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'Aaj Ki Neki': Doing work for grand mother
Surf Excel Pakistan has come up with a series of heartwarming videos this Ramazan and the latest one has a sweet little message.
The video fosters the ever strong relationship of grandparents and their grandchildren encouraging kids to help their grandparents with little chores.
Nothing is stronger than the bond of kids with their grandparents, as depicted in this video in which the boy makes her 'Dadi' happy by bringing her all the needful things.
And in doing so if one gets stained then "such stains are good".

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Can I try before I buy?
Yes, we offer a free week pass to anyone who would like to try our facility before they make a membership decision. We want you to meet our staff, other members, and give us a chance to earn your business. At the end of your seven days, if we haven't already earned your business, then you are free to decide what would be best for you.
Do I have to sign a contract?
No, if you wish to pay by the month, you can purchase a $60 one-month pass which is good for a full month. If you purchase on the 15th of one month, it will expire after the 15th of the following month. We offer a no-term agreement along with our one and two year annual agreements, which must be set up for automatic billing. If you are not sure about your commitment level you may want to opt for the no-term agreement. If, on the other hand, you are ready to go and you know you will stick with it, you may want to save money by choosing a one or two year agreement.
Do you offer childcare?
We do not offer in-house childcare here at Sound Fitness. However, we have partnered with Playdate Drop In Daycare and Sound Fitness members can get a discounted rate (50% off!) on a package of 24 hours. Please contact Playdate on Glenburnie Road at 252-633-5557 with any questions. Simply check in with your Playdate card and we keep track of the time you are here working out. Discounted rates apply only while you are working out at the gym.
I am in the military. What happens if I get deployed or have to relocate?
No problem. All we ask is that you provide us your orders 30 days in advance of your deployment or relocation. If you are deploying but would like to return to our club upon return – we'll just put your membership (and billing) on hold. If you will be relocating the same applies. Just provide a copy of your orders and you will be released from any agreement you signed without incurring an early release fee.
Are there any incentives with a membership signup?
Yes! We understand that getting started is not the easiest thing in the world and there is competition, so our incentive gifts are our way to say thank you and to help set you up for the maximum experience at our club. When you join, you will receive 5 free personal training sessions which include a free equipment orientation to learn how to properly use all of our equipment, a fitness assessment with one of our highly educated trainers, and free body analysis to learn about your body. We also offer a free smoothie and a Sound Fitness t-shirt.
What are my payment options?
Payment for membership is by EFT draft from a checking, savings, debit or credit card. We do not bill or invoice for membership fees nor do we accept payment in person each month for membership dues. Payment has to be made via EFT.
Can I get a deal?
Every member is important to us; therefore, we don't make individual deals with new members. We want to be fair to everyone by being consistent and demonstrating integrity in all our relationships. Any deals or discounts will be offered to all our members.
Do you provide lockers and towels?
Both. We have daily use lockers for which we suggest you bring your own lock. We do provide small towels for wiping sweat or machines and large towels for any showering needs. We also provide body and hair soap as well as hair dryers.
How do I check in when I come to work out?
We will assign you a membership key tag that you scan when you walk in the door to make things fast and efficient. If you forget your key tag we can simply look up your name in our system and get you going.
Do I have to register for group classes?
Most of our group fitness classes come with your membership but we do have a few specialty classes that have a limited amount of space and require registration.
Can I call to book training or other club activities?
Any activity can be booked over the phone by calling our desk as 252-639-2582 and any fee-based service can be handled over the phone with a valid credit card.
How do I bring a guest?
Guests are always welcome at our club. Sound Fitness members can bring a guest for free. We ask that all guests register with the front desk to fill out the waiver. Once we have them in our system, they do not need to fill out the waiver on a subsequent visit. Guests can only come in with a paying member and we ask that a member bring one guest per visit.
What happens when my agreement date ends?
Your contract will roll to a month-to-month agreement until/if you decide to resign. You will be able to keep the rate you were paying as per your agreement.
If I'm not a member, can I sign up for your specialty classes?
Absolutely, we welcome anyone to take our fee-based classes. We also offer a CLASS PASS to non-members interested in only taking group fitness classes. A ten-class punch card is $70 and is good for two months from date of purchase.
If I leave something at the gym is there a lost and found?
Yes, we have a bin which we keep in a secure area with things that people have left behind. Just notify someone at the desk about the item you have misplaced and we will see if we have it.


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Experience beautiful Tiran Island Snorkeling Trips from Sharm EL Sheikh, Enjoy Sharm El Sheikh Snorkeling in Tiran Island, Experience swimming and diving among colored fish and coral reefs, as Snorkeling in Sharm El Sheikh is famous for it's charming coral reefs. Explore the history and culture of the region.
Flying Carpet Tours delegate will pick you up from your hotel in Sharm El Sheikh to the Embarkation point of your boat, ride your boat to Tiran Island on a magical sailing trip to the north-east along the Aqaba gulf to Tiran Island, Snorkeling trip Approx. for Two hours till you get to a place called Blue Laguna, it is not only perfect for snorkeling and diving, but it is the perfect sight for those who can't swim and for children, Lunch will be served on board your boat, keep sailing till arriving to Tiran Island, enjoy snorkeling and swimming, snorkeling over one of the most beautiful sights of Untouched corals, finally Flying Carpet Tours delegate will escort you back to your hotel in Sharm El Sheikh.
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Hearing this album, it's blatant that Dimmu Borgir is still sticking with the same message they held back in the release of For All Tid and Stormblast. Anti-religion, destruction, etc. That is one of the aspects of this album I deem admirable. They still play for the same reasons, they still have the same motivations.
Other than that, I can't associate this album with black metal, sound wise. Many of the riffs remind me of *other* bands, bands that aren't at all associated with black metal. That disappointed me.
At times they seemed to push it too far, too many gimmicks. Sirens wailing, helicopters and planes flying overhead, soldiers marching and chanting "Hail Satan", and their leader saying, "gentlemen...destroy.", prior to breaking into a good song, full of energy. It wasn't *too* bad, but I find it to be unnecessary. It brings to mind Cradle of Filth, and the silly stiltwalker at the show I saw. Totally unnecessary.
Overall, if one is looking for a good black metal album from Dimmu Borgir, look to For All Tid and Stormblast only. Those two are masterpieces, hefty slices of Scandinavian black metal.
Most of their later albums I equate with something an immature kid would listen to in order to try and be rebellious.
Call me paranoid, but I fear that black metal, with albums like this becoming so popular, may be exploited by the mainstream, copied and made meaningless.


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The couches are have actually improved the appearances of the houses for greater than 200 years. However, with the passage of time, the sofas have actually adjusted themselves to the adjustments and also at the same time, have actually grown in their rich heritage. This is why individuals consider acquiring the couches if they intend to add some elegance as well as style to their house or office.
When it comes to the velvet chesterfield sofa, there are several benefits of them. Sometimes, people additionally find it challenging to preserve the natural leather couches. Normally, if you desire to come out of the box as well as yet are looking to protect the beauty of the couch, the velour chesterfields are an excellent choice.
You can make it one-of-a-kind, straightforward, or you could also make an intense colored sectional couches especially it will be placed in the veranda. The most important thing that you need to always mind and also keep and also take into consideration in personalizing couches is of training course the indoor layouts of your home, always be particular that the couches you will make could significantly fit your house inside styles in general.


