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Stay ahead of developments in federal and state health care law, regulation and transactions with timely, expert news and analysis.
Health-care providers increasingly are facing thorny legal and ethical issues about one of their standard measures of death.
Is a person who is clinically brain dead really dead? For decades the answer has been yes, but people are starting to rethink that. If the answer now is no, do hospitals and health systems have an obligation to continue life-sustaining treatment?
This is a critical question, because caring for a patient who has been declared brain-dead can be pricey. Richmond, Va.'s VCU Health System Authority, in a petition to the Virginia Supreme Court, estimated the cost of caring for a nonresponsive toddler in the pediatric intensive care unit at $10,000 per day. It also means one less bed would be available for another child in need of care.
Families and groups that advocate for life at all stages, like the Life Legal Defense Foundation, argue that economics shouldn't factor into the decision. Brain dead patients aren't necessarily dead, and so long as their bodies can survive on artificial means, providers should keep them going, they say.
Legislative action taken in Nevada and litigation playing out in California could provide hospitals with some guidance.
The Uniform Declaration of Death Act (UDDA), which most states have enacted, defines death as the "irreversible cessation of circulatory and respiratory functions" or the "irreversible cessation of all functions of the entire brain, including the brain stem." This determination "must be made in accordance with accepted medical standards."
The criteria developed by the American Academy of Neurology (AAN) usually are used by medical professionals to determine death. The AAN standards require doctors to examine the patient to determine such things as coma and lack of responsiveness, core temperature, systolic blood pressure, absence of brain stem reflexes, and apnea, or the inability to breathe without assistance. The AAN standards don't require the total absence of brain waves, as measured by an electroencephalogram (EEG). A patient, therefore, could be brain dead according to the AAN guidance but not necessarily have a total cessation of brain function.
A debate is growing over this mismatch between the legal (statutory) standards and the medical standards that will challenge health-care providers to determine exactly how brain death should be used as a measure of death, and whether the UDDA standard or the AAN criteria for ascertaining death still are appropriate.
The Nevada Supreme Court in a 2015 opinion noted the discrepancy between the UDDA and the AAN standards. Its decision prompted the state Legislature to amend its version of the UDDA to clarify that doctors must use the AAN standards.
College student Aden Hailu experienced a medical emergency. Using the AAN standards, doctors determined that Hailu was brain dead. Hailu's father, Fanuel Gebreyes, sued to stop the hospital from ending her life support.
The state supreme court blocked the hospital from removing Hailu from the machinery that was keeping her body alive, noting that physicians at the time the state adopted the UDDA used standards known as the Harvard criteria, not the AAN standards ( Gebreyes v. Prime Healthcare Servs., LLC, , 2015 BL 376967, Nev., No. 68531, 11/16/15 ). It invited the Legislature to clarify the law. The Nevada UDDA now says the AAN criteria should be used to determine brain death, as they represent the prevailing medical standards.
Hailu died before her case could be retried by the trial court.
Nevada was the first state to clarify the law in this manner, Thaddeus Mason Pope, a nationally recognized expert on end-of-life issues, told Bloomberg BNA. Pope is a bioethicist and director of the Health Law Institute at Mitchell Hamline School of Law in St. Paul, Minn.
The UDDA is a uniform law—that is, a law intended to be interpreted uniformly by all the states that have adopted it—so the change could raise concerns for people outside Nevada, he said. The case could prompt challenges in other states mirroring the concerns raised by the Nevada Supreme Court. How the courts would handle those challenges isn't certain at this point, Pope said.
Interestingly, the Nevada Legislature didn't amend the portion of the law that says brain death occurs when there is an irreversible cessation of all brain functions, so patients' families still could argue that a person who doesn't meet that standard isn't dead.
Jahi McMath's situation brought the issue of brain death as a measure of death to the forefront of national consciousness. Multiple lawsuits in state and federal court represent the leading edge of litigation over whether a person declared brain dead actually is dead.
In December 2013, the then-13 year old McMath suffered cardiac arrest, stopped breathing, and was placed on a ventilator after tonsil surgery at Oakland Children's Hospital. Two days later, doctors declared McMath brain dead, using the California Uniform Declaration of Death Act (CUDDA) and AAN standards.
Several lawsuits followed, including one to prevent the hospital from ending McMath's life-sustaining treatment. Her family negotiated a solution with the hospital and moved her to a long-term care facility outside her home state of California.
McMath's family, on her behalf, later sued her health-care providers in state court, seeking damages for the injuries that led to her nonresponsive state. The providers moved for pretrial judgment, saying McMath can't succeed because she is dead, and only the living can recover personal injury damages. The California Superior Court, Alameda County, denied the motion.
The court Sept. 5 said McMath and her representatives could have a factfinder—usually a jury but sometimes the judge—decide whether McMath should be reexamined to see if the cessation of brain function diagnosed by doctors in 2013 has been reversed. If so, then she no longer meets the CUDDA's definition of death ( Spears v. Rosen , Cal. Super. Ct., No. RG15760730, 9/5/17 ).
Resolution of this disputed question will determine whether McMath can proceed on the personal injury claim. Alternatively, her representatives are seeking damages for wrongful death. Discovery is proceeding in the case.
The trial court's decision was neither surprising nor revolutionary, Pope told Bloomberg BNA. To defeat a motion for pretrial judgment, called summary adjudication in California, a party need only produce some evidence that supports his or her position.
McMath and her family produced a pediatric neurologist's affidavit stating there was "no question" in his mind that McMath no longer met the CUDDA standard. If McMath is responding to outside stimuli, as her caregivers testified, then she didn't suffer an "irreversible cessation of all functions of the entire brain, including the brain stem."
Pope told Bloomberg BNA the caregivers' testimony may not be the "best" evidence, but it made the question of whether McMath still meets the statutory definition of death a disputed material fact.
Pope said this is the first lawsuit he knows of in which a personal injury claim was raised by a person previously declared brain dead. It is "unique in legal and medical history," he said.
McMath's is a messy case, Tom Mayo, a medical ethicist and professor at Southern Methodist University Law School in Dallas, Texas, told Bloomberg BNA. Mayo is a Bloomberg BNA advisory board member who studies and advises hospitals about difficult end-of-life issues.
McMath's arguments are playing out in the context of personal injury litigation, but her extremely rare circumstances raise the question of how brain death should be used as a measure of death. The case potentially could be "really disruptive," Pope said.
Mayo said the public is beginning to "develop skepticism" over brain death. There is anecdotal evidence, for example, of patients responding to external commands or stimuli after having been declared brain dead.
The amount of activity observed in people who have been declared brain dead, however, varies. A certain amount of brain activity also occurs on a cellular level, even after cardiopulmonary functions cease, Mayo said.
Mayo told Bloomberg BNA that "death may be an unwarranted assumption" when a person is declared brain dead under existing legal and medical standards. Still, brain death has been a "serviceable concept for decades," and it is difficult to see what might replace it, he said.
Pope told Bloomberg BNA that more families are bringing legal action to stop the termination of life-sustaining care on religious grounds. Jonee Fonseca, for example, stopped a hospital from ending her son's treatment after he was declared brain dead following a severe asthma attack.
Fonseca's son died in August 2016, but she already had sued California officials in an attempt to have the CUDDA declared unconstitutional.
The U.S. District Court for the Eastern District of California Sept. 22 dismissed Fonseca's complaint. It said she didn't have standing because she couldn't show a causal relationship between the CUDDA and her son's death ( Fonseca v. Smith , 2017 BL 338938, E.D. Cal., No. 2:16-cv-889, 9/22/17 ).
Fonseca argued that the CUDDA caused the doctors to declare her son brain dead and withdraw life support. Both links in this causal chain were speculative, the court said, because the CUDDA doesn't bind doctors to end life support. Doctors make the decision using their independent medical judgment, usually in consultation with the family, it said.
The court also said the Life Legal Defense Foundation didn't have associational standing to sue the state. LLDF's causation argument, like Fonseca's, was frustrated by the independent actions of third-party doctors, it said.
The LLDF also failed to establish a substantial likelihood that declaring the law unconstitutional would remedy the frustration of its mission to protect life, the court said.
On a practical level, Pope suggested that health-care providers do a better job of explaining brain death to patients' families. Most of the existing tools for explaining the concept were developed by organ procurement organizations, so it is easy to see why people might perceive them as biased, Pope said.
The odds are that an individual health-care provider will never be called on to address these issues, Pope noted. Controversies over brain death are extremely rare. Millions of people die every year. Only a few thousand cases involve brain death, and in very few of those is any objection made when caregivers suggest turning off life support.
If McMath wins the right to pursue her personal injury case, however, the debate likely will escalate. Brain death used to be a bright line, Pope said. Now, the line is "getting blurry," and these cases aren't as easy as was once thought, he said.
To contact the reporter on this story: Mary Anne Pazanowski in Washington at email@example.com
To contact the editor responsible for this story: Peyton M. Sturges at email@example.com
The opinion in the McMath case is at http://src.bna.com/sVD .The opinion in the Gebreyes case is at http://src.bna.com/td0. The opinion in the Fonseca case is at http://src.bna.com/tbS.
Copyright © 2017 The Bureau of National Affairs, Inc. All Rights Reserved.
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One of the keys to successful marathon training is being able to recover quickly and fully after long, grueling runs. If your long runs are leaving you feeling sore and exhausted for days and this causes you to skip other workouts, you're not going to arrive at the starting line prepared to run your best race. Try implementing one or both of the strategies below to speed your recovery after long runs.
Get a massage.
As you run, the muscle fibers in your legs are repetitively contracted. When you finish running, these muscle fibers often get "stuck" in this shortened position, which is part of what makes you feel so tight and sore. A good, thorough massage will help elongate the muscle fibers once again, loosening your legs and restoring your range of motion so you can get back to running sooner. Massage also helps increase circulation to the area, which will help flush toxins like lactic acid out of your muscles after a strenuous run.
For best results, seek out a massage therapist who offers trigger point massages and who has experience working with athletes. Trigger point massage is form of massage that focuses specifically on relieving muscle tension by using isolated pressure and release. Schedule the massage for a few hours after your long run, and you'll find that you're a lot less sore for the rest of the day and in the days that follow.
Try an ice bath.
Professional runners like Paula Radcliffe and Meb Keflezighi often use ice baths to help alleviate soreness after hard workouts, and you can, too. Immersing your legs in a tub of ice is thought to constrict blood vessels, reduce swelling, and reduce tissue breakdown -- all of which can speed up your recovery time.
It's important to note that an ice bath does not necessarily have to contain ice. The recommended temperature range is between 54 and 60 degrees -- your water may come out of the tap at this temperature on a cooler day. Fill a tub with cold water, take a deep breath, and lower yourself in. Add some ice, if needed, to maintain the temperature between 54 and 60 degrees. Spend just 6 to 8 minutes in the tub, and then climb out.
It's best to take an ice bath as soon after your workout as possible. If you plan on using massage and an ice bath to recover, be sure to give your muscles a few hours to warm up between the two.
Hello, my name is Kiki. Welcome. I am excited to talk to you about the healing benefits of massage. Daily stresses and micro injuries tend to pile up over the years and cause tension to develop in your muscles. Your muscles will often remain tense until you undergo restorative therapies, such as massage. With massage, you can enjoy relaxing in a dimly lit room while a professional works the kinks out of your muscle fibers. I want to talk about all of the glorious benefits of having massage performed once a week or more. Thanks for coming to visit my website.

subset: commoncrawl


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Stena Recycling AB is a large company in Sweden that is active in recycling of wastes. This company collect different recycling wastes such as metals and papers in Sweden and other neibouring countries in their 200 plants, and treat them until becoming raw materials for other industries. One interesting part of this process is how to separate the mixture of different metals in e.g. a car or household wastes or industrial wastes. In this process (figure below), after crushing by mills, magnets are used to separate iron followed by separation using density differences of the metals. It seems they recycle about 99% of the metals which is a very good number. It is a good business considering the prices of the metals that go up every day!
Friday, February 3, 2012
Metals recycling in Sweden
Posted by Mohammad J. Taherzadeh at 2:22 PM
1 comment:
does the company have metal cutting services as well?ReplyDelete
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This blog is dedicated to collect some interesting news and developments on biofuels, bioenergies, biomaterials and biological treatments of residuals and wastes, as well as my personal opinions in this field.
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When preparing one's estate it is common to think only ahead to the time when the planner is no longer living. Most Moorestown residents look at estate planning as a way to take care of their possessions and assets only after they have passed on. However, certain estate planning tools allow individuals to make good estate planning decisions long before they reach the end of their lives.
For example, a living trust can operate for the benefit of an individual and his beneficiaries for decades before the trust's creator dies. Also known as an inter vivos trust, a living trust allows a living person to put his assets into it and name himself as the trustee. In essence, a living trust often makes the trust's creator both the trustee and beneficiary of the trust by taking the ownership of property away from the creator and placing it in the living trust. One of the primary advantages of a living trust is that it allows the creator to pass their assets, upon their death, to another person without involving the probate process.
Many living trusts are revocable. A revocable trust is one that can be dissolved at the request of the creator. Therefore, if a revocable living trust is simply too much work for the trustee to maintain he can terminate and retain ownership rights in his property.
Aside from keeping property out of probate, a living trust offers many advantages. It allows a party to designate someone he trusts as either the primary or back-up trustee should anything happen to the trust's creator. Also, property in a trust is kept relatively private because it does not have to pass through the public process of probate. Finally, a trust is a good way to pull together and manage all of an individual's assets in a single place. There are many other benefits of living trusts and those who want to learn more about them may choose to work with estate planning attorneys to find out if such devices are right for them.


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Five Day Birth Control Pill Approved
ella ™ is believed to work by preventing the ovum (egg) from leaving the ovary. It may be effective up to 120 hours after unprotected sex. It also may be effective when intended contraception fails, e.g., when there is a condom malfunction. The medication has been available in Europe for over a year. Its trade […]Continue Reading


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Congratulations to Rinus Bergakker:
12,5 years working with HDG, the fruit consultants!
Happy new year.
2016 is a special year for HDG – the fruit consultants.
This year we celebrate HDG's 35th anniversary. In 35 years HDG has become one of the leading fruit inspection and survey companies. There is more news; the founder and owner of the company – Otto de Groot – steps down as CEO. He proudly presents the new management team:
Rob Boogmans (General manager)
After a practical career at a fruit importer, Rob (NIVRE – registered fruit surveyor) joined the company in 1984 and is since 2003 managing director. He is well known for his knowledge of fruit and vegetables.
Drs. Stijn Verstijnen (Commercial director)
Stijn obtained a master degree in business administration at the Erasmus University in Rotterdam and subsequently became a Captain in the Royal Netherlands Marine Corps. In 2011 he became member of the HDG team and specialised in fruit surveying.
Both Rob and Stijn will lead HDG the fruit consultants from January 2016 on. They are obviously focusing on optimising client satisfaction and integrating the newest technologies into the provided services. Otto de Groot will remain being the owner of the company and continues to actively assist the new management by carrying out surveys, training staff and further develop client relations.
And the winner is...
It was the happening of the year again. 65.000 individuals from 130 countries visited the Fruitlogistica in Berlin this year. As always, HDG did not miss the chance to attend this mega-event and dive even deeper into the market.
Several colleagues of HDG took the chance to meet potential and existing clients, promote HDG's services and get a heads-up of the latest developments in the market.In the course of the trade fair, HDG was invited for a presentation hosted by Maersk for all surveyors to learn about their cooling system and to provide room for discussion. When participating in a quiz during this lecture, CEO and founder of HDG, Otto de Groot was able to contribute with his expertise and won the prize. Congrats!


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I know, I know, just last week I talked about an author and a book I read. I try to make those posts sparingly, and wasn't planning on doing another this week....BUT, like any author knows, sometimes deviations from the plan can be a good thing.
An editor I know suggested I read some of Robert Parker's mystery novels as a good example of first-person narrative. I went to Amazon, searched for his highest rated works, and wound up with Early Autumn. And now I have a (slightly) new outlook on writing. Or rather, a reminder of an important factor: simplicity.
Many of Parker's book star Spenser, a witty detective who's smart, fit, tough, and morally driven. He's a pretty cookie-cutter hero, almost cliche in his skills, but Parker makes him interesting through his dialogue, his outlook on his life and, frankly, how badass he can be at times. In Early Autumn, he takes a neglected teenage boy under his wing and teaches him how to be a man. The story itself is great, but for me, the book really shines in its simplicity.
Here's a snippet:
"Yeah, but I've got other things to find out. Can you get a handle on ballet instruction for me?"
She said, "If you'll let go of my hand I'll make some more coffee."
I did. She did. I said, "Can you?"
She said, "Yes."
I raised my coffee cup at her and said, "Good hunting." I sipped some coffee.
That, I did. She did. blew me out the water when I first read it. I must admit, though, that throughout the book the simple descriptions were jarring. But then I thought about it: what am I really missing? Do I need the author to describe him releasing her hand? Or her fixing more coffee? Not really. You might be wondering: what about the emotion and characterization that comes from the intricacies in the descriptions of their actions? It comes out in the dialogue.
When I started writing seriously four years ago I was all about description. Every little thing, action, sound, smell, step, and sunrise (oh, how I would love to describe the sunrise!....twenty times a story) would get its own chapter. I guess a part of me was afraid that the audience wouldn't get what I was trying to say. I had a very vivid image in my head of what I wanted to do and I wanted to make sure I sent that image, perfectly intact, through my words. I suppose, as a reader, I had focused too much on the lengthy descriptions I had encountered from my favorite writers. Recently I have begun to look for what writers don't say. I like what I'm learning.
So, what are the benefits of using less description?
1) Shorter piece. I read Early Autumn in about two days and felt I got as much out of the story as I should have. It could have been longer. That just would have meant this post would come a week later (or, for that matter) not happen at all.
2) Taking a blatant minimalist style will certainly be noted by the reader, and you can use this to your advantage. If actions and characters are introduced with simple descriptions, when you do decide to put a little extra energy in your narrative, it will have more impact on the reader. You ever had that moment where someone who never curses becomes so mad that they start talking like a sailor? You know then that whatever has happened to them must be significant.
3) Pacing: I don't know about you, but before I was a fulltime writer, I was a partime reader, and as a reader, I got scared when I came across humongous blocks of text. If you picked up any book I had recently put down, you would see that I stopped right before one of those pages. Having simple writing allows for the reading to go by faster and probably explains partly why I was able to breeze through the book in two days (it usually takes about a week...if I'm fast.)
4) It will help your dialogue. You have two main ways of getting information to the reader: narrative and dialogue. By easing up on the narrative, you will be forced to evoke emotion, thought, and connection from the reader through the things your characters say. It's more fun for the reader to learn through character interactions than for you to simply spell it out for them.
There is a place for rich, lengthy description (fantasy is one, especially since you are creating a whole new world). If done right it can be great for the story, but I urge you to try your hand at cutting out a lot of your descriptions, and experiment with how you can make your story move with limited narrative.
Let me know how it goes.


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RDXA Annual Holiday Dinner
RDXA has invited RVHG to its Annual Holiday Dinner on Tuesday December 16, 2014 starting at 6:00pm with Cocktails (Cash Bar) with Dinner starting at 7:00PM. The location is at Rick's Prime Rib, 898 Buffalo Road, Rochester, NY 14624
Menu Choices are Prime Rib, Chicken French, Orange Roughy, Hor d'oeuvres, Dessert, Tea, Coffee. The cost will be $25 a person. RESERVATION REQUIRED Please contact Nikki Huntgate at email@example.com with your menu selections and how many will be attending. If you have any questions, feel free to address her or Chris Shalvoy who can be contacted at email@example.com.


text: Paris - The 2017 Le Mans 24 Hour race is fast approaching and is one of the most highly-anticipated motorsport events this year.Wheels24's Janine Van Der Post is attending the event in France.Top momentsAhead of the iconic race in France, Wheels24 columnist Braam Peens shares his top moments in the sport.1991 Two firsts: Mazda becomes – to date – the only Japanese manufacturer to take overall honours, and while using a non-piston-powered car. The quad-rotor 787B has become an icon for gamers, engine audiophiles and fashion police alike.1999A race that Mercedes will want to forget. A fresh-faced Mark Webber's woefully unstable CLR did not flip at on the high-speed Mulsanne straight once, but twice – once in qualifying and again in the warm-up. After team mate Peter Dumbreck suffered the same fate in the race, the team called in the last of their quadruplet of cars to save what was left of their dignity – and its driver's nerves. Adding insult to injury, arch-rivals BMW won the race.2009The period from 2007-2011 blessed audiences with some of the bitterest-fought duels between the diesel-powered Audis and Peugeots. The German squad, who had emerged victorious after 8 of their 10 previous outings at Le Mans, including the first two successive wins for a diesel car, ran out of luck in 2009, lost one car in an accident early in the race, while its sister unit suffered several technical issues to finish an uncharacteristically low third. Even though the German steamroller was only temporarily halted, France erupted.2011A race that made the Fast & Furious franchise look drier than a late-night SABC TV infomercial for sheer incredulity. After the first Audi was eviscerated in the first hour following an epic accident, and another being destroyed at around midnight, a Peugeot victory seemed certain. The faster French cars could complete one lap more per tank than the last surviving Audi, but were later found able to only complete three instead of four stints per set of tyres. A nail-biting strategic cat and mouse game played out in the final hours, with the sole R18's win engineered by endurance racing's now most-famous female, Leena Gade, immortalised in Truth in 24 II. Their 13-second winning margin remains the fourth-ever closest finish in the race's history.2016Defeat was stuffed into the jaws of victory as the trouble-free Toyota team dominated the race from early on. Could this finally be their turn, they wondered, after so many years of trying? The hurt was so tangible, one could taste it.


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Service Members
College of The Albemarle (COA) is a member of Servicemembers Opportunity Colleges Degree Network Program for the Coast Guard (SOCCOAST), an association of colleges and universities which accept each other's classes in a particular program of study.
SOCCOAST benefits are available to uniformed personnel, their spouses and dependents, and to civilian employees.
Recognizing the problems faced by military students whose jobs require frequent moves, Servicemembers Opportunity Colleges (SOC) member schools make it easier to obtain college degrees by:
- Limiting the amount of class work you need to take at a single college to no more than 25 percent of degree requirements (30 percent if the degree is offered entirely online)
- Designing transfer practices to minimize loss of credit and avoid duplication of class work
- Awarding credit for military experience
- Awarding credit for tests such as CLEP, ECE and DSST national testing programs
The five components of SOCCOAST programs are:
- A guarantee of transferability of college credits. Within each of the curriculum areas, the participating colleges guarantee to accept each other's credits in transfer
- A formal agreement between college and student. After you've taken two courses (six credit hours), the college executes a binding degree plan that evaluates all prior learning, lists academic requirements that you'll need to fulfill and guarantees award of the degree by the college when the requirements are met
- The academic residency requirements of participating colleges are limited to 25 percent or less of the total degree program. These can be completed at any time and anywhere the college offers programs
- Three program delivery options: classroom instruction, distance delivery and learning assessment
- Degrees and certificates/diplomas can be completed after leaving the service
SOCCOAST agreements lock in the school's enrollment terms and benefits. If the course requirements for a particular degree change, you're only obligated to complete the courses listed in the agreement when you began. However, you have the option to break the agreement if you wish.


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Clean tech troubles open a path to CEO
Today Xiaoding Zhuo shares her story of Clean Tech and the troubles of government and investing. Her fundamental passion for the space drivers her today to be a CEO. [...]
Experts share their stories. Challenges and failures that caused them to learn and pivot into a new success. These stories try to stay within three minutes
2015 failpro all rights reserved


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We all have that one place that we dream to call home. Whether it be a sprawling house or a cozy condo, what makes any space special is what you do with it. Think of a theme, or start with one piece that you think best defines where you want to go, and from there, work your way out.
If you're building your Pinterest board of dream fixtures, here is a good place to start. Check out some of our favorite items from the recently-concluded Philippine International Furniture Show and other gadgets that you'll definitely love.
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AUTHOR :: Nina Lacour
SYNOPSIS :: Marin hasn't spoken to anyone from her old life since the day she left everything behind. No one knows the truth about those final weeks. Not even her best friend Mabel. But even thousands of miles away from the California coast, at college in New York, Marin still feels the pull of the life and tragedy she's tried to outrun. Now, months later, alone in an emptied dorm for winter break, Marin waits. Mabel is coming to visit and Marin will be forced to face everything that's been left unsaid and finally confront the loneliness that has made a home in her heart.
"The trouble with denial is that when the truth comes, you are."
BOOK REVIEW :: Marin thought she knew everything about her deceased mother. She thought she and her grandpa had a great relationship. She thought everything in her life was okay until it all came crashing down; lies, heart-break, betrayal, regret…
She copes with the pain of her grandfather's betrayal and death by running away to New York and leaving those who love and care for her behind without a word or goodbye… including her best friend Mabel.
This short read was fascinating, heart wrenching, disturbing, and full of surprises.
The reason why I gave it three stars however is because certain events in the book are never really clarified, and also because of the strange relationship between Marin and Mabel.
In the beginning, it's made clear that both girls are best friends. A few chapters in though, and you discover that both friends had romantic feelings for one another once upon a time. This confused me so much as I was initially led to believe that I was reading a story about two friends with a sisterly bond only to realize that their relationship isn't quite innocent.
Why this had me feeling uncomfortable was not because of my faith and stance on gay/lesbian relationships, but because of the way their relationship was described in the first few chapters (a sisterly bond as I've mentioned before), and because of Mabel's parents view of Marin as a daughter. Throughout the story, I keep wondering what Marin and Mabel's time together is leading up to… relationally speaking. Often, it feels like their relationship is not clear nor getting anywhere. By the end of the story, I am left wondering if the interceding of Mabel's parents, and their desire to make Marin a part of their family, makes Marin & Mabel sisters/BFFs.
I also wish Marin's grandfather's body had been found, or at least made clear on whether or not he planned his suicide or if he died on accident.
Another event that made absolutely no sense to me was when Marin was approached by a surfer guy named Fred. Fred approaches Marin in what seems to be a flirtatious way, (I guess) inviting her to his van. Marin's response almost made me believe that she felt she was in danger (the kind of danger you feel when a predator is in front of you). Then, just like that… without understanding the point of Frank and Marin's interaction or why Marin seems troubled by his presence… the scene cuts to Marin looking for her gramps.
As frustrated or confusing as these parts of the book stuck out to me, I still enjoyed reading Marin's story.
I didn't expect this huge turn of events which included her grandfather not only dying, but lying to Marin about his health, refusing to share the memories of Marin's mother with his granddaughter, and allowing his grief to drive him mad.
The chapter in which Marin discovers the truth about her grandfather's lies was heavy! I could almost feel the feelings of betrayal, anger, and shock as the main character tries to wrap her head around what had been hidden from her for years.
Marin's awkwardness, loneliness, anger, frustration, fears, and regrets are described in such a beautiful and relatable way.
When you've experienced loss, grief, and betrayal in life, you develop a deep appreciation for stories that echo and translate what may have been difficult to express before; At least that's how I felt.
When I was young and had no understanding of my emotions, I would grow angry and frustrated because I couldn't put a finger to what I was experiencing. I'd wish my vocabulary and understanding of words were advanced so that I could finally say what exactly was that was weighing me down.
I had learned the definition of words like 'depressed,' 'lonely,' and 'hopeless,' but I failed to relate to them because I felt the words alone never did justice. Feelings always seemed to be uglier than the words used to describe them.
My point is (in case I lost you) that the author does an amazing job describing the character's battles; her unique interpretation of tragedy and feelings takes me down memory lane for a brief moment and helps me understand what I once had a difficulty understanding.
Another gut wrenching part of the story that taught me a lot was the case of Marin's gramps.
He is quick to tell people what not to make him do or feel, but he fails to understand just how much his grief is robbing him of his life. While he sacrifices transparency with his granddaughter to not have her worry about him, his focus on the loss of his daughter- Marin's mother- robs him of the opportunity to create a better quality of life with his granddaughter.
'Sister,' Gramps said, his voice low and venomous, 'I lost my wife when she was forty-Six. I lost my daughter when she was twenty-four. And you remind me to remember them?'
The lesson I got out of Marin's grandfather is that what you fail to confront will eventually eat you alive. He never stops mourning the loss of his daughter and drives himself mad to the point of hoarding what once belonged to her. He keeps wishing for a world that isn't real and never will be so he never mourns properly.
I've seen this kind of behavior/mindset happen in real life; An epidemic of people who can never let go of what they can never get back whether it's time, a relationship, an angry word, a past mistake, etc. They want a better, and happier, quality of life but can never let go of the pain and regrets of their past to create that which they want. While mourning is certainly a process that can never be rushed, I've noticed that there is a difference between mourning but moving forward and mourning while remaining stuck.
Marin's grandfather suffers the loss of his daughter in silence and solitude. He never heals. He never invites Marin to share in the remembrance of her mother, his daughter. Because of his selfishness, he robs Marin of the opportunity to get to know her mother through his memories and narration.
The final chapters of this book are bitter-sweet. Marin is faced with two choices- wallow in pain and solitude like her grandfather or take the hand of those who still love and care for her even though her wounds are deep and unbearable.
In taking the step of receiving the love and support she desperately needs and craves, she is able to right some of the choices that she's regretted.
In comparison to her grandfather, while she cannot bring him nor her mother back to life, she can direct her attention to those in her life who still matter & create a life that won't revolve around grief 24/7.
What did you think of 'We Are Okay?'
What were your thoughts on the plot or the characters?


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Important general information
Students interested in the pre-optometry advising track must obtain a bachelor's degree and complete the necessary prerequisites in order to apply for a Doctor of Optometry program. Those interested in pursuing optometry should consult with a pre-professional health adviser to learn about requirements that are specific to the program and/or school to which they hope to apply.
Admission to and completion of a pre-optometry program or advising track does not constitute admission to an optometry school.
If interested in preparing for an optometry program, students should declare an academic major while also declaring their pre-optometry advising track through the Office of Pre-professional Health Advising. Students do not earn a pre-optometry degree. If unsure of their academic majors initially, students should clarify their academic interests through regular conversations with their advisers. Pre-optometry students are encouraged to major in fields of greatest interest to them.
Prerequisites for an optometry program
It is recommended that students select a challenging course load of science and math courses each semester to ensure adequate preparation for the academic rigor of an optometry program.
Students need to complete their bachelor's degrees, the required science prerequisite courses and the Optometry Admissions Test before being eligible to start an optometry program.
Science and non-science courses required for a pre-optometry doctoral program
General biology, cell biology, general chemistry, organic chemistry, biochemistry and physics are required science prerequisites for admission to optometry school. The science courses should be pre-professional level courses designed for science majors or health professional students and should offer laboratory experience.


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Answer to Question #26369 in Macroeconomics for Jimmy Vo
Question #26369
Explain the role that consumers play in perpetuating discrimination in labor markets
Expert's answer
Discrimination on the part of consumers is generated by unequal attitude of consumers to workers, gives them the same type of the service. If there is discrimination on the part of the consumer, who, for example, does not want to have anything to do with women or, alternatively, with the men (he wants to be catered by women), this leads to the segregation of jobs, especially in occupations where contact with the consumer is quite high. If customers have discriminatory preferences, the market under competitive conditions is compatible with discriminatory wage differentials.
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On Tuesday, October 11th, I spoke to one hundred students and people living with HIV who were rallying for increased global health funding. They were at Dartmouth College in New Hampshire, and I talked to them from Kigali via Skype. A transcript of my message is below.
Hello to all - I am so pleased to be able to speak to you from Kigali in Rwanda. Today you all gather in solidarity with people around the world in need of ARVs.
This issue concerns many people in Africa and elsewhere, and concerns vulnerable persons lacking education, employment meaning means to pay for themselves. Let me talk about the most vulnerable in these situations, who live in a context that can lead to HIV because some people don't feel or don't think they can ever become employed or find types of survival modes other than to prostitute themselves and to put themselves at risk of HIV; or because they are vulnerable or uneducated (and we know well the link that exists between education and HIV risk).
Now, in the past ten years, we had a great movement of global solidarity around treatment access. This was extremely timely, because I remember the time when I was working in public hospitals and Rwandans were dying without any solution, for HIV treatment - antiretroviral therapy (ARVs) - were not available in Africa. The only solution for people living with HIV/AIDS (PLWHA) when they need ARVs is ARVs.
At that time, the cost of generic ARVs came down from incredibly high prices around 1,000USD per month to today's price of less than 100USD a year. We also know how to follow PLWHA in a very good way in the respect of science, in the respect of the patient, and in the respect of clinical knowledge. We know how to conduct patient follow up in a very cheap way that also maintains quality. So this means that money should not be an obstacle to grant access to care to PLWHA around the world.
In Rwanda, we are fortunate to have achieved universal access to care and treatment for PLWHA, for both adult and children. But make no mistake - we fought hard for that. And that's why I understand your fight; that's why I am fully in solidarity with PLWHA who want access to care and treatment. I want this for the world and also for Rwanda, because if we have 100,000 people on treatment today we also know that we have almost 100,000 people out there who are already HIV-positive but not yet in the clinical stage to be put on ARVs. But soon these Rwandans will also need ARVs, and when that time will come I want them to have access to the necessary life-saving care and treatment.
So your fight – your movement – is really encouraging for the world because I feel in my day-to-day work what the reality is. We cannot afford to lose the life of PLWHA whom we could save. We have to keep young people alive – those that have just finished education and who are ready and willing to be useful to their nation. We need to keep parents with young children alive – we know that when children are orphaned they have less access to all services including education, and that they are more vulnerable to risk of HIV infection. Orphans are also at higher risk to be trapped in a non-development process.
So we need parents to be alive. We need PLWHA to stay alive. We need to ensure access to care and treatment for all of them. And we need to ensure best practices in follow up that are affordable. It's just a matter to do things differently. It's just a matter to manage the health sector differently. It's just a matter to manage the global solidarity movement differently.
So I know that we don't have time for questions today, but my message to you is about solidarity. I am calling in from a country where we have a well-managed health sector, where we have people alive and living with HIV as a chronic disease in a country where we now start to tackle cancer and other non communicable diseases that are outcomes or not of being HIV-positive – and we are with you.


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The long wait is over! Finally, kodi new version has been released! It has been a long story. Finally, after all the hurdles, kodi had released its beta version last month. For the past month, we are using the new version of kodi. We had made a detailed analysis of the kodi's new features, advantages, and shortcomings. We will share everything in detail. And we will help you to decide whether to install the new version are not. If you are a new user, you must look into this article for sure.
The Journey
First, let me explain how and why this journey started. Kodi krypton has reached the pinnacle of success, so why the new version is necessary? Is there any problem with kodi krypton? These are some of the most common questions among the users. Let me tell you, if you are looking at a normal person point of view, you won't see any problem with kodi. But as a developer there are lots of problems with kodi.
Let me share one of the major problems I faced while using Kodi krypton. Being one of the best media players, kodi doesn't support USB drive. Have you ever tried it? Yep kodi cant play media from the USB drive. This was one of the major drawbacks in kodi krypton. And during the next update, the problem was rectified.
So there are lots of such minor faults in kodi. So the devs decided to update the kodi to the new version. And after 1.2 years of hard work, they had finally released the kodi Leia, a new stable version of kodi. Before releasing this, they have released two alpha version. And both of those alpha versions is miserably failed. And now kodi Leia is much better than the previous version.
Advantages of Kodi Leia
There are lots of advantages for kodi Leia when compared to the krypton version. As we discussed earlier, it supports USB drive. This is one of the most important updates of kodi Leia. Since most of the device supports USB, you can directly use them with your kodi. And if you re a gamer then you got lucky with this version. You can play a lot of games on the kodi.
And the next big update is all the programs in the kodi krypton version are dependent on one another. But in Leia version, each program are independent and can work on their own. This will reduce the lag issue in the previous version. And Krypton version entirely depends on the addon for streaming any of the online content. But in the Leia version, addon just act as a tool to stream. the builds are taking over the addons.
Having all these advantages, I personally don't like is the interface of the kodi. So I prefer to change kodi skins. You can either refer to kodi official site or refer to kodiskins.com for the best ones. This is both advantage and disadvantage for kodi. Since it is independent, if one file is lost it won't work. Well, that's all about the advantages and disadvantages of kodi Leia version. Hope this article is informative.


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Geographical Profiling
Geographical profiling is another statistical technique that uses algorithms based on the movements of serial offenders to attempt identify the likely location from which they operate, i.e. from home or perhaps their place of employment.
Canter's description of his techniques used to help in the capture of John Duffy explains how, by looking at when and where the victims were found he was able to determine that Duffy probably had some connection with the railways or lived near a railway.
In fact, Duffy was a carpenter working for British Rail, and who had an intimate knowledge of the railway system around North London where he lived and where he found his victims.
Marauders and Commuter crimes
Marauder Crimes:
Static, localised or geographically stable serial offender;
Commits crime within a confined area;
• Bounded by psychological barriers and landscape features;
• Operates within his/her awareness space;
• Likely to have an anchor point (the haven) from which to operate;
• Offender's haven lies within the distribution of crime sites.
Commuter Crimes:
• Mobile dispersed or geographically transient serial offender;
• Commits crimes over large areas;
• Cross cultural and psychological boundaries;
• Most offences occur outside the offender's awareness space;
• Involves complex hunting strategies;
• Hunting area lack a definable anchor point.
Profiles v Typologies
The distinction between typologies and profiles is often blurred.
Offender profiles are often thought of as a means of identifying specific individuals whereas typologies are more concerned with the general characteristics of offenders.
There are elements of truth in both these statements but it is probably more correct to say that at present, it is traditional police work that catches individual offenders, profiling may offer pointers or help to reduce the number of suspects. The techniques of offender profiling are a long way from being able to identify specific individuals.
Geographical prioritization
For you own records or research you may wish to investigate, download or buy DRAGNET. Dragnet is a geographical prioritization package, developed at the Centre of Investigative Psychology, which is based extensively on empirical research into the spatial behaviour of offending populations. Using a series of crime locations, Dragnet prioritises the surrounding area in order to determine the most likely region or regions for the perpetrators home or base.
Now that you have finished the last chapter in An Introduction to Criminal Psychology in Ireland it is time to conduct you first criminal profiling assignment.
To start conducting a criminal profile firstly you need to recap on the steps;
1) Get facts of the crime (behaviour, what he did and the crime scene).
2) Background information on the victim/offender.
3) Autopsy report.
Now you need to identify the following;
• Behavioural information at the scene.
• Type of murder
• Consider profiles are used in conjunction with so many other crime solving methods
• Consider victim risk and offender risk
• Consider the usefulness of psychological profiling
Case samples for your analysis, read through the following scenarios and give your theories based on your cases assessment model.


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Adare House is a bright and spacious home where Margaret welcomes visitors upon arrival with a warm Irish greeting together with helpful advice on all local activities.
Family run Bed & Breakfast.
0.5km from Westport town.
0.5km to the harbour.
8 minutes walk to Westport town.
Strictly No Smoking
Centrally Heated Throughout
Private off-street parking
Free Wireless Internet Access
Secure Parking
For those of you that drive, your car will be safe and secure in our private car park.
We also provide shelter for bikes.
Getting You Out and About
If this is your first visit to Mayo, we can advise you on the many attractions and sights around, for example let us arrange all your cycling equipment and advise on superb cycling on the Greenway or leasurely walking routes.


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Christoph Hitzenberger, Editor-in-Chief
Christoph Hitzenberger, Editor-in-Chief
Editorial Board
Photoacoustic image formation based on sparse regularization of minimum variance beamformer
Roya Paridar, Moein Mozaffarzadeh, Mohammad Mehrmohammadi, and Mahdi Orooji
Biomed. Opt. Express 9(6), 2544-2561 (2018) View:
Extended photoacoustic transport model for characterization of red blood cell morphology in microchannel flow
Nasire Uluc, Mehmet Burcin Unlu, Gultekin Gulsen, and Hakan Erkol
Biomed. Opt. Express 9(6), 2785-2809 (2018) View:
Cellular in vivo 3D imaging of the cornea by confocal laser scanning microscopy. See Bohn et al. Biomed. Opt. Express 9, 2511-2525 (2018)


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RC softball advances to regionals for fifth straight year
Coach Karl Grambau's Huron softball team claimed its fifth straight district title with wins over Hillman, 12-2 and Onaway 9f1. They move on to the Lake Leelanau St. Mary's regional Saturday at 12:30 to play Frankfort. The winner plays the winner of the Central Lake vs. Mio contest which begins at 10 a.m.
On the baseball side, Rogers City lost to Hillman while Posen defeated Onaway before losing to Hillman in the district championship.
More details and lots of photos will be in the next Advance.


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The Water Separator works to protect your HP 60 blower by preventing bulk water from passing through it when drying in a negative mode.
The Water Separator should be used after the initial vacuuming with a truck mount system to capture the remaining water that could be undetected. Placing it as we recommend, it will collect bulk water that may be trapped in ceilings, walls, floors, or cabinets that you are drying.
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|1 Year on parts and labor on all components


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James E. Kurz, MD
Associate Professor; Internist for NFL Trust; Internist at North Chatham Pediatrics and Internal Medicine
Medical School: University of Missouri, Columbia, 1993
Residency: University of North Carolina at Chapel Hill, Internal Medicine & Pediatrics, 1997
Fellowship: Internal Medicine, 2003
- General Internal Medicine
Internal Medicine, Board Certified
Pediatrics, Board Certified
Recent Honors
- Best Doctors in America, Best Doctors, 2008-2017
Recent Publications
Kurz, JE. Chapter 30-Disorders of Puberty. In: Runge MS and Greganti MA, eds. Netter's Internal Medicine. 1st Ed. Teterboro,NJ: Medimedia, Inc, 2003.
Chen I, Kurz JE, et al. Racial differences in opioid use for chronic nonmalignant pain. J Gen Intern Med. 2005 Jul;20(7):593-8.
Panda M, Staton L, Chen I, Kurz J, et al. The influence of discordance in pain assessment on the functional status of patients with chronic nonmalignant pain. Am J Med Sci. 2006 Jul;332(1):18-23.


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Product details
Please find below the full details of the product you clicked a link to view.
Discovery Skill #2: Questioning - How Inquisitive Thinking and Provocative Questions Spark Innovation
Book chapter
Reference no. 8371BC
Published by:
Harvard Business Publishing (2011)
Chapter from:
"The Innovator's DNA: Mastering the Five Skills of Disruptive Innovators"
28 pages
We tell children that there is no such thing as a dumb question, but so often we keep our ideas and concerns to ourselves, afraid to come across as foolish or disagreeable. But when you stifle your creative imagination, you limit your opportunities for innovation. In this chapter, authors Jeff Dyer, Hal Gregersen, and Clayton Christensen encourage you to channel your inner child and rediscover your spirit of curiosity. They explain how asking different and provocative questions allows you to reframe problems and uncover new and better solutions, and how questioning can be used as the creative catalyst for innovation. Along with techniques like 'QuestionStorming,' this chapter provides question sequences that promise to launch your inquisitive thinking in a productive direction. By pondering what might be instead of dwelling on what is, you can free yourself from the shackles of routine and stumble upon something altogether novel. This chapter was originally published as Chapter 3 of 'The Innovator's DNA: Mastering the Five Skills of Disruptive Innovators.' This chapter is excerpted from 'The Innovator's DNA: Mastering the Five Skills of Disruptive Innovators'.
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Goodman's, British Planemakers from the 1700's has a listing for a "D. Lyons" who made planes from 1873 to 1877, but no listing at all for an "H" Lyons. I have a feeling he was a dealer, not a maker, and for some reason, thought putting his stamp on top of the makers stamp was acceptable.
If any of you have run across this situation on one of your planes, or have any information on Mr. H. Lyons, I would appreciate hearing from you.
While I am asking for help here, I will add that I am trying to put together a list of common British and American plane profiles along with their common widths from the 1700's to today. This has, surprisingly, turned out to be a difficult task. I can't believe that I am the first person to ever think such a list might be interesting, but finding any previous lists has eluded me. Whatever information I do come up with will be posted on the web for anyone who is interested, so whatever information you can offer would be greatly appreciated.


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Kids get 'foundation' at Gambles' mentorship program
Kids who have participated in a mentorship program will organize and host their own graduation ceremony Thursday.
Reid Moss, now 21, was a young South Philadelphia native when she first connected with the "Universal Pearls of Wisdom" in 2006. Like the teen and pre-teen African-American males of "From Boys to Men", the "Pearls" were created as a mentorship program by legendary Philadelphia music mogul Kenneth Gamble and wife Faatimah Gamble to teach life and etiquette skills.
As a student of one of the Gambles' six Philadelphia charter schools through its Universal Companies, Moss and her mother believed "Pearls of Wisdom" was a worthwhile enterprise.
"At least I wasn't opposed to it," Moss said with a laugh about learning to "come into herself as an individual and enhance life's lessons" as a "Pearl".
"Teen years are an awkward time to begin with," Moss said. "Learning social etiquette skills – how to walk and speak publically with confidence – really helped."
Related link:Bart Blatstein's Atlantic City shuffles the pieces
Currently a Sociology Major at Atlanta's Spellman College, Moss is working toward a career in Communication Arts and credits the Gambles' with her confident swagger. "They gave me a foundation."
The Gambles' newest crop of young students need all the confidence they can muster. On Thursday, 2015's graduating classes will do everything – cook, host, model, decorate – for "An Evening of Style & Grace" at University of the Arts, with a fashion show raising money for their social grace and character-building classes.
The show itself faced a bump in the road when Boyd's clothiers faced a fire earlier this week and had to pull out of the proceedings. The students coaxed area designers Les Richards and RL2 to participate and the problem was resolved.
"Our young men and women dealt with it, quickly," said Faatimah Gamble.
Related link:Penn's Landing concert venueset to play its swan song
West Philly native Leony Pena, 13, is in his second year of "From Boys to Men" and already understands the responsibilities of acting like a responsible gentleman.
"I wanted to learn to be a better person," Pena said of discovering everything from manners to how to dress. "I feel like they're giving me info that I need to know now, not just in the future."
Soul music impresario Kenneth Gamble has hundreds of hits to his name as boss of the legendary Philadelphia International Records.
Yet, his longest running smash is his quietest one, started by and shared with his wife, fellow philanthropist and co-founder of Universal Companies, Faatimah Gamble.
Thirty-five years ago, Mrs. Gamble – a one-time consultant from the International Protocol School of Washington, DC – created a program to teach life skills (e.g. cooking, diction, social etiquette) that was once the core of home economic courses.
She then developed a similar program for teen boys and included classes in entrepreneurial skills, money management and non-violent conflict resolution for both sexes. "We teach young men and women about consequences," said Faatimah Gamble. "We help them to aspire."
Every Saturday for 28 weeks, three classes of 23 students each, spread across several Universal charter schools in the Philadelphia area, learn how to court each other with manners, compose themselves with style and take on the world with smarts and dignity.
"We give our young scholars proper tools to navigate life's waters, be it culinary arts or dressing properly," she said. "All they have to do is be willing to receive the information and process it appropriately."
Faatimah Gamble knows teaching kids life skills at a time of social unrest is no easy feat. Kenneth Gamble points out how lack of education – at home, in the schools – robs children of initiative.
"Traditionally, African-American youths have been kept from a process of learning," he said. "It's our responsibility to change that."
Mrs. Gamble however knows that any path to education can be rocky. "We try to help them develop skills they might not get because of problems that face our community, be it violence, lack of education or self-esteem… I hope we do a great job."


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Each year, the Tucson Convention Center in Arizona attracts convention-goers from near and far. With its enormous space – approximately 205,000-square-feet of meeting space, a 9,000+-seat indoor arena, and two performing arts centers – it's no wonder why it's home to such events as WWE wrestling, concerts, monster truck shows, and more. The Tucson Convention Center also serves as the home rink for the University of Arizona Icecats hockey team.Theaters, gallerias, and various halls are available for events. For those in town for a conference, there are many hotels in the area that are convenient. Most hotels are conveniently located near many Tucson area attractions, including Biosphere 2, several museums, theme parks, and monuments. The hotels around the Tucson Convention Center are mostly within walking distance, making it very convenient to attend your event. In fact, many hotels are so close to the convention center that you won't even need to rent a car. The hotels provide amenities to its guests, including cable television, Internet access, and continental breakfasts. They also have fitness centers, spas, and outdoor pools to make your stay more comfortable.
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The Hasso Plattner Institute offers degree programs in "IT Systems Engineering" that are unique Germany-wide. It is a practical form of computer science study that places special emphasis on the conception and development of complex software systems. The education at Hasso Plattner Institute is tuition free.
Research in HPI's topic areas is carried out in Potsdam and internationally at the Hasso Plattner Institute Research School. It is distinguished by its high scientific standard, practical approach and close cooperation with industry. The primary focus of HPI's research is on highly complex IT systems.
Hasso Plattner Institute holds an unique position on the landscape of German universities. Research and teaching are concentrated in the area of IT systems engineering. The highly ranked Bachelor, Master and PhD degree programs have a high practical and innovation orientation. Design Thinking spans a bridge between Hasso Plattner Institute in Potsdam and Hasso Plattner Institute of Design in Stanford.
The Hasso Plattner Institute has educational programs for both high school students and working professionals. It operates its own IT learning platform - openHPI - which provides free online courses. The Youth Academy organizes computer science camps and events for high school students. Professionals can take advantage of educational opportunities in the field of Design Thinking at the HPI Academy.
The Hasso Plattner Institute is respected and recognized far beyond its Potsdam borders. The public relations department is happy to answer questions and provide information about HPI activities.
Business Process (BP) technology has emerged as one of the leading technologies in modeling, redesigning, and executing organisational processes in many different application domains. Among them, the representation and management of health and clinical processes have been at-tracting a growing interest. Such processes are in general related to the way each health organiza-tion provides the required healthcare services. Health and clinical processes may underly the spec-ification and application of clinical protocols, clinical guidelines, clinical pathways, and the most common clinical/administrative procedures. Current BP systems are lacking in effective manage-ment of three general key aspects that are common (not only) in the clinical/health context: data and knowledge dependencies, exception handling, and temporal constraints. In this talk I will first introduce and discuss recent advances in business process modeling with respect to the healthcare/medical domain. Then, I will introduce some recent results on algorithms for checking temporal properties of busi-ness processes in presence of explicit temporal constraints among tasks.
Short CV
Carlo Combi. In 1987 he received the Laurea Degree in E.E. by the Politecnico of Milan. In 1993 he received the Ph.D. degree in biomedical engineering. Since November 2001, he is with the Department of Computer Science of the University of Verona: from November 2001 to February 2005, he was Associate Professor of Computer Science; since March 2005, he is Profes-sor of Computer Science. From October 2007 to September 2012 he was head of the Computer Science Department. Main research interests are related to the database and information system field, with an emphasis on the management of clinical information. The two main areas are tem-poral information systems (time-oriented data and process modelling) and multimedia databases. He is author of more than 100 papers published on international journals and proceedings of inter-national conferences. He is author, with Elpida Keravnou - University of Cyprus and Yuval Shahar - Ben-Gurion University of the Negev, of the book "Temporal Information Systems in Medicine", Springer, 2010. He is involved in the scientific activity of several scientific international journals and conferences. Since January 1999 he is editorial Board Member, journal Artificial Intelligence in Medicine. From July 2009 to June 2013 he is chair of the Artificial Intelligence in Medicine Society (AIME). He is guest editor of several special issues of international journals (Methods of Information in Medicine, Annals of Mathematics and Artificial Intelligence, Artificial Intelligence in Medicine, Journal of Intelligent Information Systems, Computers in Biology and Medicine, ACM Transactions on Intelligent Systems and Technology). Since January 2017 he is Editor in Chief of journal Artificial Intelligence in Medicine. https://www.linkedin.com/in/aninica/
Host: Prof. Dr. Mathias Weske
18. Mai 2017
16:00 Uhr
Hasso-Plattner-Institut, Hörsaalgebäude (HS1)


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Kirill GERASSIMENKO clinched the title in U21 in HungaryPhoto: ITTF
Seamaster 2017 ITTF World Tour Hungarian Open
Kazakhstan's Kirill GERASSIMENKO and ZENG Jian of Singapore clinched the titles in their respective Men's and Women's Under 21 Events at the Seamaster 2017 ITTF World Tour Hungarian Open.
In the final of the men's event GERASSIMENKO beat Can AKKUZU of France in full five games duel (15-17, 11-6, 11-6, 7-11, 13-15).
At the semi-final stage, Can AKKUZU overcame Slovenia's Darko JORGIC in straight games (11-3, 11-5, 12-10), whilst Martin ALLEGRO forced Kiril GERASSIMENKO to go full distance (16-14, 10-12, 6-11, 12-10, 9-11).
In the final of the Women's Singles event ZENG Jian overcame her compatriot LIN Ye 3:0 (11-8, 11-8, 11-7).
Two leading names in the Women's Singles Event at the forthcoming STAG European Under 21 Championships to be held at the beginning of February in Sochi, Adina DIACONU of Romani and Nina MITTELHAM of Germany, both concluded their journey in Hungary in the penultimate stage of the U21 Event. In the both semifinals Asian representatives proved too strong for the Europeans.
Top seed, Singapore's ZENG Jian beat DIACONU in straight games (11-5, 13- 11, 11-1), whilst LIN Ye was stretched to full distance in the duel against MITTLEHAM 2-3 (4-11, 13-11, 8-11, 1-9, 10 -12)
In the morning session in the quarter-finals Nina Mittelham progressed to the penultimate round in Budapest as she saw off Russian opponent Ekaterina GUSEVA in straight games (11-5, 11-8, 11-9). Adina DIACONU following her success over Serbia's Izabela LUPULESKU (11-5, 16-14, 11-5) in the other quarter-finals match.


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I am so bad at jokes, that the last time I attempted to tell one on Facebook, two people messaged me to ask if I was depressed.
Really! I think that takes talent.
The original (and not that funny) joke:
Apparently, I can't get addicted to coffee, I guess I'll just have to stick with chocolate, porn and Facebook.
The joke being that the only one I'm really addicted to is Facebook.
But then I realized that it probably wasn't appropriate to jest about porn addictions since over half my 'friends' are church folk for whom this is a serious concern.
So I took out the second half of the sentence. I still thought my failure to become addicted to coffee was amusing, since I've tried for a month and still can't manage to drink a whole cup even once a week.
But then I thought I should give some context as to why I was trying to start a coffee habit in the first place. So I referred to some recent studies talking about the long-term benefits like reduced Alzheimers, coronary heart disease, and depression in women. Of course, correlations are not causations and I wanted to be responsible in sharing information, so I pointed out that it might not be the coffee causing those affects but another factor.
A few minutes later, I had several concerned messages. One suggested I look into counselling and medication, and another told me that 'helping others' is a great way to not be sad.
The only thing sad is my ability to tell a joke.


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Your New Favorite Lip Color Is Hidden Inside This Green Lip Gloss
Sometimes finding the perfect lip color is a huge feat. The combination of finding the right undertones, the right finish, and the overall perfect formula for your complexion takes plenty of swatching and testing, not to mention a big toll on your wallet. So when Lipstick Queen came out with its wildly popular Frog Prince Lipstick ($25), a green (yes, green) lipstick that reacts perfectly with your body's pH to deliver a custom rose-toned hue, saying we were excited would be an understatement.
And then Lipstick Queen outdid itself by releasing a magical lip gloss with the same shade-adjusting formula. In the tube, it looks a bit alarming; the formula looks sparkly—like the sort of lip gloss you'd wear as a kid. But after you apply it, the gloss leaves behind the most subtle shimmer and a gorgeous color. It also isn't sticky in the slightest—it's just more of a hydrating lip color that personally lasted me all day long, even through eating and drinking. Another bonus? It's infused with shea butter and "maxi-lip," a natural peptide that stimulates collagen and helps nourish and regenerate the lips for a plumper, fuller pout. It's a win all around.
The brand has also created a green shade-adjusting cream blush that seriously doesn't budge. I color-swatched it on my hand at first to test it out, and I needed to rub it off with a tissue to remove it—and even then it didn't come off entirely. Suffice to say, if you're looking for a long-lasting cream blush in the most flattering hue for your skin tone, this is the product for you.
So what's behind the cosmetic sorcery? It contains a pigment called "chameleon" (of course) that reacts with light, moisture, and (as mentioned previously) pH, to adjust in color. What's amazing is that a friend of mine tried the lip gloss and it gave off a mauve hue, but when I tried it, my lips were a bright pink. It's truly exciting to compare and contrast the results with other users.
Forget having to kiss several frogs to find the right lip and cheek color—these products do all the work for you.
Have you tried Lipstick Queen's Frog Prince lip gloss or cream blush yet? Tell us your thoughts below!


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Exhibitor & Sponsor
LGC- Genomic solutions is the genomics division of the international science-based LGC Group. We provide a full range of high quality genomics products, services and solutions including, sample preparation (primarily nucleic acid extraction), nucleic acid sequencing, genotyping and biobanking. The company is unique in the genomics market space in that we are both a service provider and a developer of proprietary chemistries and instruments that drive productivity gains for our service laboratories as well as our customers. We understand the challenges of today's genomics laboratories because we use the instruments and reagents we have developed to successfully drive our three genomic service locations.
Website : http://www.lgcgroup.com/


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This July has been all about youth arts programs. Catch the excitement that their creativity ignites at ARTScool at the Naples Art Association!
Category Archives: Month in Photos
Naples Art Association's June 2013 in Pictures
This gallery contains 60 photos.
June 2013 brought the summer heat and ignited creativity with the Naples Art Association! Check out the gallery below to view memories from the first couple of weeks of ARTScool, the preview reception for Camera USA 2013 National Photography Exhibition … Continue reading
Naples Art Association enjoyed a vibrant May 2013
This gallery contains 20 photos.
The Naples Art Association's April 2013 in Photos
April brought more than showers to Naples! Starting the month off was a reception for the season's final Naples Art Association Members Gallery 2D/3D show. Art in the Park wrapped another fabulous season, a two new exhibitions moved in, several organizations held gatherings at the art center, One of our exhibiting artists held a special workshop for one of our sponsors, Vi at Bentely Village and more. Check out the gallery of April images by clicking through the photos below. Leave us your comments on your favorite photo!


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EAST African Community (EAC) states of Tanzania, Kenya, Uganda and Rwanda jointly unveiled their budgets for the fiscal year 2018/2019 on June 14, 2018.
In the budget proposals, the EAC partner states posed various measures to protect local manufacturers in the region through high import duty on ranges of products including crude palm oil, palm stearin, edible oils, nails, tacks, drawing pins, corrugated nails staples, safety matches, potatoes, mineral water, edible offal, sausages, textiles, footwear, and Iron & Steel Products.
Ms Lilian Awinja Chief Executive Officer (CEO) of the East African Business Council (EABC) is of the view that the move is praiseworthy that the partner states are keen to offer protection so that local industries thrive.
"It is praiseworthy to see that the EAC partner states governments are keen to offer appropriate protection, incentive structures and support for the growth of domestic nascent industries in the region," says Ms Awinja.
However, she notes that the proposal in relation to the motor vehicle and motor cycle industry has both wins and losses. In the budget proposals.
Rwanda grants stay of application of EAC Common External Tarrifs (EAC-CET) and apply a duty rate of 10 percent instead of 25 percent on road tractors for semi-trailers, motor vehicles for transport goods with gross weight exceeding 20 tons and buses for transportation of 50 persons and above.
While, Uganda grants stay of application on EAC-CET and apply a duty rate of zero percent instead of 10 percent on road tractors for semitrailers.
Uganda proposed to reduce import duty from 25 percent to zero percent on motor vehicles exceed 20 tons; reduction of import duty from 25 percent to 10 percent on buses for transportation of more than 25 persons.
"Uganda's proposed ban on importation of motor vehicle of 15 years and above from the year of manufacture, is commendable as it paves the way for the region to embark on harmonization of age limits of imported vehicles, to boost the motor vehicle industry.
"It is also admirable to see that in the budget proposals, the EAC partner states agree to grant a duty remission on importation of completely knocked down (CKD) kits at a rate of 10 percent for a period of one year, this encourages local manufacturing and assembly of motorcycles," says Ms Awinja.
The motor vehicle manufacturing and assembly is a volume driven industry due to high cost of plant investment.
The capacity of motor vehicle assembly plants in the region is grossly under-utilized and is confronted by intense competition from imported second had vehicles mainly from Japan and United Arab Emirates.
This hiders the development of local content supply base, which is dependent on high volume of production.
"The propose of the stay of application on EAC-CET on motor vehicles for transportation of goods and passengers is likely to frustrate efforts of local motor vehicle assemblers in the region, who will face stiff competition from similar imported vehicles under lower duty rate than agreed EAC- CET," she reiterates.
The CEO thinks the EAC partner states need to maintain 25 percent Common External Tariff on both new and used fully built motor vehicles imported in the EAC, to boost productivity of local motor vehicle and motor cycle assembly plants.
Surely, industry has potential to contribute significantly to the attainment of an industrialized EAC economy by 2032. She says that EABC that was established in 1997 seeks to foster the interests of the private sector in the integration process of the EAC.
Being the representative of private sector associations in the region, EABC was granted observer status in organs and activities of the EAC.
Ms Awinja says that EABC therefore participates in various sectoral meetings, meetings of the Coordination Committee, the EAC Council of Ministers, and the Summit of the EAC Heads of State; with a view to ensure, that the agenda of the Private Sector is well articulated and received by the policy makers.
It is in such budget presentation as these of the partner countries that the vision and mission of the EABC should be embedded as all work towards betterment of the countries and their people.
Its vision aims at borderless East Africa for business and investment while the mission is to promote sustainable private sector-driven growth.
EABC Membership is drawn from the six East African Partner States and is open to all national and regional associations as well as corporates with interest in the EAC integration process or operations in the region.
"At national level, EABC activities are coordinated through the EABC National Focal Points, who are also the national private sector umbrella bodies.
These are Federal Chamber of Commerce and Industries Burundi (CFCIB), Kenya Private Sector Alliance (KEPSA), Rwanda Private Sector Federation (PSF), Tanzania Private Sector Foundation (TPSF) and Private Sector Foundation Uganda (PSFU).
It is in that light, EABC has been joining hands with other bodies outside the EAC so as to seek support for its members and partner states.
One such example is the East African Women in Business Platform (EAWiBP) that was linked with the International Trade Centre (ITC), ahead of the official launch of the Market Access Upgrade project (MARKUP) at the EAC Headquarters.


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Transparent and rigorous public financesThis event has passed. Photos here. This seminar featured presentations of the results of the IPP/ISEG Index, produced by the Budget …Read More »
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The New Social Contract: Reform of the State and the European UnionIPP Conference – Lisbon, 6-7 September 2013 The challenges facing most European countries are similar. The prospects of an aging …Read More »
IPP's first major eventOur first major event has been confirmed to take place in Lisbon, at the ISEG campus, 6-7 September 2013: "The …Read More »
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