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Nova Brown Senior Casework Manager Scottish Government Health and Social Care Directorate Restricted Patients in the Community email@example.com@scotland.gsi.gov.uk
Introduction Restricted Patients - legislative background Policy Role of Scottish Ministers, PMO and officials Management of Offenders Legislation/CPA Anonymised case for discussion Memorandum of Procedure Role of MHO Training – why so important Bryan Homicide Inquiry
Test for Restriction Order Section 59A (a)having regard to the nature of the offence with which he is charged (b)the antecedents of the person and (c) the risk that as a result of his mental disorder he would commit offences if set at large that it is necessary for the protection of the public from serious harm so to do, the court may, subject to the provisions of this section, further order that the person shall be subject to the special restrictions set out in Part 10 of the Mental Health (Care and Treatment) (Scotland) Act 2003 without limit of time.
Recent Policy The policy in relation to restricted patients has developed further over recent years and been informed by: –The MWC Report on the inquiry into the care and treatment of Mr L and Mr M –The Risk Management Authority's recommendations on working with restricted patients –The Forensic Mental Health managed Care Network (Forensic Network) – see NHS HDL(2006)48 and NHS CEL 13 (2007) –The Management of Offenders etc (Scotland) Act and revised CPA
The MWC Inquiry Report into Mr L and Mr M –No systematic approach to risk assessment –No risk management plan or strategy to deal with relapse –No crisis plan –a need for care governance around training, skills and knowledge of those providing social work support for restricted patients –In the Inquiry's view, this includes mental state and risk assessment skills, as well as generic social work skills.
Mr L and Mr M: important conclusion... Medical treatment and risk management are not the same. Irrespective of improvement and recovery in response to treatment, the risk posed by an individual patient must always be considered separately and determine the degree of liberty enjoyed by a patient. Mental Welfare Commission (Report into the inquiry of Mr L and Mr M, March 2006)
RMA Recommendations Standardised CPA Formal risk assessment reviews at predefined key stages in the patient journey Training should be developed and provided to multidisciplinary teams including –Management of MDOs; risk assessment and management; managing restricted patients (use of the MOP); and multidisciplinary working
Key is balanced judgement "it is understood that there is inherent uncertainty in the processes of risk assessment and risk management. The goal is not to predict adverse events nor to have overly risk-aversive practice..... risk can be reduced and managed but never eliminated... "SG must be satisfied that the MDT have properly identified and evaluated any risk to the public and that sound measures have been taken to manage it
RESTRICTED PATIENT CASELOAD Number of restricted patients (as at 28.09.12) 324 Number of remand patients (restricted status) 30 Number of restricted patients (excl remand) in: State Hospital Orchard Clinic Rowanbank Clinic Local Hospitals Conditional Discharge Total 98 20 39 86 51 294
Role of Scottish Ministers The 2003 Act gives Scottish Ministers a specific statutory role in respect of restricted patients The oversight of Scottish Ministers provides safeguards as follows: –A compulsion order lasts only 6 months unless renewed by the RMO. A RO is without limit of time –A RO prevents a patient being released from compulsion (either in hospital or in the community) without a decision of the Tribunal at which SMs can make representations
Scottish Ministers (Cntd) Decisions about transfer of the patient – ie to lower security hospitals are subject to scrutiny and approval of SMs (S218) Decisions about SUS require SMs consent and SUS can be revoked at any time (S224) A RO involves SMs monitoring the patient on a continuing basis Conditional Discharge allows supervision, assessment and monitoring in the public interest and patient can be recalled from CD at any point Scottish Ministers can vary conditions of discharge (done in discussion with the multi-disciplinary team) To reflect risk considerations for Mental Health Tribunal hearings
Role of the Principal Medical Officer and officials in the SG Health Directorate The Principal Medical Officer (Forensic Psychiatry) is a psychiatrist who is responsible for liaison with the RMO and for advising Scottish Ministers and their administrative officials on clinical aspects Officials in MHD are responsible for administrative matters generally in relation to casework on restricted patients. Decisions which are not taken personally by SMs are taken on their behalf by officials on the advice of the PMO
Role of Officials/PMO (FP) Casework Review all annual reports/MHO reports/care plans/risk assessment/CPA minutes etc Review all reports of adverse incidents Patient reviews – every 6 months-2 years –Review file and recent reports –Discuss case with RMO/MHO and other team members –Interview patient with RMO/team members/advocacy –Discuss issues with case workers –Produce written report for file, RMO/MHO and MWC
Role of PMO (FP)/Officials (cont) Available to discuss issues/advise clinical team members by telephone Attend CPA meetings as required Attend branch meetings/CORO meetings/meetings with SGLD and Counsel Out-of-hours on call for reporting of adverse incidents/permission for emergency suspension of detention
Role of PMO (FP)/Officials (cont) Advice to SMs/Decisions taken on behalf of SMs State Hospital outings Suspension of Detention outwith hospital grounds (decisions on life sentence prisoners always taken personally by SMs) Transfers between hospitals and units (decisions on transfers to lower level of security always taken by SMs Transfers from hospital to prison
Role of PMO (FP)/Officials (cont) Cross border transfers (decisions always taken by SMs when drop in level of security) Variation of conditions of discharge Recall from conditional discharge Advise re Position Statements in cases referred to/applications/appeals to MHT to reflect risk Advise re media enquiries/press statements/Parliamentary Questions etc Advise re Parole Board reviews Provide training events at SAH and available to assist teams in provision of training locally
CPA in practice Multi-agency working vital via CPA Risk Assessment Documentation should be prepared prior to CPA with contribution from all relevant agencies Risk Management/ Contingency Plan traffic light Flowchart for information sharing Patient engagement Risk Assessment Tools and understanding between agencies of the tools each use More than just High, Medium or Low risk Risk Assessments should be ongoing Planning and Contingency Planning vital
Scottish Ministers' expectations of CPA Contact details of multi-agency representatives incl police and CPNs (as they are part of reporting process now); MHO attendance note of meeting (currently not included in all CPA paperwork); pre-CPA where appropriate with 3rd party notes/victim info; details of offence; schedule 1 notification; sex offender;
Scottish Ministers' expectations of CPA date of first statutory review; date of next CPA review date; MAPPA notification/referral made. MHO representation as integral part of team police rep involved where appropriate. traffic light risk assessment/management and contingency plan including risk of abscond Informing restricted patient team when "red" or "amber" incidents occur Dedicated CPA co-ordinator
Police role Police have two key roles in relation to management of restricted patients: Sharing information to help the responsible authority (Health) assess and manage risk appropriately To help address community safety issues when patients are moving towards spending time in the community or discharge to the community
Police engagement with CPA Police engagement Admission – allows suitable police liaison officer to be identified and will assist with gathering of intelligence of the risk assessment process When consideration of escorted/unescorted or in certain circumstances escorted leave within hospital grounds Prior to accommodation being identified for patient progressing towards conditional discharge When a breach of condition occurs or if a patient is recalled Any other occasion when it can be demonstrated that a police officer's presence is essential
MAPPA referrals Consideration of unescorted SUS incl within hospital grounds At point when accommodation identified and progressing towards CD Recommendation for revocation of CO or RO or CD
Conditional Discharge Subject to conditions ie residence, supervision, structure, drug/alcohol testing, Can have condition must not enter specific area (ie if victim concerns) Ministers may recommend conditions to MHT but ultimately decision for MHT Ministers may vary conditions of discharge whilst patient is on CD ie either relax or strengthen
Anonymised case For the index offence Mr X was found with a replica gun and 24 wraps of heroin. He had a previous conviction for assault to severe injury – charge reduced from attempted murder - by stabbing. Diagnosis of paranoid schizophrenia and personality disorder He was admitted to State Hospital before being transferred to local facility and conditionally discharged. He was recalled from CD after misusing drugs and becoming psychotic (18 months) – subsequently admitted to using flushing kits He was re-CD'd and has been in community for nearly 2 years
Anonymised case (cntd) He continually pushes at boundaries. In 2010 he tested positive for illicit substances His attendance at structured activities declined – partly because of unwillingness to attend and also because of the closure of one of the projects Jan 2011 his OT reported he continued to deflect/avoid her – contact stopped but restarted again April 2011 tested positive for illicit substances and admitted to accruing a gambling debt
Anonymised case (contd) June 2011 PMO noted marked persecutory tone June 2011 RMO stopped medication Refused to give urine sample in August Refused to give urine sample in September October – RMO described patient suffering headaches, palpitations, rashes, allergies, chest pain, jaw clenching and a number of stressors including owing money, difficulties in relationships and illnesses in family Urgent CPA meeting held – what would you recommend?
Memorandum of Procedure An essential reference document for those involved with the management and care of restricted patients The MOP also sets out information in relation to certain patients subject to other types of mental health orders It is not intended as an authoritative interpretation of the law
Updated MOP Executive Summary focusing on clinical governance, events influencing policy etc New guidance on risk assessment and management produced in conjunction with the Risk Management Authority Incorporation of MAPPA guidance Updated legal guidance following JK, MM, Gatt and Fallon Updated CPA guidance incorporating suspension of detention and dispensing with the old Annex B2 and B3 forms New reporting forms for the RMO and MHO including new reporting role for CPNs Mock RMO annual reports and MHO reports
Role of MHO A MHO is a qualified and experienced social worker MHOs are also expected to have undertaken some level of forensic MHO training A restricted patient must have a designated MHO at all stages of their care The MHO provides reports annually – see P163-177 for example of Mock MHO report in MOP Attendance at clinical team meetings Attendance at Care Programme Approach meetings