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Editor's Note: The Gene Siskel Film Center in collaboration with the Chicago Palestine Film Festival presents the 17th ANNUAL CHICAGO PALESTINE FILM FESTIVAL showcases an array of Palestinian films "representing the spirit and mood of contemporary Palestinian life" as described by the press release. Picture this Post's Taryn Smith had the opportunity to view 4 of the selections for the upcoming festival
Stitching Palestine
This documentary follows various women in an array of professions who discuss the preservation of Palestinian culture while they are embroidering together. This film weaves together personal history -often heartbreaking- with the history of Palestine and the fight to secure it. Stitching Palestine showcases the immense work women do to save their history and culture. (April 22nd)
Writing on Snow
In Writing on Snow a couple opens their home to a medic and two strangers during a violent night in Gaza. The film creates a claustrophobic feeling that enhances the intensity of the situation-especially when religious and political differences come to light. In this reviewer's opinion, the tightknit ensemble provides stellar performances, making this a top pick. (April 26th)
Ghost Hunting
This film involves a cast of non-actors who have previously been incarcerated. They work together to rebuild their former prison and recreate their harrowing experiences and memories. The weight of their past torture on their psyches is the focus of this documentary. (April 28th)
1948: Creation and Catastrophe
1948: Creation and Catastrophe explores the pivotal year in Palestinian history, 1948. This documentary provides a detailed and moving look at the founding of Israel and the expulsion of nearly a million Palestinians. Featuring a wide range of interviews from both Palestinian and Israeli veterans, and historians the human cost of war is masterfully depicted. (May 2nd)
April 21st- May 3rd
Gene Siskel Film Center
164 N. State Street
Chicago, IL 60601
For more information and to purchase tickets visit the Gene Siskel website
Photo Credit: All images courtesy of the Chicago Palestine Film Festival
About the Author
Taryn Smith graduated from the University of Illinois at Chicago's BFA Performance program in 2011. After graduating, she co-founded Realize Theatre Group and served as Executive Director for the company. She has filled numerous roles while with RTG both on and off stage including making her playwriting debut with her play America, Inc . She has worked as a stage manage, designer, director, and actor. Outside of the theatre world, Taryn is a licensed massage therapist.
Click here to read more Picture this Post stories by Taryn Smith.


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The highly controversial episode of The Real Housewives of New Jersey has aired where Joe Giudice takes his mystery phone call that he claims was from his work. Now that we've seen the actual footage, we know that it was not someone from his work, and Bravo definitely didn't over dramatize the previews.
Calling his wife, Teresa Giudice, a b*** and a c*** is absolutely disgraceful. Does this person not realize he's wearing a mic, or does he just not care anymore? Teresa was throwing herself at him, and he wanted nothing to do with his wife! I have never seen such disrespect from a man, and on national television! C'mon.
An insider revealed to RealityTea why Joe could be cheating, "Joe has been stripped of his masculinity these past few years. He lives in Teresa's shadow and has no driver's license. That is a hard pill for a man to swallow. Especially, when they always had the traditional marriage of her staying home and him being the provider."
Ok… we understand that, but that doesn't justify his behavior? He acts like a complete disrespectful a**hole on TV.
All of the RHONJ fans are wondering what Teresa is thinking after she's seen this footage. There is no denying what Joe was doing, he was caught! We know that the housewives preview the episodes before they air. I'm thinking T's blog this week will be pretty interesting… Or she will play dumb and pretend like nothing has happened. I really find it hard to believe she won't address this situation. #RHONJ is trending on twitter and every fan has something to say about this episode tonight.
So here's my question to you, should Bravo have aired that footage?
Photo Credit: Bravo


text: Bit Hbity [Beat Look] is the latest song from Adi Bity. It is a bouncy pop song with a quirky choreography that looks simple but is danced with perfect unison by Adi and her crew. Adi Bity (10) [More] Bity; Adi (10) [More] Beat Look (1) [More] Bit Hbity (1) [More] Pop (936) [More]


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Workshop size - 6 kids
Ages: 4-7
Registration Closes - Friday, February 9th
Hailey Knopke (11) has been a Yoga Teacher's Assistant to her mom, Jessica Knopke of Lily Pad Yoga, for nearly two years. Hailey loves to teach and nurture children. She is pure love and light and she makes everyone she meets feel good and happy. Your children will be in great hands with Hailey! They will practice yoga through songs, games, and poses in a safe, supportive and encouraging environment.
Children will make fun yoga crafts to take home with them!


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If you could figure out how to make the most money from your Internet company, would you be able to set aside all of your monetary concerns? It's not obvious if that's true, of course, but one way to make a bit of extra money is to optimize your web page hosting costs. Read on for some tips on how to make sure you are getting the best hosting for the lowest price.
Be sure to register the name of your domain separately from your web hosting service. In case the service shuts down, or you have conflicts with the company, you will still own your own domain name and can just change to a new host. If you register your domain through the same company that provides your web page hosting, you may lose control of the name in such circumstances.
When you're looking for a place to host a website, pick out a company that is located where your target audience is. For instance, if you target customers in the UK, make sure you choose a website hosting company whose data center resides there as well.
Ask about the kind of security precautions a host relies on. Your website will potentially be under constant threat and attack from unscrupulous individuals and malicious viruses. Ensure your web hosting service has security measures in place to deal with these attacks. You should inquire about the potential hazards to your site if the host is under attack.
When you decide on your web host, stick to monthly payments as opposed to lump-time payments. Predicting the future when it comes to your host's company or your own business is impossible. If the host declines, your business expands past them or your account gets closed, you could lose any money already paid.
A variety of factors can influence a hosting company's prices. You should review these things and use these tips to get what you need at an affordable price.


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Ted Tremper is a comedian, writer, director, producer, new to LA by way of Chicago and New York. You can see the new show he co-created SHRINK now on Seeso! Ted is a total hydroponics head and he's not in it for the weed. Dude loves to grow "tomaters" an is maybe the closest thing to an expert we've ever had on the show! We've got a new WOULD YOU RATHER and I (Andie) tell another anecdote about being bullied at the age of 13 which honestly, is too old to allow being picked on, I know! Follow us on twitter @TravisAndAndie follow me @AndieBolt I've got some fun stuff happening on the Pinterest (serach Andie Bolt) and don't forget to become a member of the network www.maximumfun/donate now! Don't wait! The #MaxFunDrive is almost over! Don't miss it!
This week our guest and co-host is the hilarious Daniel Van Kirk!(Comedy Central Comics to Watch, Dumb People Town with the Sklar bros, Bob's Burgers) DVK is 100% positive he will be surviving the apocalypse so be sure to stick with this guy by following him on social media! This episode we hypothesize about the person we will become after the apocalypse has changed us, a guest submitted "would you rather" and we talk zombies as we delve into Dan's "exiters" theory meaning we dip a toe in the deep end, so be ready to get dark. (Trigger warning: exiters theory includes discussion of mass suicides.) It's MaxFunDrive! Become a member right now! Don't wait! Visit maximumfun.org/donate then tweet at me @TravisAndAndie so I can thank you! Love you guys. Thanks for listening! xx Hope&Cheesecake
Our guest this week is Luke Barats and he will leave you behind if you break your leg and is the only guy I know who genuinely loves MREs. Did you know some come with Skittles?! We both realize as city dwellers we are not prepared for bio-terrorism and Deep Impact comes up again two episodes in a row but I personally think Luke doesn't realize how un-meantally prepared he is for an asteroid and that neither of us are prepared for the majesty that are Elijah Wood's eyes. Enjoy the show! Don't forget to find us on Facebook and tell your friends! It's not "if" but "when"!


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New Division Chair Joins College of Dentistry
On June 1, Lisa Lang, DDS, MS, MBA, will join the college as Chair of the Division of General Practice and Materials Science.
Dr. Lang earned a Bachelor of Science degree in dental hygiene and a Doctor of Dental Surgery degree from the University of Michigan School of Dentistry. She continued her education by completing a General Practice Residency at Columbia University College of Dental Medicine, and a Master of Science degree and a certificate in prosthodontics from the Graduate School of Biomedical Sciences at the University of Texas Health Science Center at San Antonio. She later earned a Master of Business Administration degree from Rawl's College of Business at Texas Tech University.
Dr. Lang has held faculty positions at the University of Texas Health Science Center in San Antonio, the University of North Carolina School of Dentistry, and the University of Colorado Health Science Center. She is also a Diplomate of the American Board of Prosthodontics. Her most recent leadership roles include her service as Chair of the Department of Comprehensive Care at Case Western Reserve University School of Dental Medicine, where she is currently the Assistant Dean of Clinical Education.


