts, siblings, grandparents, friends, interventionists, ABA therapists, etc.) on board as well. The best results happen when therapy is reinforced at home in between sessions. The more opportunities presented, the better.
• Keep in mind that food refusals are often because of a very real fear. Respect this fear and support them through it.
• Follow the child's lead. If he likes potato chips – great! We can work from there. If he's showing signs of grimacing, pushing away, turning his head away, etc., stop and move on to something else. It's important to stop BEFORE the individual gets overloaded.
• Establish a routine. At the beginning of feeding therapy, my kids know to come in and wash their hands first. I have a visual schedule in the kitchen showing them to turn on the faucet, get some soap, wash their hands, get a paper towel, dry their hands, throw it away, and then come to the table. This routine lets them know what to expect and gives them confidence in that, alleviating some of the "fear of the unknown." It also works on following directions, sequencing, and independence.
• Make sure the child understands the vocabulary involved – bite, chew, etc. Demonstrate how to bite so that the child can see and learn what the word actually means. Knowing the vocabulary will be an important part of therapy as you encourage the child to bite and chew. Over-exaggerate the movement to help teach the concept.
• Start by talking about and exploring pretend food first if necessary.
• Get the child involved in the kitchen. If they have a hand in preparing the food (even if it's a small task like bringing their bowl from the kitchen to the table), they may be more willing to try it. And even if they don't end up trying it, interacting with the food is still a positive step.
• Do sensory stimulating activities before feeding, such as sensory play, exploring a tactile wall, stimulating the lips, tongue, and cheeks with the Z-Vibe, etc.
• Encourage chewing on / mouthing a Textured Grabber and/or Y-Chew. Especially if a child didn't go through a normal mouthing phase, this helps introduce them to new textures and sensations, allows them to safely explore the pockets and shapes with their mouth and tongue, increases sensory awareness, provides tactile input, etc. Try dipping these in puréed foods later on.
• If there are any sensitivities throughout the body, these will typically need to be addressed first before you can fully normalize sensitivities in the mouth. This is one area where an occupational therapist can really help. They may recommend things like swinging or jumping before therapy, weighted blankets, sensory play, vibration, etc. to regulate the sensory system. Once it's regulated, the child will usually be more open to exploring new foods.
• Use cookie cutters to cut food into different fun shapes. Have the child help you.
• Use divided plates for kids who don't like their foods to touch. Try putting a new food in one of the sections. They don't have to try it – it's progress even if they just allow it to be there.
• Give foods playful names, like "banana boats" or "pretzel light sabers."
• Taste the food yourself to make sure it actually tastes good.
• Offer lots of dipping options. Take what they like and try dipping it into something new. Can just be a TINY bit.
• Use spoons that are fairly shallow and easy to remove food from. They should also be smaller rather than bigger so that the spoon is not overloaded with giant sized bites – it's a spoon not a shovel :). Our Spoon Tip was designed with this in mind.
• Use proper spoon feeding technique.
• For any tools/utensils you use, talk about them and let children feel and explore them first.
• Use clear or translucent cups/bottles so that they can see what's in it before they take a sip, which may help reduce stress.
• If a child won't eat with a spoon, use whatever he/she WILL accept. Their fingers, a Grabber, Z-Vibe, Animal Tip, carrot, twizzler, etc. Sometimes something other than a traditional spoon/fork is less threatening.
• If a child won't eat from a bowl, try putting it in a cup OR right on the high chair / clean table. Mix it up.
• Make sure the feet are stabilized solidly on the ground with the back flat against the back of the chair. Consult with a PT on positioning if necessary.
• Use what they already like as a bridge to transition to new foods. If the child likes applesauce, put a little applesauce on a cracker. They might just try that too, or at least lick it off.
• Try making very small changes to foods that they already accept. Do they like carrots? Try steaming them slightly or presenting them differently. Do they like crackers? Try putting a TINY bit of a mild condiment on it. Try a different brand of the same food, or a different shape. Add a tiny bit of a certain spice. And so forth. People in general don't like change, and kids are no exception, so keep the changes very small.
• Give them control where possible by letting them make choices. Let them choose which spoon they want, if they want juice or water, if they'd like to kiss the apple 3 times or lick it once, etc. Two choices are usually best – enough for them to have options without be overwhelmed by them.
• Throughout the intervention, make sure that you're telling the child what you're doing and why. Knowing what's coming can be very helpful in reducing anxiety.
• Try new foods at snack time instead of mealtimes, so there is less pressure to get mealtime calories in.
• Model by eating the foods yourself (kids often learn through imitating). You can also model on a puppet or stuffed animal.