Role of MHO (cntd) In hospital – Explain to the patient their rights in relation to advocacy Explain to the patient their rights in relation to legal representation Explain the Tribunal process to the patient Explain the role of the named person and their right to receive full Tribunal papers Liaise with community services Contribute to risk assessment and risk management planning and consideration of SUS
Role of MHOs (cntd) CORO patients on conditional discharge Any breach of CD should trigger consideration of recall or other appropriate action Monthly/3 monthly reports (MHO supervisor form) Annual report
Role of MHO (cntd) It would also be good practice for MHOs to: Ensure the named persons have an understanding of the reasons for the patient's detention Ensure named person understands that they will receive background details of index offence which may be distressing Support named person to sensitive nature of papers and how they may store and dispose of them Advise others of any changes relating to the named person
Reporting by MHOs Includes CD details –Date of CD –Reporting interval –Any changes to patient's social circumstances Meetings since last report –Dates of CPA meetings Contact with patient –Dates –Compliance
Reporting by MHOs (Cntd) Risk Management –Date of recent update –Issues re drugs/alcohol/management Other relevant issues
Training Restricted Patient team run training events which cover: The role of Scottish Ministers, Officials, Principal Medical Officer (Forensic) and the multi-disciplinary team a presentation on the legal tests set out in S193 of the Mental Health (Care and Treatment) (Scotland) Act 2003 Memorandum of Procedure/MAPPA/Role of police – see http://www.scotland.gov.uk/Publications/2010/06/04095331/0 - http://www.scotland.gov.uk/Publications/2010/06/04095331/0 an opportunity to meet the restricted patient team – events on 4 October and 27 February 2013
Training cntd SG RC&MHD web page provides a package of training materials which include – Overview of MDO policy and care pathway Brief Outline of Criminal Justice system MHO reports for court Case studies Risk Management Training Material S193 legal tests
Some reasons why training for MHOs is important Recommendation from the RMA Training should be developed and provided to multidisciplinary teams including: –Management of MDOs; risk assessment and management; managing restricted patients (use of the MOP); and multidisciplinary working Mr L & Mr M Inquiry concluded that there were clear deficiencies within the training and supervision of the FCPNs and Social Workers working with restricted patients.
Mr L & Mr M (cntd) The Social Work Department must ensure that these social workers have the necessary competencies and training to carry out their supervisory function. In the Inquiry's view, this includes mental state and risk assessment skills, as well as generic social work skills.
MWC inquiry into the care and treatment of Mr F Report found that patient had received good care and treatment for alcohol but illness undertreated The team's closeness to his case did not allow them to recognise the true extent of his psychosis or the level of risk Complexity of patient's care needs and risks indicated a clear role for use of CPA
Care and Treatment of Peter Bryan "If any single lesson can be learned from the analysis of the care of Peter Bryan, it should be that responsibility for managing and treating Section 37/41 Mental health Act 1983 (MHA) patients should only be given to professionals who have sufficient experience and training to look after such individuals"
Peter Bryan Homicide Peter Bryan was a restricted patient on conditional discharge at the time of the killing of Brian Cherry In March 1993 he had killed NS, the 21-year-old daughter of his employer by hitting her over the head with a hammer and received a Hospital Order and Restriction Order Other than a couple of minor incidents during his 7 years at Rampton Hospital, Peter Bryan had not displayed any signs of aggressive or violent behaviour On 28 March 2001 a Tribunal concluded that he could be CD'd and deferred discharge to allow package to be put in place In July 2001 he was transferred to medium security In February 2002 he was conditionally discharged
Homicide (cntd) On 17 February 2004 Peter Bryan killed Brian Cherry. In April 2004, just ten days after being transferred to Broadmoor Hospital following the homicide, Peter Bryan killed a fellow patient, This Inquiry investigated only the homicide of Brian Cherry. A separate Inquiry Panel investigated the homicide of Richard Loudwell "When he is relapsing he can appear relatively free of symptoms much of the time…In my view, this is a measure of how, when psychotic, he can appear relatively normal while remaining capable of extreme and unpredictable violence."
General PB did not display the usual signs of schizophrenia, signs were subtle and he appeared to behave normally even when seriously unwell RMO had caseload of about 70 patients on enhanced CPA and responsibility for 14/15 inpatients Social worker had only 5 months experience as a general social worker and no training in mental health His role was described as "more like a mentor" The CPN was isolated from the rest of the team and not part of the general CMHT
General (Cntd) Panel found there was a lack of effective management of PB in community Had PB been under care of CMHT overall focus of assessment and intervention would have been on controlling his behaviour rather than attempting to normalise it and the threshold was likely to have been much lower for signs of risk or relapse Despite being compliant he constantly complained about conditions of CD Mixing with people marginalised by society and not warned of dangers RMO, despite telling patient it would not be appropriate to reduce medication, allowed himself to be persuaded and did so despite going on holiday for 5 weeks The hostel described PB's bedroom "as a schizophrenic bedroom"
General (Cntd) Continued to manipulate events, behaviour more erratic, sleep pattern disturbed Tested positive for amphetamines CPN concerns about relapse; hostel raised more concern about state of bedroom, he was challenging everything Admitted to smoking cannabis Serious allegation of sexual assault by a 17 year old female All concerns appear to have been considered individually and none of professionals took overview of the cumulative effective Despite serious allegation of indecent assault no attempt was made by CPN or SW to see PB immediately Home Office not told about the allegations
Recommendations A number of the recommendations would be met in Scotland by the use of CPA and MAPPA On every handover the diagnosis of a restricted patient should be reviewed specifically to include co-morbidity (in particular PD and substance misuse) Training should include specific training on the effective management of restricted patients
Useful web links MOP: Working version is available on http://www.scotland.gov.uk/Publications/2010/06/0 4095331/0 Forensic Managed Care Network www.forensicnetwork.scot.nhs.uk www.forensicnetwork.scot.nhs.uk Risk Management Authority Report on Risk Assessment and Management of RPs at www.RMAscotland.gov.uk Version 5 of MAPPA guidance http://www.scotland.gov.uk/Publications/2008/0 4/18144823/0 http://www.scotland.gov.uk/Publications/2008/0 4/18144823/0
Angiolina Foster Directorate for Health & Social Care Integration 0131 244 3210 Geoff Huggins Head of Division 0131 244 3749 Dr Tom White PMO – Forensic Psychiatry 0131 244 2809 Rosie Toal Team Leader 0131 244 2510 Audrey Montgomery Secretary 01383 825762 Jenny McNeill Me-Z Senior Casework Manager 0131 244 1818 Nova Brown H-Ma (incl Mc) Senior Casework Manager 0131 244 2546 Ian Taylor A-G Senior Casework Manager 0131 244 2459 Martin McPheeley Casework Manager 0131 244 2512 Lorraine Whigham Casework Manager 0131 244 2171 Eleanor Smith Casework Officer 0131 244 2170 Noelle Perrett Casework Officer 0131 244 2545 Jenny Craigie Casework Manager 0131 244 2457 Adrian Sutherland Casework Officer 0131 244 6929
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7403 Waterfall Drive,McKinney TX, 75070
Sold Price
4 beds , 4 Full/1 Half baths
4,810 sq. ft
Status: Sold
Berkshire Hathaway HomeServices PenFed Realty Texas
(214) 901-7993
Last Updated: 2/27/2017 9:01 PM
Description for 7403 Waterfall Drive McKinney, TX 75070
Wonderful location and large treed lot in the prestigious Newport Village of Stonebridge. Views of lake, fountain and greenbelt on quiet street. Kitchen features 8 burner gas, subzero and is open to great room, dining and family room. Handscraped floors throughout the first floor, walk in wet bar, stone fireplace and walls, butlers pantry, two staircases. study with fireplace and beams, 5 fireplaces, balcony. Media room wired for surround sound.
Listing Information
Newport Village
Slab Foundation
City Sewer
Cable TV, Underground
School Information
Room Information
Interior Features
Gas Range/Cooktop, Dishwasher, Disposal, Double Oven, Electric Oven
Ceramic Tile, Carpet, Wood
Central Air
5, Brick, Gas logs, Gas Starter, Stone, Wood-burning
Alarm -Smoke/Fire,
Internet Connection, Vaulted, Wet Bar, Window Coverings
Exterior / Lot Features
3 Garage Spaces, 3 Parking Spaces,
Brick, Stone
Balcony, Porch Covered, Covered
Sprinkler System
Community Pool
122x168x100x157, Less Than .5 Acre (not Zero)
Deck-Covered, Gutters, Exterior Lighting, Satellite dish, Landscaped, Landscaped, Sidewalks, Subdivision, Greenbelt, Interior lot, Wooded
Community Features
Community Pool, Community Tennis, Golf Facilities
Financial Considerations
Inside AccessTM
Current market conditions for 7403 Waterfall Drive
Active Market Trends
Source:MLS DATA
Median list price$396,922
Days on market86
Properties for sale610
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Properties sold744
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Listing Price History for 7403 Waterfall Drive
McKinney Real Estate
McKinney is located in Texas. McKinney, Texas 75070 has a population of 162,898.
The median household income in McKinney, Texas 75070 is $82,988. The median household income for the surrounding county is $84,233 compared to the national median of $53,482. The median age of people living in McKinney 75070 is 33.3 years.
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VocalMatch 2017 is now open!
The 2016 Songwriter Winner is Native Active!
Native Active received $3,000 for winning the 2016 season of VocalMatch. Their winning song is now the subject of the 2017 VocalMatch Singer Contest.
Sing your own rendition of the song below, upload it back to the site and have your friends and family vote for your rendition to be in the top ten finals for a chance to WIN up to $25,000* and the VocalMatch Trophy!
Native Active - First
Download TV Track (Instrumental)
Download TV Track (Instrumental) +1 Key Higher
View Lyrics
Download TV Track (Instrumental)
Download TV Track (Instrumental) +1 Key Higher
View Lyrics
You can use free software like Audacity or iTalk to do this. If you would like to change the pitch of the song to match your vocal range, you can view a tutorial on how to do that using Audacity here.
2017 Renditions
There are currently no singer renditions accepted. You may view and vote on the current songwriter submissions, or upload your own rendition of the current VocalMatch contest song above.
Check back soon. Singer renditions will be posted shortly.
2017 Songwriters
Stand Tall
View artist profile
*A maximum prize of $25,000 will be awarded depending on the number of entries. A minimum of $3,000 will be awarded to the first place winner regardless of the number of entries.