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Olympiad Exams are conducted by the Science Olympiad Foundation (a non-profit organisation based in New Delhi, India) to promote science, mathematics, general knowledge, introductory computer education and English language skills among school children. Olympiad exams are conducted at a very large scale for students from class 1 to 12.
SOF organizes 6 Olympiad tests each year:
(i) National Cyber Olympiad (NCO)
(ii) National Science Olympiad (NSO)
(iii) International Mathematics Olympiad (IMO)
(iv) International English Olympiad (IEO)
(v) International General Knowledge Olympiad (IGKO)
(vi) International Company Secretaries Olympiad Olympiad (ICSO)
Olympiad Examinations help to identify a child's capability and real potential that may help him survive better in today's modern competitive world. They motivate students to endeavor for better and deeper understanding of scientific facts so as to enhance their reasoning, analytical and problem solving skills. They also bring out the areas lacking proficiency so that so that a proper orientation can be given to improve in that area.
Some prominent benefits of Olympiad Exams for a student are:
Prospectus containing the registration forms of all exams conducted by SOF are sent to all schools registered with SOF Olympiad. Schools which are not registered may also request for prospectus by sending an e-mail at email@example.com.
The school's coordinating teacher generates the students' roll numbers as per the guidelines stated in the prospectus. A copy of these roll numbers along with the Students' Registration Sheet (SRS) and School Registration Form (SRF) is then sent to the Foundation's office before the due date of submission of forms.
The foundation then dispatches the question papers after the the applicant school and the students get registered.
National Institute of Career Education Scholarship Exam 2018
Most of the Olympiad exams are conducted on the similar syllabus that taught at school. No additional reference books are required for the preparation of these exams. Students are only required to be clear with all the concepts and basics. The questions asked in the Olympiad exams are quite different than what kids learn in the school. Questions are trickier and conceptual which require the students to have a wide thought process to solve the variety of problems based on logics and concepts.
About the Olympiad Exams:
Students from class I to XII can participate in the Olympiads conducted by the SOF.
Each exam is conducted at two levels:
Level 1:
Level 2:
Overcome Your Book Fear and Know the 6 Important Benefits of Reading


text: Danielle Kunst with her two German Shorthaired Pointers. Ace on her right and Ali on her left. Danielle was able to finish Ali as a champion in the show ring when he was just 13 months of age. She co-owns and trains both with her Father Paul Rearick of Manor Township. Both dogs are cross trained for conformation shows and field events. Ace is an AKC titled Junior Hunter and working on higher levels. Danielle is also a member of the Armstrong River Hawks Ladies Volleyball Team, section 4 A champions.


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Creating a COB HOUSE is not rocket science and with a continuous practice and experience – anybody can do it. Now, when you plan to make a cob house the first thing that comes to your mind is – how to make cob, right? So, let us take a chance to tell you, cob is a mixture of 3 materials –
- Clay
- Sharp sand or crushed rock
- Straw
The most difficult part is to learn how to identify clay soil, add a little straw and then to build test bricks to see what your strongest mixture is. Generally, cob is mixed by crushing the particles together by either dancing on it or using the head of a digger.
Friends! When you're gathering information about cob house, it's extremely important to understand its PROS and CONS.
Pros of cob house!
Cob Houses are Beautiful!
Creating a cob house is a great art. Cob allows you to easily create curves, carve shelves and features into your walls. But, though cob houses don't have to be curvy though, they can be made with right angles and straight walls for a modern touch.
Cob Houses enhances the beauty of windows and doors!
Do you want to form your doorway with a door frame? Build the cob around it to secure. Now, you must be wondering that wet mud will destroy the wood? Nope, it will dry out and the wood will be fine. For windows, sink a 2×4 into the cob and build a window frame around it for an outstanding look.
Cob is the most Sustainable Form of Building!
Well! The most important information about cob house is that they are entirely recyclable and non-polluting. The materials used for creating a cob house are usually excavated from your foundation trench – meaning there is no transportation of materials. The materials used in making cob are 'eco-friendly' as they contain zero embodied energy.
Cob Houses are Affordable!
We bet cob walls cost you nothing! You just require some land and few hundred dollars to build on. A three bedroom cob home can cost as little as £20,000.
Cob Houses are Energy Efficient!
Cob is made of 'thermal mass' material that absorbs sunlight and warms the building over the course of the day. This will help in keeping the inside of the building arm in the winter and cool in the summer.
Cons of cob house!
The Building Process is Slow!
Yes, it takes up to 15 months to allow phases to dry. Moreover, after completion it can take several months for building to finish shrinking.
Few Builders are skilled in Repairing Cob!
This information about cob house means that a new cob house requires a large footprint than a 'normal' home. But, the problem is that only few builders are skilled or trained exceptionally well in using, constructing or repairing cob.
How Long Does Cob Last ?
You might be surprised to know that the oldest cob house still standing is 10,000 years old. Cob houses stand forever because they are strong, durable, roof is well-maintained and the property is looked after properly. If you take a view of UK Cob houses, you'll get to know that they last for hundreds for years by just incorporating a few basic design features that makes them suitable according to the climate.
How easy is it to build with Cob house ?
As compared to other earth building techniques, it's really easy to work with Cob houses – it is a lot more forgiving and less precise than working with bricks. Before starting, one must acquire all required information about cob house and learn to keep the walls exactly vertical, but if you find your wall is slightly out – shave off some cob with an old saw or add a bit more cob for a perfect finish. Fitting windows and doors is also quite easy.


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B.V.A (Painting) 2001,RBU,Kolkata.
M.V.A (Painting) 2003,RBU,Kolkata.
'Baroda calling' ,a group show at Gallery Navya, Delhi-2015
'Vad fest' ,partticipated at 'Papyrus Indic' at Mayfair gallery,Baroda-2015
A group show 'Remembering lessing' at faculty of fine arts, Baroda-2014
Agroup show at Ganges art gallery,Kolkata-2014
A group show 'TGIL' at Sarjan art gallery,Baroda-2014
A group show 'HUB-5' at Faculty of fine arts, Baroda-2012
A group show 'HUB-3' at Faculty of fine arts, Baroda -2010
Boxes n Bookends,a group show at Strand art room,Mumbai -2010
'Des pardes' a traveling group show at debri'UK and Baroda -2010
'Cutting Chai' a group show at Sarjan Art Gallery,Baroda-2009
India Art Sumit-2008 with art 18/21(London)
'Vyaktya Avaykta'a group show at Birla Academy of Art and Culture,
at Kolkata -2007
'Soft Core' a two persons show at Sarjan Art Gallery,Baroda -2007
'Cynosure' a group show of woman artists at 'Lanxess ABS Gallery,
Baroda -2007
A group show at Kalahiti Art Gallery,Hydrabad -2007
'Art Watch' ,a group show at Gallery 88,Kolkata -2006
'Valentine Show' at Sarjan ,Baroda -2006
Group show at Keliodoscope ,Baroda -2005
'Detour' a group show at Gallery 88 ,Mumbai -2005
'Read' a group show at Birla academy of Fine Arts ,Kolkata -2003
Group Exhibition at Academy of Fine Arts, Kolkata -2003
Annual Exhibition of Birla academy of Fine arts ,Kolkata -2003
'Peace' Exhibition at Rotary Club of Calcutta & International Society
For Interculture studies and research -2000
Group show with RAD at Gaganendra Pradarshansala,Kolkata -1997
Best award in painting of Rabindrabharati University Annual.
Exhibition -2003 .Sunayani Devi Scholarship by State Academy, Kolkata -2003