• Take breaks between bites. Swallow, count to three, take a sip of water, bite again.
• Let them feed you and/or mom, grandma, etc.
• Chew the food yourself to see how many chews are required. Then count it out loud with the child as he/she chews, or chew to a beat / song. This can help set a pace if they're eating too fast. Ideally you want a rhythmic chewing pattern. It can also help make sure they're fully chewing the food.
• Don't be afraid to make a mess. I have parents who bring a change of clothes for after feeding therapy
• Encourage the parents to resist cleaning up, wiping off the child's face/hands, etc. until the end of the meal.
• Take the pressure completely off. Let the child know that if they don't like something, it's ok to spit it out.
• If the child doesn't want to try something, that's ok. Let them know they can put it in the "no" bowl to be done with it – they may just touch it if it's to move it off their plate.
• Teach the child how to do a lingual sweep to remove food from their mouth, with their tongue and/or with their finger if they can't do it with their tongue yet. If the child has an "exit strategy" on how to remove food from their mouth, they'll likely feel safer giving new foods a try.
• Try telling the child NOT to eat something (reverse psychology). I once said to a child, "would you like to give that graham cracker a kiss? Don't eat it, just a quick kiss." And lo and behold, she tried it. I said with animation, "Oh you're not supposed to eat it! You're supposed to just kiss it!" Ohhh she giggled and thought it was hilarious. Now I know that to get her to try something, I tell her not to try it. For most of my kids it's just about finding what makes them tick / what motivates them.
• When it comes to food aversions, children first need to become comfortable with food, which is usually a gradual process. What I do is introduce foods through play – I put food in front of the child and let them explore it with their hands – they can smash it, squeeze it, swirl it on the table, paint with it, etc. You may need to demonstrate and get involved in the play. It will get messy, and that's ok! The child may end up eating or tasting the food, which would be great, but the main goal is to get them playing with food, experiencing new sensations, and feeling more comfortable and safe around food.
• Use the element of surprise. I have literally taken a container of yogurt before and plopped the entire tub upside down onto the table (see the picture below). The child was so surprised 1. that I did that and 2. that she could play with it, that she ended up tasting food for the first time that day. It turned her usual associations with / expectations of food upside down (literally), which in turn made her more open to exploring it.
• Play with food without any pressure to actually eat it. Let them learn about it in a fun, comfortable, non-threatening way. Talk about it, using all 5 senses to describe it. See if they will touch it, blow on it, or kiss it. If they don't want to, that's ok. See if they will play with it with their fork, or maybe even use a carrot or another type of food to touch it instead (which would still be a win). And so forth.
• Try having the child blow food across the table – any kind of interaction with the food can be progress. See if they'll blow it across the table with a veggie stick or one of those twizzlers with a hole in the middle.
• Very averse children may not even be able to tolerate being in the same room as a certain food. Gradually, over time and with other interventions, you can start moving the food just inside the door, then to the table, then to their plate, etc. Eventually they may touch it or even lick it, then they may hold it in their mouth for a moment before spitting it out. Eventually they will be comfortable enough to chew and maybe swallow it. Take your time, and allow the child to take their time. This process may take a looong time and that's ok – don't rush.
• For oral defensiveness, do gum massage before mealtimes and throughout the day. Work on normalizing sensation.
• Try providing oral input with the Z-Vibe. It has a smooth gentle vibration that can help "wake up" the mouth. Sometimes kids simply need a little extra input to know where there lips are, to feel the food, etc. Vibration can also help de-sensitize orally averse children.
• For low oral awareness, use a mirror and let kids watch themselves eating. This may help them better see and be more aware of what's happening. Put some peanut butter, yogurt, pudding, etc. in their cheeks and have them fish it out with their tongue (this is great oral motor practice, too). Make it a game! Have the parents change up the type of toothbrush, toothpaste, and how the child brushes as well. For instance, if they always starts on the right side, have them start on the left side. The goal is to "mix things up" orally to increase awareness.
• Place the Probe, chew tool, Z-Vibe tip, etc. in the freezer to make it cold. The cold can help increase awareness / focus.
• Use the Probe, Grabber, and/or Y-Chew as "dipper spoons" for purées. This helps to introduce new textures and to practice biting/chewing in preparation for more advanced foods.
• Be careful what you put in front of children with oral motor delays, as they may not be able to orally manage certain foods yet. Try the foods yourself to make sure they are at the right level. Work on rotary chewing.
• Assess the child's oral motor skills. If the child is functioning at an 8-month-old age level, for example, go back to the skills that a child should have at that age and build from there. The main oral motor skill to watch out for when it comes to manipulating food is tongue lateralization. The child will also need lip closure, jaw strength, jaw grading, tongue tip elevation, back of tongue elevation, tongue bowl, etc.