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Yea, though I walk through the valley of the shadow of death… And so The Cape comes to an end. And it goes out not with a bang but a whimper, much as how it started just about two months ago. But oh, what a long, boring two months it has been, and this final (aired -- more on that later) episode is at least consistent with the rest of the show in its stunning mediocrity and dreariness. "Razer" begins with a drive-by machinegun attack on the mean streets of Palm City, where Vince's wife and kid just happen to be hanging around. It turns out Vince -- disturbing stalker that he is -- is also present during this incident, though he doesn't do anything to stop it. What kind of superhero is he, anyway? Read More...
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Nov 18, 2011 11:19AM EST
Actually if you paid attention, The cape wasn't there when shots were fired. Vince showed up after to make sure his family was okay. And another thing, I would have liked for this show to continue, or at least concluded correctly instead of leaving us hanging, then at least I would know that America isn't developing a taste for Crappy programs. My gosh I see that more and more people are going for the plot-less Tv shows like cops, Judge Judy, and Jerry Springer. America has no imagination anymore.


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I am delighted to be here in South Africa. I am particularly delighted to be here at UNISA through which many of the ANC leaders were educated and today plans to launch a new centre for genocide and holocaust studies.
And to have the opportunity to speak to such a distinguished audience. Africa is close to my heart. I have made friends right across this amazing and inspiring continent.
Africa has been at the top of my foreign policy for the last ten 10 years. From the very beginning I wanted to forge a new partnership with African leaders and countries. Not based on rich and poor or donor and recipient but based on common values of justice, democracy and human rights; a partnership of trust and equality.
Above all, and most controversially, Africa has been a prime example of a foreign policy that has been thoroughly interventionist. I believe in the power of political action to make the world better and the moral obligation to use it.
I do not believe that in this time - the early 21st Century - international politics can be just about nations' interests, narrowly and traditionally defined.
I believe that now, today, our self interest is in substantial part defined by the well-being of others; that the consequence of globalisation is that our best chance of security and prosperity lies in advancing freedom, opportunity and justice for all.
It follows that where oppression, poverty and injustice exist, it is not only our duty but also in our self-interest to do what we can to bring about change for the better.
Nowhere is that clearer than Africa. African conflict creates millions of refugees in search of a better life. African poverty deprives this continent - and millions of people - of the chance to succeed, and deprives us of successful and stable partners for economic growth and the benign exploitation of commodities and natural resources.
Failed or struggling African states are breeding grounds for the very extremism that threatens us everywhere. African peaceful co-existence between Muslim and Christian shows how different and better the world can be.
It is easy for people to mock the pretensions of an interventionist policy; and intervention never fares as well as we would like. But consider the alternative and then make the choice.
Suppose we did nothing. Actually we do not need to hypothesise. We did do nothing or little as Rwanda slid into genocide; as HIV/AIDS grew; as Liberia and Sierra Leone descended into gangsterism; as governments in the 1980s and 1990s faltered or strayed from a proper path.
The international action of the past few years hasn't transformed Africa; but as I shall say later, it has undoubtedly made it better.
And there is the possibility now in a different and more strategic approach, based on partnership rather than aid alone, of real transformational change in the years to come.
For that to happen, the wealthy nations must hold to the path set out in the MDGs and the Gleneagles G8; and Africa must take its responsibilities seriously and develop in the way NEPAD and the G8 partnership provides.
We have to stay with it for the long haul; commit and re-commit; never let it be said we are not trying, even if it cannot always be said we are succeeding.
We now have a broad political consensus for Africa in the UK. Excellent. We need the same in the EU. We need each G8 to be bolder than the last.
If we do this, and Africa responds as an equal partner, we will have set a strategic goal that in time we will achieve; and in a continent in which the power of China is rising dramatically, we can work with China to serve the development of Africa in a way which benefits us all.
But if we give up, we will lose the chance in this continent - rich as it is - though its people are poor - for our values to take root. It would be a calamitous misjudgement.
So, to what ends should our intervention and support be fashioned? First, we must address more urgently the issue of conflict resolution and peace-keeping.
I have come here today from Sierra Leone. When I last visited five years ago, Sierra Leone was a failed state. Emerging from a horrific conflict which saw 60,000 killed. 10,000 child soldiers. 1/4 million women and girls raped. Others brutally maimed, hands cut off.
A war fuelled by the fight for diamonds and other commodities. We all felt despair at the wickedness that a small group of people could inflict on their compatriots.
But I also felt proud that Africa and the international community responded, with ECOWAS and UN troops, and ultimately the UK's own troops.
We now must build on this window of opportunity and work with the elected government of Sierra Leone to help them build a better country for the people of Sierra Leone. Not easy. War destroyed the fabric of Sierra Leone. And state building is the hardest of challenges.
Visiting again, I was again struck by the beauty of Sierra Leone and also its enormous potential of human, mineral and agricultural resources, among the richest in Africa.
70 per cent of people are below the poverty line. One quarter in extreme poverty. Sierra Leone is still 176 out of 177 countries on the UN's Human Development Indicator scale.
Nevertheless, I visited a school, met children determined to get an education and get on, benefiting from the decision of the Sierra Leone government to abolish user fees.
School attendance has doubled since the end of the war. And older children and adults who have missed out are seizing the opportunity to go back to school.
I met a group of entrepreneurs benefiting from funds from a new private sector Venture Capital Fund. And technical assistance provided by the UK.
However hard the current challenges, and however little the people of Sierra Leone have to build on, if conflict had continued, even these gains would not have been possible.
That is why the UNAMSIL deployment between 1999 and 2005 was so critical. It literally pulled a country back from the brink.
There is a new determination across this continent to tackle conflict. Thanks to this determination the number of violent conflicts in Africa has reduced from 14 in 1997 to two major conflicts today.
In 10 years, Africa has strengthened the tools it has to tackle conflict. And developed plans for improving Africa's capacity to deploy peacekeepers. We now need to strengthen African peacekeeping further. This is the next phase of the partnership.
The UK has trained 11,000 peacekeeping troops in the last three years, most from Africa. We will continue to ensure that we and our G8 partners hold to the commitment of training 75,000 peacekeeping troops by 2010. It's why the UK is supporting the AU to develop a Stand-by Force.
And it's why yesterday, President Kabbah, President Johnson-Sirleaf and I, together announced our determination to ensure the money is in place to support AU operations. It is unacceptable that the AU operation in Darfur limps from month to month, from financial crisis to financial crisis.
It is unacceptable that brave men and women, in AU operations, do not have the equipment they need to do the job. It is unacceptable that they do not receive the pay or per diems they deserve because African countries lack the money.
So we will work together for a mechanism at the UN which secures UN funding for AU operations. We will propose to our EU partners a mechanism for funding rapid deployment, to ensure African Union troops can move quickly when required.
No conflict demonstrates the need for action more than Darfur. 200,000 dead. 4 million dependent on food aid. 2.1 million displaced persons within Sudan. But also over 230,000 refugees have fled into Chad, joining 140,000 internally displaced Chadians, and almost 50,000 refugees from CAR fleeing the fighting in their own country.
It is wrong that President Bashir, intent on bombing his way to a solution, is determined to obstruct any effort made to reinforce the AU's ability to improve security and stability.
We must offer President Bashir a choice. Engage with us on a solution. Or, if you reject responsibility for the people of Darfur, then we will table and put to a vote sanctions against the regime.
I believe we have a responsibility to protect. Along with the MDGs, these are two of the most important decisions the modern UN has ever made.
We also need to redouble our partnership on the fight against poverty and, most important, to fight the causes of poverty and disease, poor education, bad governance.
2005 was a landmark year for commitments for Africa:
A comprehensive package.
It marked another step in the transition in the way we do development. Now we advocate a compact, or partnership, between donors and developing countries, a partnership based on NEPAD, in respect of which Thabo Mbeki played such a crucial role.
But the most challenging part is implementing what was agreed. Getting rich countries - and African governments - to keep their promises.
Almost two years on there is progress:
Aid is up, but not enough to fulfil the promises made.
$38 billion of debt relief. 18 countries in Africa have benefited. Zambia used its debt relief to abolish health user fees, giving tens of thousands of people access to free healthcare.
New, innovative ways of financing development, frontloading assistance so poor countries get the benefit now. The International Finance Facility for Immunisation (IFFIm) has already raised $1 billion out of a target of $4 billion over ten years for new and basic vaccines - which should vaccinate more than 500 million people, and save 10 million lives.
Progress toward universal access to Aids drugs. Ten-fold increase in people on ARVs in Sub-Saharan Africa, now totalling more than 1 million, 23 per cent of those needing treatment. In 2005, this saved more than 250,000 lives.
On education UK has committed £8.5 billion over next ten years. Donors have pledged $1.1 billion to the Fast Track Initiative, of which almost 1 billion is for 2006-08, which will put over 3 million more children into school.
Africa has had successes.
13 democratic elections in last 2 years (though 11 which weren't).
26 countries participating in APRM. 3 countries reviewed, and two more were reviewed this year, including South Africa.
But much more to do.