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Lake LACD 128 1999 21 tracks 55 min
Dippermouth Blues, Riverside Blues, New Orleans Hop Scop Blues, Come Back Sweet Papa, Bluin' The Blues, Hesitating Blues, Willie The Weeper, Original Dixieland One Step, Royal Garden Blues, Weary Blues, South, London Blues, Jenny's Ball, Muskrat Ramble, I Ain't Gonna Give Nobody None Of Mt Jelly Roll, West End Blues, The Soldier's Lament, Tin Roof Blues, If You See Me Coming, Mahogany Hall Stomp, Get Out of Here And Go On Home
Anyone who has had anything to do with British traditional jazz will know of George Webb's Dixielanders, even if they have never actually heard them. The band saw its foundation at the Vickers Armstrong Armaments factory in Crayford, Kent during Wolrd War Two. Through a twisting series of coincidences the band was formed from a collection of jazz fans who learnt their music from records, and decided to try and play jazz for their own amusement. Soon their playing became well known and many young people were drawn to hear them and not a few, such as Monty Sunshine, went away to buy instruments and to start playing traditional jazz themselves. Their base was the Red Barn at Barnehurst, Kent. Today there is a plaque outside that proclaims that in 1941 George Webb's Dixielanders was the first band in England to play New Orleans jazz. Whilst some may dispute the claim, none will deny the influence that the band had in its short life from 1941 to 1948.
The tracks on the CD are from sessions in 1943, '45, '46, and '47. Having heard the band for yourself, you realise why they were such a key to the British jazz revival. The band changes from a 2 cornet lead a-la-king Oliver, to single cornet played by a young and vibrant Humphrey Lyttleton from 'West End Blues'; both styles are very attractive and true to the style of the jazz masters they were following. The sound quality varies from crude to reasonable. The first four tracks are from a small non-commercial run recorded in very primitive conditions that included someone have to lie in front of the drums to stop them 'walking' across the lino floor. The recording conditions for the remaining tracks improve, but all the tracks on the CD come from records rather than master tapes. If top gun sound engineer Paul Adams says this is the best he can get from the source material, I hate to think what the originals sounded like.
But this CD is not about sound quality; it is about a slice of history; it is about a band that was the prime mover, if not the source of the British revivalist jazz movement. To know British jazz you need to have and to listen to this CD. The sleeve notes are by George Webb himself. These extensive notes give an outline of the band's history and an idea of the British traditional jazz scene at the time. It can easily be argued that the notes alone are worth the cost of the CD!


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Journal of Nanomaterials
Volume 2012, Article ID 518593, 8 pages
An Investigation of Electronic Structure and Aromaticity in Medium-Sized Nanoclusters of Gold-Doped Germanium
1School of Natural and Applied Sciences, Northwestern Polytechnical University, Shaanxi, Xi'an 710072, China
2School of Chemistry and Chemical Engineering, Xi'an University of Arts and Science, Shaanxi, Xi'an 710072, China
3Center for Theoretical and Computational Chemistry (CTCC), Department of Chemistry, University of Oslo (UiO), P.O. Box 1033, Blindern, 0315 Oslo, Norway
Received 19 October 2012; Accepted 3 November 2012
Academic Editor: Su Chen
Copyright © 2012 Xiao-Jun Li et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
How to Cite this Article
Xiao-Jun Li, Hong-Jiang Ren, and Li-Ming Yang, "An Investigation of Electronic Structure and Aromaticity in Medium-Sized Nanoclusters of Gold-Doped Germanium," Journal of Nanomaterials, vol. 2012, Article ID 518593, 8 pages, 2012. https://doi.org/10.1155/2012/518593.


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Miscellaneous Q? Stuff
Faceless men, action figures, games and more
This section of the site houses everything that doesn't have a home elsewhere. Here, you'll find:
- Action Figures, Official and Custom!
- Foreign editions of the Q?
- Entries in Comic Encyclopedias!
- Faceless Men in Fedoras!
- Q? Cosplay!
- Q? Fan Films!
- Mario Bava's Blood and Black Lace!
- Q?-Related Video Games!
- The Question Guitar!
So have a look around! If you have anything else you'd like to see in this section of the site, please e-mail the site owner/administrator!
Action Figures
DC Direct Figure - In July 2002, DC's in-house product line DC Direct released an action figure of the Question, alongside Quality Comics transfers Uncle Sam, Phantom Lady and fellow former Charlton hero the Blue Beetle. Standing 6 and 1/8 inches tall, this version of the Question is the only official action figure.
Custom Figure Tutorial - John Bodin's version of the Question started life as a Jurassic Park Alan Grant action figure. Watch as he transforms Sam Neill into Vic Sage, annotating the steps along the way so that you too can play at home!
Custom Figure Gallery - Culled from various custom action figure websites around the Internet, in versions ranging from Mego to animated, to DC Direct to Mini-Mate! Check them out, and please let us know if you have a figure to add!
Foreign Editions
Clasicos - A company called Planeta D'Agostini has been releasing editions of the O'Neil/Cowan run in Spanish for their Clasicos DC line of books. Check out their covers here.
Reference Materials
The DC Comics Encylopedia - Published in 2004, this hardbound coffee table volume was supposed to be the new go-to reference guide to the DC Universe. Though there are some glaring errors, it remains a useful and information-filled resource that includes an entry on the Question.
Jeff Rovin's Encyclopedia of Superheroes - Published in 1985, this extremely useful reference guide misses out on the Question coming to DC Comics, but covers his Ditko days at Charlton Comics.
Faceless Comic Characters
Mr. A - Before Steve Ditko created the code-friendlier Question for Charlton, he'd been formulating a similar character, a reporter with a false face who would espouse Ditko's black and white philosophies while fighting crime and philosophizing -- Rex Graine, aka Mr. A.
Rorschach - When denied the use of the Charlton Action Heroes for their Watchmen maxi-series in 1985, writer Alan Moore and artist Dave Gibbons took a little of the Question, a little of Mr. A, with just a dash of parody and created one of the most memorable comic book characters of all time -- Walter Kovacs, aka Rorschach.
Yankee Doodle - His origins began when editor Lawrence Nadle solicited an espionage character to tie in with the James Bond craze, though he wouldn't see the light of day until Grant Morrison's Doom Patrol in 1992, where we find out he stole pseudo-derm material from Professor Aristotle Rodor -- John Dandy, aka Yankee Doodle.
The Blank (Dick Tracy) - Dick Tracy fought this hoodlum with a gimmick in 1937, a former slot machine gang leader who extracts revenge on all of his old gang after escaping from prison. Later, he was turned into Madonna for the film Dick Tracy -- Facless Frank Redrum, aka The Blank.
Dr. No-Face (coming soon) - While trying to get rid of a tell-tale scar on his forehead, this villain accidentally erased his face! Pretending to be the doctor who invented the machine that robbed him of his features, he perplexed Batman and Robin with a string of vandalism in 1963 -- Bart Magan, aka Dr. No-Face.
Charles Maire (coming soon) - His facial features burned off by the cruel Duc D'orterre, he and his sister turn to Batman for help in revenge and recovering his face -- Charles Maire.
The Blank (Project Superior) (coming soon) - Created by John Cassaday as a mixture of the Question and the Spirit for mega-compilation Project Superior, he's either a two-fisted tough guy or wants to be one -- The Blank!
Costumes and Cosplay
Morgan Wessler's Q? Costume - This Gotham City Public Works member provided us a set of pictures along with a helpful semi-tutorial on how to make your own Question costume.
Flash1087's Q? Costume - Worn on Halloween, 2006, this costume by forum member Flash1087 looks pretty swell.
Skeeter's Q? Costume - This costume's a little Vic Sage, a little Randy McDainger. Check out that white fedora!
Matt Brown's Q? Costume - This version was created by a Ph.D philosophy candidate using several layers of nylon.
Hannibal's Q? Costume - Looking dapper in a fedora and trenchcoat, Hannibal experiments with using pantyhose for a mask.
Chris .R. Notarile Fan Films
The Question pt. I - The Question reviews his files on Ted Kord, aka the Blue Beetle, and decides there might be more than meets the eye when it comes to the death of his former comrade.
The Question pt. II - The Question stages a daring daylight raid on the Checkmate building. Objective: Rescue the Blue Beetle!
The Question pt. III - Beetle and the Question exchange information and decide to take down their new common enemy -- Checkmate. But they won't be going it alone!
Blood and Black Lace
Blood and Black Lace - Perhaps the closest thing we'll ever see to the Question on the big screen is watching Mario Bava's 1965 horror thriller Blood and Black Lace with the TV muted, ignoring the fact that the Question seems to be killing a bunch of models.
Bava, riding high off the success of Black Sabbath, decided to tackle a murder mystery/whodunnit from the angle that he didn't care whodunnit. Instead, Bava turned his attention to the scantily clad young women that his killer would be massacring, contemporizing the ideas that Hitchcock used in Psycho, setting the standard for slasher flicks for many years to come, and influencing modern directors like Scorsese and Tarantino.
Screengrabs and plot synopsis await you.
Q?-related Video Game Stuff
The Question hasn't appeared in any video games yet, but that doesn't stop us from wishing he would. Below are various Q?-related video game items:
Ponder a proposal from Tim Allen, aka our forum's own Flash1087, for a complex Question game on multiple platforms. Tim summarizes the story of Vic Sage going against industrialist villain Lazarus, gives us the highlights of gameplay, including revolutionary "Walk in Two Worlds" mode, and lets slip what unlockable items a player might turn up.
Download a Question skin (coming soon) for the Jack Kirby-inspired computer game Freedom Force, currently the only way a player can actually play as The Question in a video game of any kind.
Consider what the Q? would look like in City of Heroes, if things like "copyright infringment" and "lawsuits" didn't get in the way. Not too shabby.
By the by, if anyone has any experience in modding video games, especially wicked old NES or arcade games, and would like to let us host a mod featuring the Question, we'd be extremely glad to. All I know how to mod is MVP Baseball.
The Question Guitar
When I first got into the Question, I was a teen-ager also finding interest in another hobby -- playing guitar. As it worked out, I got a bunch of duplicate copies of O'Neil's Question run for a dime apiece, and a beat-up pink Les Paul lookalike at an auction for $5. Of course I couldn't play a pink guitar! But what to do? Cover it in comic books! [PICTURES COMING SOON]


text:
Increasing clinical efficiency, reducing risk
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- Support continuous improvement/LEAN Six Sigma initiatives by facilitating video-based knowledge sharing and training.
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text:
- Study protocol
- Open Access
- Open Peer Review
Group medical visits in the follow-up of women with a BRCA mutation: design of a randomized controlled trial
- Annemiek Visser1Email author,
- Judith B Prins2,
- Nicoline Hoogerbrugge3 and
- Hanneke WM van Laarhoven1
© Visser et al; licensee BioMed Central Ltd. 2011
- Received: 10 June 2011
- Accepted: 24 August 2011
- Published: 24 August 2011
BRCA mutation carriers have a 40-80% life-time risk of developing breast cancer. They may opt for yearly breast cancer surveillance or for prophylactic mastectomy. Both options show increased survival rates. It is a complex choice to be made between these two options. As a result most women experience high levels of distress and high needs for information. To fulfill the needs for psychosocial support and information we have introduced group medical consultations (GMCs). A GMC provides individual medical visits conducted within a group. This 90 minute group-visit with 8-12 patients gives patients the opportunity to spend more time with their clinician and a behavioral health professional and learn from other patients experiencing similar topics. However, it should be noted that group sessions may increase fear in some patients or influence their decision making.
In this randomized controlled trial, 160 BRCA mutation carriers diagnosed maximally 2 years ago are recruited from the Radboud University Nijmegen Medical Centre. Participants are randomized in a 1:1 ratio to either the GMC intervention group (onetime participation in a GMC instead of a standard individual visit) or to a usual care control group. Primary outcome measures are empowerment and psychological distress (SCL 90). Secondary outcome measures are fear of cancer, information needs before the consultation and the received information, self-examination of the breasts, patient satisfaction, quality of life and cost-effectiveness. Data are collected via self-reported questionnaires 1 week before the visit, and at 1 week and at 3 months follow-up. A pilot study was conducted to test all procedures and questionnaires.
The possibility for interaction with other BRCA mutation carriers within a medical visit is unique. This study will assess the effectiveness of GMCs for BRCA mutation carriers to improve empowerment and decrease distress compared to individual visits. If GMCs prove to be effective and efficient, implementation of GMCs in regular care for BRCA mutation carriers will be recommended.
Trial registration
The study is registered at ClinicalTrials.gov (NCT01329068)
- Breast Cancer
- Breast Cancer Risk
- BRCA Mutation Carrier
- Contralateral Prophylactic Mastectomy
- Prophylactic Mastectomy
BRCA mutation carriers have a high life-time risk of developing breast cancer and also of ovarian cancer. In a large meta-analysis of ten studies the mean cumulative breast cancer risk at 70 years was 46-80% for BRCA1 mutation carriers and 40-80% for BRCA2 mutation carriers [1–3]. Because of this high risk of breast cancer, women with a mutation in either the BRCA1 or BRCA2 gene are offered breast cancer surveillance, which includes annual clinical breast examination, annual mammography and annual contrast enhanced magnetic resonance imaging (MRI) of the breast [4–6]. Alternatively, women may opt for prophylactic bilateral mastectomy with or without breast reconstruction [7–10]. Prophylactic bilateral mastectomy reduces the risk for breast cancer by 89.5-100%[11], making yearly surveillance unnecessary. Although prophylactic mastectomy minimizes the risk of breast cancer, comparable survival rates are seen for prophylactic mastectomy and yearly breast cancer surveillance [10].
BRCA mutation carriers who underwent treatment for breast cancer before, have to deal with a 50-64% lifetime risk for developing a second primary breast cancer [12]. Most studies among BRCA mutation carriers who had breast cancer have shown a reduction in the risk of contralateral breast cancer, while results on survival rates were diverse [10, 13–15]. Besides, the decision for contralateral prophylactic mastectomy depends on age, type of initial breast cancer surgery, prophylactic oophorectomy and the patient's opinion [16].
Thus, BRCA mutation carriers face a complex choice between these options. The knowledge of BRCA carriership and the consequently increased risk of developing breast (and ovarian) cancer may have a large psychosocial impact on mutation carriers. The level of cancer related distress among Jewish women increased significantly after the diagnosis of a BRCA mutation [17]. In another study 36 percent of women diagnosed with a BRCA1 mutation appeared to be sad or crying [18]. Several studies in the Netherlands showed that genetic testing, regardless of the test results may already increase levels of distress [19, 20].
The provision of psychosocial support is intrinsically connected to the provision of guidance in the choice between surveillance and a prophylactic mastectomy. In a study of 233 women who were awaiting their initial appointments for risk assessment, consideration of prophylactic mastectomy strongly correlated with high levels of breast cancer anxiety and overestimation of one's breast cancer risk, whereas there was no association with objective breast cancer risk [21]. Recently, it was suggested that standard visit with a psychologist for high-risk women considering prophylactic mastectomy may be indicated since anxiety is one of the main reasons for considering a prophylactic mastectomy, and depression and grief were present in a third of the participating women [22]. Interestingly, in this study uncertainty about surgery and the need for further information were the reasons given most frequently for postponing prophylactic mastectomy, indicating that there is a great need for information in this group [23]. Generally, the decision about surveillance or prophylactic mastectomy is not a medically urgent one and women can indeed take time to gather and process all information and talk about it with others. Of note, patient satisfaction is an important predictor of quality of life, treatment compliance and lower rates of anxiety and depression [24]. In previous studies it has been shown that in order to improve the patient satisfaction it is important for the clinician to discuss psychosocial factors and to be responsive to the patients concerns [25, 26].
To fulfill the needs just mentioned concerning psychosocial support and information we have introduced group medical consultations (GMCs) for the surveillance of BRCA mutation carriers. A GMC provides individual medical visits conducted within a group, giving patients the opportunity to spend more time with their own clinician in the setting of a support group with a behavioral health professional and learn from other patients experiencing similar topics. In contrast to the typical 15-20-minute office visit, a 90-minute group-visit with 8-12 patients permits ample time for discussion and education. The incorporation of the individual medical visit in a GMC distinguishes GMCs from educational workshops and support- and self-management groups. In general, the group of patients in a GMC is composed of different participants from meeting to meeting. Currently, GMCs have been offered to patients of different ages with a variety of diseases [27, 28]. Although several benefits of GMCs compared to individual visits have been reported, the effects have not been evaluated for the surveillance of BRCA mutation carriers.
Most previous studies showed improved satisfaction in patients receiving GMCs and in health professionals providing GMCs. The unhurriedness of the clinician and the time spent with the clinician is appreciated most by patients [29–33]. Clinicians were positive about the innovative and multidisciplinary working method [34]. Besides improved quality of life, which is reported in several studies [32, 35, 36], also improved health behavior, self-efficacy for following certain health promoting interventions and knowledge of the disease was shown among diabetes patients and patients with coronary artery disease who participated in a group visit [35, 37]. Also, quality of care is improved. For example, in a study of diabetic patients group visit participation was positively associated with patients receiving preventive procedures, review of medication and microalbuminuria test recorded in the registry [38]. Other studies in diabetic patients have confirmed these results [31, 39–41]. When planned carefully, this type of visits may increase clinician satisfaction and productivity [30, 36, 42–44].
However, it should be noted that group sessions may not be beneficial [45]. Recently the effects of educational-support groups for BRCA mutation carriers have been studied [46]. This program included eight sessions with alternately a psychosocial (5 sessions) and a medical information focus (3 sessions); no individual visits were provided in the group. The study provided presumptive evidence that educational-support group participants were more inclined to undergo prophylactic mastectomy than non-participants. Possibly the occurrence of group members getting cancer during surveillance affected other group members. Group participation may have triggered feelings of anticipated regret, i.e. regret that women think they would have if they were to be diagnosed with breast cancer after not (yet) having chosen the option of prophylactic mastectomy [47]. Therefore, before introducing GMCs in regular patient care for BRCA mutation carriers the pros and cons of GMCs for this population should carefully be evaluated.
The study examines the effect of GMCs on patient empowerment and psychological distress of BRCA mutation carriers as well as several secondary outcome measures. This randomized controlled trial (RCT) will compare two groups; the intervention group, who will participate in a GMC once and the control group, who will receive care as usual (surveillance in an individual visit).
Ethical consideration
The study has been approved by the medical ethical committee of the Radboud University Nijmegen Medical Centre. Full medical ethical approval has been obtained in February 2011.
Study sample
A total of 160 recently diagnosed BRCA mutation carriers will be invited to participate in the study. To stimulate interaction and discussion within the group it is important to compose heterogeneous groups. Nevertheless, some homogeneity is needed to keep the GMCs relevant for everyone [34]. Therefore the following in- and exclusion criteria were formulated. Inclusion criteria are: carrier of a BRCA1 or a BRCA2 mutation; diagnosed maximally 2 years ago; and a minimum age of 25. Exclusion criteria are: currently involved in a diagnostic work-up because of a suspicion of breast cancer, either primary or metastatic; a history of prophylactic mastectomy or current psychiatric disease precluding visits in a group; insufficient command of the Dutch language to be able to follow a group discussion and fill out questionnaires in Dutch.
Recruitment and randomization
Patients randomized to the intervention group will participate once in a GMC instead of a standard individual visit. The GMC will provide individual medical visits conducted within a group, giving patients the opportunity to spend more time with their own clinician in the setting of a support group. In this way patients can learn from other patient's experiences with similar topics. A social worker will be present during every GMC. Besides leading the discussion and making sure every patient receives equal attention from the clinician, the social worker will be available for psychosocial related questions and support. The group visit itself will take 90 minutes. In advance, half an hour will be scheduled for physical examination, where privacy concerns will be taken into account. The control group will have their usual individual visit with the clinician. The clinician and the social worker will both use protocols with information based on most up-to-date publications concerning BRCA gene mutation related topics, specially developed for the GMCs.
Study outcomes
At baseline, 1 week after and 3 months after the (group or individual) visit participants will be asked to fill out a questionnaire. Patients refusing participation will be asked to fill out one questionnaire to gain insight in reasons for not participating. Demographical data will be collected as well as the following measures.
Primary outcome measures
Empowerment is the first primary outcome, which will be measured using the Empowerment Questionnaire for breast cancer patients. This questionnaire has been developed and validated in the Netherlands for the assessment of empowerment in psychiatric patients. With minor revisions, the 40-item questionnaire was validated in breast cancer survivors. The study involved 140 non-metastatic breast cancer patients who were treated in the past with curative intent. Four factors were extracted, explaining 53 percent of the total variance. Factor 1 was labeled 'Personal Strength', factor 2 'Social support', factor 3 'Community' and at least factor 4 'Health Care'. The internal consistency reliability for each factor demonstrated good reliability for all four factors and for the total empowerment scale (alpha = .94)[48].
Another primary outcome is psychological distress measured by the Symptom Checklist-90 (SCL-90). SCL-90 is designed to evaluate a broad range of psychological problems and symptoms of psychopathology. It can be used for measuring the progress and outcome of psychiatric and psychological treatments [45, 49]. It consists of 90 items, yielding nine scores along primary symptom dimensions and three scores among global distress indices. A countless number of studies demonstrated the reliability, validity and utility of the instrument.
Secondary outcome measures
Besides the primary outcomes, the following secondary outcomes are measured. The Cancer Worry Scale will be used to assess the fear of cancer. It consists of 8 items and is used in several studies among cancer patients. The internal consistency is good (alpha = .80)[50, 51].
The information needs before the consultation and the actually received information after the consultation will be measured by a list of relevant topics for BRCA mutation carriers, including topics like prophylactic mastectomy, use of oral contraceptives, depressed mood. Participants can also add their own topics. In advance of the visit participant are asked to fill out which topics they want to discuss during the consultation. One week after the visit participants will indicate on the topic list which topics have actually been discussed.
Self-examination of the breasts will be measured by a question about the frequency of self-examination and about the reason not to examine their own breasts. One question is included to assess the patient's choice for a prophylactic mastectomy or surveillance.
To assess the patient satisfaction a combination of the QUOTE questionnaire [52] and some GMC specific questions will be used [34]. Overall satisfaction with the visit will be rated on a scale from 1 (not satisfied at all) to 5 (very satisfied).
The quality of life will be measured by the EORTC-Q30 and the EORTC-BR23. The EORTC-Q30 is a health-related quality of life questionnaire which is validated for oncological clinical research [53]. Chronbach's alpha was close to or higher than 0.70 for seven of the nine scales and ranged between 0.19-0.92 [54]. The questionnaire consists of 30 items, including a functional, symptom and health-related quality of life subscale. The EORTC-BR23 is a validated breast cancer-specific questionnaire [55, 56]. The questionnaire consists of 23 items, including side effects of therapy, body image, sexuality and outlook for the future.
To evaluate the cost-effectiveness of the intervention costs will be measured by several questions from the Trimbos/iMTA questionnaire for Costs associated with Psychiatric Illness (TiC-P). This is a frequently used instrument for economic evaluations in mental health care [57].
The researcher will be present during the GMC for measuring the time spend per patient. This measure will be used in the analyses to test the relation between time spend per patient and the effectiveness of the GMC. Besides, topics discussed during the visits will be measured by the researcher.
Power calculations
The primary aim of GMCs is to increase patient empowerment and to prevent an increase of psychological distress. Data on these outcome measures for BRCA mutation carriers are not yet available, therefore data from a rather comparable population, breast cancer patients, is used for the power analysis. Also, data of the SCL-90 is more widespread compared to empowerment data for breast cancer patients, therefore results of this questionnaire have been used. A healthy score on the SCL-90 ranges between 90-130, while breast cancer patients, one year or longer after curative treatment for breast cancer, achieved an average score of 138.5 [58]. In this study we strive for a high normal average score of 125. This implies that an average difference of 13.5 points can be defined as clinically relevant. The standard deviation is 45, which is based on three norm groups [49]. To assess a clinically relevant effect of GMC on psychological distress with a power of 80%, a two-side significance of 5%, a standard deviation of 45 and an expected drop-out of 15%, 80 patients need to be included in each group.
Statistical analysis
For the primary analysis a covariance analysis (ANCOVA) will be conducted. Differences in empowerment and SCL-90 scores (primary outcome measures) at baseline and one week after the GMC between the intervention group and control group will be compared. In addition ANCOVA provides the opportunity to compare trends over time between the two groups. The SCL-90 scores at T1 or T2 will be included as dependent variables and the group (individual consult or GMC) as independent variable. Furthermore, the SCL-90 score at baseline will be a covariate. The analysis of the secondary outcome measures is a repeated measurement analysis (ANOVA or mixed model) to compare trends over time between the two groups.
Cost-effectiveness analyses
Beside effectiveness of the intervention, another important measure is the cost-effectiveness. This study will compare the difference in total costs for health care and production losses between the intervention group and the control group. These costs will be estimated by several questions. The total direct medical costs (for example outpatient visits, length of stay in hospital, use of medication) will be calculated by the use of reference unit prices of health care services. The total estimated costs are rated against change in the level of distress.
Preliminary results
Topics discussed during GMC according to patients and to health care professionals
Care professionals
(%) (n = 2)
(%) (n = 7)
The risk of breast cancer
Self-examination of the breasts
Results from MRI and mammography
Control frequency in the hospital
Prophylactic mastectomy
Factors influencing the choice between prophylactic mastectomy or surveillance
Breast reconstruction
Breast enlargement
Controls of ovaries
Surgical removal of the ovaries
Use of birth control pills
Breast feeding
Hot flashes
Situation of family members
Reaction of partner/family/friends on the diagnosis
Sad feelings
Feelings of fear
Contact with social work
Other topics
Several studies showed the advantages of GMCs compared to individual visits. However, for BRCA mutation carriers the effectiveness has never been studied. Since GMCs may have disadvantages the effects of GMCs should carefully be studied.
Most research among other patient groups showed positive effects on patient and caregiver's satisfaction. The participants in the pilot study were also satisfied about the GMC. This is of importance as a high patient satisfaction is related to a high quality of life, more compliance and less anxiety and depression [24].
We observed a remarkable difference in the number of topics discussed during the GMC according to patients and according to health care workers. This may be explained by the fact that patients remember only 20-60% of the information in medical visits and only remember information that is relevant to them at that moment. The working memory is limited, therefore only relevant information will be processed and stored [59]. It should be noted that BRCA mutation carriers have a large need for information [22].
GMCs give the opportunity to provide this information in a relatively short amount of time, while patients can make a selection of information, which is particularly relevant for their own situation. Besides, we expect information gathered from fellow patients to be better remembered. At the same time any incorrect information given by other patients can be corrected immediately by the health care professional to prevent misunderstandings.
GMCs may fulfill the need for extra attention for psychosocial related problems, both by health care providers and by fellow patients. The possibility for interaction with other BRCA mutation carriers within a medical visit is unique.
Of note, despite the widespread implementation of GMCs in different patient groups, the cost-effectiveness remains unproven. In the current health care system cost effectiveness is an important factor to take into account too.
In conclusion, the aim of our study is to assess the effectiveness of GMCs for BRCA mutation carriers to improve empowerment and decrease distress compared to individual visits. If GMCs prove to be effective and efficient, implementation of GMCs in regular care for BRCA mutation carriers will be recommended.
Acknowledgements and Funding
The study is funded by the Pink Ribbon Foundation from the Netherlands.
Authors' Affiliations
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Pre-publication history
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SACRAMENTO - Barry Enright was on his way to a happy homecoming on Sunday, shutting down the Sacramento River Cats en route to his sixth consecutive Pacific Coast League victory with the Reno Aces.
SACRAMENTO - Barry Enright was on his way to a happy homecoming on Sunday, shutting down the Sacramento River Cats en route to his sixth consecutive Pacific Coast League victory with the Reno Aces.
He just wasn't around to enjoy it.
The 2004 St. Mary's High School graduate allowed two runs on just two hits while striking out nine and walking two, but was ejected during a benches-clearing incident in the seventh inning. Reno ended a five-game losing skid at Raley Field with a 9-2 victory in front of 5,593 fans.
Both Enright and Josh Donaldson were ejected after Enright beaned the .254-hitting Donaldson, who had hit a solo home run in the second. Enright admitted his pitch had a purpose but said he wasn't trying to hit the right-hander.
"I didn't appreciate the way he pimped the home run, the wall-scraper in the second inning," Enright said. "I wasn't trying to go up and do any damage, I was just trying to brush him back."
Donaldson, a former Stockton Port, immediately took steps toward the mound, pointing at Enright. Never one to back down, Enright responded in kind. Within seconds both benches and bullpens emptied, and both players were quickly tossed from the game.
"Over the last three years they've thrown at me six times," Donaldson said. "Most have been around my head. I know for a fact I haven't done anything to deserve it. It's unfortunate because you're dealing with people's careers."
Enright has been dealing well with his career in Reno following a demotion from the Aces' parent club, the Arizona Diamondbacks, in early May.
It has been a year, almost to the day, since Enright's dream came true. While pitching for the Mobile BayBears, Arizona's Double-A affiliate in Alabama, pitching coach Dan Carlson gave him the news: He was skipping Triple-A and heading to the big leagues.
It was an enormous challenge, and Enright responded. He went 6-2 with a 2.45 ERA, 41 strikeouts and 22 walks in his first 12 starts for the Diamondbacks before losing his final five starts. He followed that up with a strong spring but struggled once the season started. After going 1-3 with a 6.49 ERA, he was sent to Reno on May 3.
Following a bumpy transition, Enright is now 7-2 with a 3.99 ERA in Reno.
He said part of his problem in Arizona was confidence. Part of it was pressure, much of it self-induced. With each subpar performance, the tension mounted with growing concern his job was on the line.
Following his return to the minors, Enright has avoided the opposite anxiety so common to those whose talent and development place them on the cusp of the majors; he's not waiting by the phone expecting a call-up following each impressive outing.
"Last year, I did that," he said. "I kept asking myself, 'When is it going to come?' It's what the big man upstairs has planned for you. I have a great family, a great base, a great spiritual life. Only he knows what's going to happen."
Reno manager Brett Butler spent parts of 17 seasons in the big leagues. He doesn't hesitate in defining Enright.
"He's a big-league pitcher," he said. "He knows how to pitch, and he knows how to go about his business. Every time he gets on the mound we expect to win."
A big part of Enright's June boon, the pitcher believes, is his perspective. Rather than yearning for a roster spot with the Diamondbacks, he realizes the hand he's been dealt has plenty of, well, Aces. Simply put, he's enjoying life in the PCL.
"I feel ready if that call comes," he said. "But I feel content where I am."
Contact reporter Stephen Roberson at (209) 546-8272 or email@example.com.


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How time flies and my little miss is turning one year old this April! I can still remember that day when I delivered her into the world. It was the most life-changing event of my life. And how can I forget the many, many weeks when I lacked sleep – but still went through regular motherhood programming.
So true is the adage that the "days are long, but the years are short." I can only be grateful to God who has provisioned us all through the difficult times. I used to pray for a full-time work from home job before Summer turns a year old – because I knew by that time she'll be so needy of me. And God has fulfilled it with His impeccably perfect timing!
As parents, we always pray for our kid's health and protection. So far, Summer has been spared from major sickness and disease (and I hope she'll forever be so). Given that I couldn't breastfeed her, she has turned out to be healthy and active – to the point of my exhaustion hehe. But I don't mind 🙂
Lots of people say she's a good girl. Summer can be left alone playing by herself. And she can now express herself more – so it gives everyone a clue what she wants without her throwing a big tantrum.
She eats almost everything! PG kung PG (as in Patay Gutom)! I hope I won't ever get into feeding troubles with this kid. She eats her solids pretty well now.
Retrospecting, I can say that first-time motherhood is "survivable". You don't actually need to lose your sanity. I can only be thankful to all the people who helped us cope with it – our families, friends, brothers and sisters in our community.
A part of me cannot wait for Summer to grow up because I know she will be the kind of person God wants her to be. But at the same time, I am also left wanting for more… more time to spend with her… more time to enjoy her "babyhood" until I am ready for the next stage.


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West of Ireland 1950
The Sligo Champion of April 15, 1950, reported Cecil Ewing's 10th victory as follows:
"The County Sligo Golf Club's champion player, Cecil Ewing, scored notable achievement at Rosses Point during the Easter weekend when he retained the West of Ireland Championship to put his name on the trophy for the tenth time. In a memorable and exciting final, Ewing beat Brud Slattery, from Lahinch, at the 36th hole. Ewing fully deserved his win. He played brilliant golf throughout the championship and his victory was hailed with delight by his fellow club members who are looking forward to him going far in the Irish Open Championship when it is decided over the Rosses Point links in September next.
The Rosses Point has the reputation of always having the vilest possible weather for this great annual golfing reunion which attracts players from all over the country. This year the conditions were unforgettable. Pelting rain, violent hail showers, icy sleet fell at intervals during the weekend, and all the time the gales howled as the weather tended to become still more sullen, dark and dismal.
The early rounds, played on Saturday and Sunday, were spartan affairs, and as one watched a procession of weary golfers return to the clubhouse after the 18 holes, it was quite obvious that this game of championship golf is not one for weaklings.
A few days before the championship, some newspaper sports writers in Dublin predicted that the entry for this year's championship would be smaller than usual. Of course, nobody, expected it to reach last year's record-breaking figure when the Western Championship was used as a try-out for places on tho Irish side in the international matches which were then to follow shortly afterwards.
On Good Friday afternoon, before the draw was made, it was discovered that there were over seventy entries, and as this number would tend to upset the planned schedule it was necessary to request a handful of local players to stand down and so get things under way with an even 64 starters.
The Championship started in the teeth of a howling gale on Saturday morning. So frightful were the conditions that some players took more than three hours solid trudging to get around the 18 holes. In the face of this, it was surprising that there were so few unexpected defeats."
R. C. Ewing (Co. Sligo) holder, bt B. Slattery (Lahinch) 1 up.
Ewing bt Scannell 2/1.
Slattery bt Carr on the 18th.
Ewing bt Nolan 3/2.
Scannell bt Ferguson at 21st.
Carr bt Brown 5/4.
Slattery bt Graham 3/2.
Third round
Cecil Ewing (Co. Sligo) bt F. P. Smith (Co. Cavan) 5/4.
J. Nolan (Loughrea) bt F. Webster (Carlow) at 19th.
M. Ferguson (Dundalk) bt H. B. Linehan (Milltown) 7/6.
B. J. Scannell (Woodbrook) bt L. J. Howley (Royal Dublin) 2/1.
J. C. Brown (Waterford) bt C. E. Anderson (Co. Sligo) 6/5.
J. B. Carr (Sutton) bt G. H. Owens (Skerries) 3/2.
J. Graham (Strandhill) bt B. Moylett (Ballina) 4/3.
B. Slattery (Lahinch) bt J. Cribbin (Castlerea) 2/1.
Second round
Smith bt. Bulger, 2/1.
Ewing bt. Wright, 4/3.
Nolan bt. T. P. Murphy, 2/1
Webster bt. Doherty, 3/2.
Linehan bt. Taggart, 3/2.
Ferguson bt. Smith, 2/1
Scannell bt. Fatton, 5/4.
Howley bt. Ryan, 3/2.
Anderson bt. Fitzpatrick. 1 up
Browne bt. Leydon at 19th.
Owens bt. Barnwell, 4/3.
Carr bt. J. B. Murphy, 4/3.
Moylett bt. Ryan, 3/2.
Graham bt. Clarke, 5/4.
Slattery bt. Power, 3/2.
Cribben bt. McDonagh, 1 up.
First round
F. P. Smith (Co. Cavan) bt A. F. McCoy (Ballycastle), 5/4
P. Bulger (Ennis) bt F. O'Flynn (Rossmore), 5/4.
R. C. Swing (Co. Sligo) w/over, J. A. O'Donoghue (MiItown),
M. V. Wright (Rossmore) bt T. P. Fitzpatrick (Sutton), 5/4.
T. P. Murphy (Elm Park) bt H. Raftery (U.C.D.), 7/6.
F. Webster (Carlow) bt T. P. Byrne (Co. Louth), 4/3.
F. Smith (Co. Sligo), w.o. F. J. Farrell (Longford), scr.
J. Nolan (Ballinasloe) bt M.J. Dyar (Loughrea), 2/1.
G. Doherty (Strandhill) bt A. McMahon (Ennis), 1 up.
H. B. Linehan (Milltown) bt W Smyth (Royal Co. Down), 3/2.
J. Taggart (Portrush) bt P. J. O'Donoghue (Co. Sligo), 3/2.
M. Ferguson (Dundalk) bt P. J. Hillery (Spanish Point), 4/3.
D.. Fatton (Rossmore) bt A. C. Brindley (Milltown), 3/2.
B. J. Scannell (Woodbrook) bt J. Belton (_Lahjnch), 4/3.
L. V. Ryan (Grange) bt P. F. Purcell (Portmarnock), 1 up,
L. Howley (Royal Dublin) bt D. Maloney (Strandhill), 3/2.
M. P. Fitzpatrick (Sutton) bt D. F. Gleeson (Lahinch), 4/3.
C. E. Anderson (Co. Sligo) bt F. Cusack (Rossmore), 6/4.
J. C. Brown (Waterford) bt R. Davitt (Grange), 5/4.
P. J. Leydon (Spanish Point) bt D. Woods (Royal Co. Down), 6/5.
G. H. Owens (Skerries), bt A. Butler (Portmarnock), 1 up.
J. G. Barnwall (Castle) bt P. J. Holmes (Thurles), 2/1.
J. B. Murphy (Clones) bt W. J. Gill (Portmarnock), 3/2.
J. B. Carr (Sutton) bt P. F. Brennan (Athenry), 4/3.
B. Moylett (Ballina) bt F. X. Kelly (Portmarnock, 2/1.
D. Ryan (Lucan) bt M. H. Murphy (Ballina), 2/l.
V. Clarke (Clontarf) bt J. J. McHugh (Bundoran).
J. Graham (Strandhill) bt J. Duffy (Rossmore), 5/4.
B. Power (Strandhill) bt R. Brett (Rossmore), 5/4.
B. Slattery (Lahinch) bt T. Allen (Hermitage), 7/6.
A. McDonagh (Limerick) bt S. McGonigle (Bundoran), 3/2.
J. Cribben (Castlerea) bt M. Herrigan (Thurles), 3/2.