• When feeding, try to position the food to the sides of the mouth and/or in the cheeks (not always on the middle of the tongue). The goal of this is to encourage the tongue to move from side to side to develop tongue movement and lateralization.
• Be creative. Or as I like to say in relation to feeding therapy, "think outside the plate." Use pinterest for inspiration of all kinds of fun things you can do with food. Make a marshmallow snow man. Play tic tac toe with pieces of food as the "players." Make up a story and have pretzel people jump into a pool of yogurt and swim laps. And so forth. The sky is the limit.
• Skip sippy cups – go straight to straw drinking for the most oral motor benefit, ideally with a Lip Blok.
• When teaching cup drinking, if thin liquids are too difficult for the child to manage, try thickening it with puréed baby foods or try letting them drink a tiny bit of the puréed food from a cup.
• Have the parents keep a food diary, documenting everything the child eats and drinks for 3-5 days. Have them note quantities AND any problems so that you can have more background.
• Take a look at preferences of family members – if mom doesn't like xyz, the kids might not either. Personally, I hate coffee and mushrooms, and guess what – so do my own kids. Some food preferences can be environmental.
• Individuals being fed via tube may still have the urge to bite/chew. Provide stimulation to the tongue, lips, cheeks, and gums with the Probe or Z-Vibe as if they were eating while being fed via g-tube. Let them chew on a Grabber or Y-Chew during tube feedings.
• Keep the environment calm and relaxed. For some children, that may mean sitting on the floor instead, or at a desk or craft table (perhaps child-sized), in another room of the house, outside, etc. The kitchen may be too stigmatized, so getting them out of that setting may help. It may also help to keep environmental distractions (other stuff in the room) to a minimum.
• Try using a mirror for visual feedback. Just keep in mind that for some children, this may be too distracting.
• A note on reflux – I have known parents to take their children off their medication without consulting the pediatrician. They usually do this between the age of 2 and 3 years because their child appears to be symptom-free. But then feeding issues begin or begin again. So, please remind parents to consult with their pediatrician first before doing so.
• If the child doesn't like a food after the first presentation, keep trying. It may take 8-10 exposures or more before the child will be willing to try it.
• Keep in mind that it's completely normal to not like certain foods. I can't eat mushrooms because the texture is too slimy/spongy for me. The smell of coffee gives me a headache. And I stay away from powdered sugar because I tend to inhale it as I eat, which causes me to cough. All of this is 100% okay. I dare you to find someone who likes every food out there! So if you can't get a child to eat say pumpkin – that's ok. The goal is not to become an omnivore. The goal is to expand the diet to the point where the child can eat a healthy variety of foods.
• Remember to praise, praise, praise. Use reinforcements that cater to the child's interests. Get excited about every milestone, no matter how small it may seem.
• Count on curveballs. It may not be a straight path, but you will get there.
Helping a child through feeding problems can be a long process. It's a marathon – not a sprint. So hang in there! Each child is different; there is no "one way" to do feeding therapy. What works for one child, may not work for the next, so this list is by no means all-inclusive or relevant for everyone. Kids don't come with instructions, so be prepared for trial and error, and trying again. Play detective to get to the root of the problem. Trust your instincts. Listen to the parents. Listen to the child and follow their lead. Be creative. And don't forget to have fun!
Happy feeding,
Brain scans can detect autism long before any symptoms start to emerge, say scientists.
The earliest that children tend to be diagnosed at present is at the age of two, although it is often later.
The study, published in the journal Nature, showed the origins of autism are much earlier than that – in the first year of life.
The findings could lead to an early test and even therapies that work while the brain is more malleable.
One in every 100 people has autism, which affects behaviour and particularly social interaction.
The study looked at 148 children including those at high risk of autism because they had older siblings with the disorder.
All had brain scans at six, 12 and 24 months old.
The study uncovered early differences in the part of the brain responsible for high level functions like language – the cerebral cortex – in children who went on to be diagnosed with autism.
Dr Heather Hazlett, one of the researchers at the University of North Carolina, told the BBC News website: "Very early in the first year of life we see surface brain area differences, that precede the symptoms that people traditionally associate with autism.
"So it gives us a good target for when the brain differences might be happening for children at high risk of autism."
The study opens up possibilities for big changes in the way autism is treated and diagnosed.
Giving children brain scans, particularly those in high-risk families, could lead to children being diagnosed earlier.
In the long run, it might be possible to do something similar for all infants if DNA testing advances enough to become a useful tool to identify children at high risk.