G8 and EU leaders must reaffirm their commitment to increase aid, and set out a path showing how they will do this.
On education, we are not yet on-track to reach Universal Primary Education; we need African governments to develop sustainable funding plans, and donors to meet financing needs by making long-term commitments.
On HIV/Aids, we need fully to fund national plans to achieve universal access to Aids treatment and Global Fund replenishment.
We need to tackle the increasing feminisation of the disease in Africa. Over the past two years, the number of women and girls infected with HIV has increased in every region of the world. In sub-Saharan Africa, 60 per cent of adults living with HIV are women; worse, 3 out of 4 young people living with HIV are women and girls.
African governments should deliver their promises to consolidate democracy, build the capacity of government institutions to deliver essential services, redouble efforts to stamp out corruption, and encourage the private sector to grow.
African governments should also hold other African governments to account. In Zimbabwe, decades of repression have forced up to one third of the country to flee. Life expectancy has dropped from 60 in 1990, to 37. And South Africa's economy loses 3 per cent of GDP thanks to Zimbabwe's economic melt down.
I welcome the determination of the countries of Southern Africa to tackle Zimbabwe's problems through SADC, and President Mbeki's leadership bringing the two parties together.
The world is waiting, wanting to re-engage with a reforming Zimbabwe government. We support SADC's efforts to develop a clear plan.
But for the people of Zimbabwe, this is urgent: and change before the 2008 elections, essential. The international community must be prepared to help rebuild the shattered country.
It will be important we look at what institutions and global arrangements we need to deliver the promises we made; Africa should be permanently represented at the UNSC; we need to further strengthen the AU and NEPAD. In particular, I believe the EU and AU should build a stronger partnership.
As well as delivering on what we have committed, we also need to face up to new challenges.
One of the most important is the private sector and trade. We need to challenge the global perception that Africa means aid. Countries like South Africa show a different side of Africa; or Ghana, setting a path to middle-income status within 10 years.
As everywhere, trade and a thriving private sector are the essential components of prosperity and stable economies. We need to open up opportunities for business in Africa.
In 2005, the Commission for Africa Report recommended that more needed to be done to harness the private sector's resources and skills to promote innovation and access to markets. At the Gleneagles summit, the G8 made a commitment to do this.
So in June, the Africa Enterprise Challenge Fund (AECF) will be launched at the Cape Town Africa regional World Economic Forum, to provide matched funding through an open competitive process, to businesses for innovative commercially sustainable projects. The UK will be the first contributor to this fund, with $20 million over the first 3 years.
The Investment Climate Facility, launched in June 2006 will bring the public and private sectors together to tackle the constraints on the business environment. The UK was the first to commit funds: $30 million over 3 years. The facility now stands at $120 million.
By opening our markets to African goods, and by removing the trade-distorting subsidies that make it so hard for African countries to compete, we can do much more.
The WTO talks were launched in shadow of 9/11. There was a new determination to make the world a fairer place. But almost 6 years on, our trade negotiators are still talking.
I believe this round of talks must urgently be concluded. We must reach a breakthrough before the end of June. We are only a few per cent and few billion from a deal that would lift millions out of poverty.
I will talk about this with President Mbeki tomorrow. The coming weeks are crucial.
But the WTO deal won't be enough by itself. We need to do more to build Africa's capacity to trade - through roads, marketing and storage.
It takes 116 days to move an export container from a factory in the Central African Republic to the nearest port and fulfil all the administrative requirements to load the cargo on a ship. The same task in Denmark takes just 5 days.
At Gleneagles, G8 countries committed to providing £4 billion in aid for trade, and they must now keep that commitment. The UK is on track to increase aid for trade spending to $750 million by 2010.
We must help African countries by allowing 100 per cent duty and quota free access to our markets.
The EU and G8 must review our rules of origin to encourage developing countries to cooperate with each other on trade, by recognising the value added at each stage in a product's development, so that, for example, Tanzania can sell canned vegetables to Europe, even if the can comes from its non-LDC neighbour, Kenya, without paying tariffs.
It is one of the world's greatest injustices that the vulnerable suffer most from new threats.
From HIV to conflict, Africa has been hardest hit. The same is true of climate change.
This is no surprise to the tens of millions of subsistence farmers across Africa. A good crop is always a gamble on the rains.
In the late 1990s, the floods and droughts in Kenya cost some 16 per cent of GDP each year. Mozambique floods, Malawi droughts and the Horn of Africa crisis underline this.
But it is not just about agriculture and food. It is also about disease. More than 110 million people in Africa live in regions prone to malaria epidemics.
Slight changes in rainfall and temperature could increase this figure by up to 80 million by the end of this century.
Reports show that the areas of Africa at greatest risk, where vulnerability overlaps with climate hazard, are the Sahel, the Great Lakes in the drylands in eastern Africa and southern Africa, and around Lake Chad.
So it is imperative that the world acts.
The UK revitalised this agenda in 2005 during our presidencies of the G8 and EU with our focus on climate change and Africa.
The Stern report last November set out the economic arguments, proving it will be cheaper to act now than wait.
Chancellor Merkel's decision to put this on the agenda of her G8 Summit next week gives us an opportunity to inject new momentum into the search for a global solution.
There is a real chance the G8 +5 could agree the elements of a post-Kyoto framework, that includes the US, India and China. South Africa is an important player in these talks.
We must seize this opportunity and then build towards the important talks in Bali. The coming year must be a turning point.
The final challenge I wanted to mention is about the battle of values. And this is where our partnership must be strongest. It is the foundation for everything else.
I have learnt, over the last 10 years: that if we don't act together on poverty, on climate, to stop conflict, we concede the space to others with another world view and values; and that unless we apply our values evenly we will never win the bigger battle for a democratic, more just and tolerant world.
We are not yet doing this. The world doesn't fight as hard for a child's life in Africa as it does in Europe.
The danger is: we lose the wider struggle, also familiar to Africa. 9/11 marked a shift in global awareness of Islamic extremism.
7/7 brought this tragically to the UK's shores. But Africa felt the impact earlier: the horrific bombings in Tanzania and Kenya; extremists benefiting from the ungoverned space in Somalia to hide.
There are nearly 250 million Muslims in sub-Saharan Africa - a quarter of the world's Muslim population. The numbers have grown rapidly over the last decade. They should be part of our progressive coalition for change. We need to work together across faiths and races to win the wider battle for values.
In conclusion, wealthy nations and Africa both face a choice: us, as to how far we help Africa to take the right path.
Africa as to which path to take: one is chosen by countries like South Africa, Ghana, Tanzania, Mozambique, Botswana and many others, reinforcing economic growth with good governance and the stamping out of violence and corruption; the other, the path of Zimbabwe or Sudan where bad government and violent oppression send the country's economy spiralling down.
Our challenge is to support the good. Africa's challenge is to eliminate the bad.
Today, South Africa stands as a beacon, across Africa, of democracy, and the triumph of what is right.
Later today, I will visit President Mandela, who so impressively embodied the struggle against injustice, set the direction of South Africa today, and had the courage to forgive.
I remember the anti-apartheid struggle so well. In the 1980s my party, the Labour Party, struggled purposefully in Britain to put the case for sanctions.
But I remember also how far we were from much conventional wisdom which told us: we didn't understand, South Africa would collapse if apartheid ended, we were meddling. We know now these arguments are misplaced, even ludicrous. But not then.
There is a lesson here. Progress does not come from the cautious. It isn't born of the status quo. It tends to challenge conventional wisdom. It rarely is the product of refraining; nearly always a consequence of sustained action against the odds. It accepts the pain of transition. It never yields to the notion of "the way things are".
Think of how little action in Africa really costs us, and by us I mean the wealthy nations. 0.7% of GDP is hardly a heavy burden to carry. Opening up trade actually helps us.
Training and equipping African forces is not the toughest thing our armed forces have to do. The Gleneagles G8 agreement was a breakthrough, but it won't cost the earth to do it. What might cost it, is not doing it.
Next week at the G8 Summit, leaders will show whether, having put Africa at the top of the global agenda, we have the perseverance and vision to see it through. I hope we have.
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Valerie Fox - Plump Tits and Hard Nips [HD 720p] (2015/BabyGotBoobs.com/1.77GB)
Here you will find fresh porn videos, movies for every taste. You can download their by clicking on the link site file-sharing service Nitroflare, Uploaded, Gigapeta, Keep2Share.cc and many other.
Year release: 2015
Genre: All Sex, Blonde, Hardcore, Big Tits
Site: BabyGotBoobs.com / Brazzers.com
Duration: 00:29:47
Description: Valerie Fox's new apartment is too damn hot, and after a sleepless night of rubbing ice cubes all over her big tits, she's hot, horny, and ready to do whatever it takes to get a little relief. Lucky for Valerie, her neighbor Tommy in unit 12 is single and has air conditioning. The busty Brit charms her way onto his couch and then strips out of her clothes. Tommy takes the hint, eating her tight pussy until she's cumming hard. He fucks her mouth, her tits, and her tight pussy, finishing off the morning of fun with a big facial cumshot!
Format: MP4
Quality: HD/720p
Video: MPEG4 Video (H264) 1280x720 29.97fps 8000kbps
Audio: AAC 48000Hz stereo 127kbps
Size: 1.77 GB
Download :
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Footwear brand UBIQ presents a new pack of its staple Fatima Mid, produced with full Hemp uppers. Three colorways are highlighted in this latest series, each taking on a tonal platform with a hint of ethnic textiles on the heels and contrast stitching on the uppers. Available now via anoutcommune.


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CAT Result 2014, Common Admission Test Merit List 2014, CAT November 2014 Merit List & Cut Off Marks, www.iimcat.ac.in
Indian Institute of Managements (IIM) will publish Common Admission Test Result 2014 on its official website. CAT is a computer based exam which held in India. The Exam scores a person on the basis of quantitative ability, data interpretation, verbal ability and logical reasoning. IIT started CAT exam use the exam for selecting students for their business administration programs. Students who have appeared in CAT 2014 exam they are eager to know their CAT Merit List 2014.
CAT Exam Result November 2014
IIM released an advertisement for CAT Exam 2014 in August 2014. Last date of submission of CAT 2014 Online Application Form was 30th September 2014. CAT 2014 was conducted on 16th & 22nd November 2014. According to sources a large number of students have appeared for CAT 2014 Exam and now after exam they are waiting for their CAT Result 2014. After check CAT Exam Merit List 2014 students will know that actually obtained marks in CAT exam. IIM will release CAT November 2014 Result on official website very soon.
Official Website of CAT 2014: www.iimcat.ac.in
Process to check CAT Result 2014:
- Students have to visit official website.
- Find the link of "CAT Exam Result 2014"
- Click on the same.
- Enter required details like registration number, DOB etc.
- Click on the submit button.
- Result will appear on screen.
- Save it and check your result.
Check CAT November 2014 Result
Students should visit the official website for latest news about CAT Result 2014. We wish best of luck for result.


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Visits: 574
Bio: Nobody Buys Records is an Independent Record Label Started by Jaren Johnston & Neil Mason. They are founding members of the bands "American Bang", "Maps & Mirrors" & "The Cadillac Black".
Our goal at Nobody Buys Records is to bring quality independent music of all genres straight to your ears w... See Full Bio


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Books are often called storehouse of knowledge and not without good reason too. You can find all that there is to know about software designing from books. Just browse through the vast collections of books that Amazon.in houses and you will be surprised that there are books available for everyone, from the casual reader just trying to gain a little more information regarding software designing and engineering to the professional who wants to enhance his expertise about the technological implications and the aspects related to it. So to learn more about software design and engineering, just buy books online from Amazon.in to access a wide array of books on software designing and engineering.
What is software designing
Software designing refers to the activities that are involved in changing, getting the software to fit in a new frame, proper implementation of the software, passing the software to get it commissioned and lastly amending the composite systems. Software designing basically involves a lot of problem solving and the planning aspect and finding a software solution, which can include low level algorithm designing or the high level architecture design. It is an integrated process of finding and executing software solutions to a defined set of problems. Now, to know more about how the entire process works, what these problems are, how the software is commissioned, books would probably be your best bet to answer all these queries. So, just order software design and engineering books online to unlock a huge storehouse of knowledge that will keep you preoccupied for the rest of your day.
Software design and engineering books online for everyone
In the software design and programming section on Amazon.in, you will come across books for everyone. It has software books that involve the architecture aspect of designing such as 'Microprocessor Architecture, Programming and Applications with the 8085' which has been authored by Ramesh Gaonkar. You can learn all the basic fundamentals of software designing from books like 'Fundamentals of Software Engineering' which has been written by Rajib Mall. Not only these, there are books that will take you through the interviews as well such as 'Coding Interview Questions' written by Narasimha Karumanchi which contains a number of questions and their answers as well, all related to software design and engineering. All you need to do is go online on Amazon.in and checkout books from the software design and engineering section to learn about the technicalities or pass that interview.
Enjoy the shopping experience on Amazon.in
Amazon.in is among the leading online shopping portals. The site has a huge collection of books and an idea can be made by the fact that the Software design and engineering section has more than twenty thousand books, in different languages such as English, Chinese, French and more. The books come in a variety of options such as paper back, hard cover books, which are like forever, and audio books for the visually impaired or just for the lazy reader. These books also have an option of "looking inside", which basically means that you can go through a page or two of the books to ensure that the books will suit your style of reading. So when it is so simple, why are you still waiting? Just buy books on software design and engineering online from Amazon.in.


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DD is currently teething. Instead of having her two 2hour naps today, she had one 40 min nap and one hour nap. I tried to put her down for another nap at 5, but she would have any of it. She has now been screaming for an hour and a half straight. Nothing I do can calm her, she won't sleep, she doesn't want booby and she doesn't want play time. She is now so worked up that I'm not going to be able to feed her dinner, so I think I'm in for a rough night. Any idea when shell knock herself out, or will she keep crying like this for another few hours. I'm not sure how much more can can take.
Milky mumma since July 2011


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Have you ever purchased from PartSelect.com before?
Thank you for helping make our site better.
Below is a list of all parts for the Kenmore Washer 11016502690. To find the repair part you need, you can browse the list below or you can narrow your choices by searching for a part by name or description.
This part holds the basket in place while spinning and agitating.
This water level switch senses the level of water in the inner tub.
This clamp helps to prevent leaking by holding the end of water hose in place.
Sold Individually. Used to help stabilize the appliance on uneven surfaces.
Fits under the basket drive assembly.
This part is sold individually.
Sold Individually. Order quantity needed.
The drum is driven directly by the motor, replacing the usual belt or gearbox-driven system which increases noise and decreases efficiency.
Transmission shaft seal.
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Lilypad: Floating city of the future
November 20, 2012 8:00 AM
The completely self-sufficient floating city intended to provide shelter for future climate change refugees, is designed by architectural firm Vincent Callebaut.
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"The vongole smallest distance is reduced from 25 millimetres (2.5 centimetres) to 22 millimetres from Jan 2017 for 3 years," European Commission orator Enrico Brivio told reporters.
"It might seem only a doubt of millimetres though in existence it's an critical preference for many fishermen, in a Adriatic Sea especially," combined Brivio.
The 2.5 centimetre (one inch) extent sparked snub in Italy where it was seen as a hazard to a inhabitant plate famous a universe over.
The Coldiretti organisation of farmers and fishermen dubbed a extent as "absurd" and warned that also restricting fishermen to some 600 metres (yards) of a seashore threatened their livelihood.
Brivio insisted that relaxing a distance extent showed a EU was stretchable adequate to respond to internal conditions while a Italian supervision would guard a conditions to safeguard a change did not mistreat stocks.
Article source: https://www.thelocal.it/20161014/eu-reduces-clam-size-restrictions-to-help-italian-fishermen


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"The staff was exceptional anything we asked for they made it happen. The breakfast was OK I only say that because the meat was horrible and they only had one kind. The waffles were AWESOME!! "
A Traveller, Sep 2016, US
Hotels within 20 miles of Bastrop
14 people looked at this hotel in the last hour
Most recent review
"This really is the best option you'll find if you're going to stay in Crossett. It is located in a quiet area next to a nice neighborhood. We've stayed about once a year for the past several years and with each visit, we can see some small improvement. The rooms are clean, the television and f..."
A Traveller, Dec 2014, US
Hotels within 25 miles of Bastrop
5 people looked at this hotel in the last hour
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The Banning Pilots volleyball team lost Wednesday's home conference match against Narbonne by a score of 3-0.
The Narbonne Gauchos prevailed the host Banning Pilots volleyball team by a score of 3-0 in Wednesday's league test.
The Gauchos now have a 19-2 record. They put it on the line next when they host King-Drew Medical for a Marine test on Thursday, October 20. Narbonne will confront a Golden Eagles team coming off a 3-0 league loss to Carson (Carson, CA). The Golden Eagles record now stands at 11-5.
The Pilots (6-7) will now prepare for their test against San Pedro (San Pedro, CA). The Pirates enter the Marine test with a 5-6 record. In their last test, San Pedro gained a win over Washington (Los Angeles, CA), 3-1, in a league test.
The Banning Pilots volleyball team lost Monday's away conference match against Narbonne by a score of 3-0.
The Narbonne Gauchos volleyball team won Wednesday's away conference match against Banning by a score of 3-0.


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Interserve provides an integrated facilities management solution to more than 1 million square feet at Festival Place in Basingstoke.
The new Sid Watkins building at The Walton Centre NHS Foundation Trust provides 5* therapeutic environments while reducing energy costs.
The demolition of an existing 1960s office block and the construction of a 150 bedroom Premier Inn "Hub" concept hotel.
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This initiative was founded in 2007 by parents of disabled children, who discovered there was no suitable play area for disabled children in the Wokingham Borough.
Interserve and the University of Sussex, started providing estates and FM services to 4,000 students and 2,100 staff across the campus in January 2014.
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6 User Opinions
"Worst signal management that leads disastrous battery life."
"3G and wifi working properly and good."
"3G connectivity works not properly."
"Very good to use it Internet connection is faster. I am satisfied with this mobile."
"Pros: Amazing Camera, good view, good connectivity,Good processor,overall very good, cons:bad battery,."


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Pro JavaScript with MooTools
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Learn Objective-C for Java Developers
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JavaFX 2.0: Introduction by Example
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CentOS 6 Linux Server Cookbook
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Linux Network Administrator's Guide, 3rd Edition
The Linux Network Administrator's Guide, 3rd Edition dispenses all the practical advice...
Perl and XML — XML
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Visual C++
Visual C++ is a commercial (free version available), integrated development environment (IDE) product from Microsoft. Here is a big list of free Visual C++ eBooks
C++ Programming HOW−TO
This document provides a comprehensive list of C++ URL pointers, links to C++ online textbooks, and programming tips on C++. This document also provides a C++ library which imitates...
Pro HTML5 with Visual Studio 2012 New
Pro HTML5 with Visual Studio 2012 is written to help ASP .NET developers make the leap to the inevitable and exciting world of HTML5. The growing HTML5 specifications promises to revolutionize the...
Agile Software Engineering with Visual Studio, 2nd Edition New
Using agile methods and the tools of Visual Studio 2010, development teams can deliver higher-value software faster, systematically eliminate waste, and increase transparency throughout the entire...
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Discover how to turn requirements into working software increments - faster and more efficiently - using Visual Studio 2012 in combination with Scrum and Agile engineering practices. Designed for...
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Visual Studio 2010 best practices will take you through the practices that you need to master programming with .NET Framework. The book goes on to detail several practices involving many aspects...
Pro Application Lifecycle Management with Visual Studio 2012, 2nd Edition New
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text: Seller: coolcaddy (3,599) 99.5%, Location: Winnipeg, Manitoba, Ships to: US, CA, Item: 132017916591 The item for sale is an Original Antique Door / Window Corner trim wood blocks, with a great look to them and nice colors. Showing some scratching and wear on it, usual for the age. In excellent shape for the age none the less! Take a look through the images for confirmation of condition. You are getting everything that is picturedThanks for looking! Take a look through our store for more great items! Material: Wood


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Jr. Garden Fairy Costume - Medium
$119.99 Ships free Australia wideBack to top
Jr. Garden Fairy Costume - Medium
by AeromaxIn Stock
$119.99 Ships free Australia wide
- Includes dress
- and wings
- more info
Delivery: Free shipping anywhere in Australia Delivery within 6-12 working days
(Shipments to NT and rural WA may take longer) Free SMS notifications
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(Shipments to NT and rural WA may take longer) Free SMS notifications
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Product details:
Green dress with two attached floral appliques with Detachable gold wings, Back of dress is knit fabric for comfort
- Includes dress
- and wings
Brand: Aeromax
Product ID: 1117168083540026
Product Dimensions: 39.1cm x 28.2cm x 4.3cm
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text: 5620 3D Tapered € 119.95 including tax 5620 3D Tapered € 119.95 including tax Color Dk Aged This product is sold out in our online store Free shipping and returns on all orders above €50 Official G-Star RAW store 100% authentic guaranteed Same-day dispatch before 7pm (Mon-Fri) Features Details Color Washing instructions 40° normal process Do not bleach Medium temperature iron 150° Dry cleaning Art. nr.: D01517-5689-89


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When routine and commercial format films bite dust at the box office, the film makers accept the result immediately. But when they feel that they are making a good movie, conveying a good message they will have huge expectations on the result. If audience reject this kind of films, the …Read More »
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Photos of Megan Fox and Brian Austin Green In LA
Megan Fox and Brian Austin Green Still Make Time for Tacos
Megan Fox and Brian Austin Green rode their waves of success right out for a taco lunch in LA yesterday. Post Mexican munchies, Megan and Brian engaged in a little PDA, but it was really nothing compared to what we've seen this frisky couple get up to. Between her budding movie career and his return to TV on The Sarah Connor Chronicles, it's been quite the year for these two. It's sweet to see that they're still going strong — now I wonder whether Brian's given any thought to joining his old costars by reprising his role as David Silver in the 90210 spinoff.


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Was this the e-juice that moistened a thousand wicks and fogg'd the topless towers of Ilium? Sweet Snozz, make me immortal with a kiss.
Ono Kine
Good juice!!!
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A lawmaker beat his wife as his children pleaded with him, officials say. The screaming voices of children can be heard in the 911 call. No one is talking to the dispatcher. All that can be heard are screams of "Stop!" in the background. "Please stop! Just stop, daddy. Just stop.
Posted: 2017-01-01 14:31:00


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Top 10 Wall Street Losers of 2016
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23andMe Snaps Up CureTogether
23andMe today said it acquired CureTogether, the membership-based health information website. The price and other terms were not disclosed.
In a statement, 23andMe said CureTogether will bring it additional tools and systems for gathering data from health-based communities complementary to the personal genetics company's existing platforms, allowing customers to share quantitative information on more than 500 medical conditions, talk about sensitive symptoms and compare which treatments work best for them as they track their health.
23andMe said the acquisition—the company's first since it was founded in 2006—would improve its ability to gather data for research, while enriching its online community with interactions from CureTogether users.
CureTogether was launched in 2008 with the initial purpose of assisting people who live in chronic pain, and expanded from its initial three conditions as members joined and requested that their conditions be added to the site's ongoing study. Cure Together has grown its platform to more than four million phenotypic data points across different health conditions designed to help inform future genetic discoveries.
"There are tremendous opportunities for our members and for future research by integrating the 23andMe and the CureTogether platforms and phenotypic data," CureTogether cofounder Daniel Reda said in the statement. Reda and cofounder Alexandra Carmichael will join 23andMe as senior product managers.
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Evaluation of the Predictive and Prognostic Value of Germ-line Polymorphisms in Patients With Metastatic Breast Cancer
This trial is active, not recruiting.
|breast cancer, metastasis
|blood sample for genetic analysis (identification of germ line genetic factors that influence the risk of metastatic breast cancer)
|Centre Leon Berard
|Centre de Recherche en Cancérologie de Lyon
|Start date
|December 2011
|End date
|December 2023
|Trial size
|1000 participants
|Trial identifier
|NCT01460186, StoRM
This is a multicenter, non-randomized, prospective cohort study. The purpose of the study is to identify germ line genetic factors that influence the risk of metastatic breast cancer.
1500 patients will be enrolled in this study. Blood samples will be collected after informed consent and inclusion in the study.
Patients will be treated and followed according to the standards of their treating center.
They will be followed during at least 5 years every 6 months for 3 years then every year.
|United States
|No locations recruiting
|Other countries
|No locations recruiting
hide locations and contact info
|BESANCON Cedex, France
|Hôpital Jean Minjoz - CHU Besançon
|no longer recruiting
|Bordeaux, France
|Institut Bergonié
|no longer recruiting
|Caen, France
|Centre François Baclesse
|no longer recruiting
|DIJON Cedex, France
|Centre Georges François Leclerc
|no longer recruiting
|Grenoble, France
|Institut Daniel Hollard
|no longer recruiting
|LIMOGES Cedex, France
|Hôpital Dupuytren
|no longer recruiting
|LYON Cedex 08, France
|Centre Léon Bérard
|no longer recruiting
|Marseille, France
|Institut Paoli Calmettes
|no longer recruiting
|Montpellier, France
|Val d'Aurelle
|no longer recruiting
|Nice, France
|Centre Antoine Lacassagne
|no longer recruiting
|PARIS Cedex 05, France
|Institut Curie
|no longer recruiting
|Reims, France
|Institut Jean Godinot
|no longer recruiting
|SAINT HERBLAIN Cedex, France
|Centre René Gauducheau
|no longer recruiting
|Strasbourg, France
|Centre Paul Strauss
|no longer recruiting
|TOULOUSE Cedex, France
|Institut Claudius Regaud
|no longer recruiting
|Vandoeuvre les Nancy, France
|Centre Alexis Vautrin
|no longer recruiting
|Villejuif, France
|Institut Gustave Roussy
|no longer recruiting
Primary Outcomes
Germ line genetic factors associated with metastatic relapse
time frame: at the end of enrollment (2 years)
Secondary Outcomes
Genetic determinants that predispose to specific metastatic localizations
time frame: at the end of enrollment (2 years)
Genetic determinants that predispose to metastatic relapse of specific molecular subtype of breast cancer
time frame: at the end of enrollment (2 years)
Overall survival
time frame: At the end of the study (7 years: 2 years of enrollment and 5 years of follow-up)
Progression free survival
time frame: At the end of the study (7 years: 2 years of enrollment and 5 years of follow-up)
Eligibility Criteria
Female participants at least 18 years old.
Inclusion Criteria
- Women with a histologically proven breast adenocarcinoma, with metastatic progression diagnosed within one year (inclusion of patients who have a metastatic progression more than one year ago would favor the inclusion of patients with indolent cancer, possibly biasing the study) or locally advanced (no curative treatment)
- ER, PR and HER2 status known
- Age >= 18 years
- Affiliation with a social security scheme
- Signed informed consent
Exclusion Criteria
- Coexisting or other cancer diagnosed within the previous 5 years that may be responsible for the current metastasis
- Patient who cannot follow medical surveillance due to geographical, social or psychological reasons
- Patient included in the SIGNAL study
Additional Information
|Official title
|Evaluation of the Predictive and Prognostic Value of Germ-line Polymorphisms in Patients With Metastatic Breast Cancer : a Multicenter Non-randomized Prospective Cohort Study
|Principal investigator
|Thomas BACHELOT, MD
|The StoRM trial is designed for analysis in association with the SIGNAL study which aims to decipher the genetic risk of breast cancer displaying amplification of the HER2 gene as well as resistance or toxicity to adjuvant treatments. SIGNAL study is in the process of recruiting 6000 localized breast cancer patients. The purpose of the StoRM trial is to create a cohort of 1500 patients with metastatic breast cancer including detailed epidemiologic and treatment data. Using germ line polymorphisms in these patients and comparing them to patients with localized cancer from the SIGNAL study, the investigators will answer questions specific to the genetic influence on the prognosis of breast cancer and its response to treatments in the metastatic phase. Blood samples will be collected in one 6 ml EDTA and one 6 ml ACD tube after informed consent and inclusion in the study. To simplify the evolution of the study and to avoid all confusion, the sample collection procedures followed will be identical to those used in the SIGNAL study. As the samples are received at the biological resource center, the plasma will be aliquoted into a 500 µl tube and frozen at -80° C. DNA will be extracted using standard protocols. Plasma and DNA will be stored in anticipation of genetic analyses. An aliquot of the DNA sample will be genotyped for a panel of high-density genetic markers covering the whole genome, for genome-wide association studies. The collected plasma may also be used for analyses to determine the expression profile of proteins, alone or combined with genetic factors that allow distinguishing between groups of patients.
Trial information was received from ClinicalTrials.gov and was last updated in March 2016.
Information provided to ClinicalTrials.gov by Centre Leon Berard.
Call for more information
|Principal Investigator
|Trial ID


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Nelsonville is located in Athens county and has a population of 5,230.
For Ohio residents, the average tuition for all Nelsonville computer repair schools for the 2009 - 2010 school year was $2,520.00. For non-residents, the average tuition for Nelsonville computer repair schools was $5,040.00.
Books and supplies for computer repair schools in Nelsonville cost an average of $1,300.00. Students living on campus at computer repair schools in Nelsonville paid an average of $6,030.00 for room and board during the 2009 - 2010 school year. Students living at home incurred costs of $1,050.00. There is one computer repair college in Nelsonville. Computer Repair programs in Nelsonville reportedly graduated 0 students in the 2008 - 2009 school year.
|Average Salary
|Number Employed in City
|Computer Support Specialists