If it can be diagnosed early, then behavioural therapies such as those that train parents in new ways of interacting with an autistic child can be introduced earlier when they should be more effective.
Prof Joseph Piven, another researcher on the project, told the BBC: "Now we have the possibility that we can identify those who are most likely to go on to to get autism.
"That allows us to consider intervening before the behaviours of autism appear, I think there's wide consensus that that's likely to have more impact at a time when the brain is most malleable and before the symptoms have consolidated.
"So we find it very promising."
The researchers fed the brain scan images into an artificial intelligence. It was able to predict which children would develop autism with 80% accuracy.
Carol Povey, director of the National Autistic Society's Centre for Autism, said: "It's possible that MRI scanning of this type could be developed to help families who already have an autistic child to access earlier diagnosis for subsequent children.
"This would mean those children could receive the right support as early as possible."
However, she warned that autism was manifested in many different ways and "no single test is likely to be able to identify potential autism in all children".
The study also pours further cold water on the debunked claims that the MMR jab causes autism.
One of the reasons the link took hold was that autism tends to be diagnosed around the time that the vaccine is given to children.
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President Donald Trump told a roomful of teachers on February 14 that there's been a "tremendous amount of increase" in autism. The president made the remarks during a listening session with parents, teachers and education secretary Betsy DeVos.
"So what's going on with autism?" Trump said after a principal at the meeting told him she worked at a special education center in Virginia that serves children with autism.
"When you look at the tremendous increase, it's really, it's such an incredible, it's really a horrible thing to watch the tremendous amount of increase," the president said. "Do you have any idea? And you're seeing it in the schools."
When the principal told him that one in sixty-eight children has autism, Trump again suggested the number was on the rise, adding "Well, maybe we can do something about that."
Experts on autism, however, haven't found evidence that incidence of the condition is increasing.
New York Magazine's Jesse Singal, who first highlighted the president's claim, interviewed autism expert and NeuroTribes author Steve Silberman about the remarks. Here's the key excerpt:
There's no consensus as to whether or not there's been any significant increase in the actual prevalence of autism, period," says Silberman. "The real debate is whether or not there has been a small increase, and there are a number of factors that could play a role in that small increase. For instance, it's well established that older parents have more autistic kids and people are waiting longer to get married and have kids now… But the consensus is that there has been no huge, startling, 'horrible,' as Trump said, increase in autism. And the CDC estimate has been flat for a couple of years… because the major source of the increase that started in the 1990s was broadened diagnostic criteria and much more public awareness of what autism looks like.
In other words, there may be a few cultural changes that make autism rates fluctuate slightly over time, but the gradual increase in diagnoses can most likely be attributed to researchers getting better at spotting autism, rather than more people having autism.
Other autism experts agree with Silberman. The genticist Santhosh Girirajan found in 2015that the increase in autism diagnoses matches a general decline in more generic "intellectual disability" cases — suggesting kids are just being shifted from one category to another.
Autism as it's understood today is in fact a fairly new diagnosis. As recently as the 60s and 70s, some researchers falsely thought the disease was caused by "refrigerator mothers" who didn't love their children enough. Autism wasn't understood as a genetic issue until the 1980s, and schools only began treating autism as a special education category in the 1990s.
There's a good chance you've met someone in their 60s, 70s, or 80s who might have been diagnosed with autism if they'd been born today, but were just seen as exhibiting unusual behavior in their childhood.
The notion that autism is on the rise is a talking point of the anti-vaccine movement — a group that believes parents shouldn't vaccinate their kids based on research from a fraudulent 1998 study.
Trump has referenced anti-vaxxer claims before. Here's a tweet from 2014:
Healthy young child goes to doctor, gets pumped with massive shot of many vaccines, doesn't feel good and changes – AUTISM. Many such cases!
More recently, Trump met with Robert Kennedy Jr., an anti-vaccine activist who has published books about the alleged dangers of the treatment. He claims (without scientific evidence) that a cabal of scientists are poisoning children for profit by giving them vaccines. After his meeting with Donald Trump, Kennedy reportedly thought he'd be selected to chair a presidential panel on" vaccine safety and scientific integrity."
Andrew Wakefield, the author of the fraudulent 1998 study, also attended Trump's inaugural ball.
The recent opposition to vaccines has caused concern among scientists and medical professionals, since there's evidence that the movement has led to a measurable spike in measles outbreaks in the US. Measles can be fatal to children, as can pertussis and other ailments that vaccines prevent.
The estimated number of lives saved by childhood vaccinations measures in the hundreds of thousands.
Here's the video of the president's exchange: