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Per bug 475653, version 8.0 of AVG's SafeSearch extension, which is installed/registered with the AVG software, breaks the location bar in Fx3.1. Specifics are in the bug, but the long and the short of it is that the Enter key will no longer submit the text entered in the location bar, the "go" arrow must be clicked on.
Because this version of the extension breaks a core navigation method in 3.1, I'd like to recommend we blocklist it. AVG has prepared a fix and will be deploying it soon, but I'd still like to add version 8.0 and lower to the blocklist for Firefox 3.1 and higher.
Identifying information for the extension is as follows:
<em:name>AVG Safe Search</em:name>
<em:type>2</em:type><!-- extension -->
<em:description>Guard against clicking malicious links.</em:description>
<em:creator>AVG, Inc.</em:creator>
Blocklist XML to add would be:
<emItem id="{3f963a5b-e555-4543-90e2-c3908898db71}">
<versionRange minVersion=" " maxVersion="8.0">
<targetApplication id="{ec8030f7-c20a-464f-9b0e-13a3a9e97384}">
<versionRange minVersion="3.1a1" maxVersion="*"/>
E-mail sent to Petr at AVG outlining intent to BL version 8.0, and asking AVG to review that the MaxVersion is set correctly, and that the version of the extension is incremented to avoid being caught by the BL entry. Waiting to hear back to see if there are any questions.
Until this happens, I would recommend release noting it since I see many reports of this problem being mentioned in the Hendrix feedback.
This blocks 3.5, IMO, since we have known compatibility problems.
Yeah, this is breaking the beta currently if AVG is installed.
Dumb question: why do we allow <maxVersion>3.*</maxVersion>? I know AMO doesn't, but it seems like you should need to do something extra in Fx itself (like disabling version compat checking) to allow that..
Filed bug 485833 to talk about a potential way of restricting maxVersions.
What's holding up the blocklisting here?
(In reply to comment #7)
> What's holding up the blocklisting here?
doo dee doo
Morgamic, Rey: where's the holdup on this?
There's no hold-up from our end AFAIK.
OK, so, why hasn't it been blocklisted yet?
Let me ask it this way: who adds it to the blocklist, in our process?
WebDev adds once all of the conditions have been met (e.g. acceptance as a blocklist item, vendor notification/confirmation, etc.).
To re-confirm, to the best of my knowledge all conditions have been met for this blocklist addition and it's good to go.
If everything is "good to go", what's with the 3 months of nothingness here?
I dropped the ball on this, we'll get it taken care of today. Sorry guys.
No worries; good to know who to ping. I'd thought that it was Rey or Nick that handled it. Would it help to move these bugs over to some webdev component for you to track once all requirements are met?
Maybe a set of whiteboard statuses could be used to indicate what phase of the process these bugs are in?
I'll draft something up, and fwd it to rey and nick for review and inclusion in the policy. I'll also push a little more efficiently, something that I should be doing.
thanks for getting it in, morgamic!
IT bug for database change: bug 498471
I will update mozilla.com shortly.
mozilla.com updated: http://www.mozilla.com/en-US/blocklist/
waiting for IT to push bug 498471.
http://www.mozilla.com/en-US/blocklist/ reads,
"AVG SafeSearch, versions older than 8.0".
Shouldn't that be "version 8.0 and older" ?
Sometimes I have the reported problem as well. - But I have never installed AVG!
ew_h: if you have not installed AVG then you've got some other bug and you should check with http://support.mozilla.com for help figuring out how to file the symptoms you're seeing.
The only way it might be this bug if you never installed AVG is if you installed the older "XPL LinkScanner" that AVG bought and included. If that's the case then we should blocklist that one, too, although we'll still want a new bug because it will get lost buried at the bottom of this "fixed" one.
Created attachment 401068 [details]
Comment on attachment 401068 [details]
Pham Manh, you're in the wrong place and very confused. Why you felt the need to upload a Firefox 3.5.3 Windows executable here is beyond me. (can someone delete this thing?) Please go to support.mozilla.com if you need help with something, or at far least file a new bug report.
This is still marked as push-needed, though it looks like this is live and has been for a while. Is there anything lingering here or can this be verified?
The content of attachment 401068 [details] has been deleted by
Dave Miller [:justdave] <firstname.lastname@example.com>
who provided the following reason:
don't need executables on here
The token used to delete this attachment was generated at 2009-09-16 17:45:19 PDT.


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The show may not be so young anymore -as its 40th anniversary indicates — but it's still restless, proved by the plot twists it keeps handing its longtime characters.
That's what has kept so many stars of "The Young and the Restless" on board, and they'll be present as the CBS daytime drama hits the four-decade mark Tuesday, March 26. Though the milestone will be noted in certain ways, it'll also be just another day in fictional Genoa City, according to three-time Daytime Emmy winner Peter Bergman, who has played Jack Abbott on the soap since 1989.
"It's a giant chunk of my life," he tells Zap2it. "Because I can remember clearly my first day, it seems it was yesterday. My daughter was 4 weeks old when I started the show, and she graduated from college last year. When you put it in terms of someone else's life, that's a really long time."
Still, previous "All My Children" co-star Bergman reminds that he didn't originate his role on the serial created by the late William J. Bell and wife Lee Phillip Bell (parents of actress Lauralee Bell, the show's Christine "Cricket" Blair). The late Terry Lester was the first Jack, the womanizer whose life has been marked by everything from sexual harassment suits to political bids.
"Actors get frustrated with writers, but I've never been one of those people," Bergman says. "They've written so many things for me, and my kickoff was spectacular. Terry Lester had left of his own accord, and I think Bill Bell took it kind of personally, so Bill was determined to force Peter Bergman down the world's throat. And that was both good and bad.
"Of course, a lot of people loved Terry and missed him terribly, but what Bill did for me storywise was kind of neat. Jack came back determined to get Jabot (the Abbott family's cosmetics firm) back, and his plan was to get Nikki (Melody Thomas Scott's character, of the rival Newman family) to fall in love with him. And he went about it in a very clever, planned way."
Nikki and Jack ultimately wed, then divorced, just one of Jack's many stops on the road of romancing and scheming — one of his latest being with Phyllis Summers (Michelle Stafford). "He absolutely has had his moments," Bergman muses, adding that he also has stayed mindful of his alter ego's more redeeming qualities.
"Jack had his father, but John (the Abbott patriarch played by Jerry Douglas) died … then they told me, 'We're going to bring him back, less as a ghost and more Jack's conscience.' And I thought, 'Oh, great. I've gotta do the ghost storyline.' Who knew it would be such a gift? At his most devious, Jack still has to sit with his father and say, 'I miss you, and I wish you could help me.' "
Eric Braeden, Jeanne Cooper, Doug Davidson, Tracey E. Bregman, Sharon Case and Kristoff St. John are among other actors who have had lengthy runs on "The Young and the Restless," which has won 113 Daytime Emmy Awards – seven for outstanding daytime drama. It also has an ongoing spinoff in "The Bold and the Beautiful," and while the number of daytime soaps has dwindled, Bergman is pleased and grateful to remain with one of the survivors.
"So many things have hit at us," he acknowledges, "and have threatened the survival of the genre and the show, and we still generate an audience of 4 million-plus people a day. I'm hopeful this thing will go on for a while."

subset: commoncrawl


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What is interesting is that when you look at caveman…they used oral (music, song), visual (images, art in "stone tablets") also down the track smoke signals via "clouds" was used…And now we may be using technology but we've gone to basics…oral via tools like YouTube, visual via Pinterest…using electronic tablets vs rock and eCloud vs clouds in the sky…


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Benefits of anti-retroviral therapy (ART) depend on consistent HIV care attendance. However, appointment non-adherence (i.e. missed appointments) is common even in programs that reduce financial barriers. Demographic, health/treatment, and psychosocial contributors to appointment non-adherence were examined among men who have sex with men (MSM) attending HIV primary care. Participants (n = 503) completed questionnaires, and HIV biomarker data were extracted from medical records. At 12 months, records were reviewed to assess HIV primary care appointment non-adherence. Among MSM, 31.2% missed without cancellation at least one appointment during 12-month study period. Independent predictors (P < 0.05) were: low income (OR = 1.87); African American (OR = 3.00) and Hispanic/Latino (OR = 4.31) relative to non-Hispanic White; depression (OR = 2.01); and low expectancy for appointments to prevent/treat infection (OR = 2.38), whereas private insurance (OR = 0.48) and older age (OR = 0.94) predicted lower risk. Low self-efficacy predicted marginal risk (OR = 2.74, P = 0.10). The following did not independently predict risk for non-adherence: education, relationship status, general health, time since HIV diagnosis, ART history, post-traumatic stress disorder, HIV stigma, or supportive clinic staff. Appointment non-adherence is prevalent, particularly among younger and racial/ethnic minority MSM. Socioeconomic barriers, depression and low appointment expectancy and self-efficacy may be targets to increase care engagement.
For HIV-infected individuals, the benefits of anti-retroviral therapy (ART) depend on consistent access to HIV care. Routine medical visits allow providers to assess markers of disease progression and treatment response and to monitor adverse effects. Visits also present opportunities to reinforce medication adherence and HIV prevention messages (Centers for Disease Control and Prevention [CDCP], 2003; Fisher et al., 2006; Gardner et al., 2008). However, while visits are recommended to be every three to four months for most adults on ART (CDCP, 2003), suboptimal appointment adherence is common (Giordano et al., 2003, 2007; Israelski et al., 2001; Mellins et al., 2003; Mugavero et al., 2009a, b; Sohler et al., 2007). A recent study of HIV primary care patients reported that 40% missed at least one in every four visits (Mugavero et al., 2009a).
Missed appointments have extensive implications. At the practice level, they disrupt staff productivity (Fischer et al., 2009; Moore et al., 2001). Reduced efficiency presents a burden for systems in which staff and financial resources are already limited. At the provider level, missed appointments impede continuity of care (Torian & Wiewel, 2011) and influence decision-making such as inclusion of patients in HIV clinical trials (King et al., 2007). For patients, missed appointments predict elevated risk for HIV progression (Berg et al., 2005; Mugavero et al., 2009a; Park et al., 2007; Rastegar et al., 2003) and excess mortality (Giordano et al., 2007; Mugavero et al., 2009b), independent of demographic and medical risk factors.
Given the risks of HIV care disengagement, more work is needed to identify predictors of missed appointments. This research has been conducted more extensively in other medical settings (e.g., general practice, diabetes care), and a number of factors have emerged. For one, socioeconomic barriers consistently predict poorer appointment adherence (Neal et al., 2001; Trenouth & Hough, 1991; Van der Meer & Loock, 2008). Living alone may also be a risk factor (Fischer et al., 2009). Among psychological factors, depression is one of the largest predictors of missed appointments (Cashman et al., 2004; Weinger et al., 2005). Patient-reported self-efficacy has also received attention as a consistent predictor of adherence to self-care behaviors and a target of chronic disease management models (Curtin et al., 2008; Sol et al., 2011; Swendeman et al., 2009); however, this work has not identified whether self-efficacy predicts appointment adherence in particular. In the few studies that assessed other patient perceptions, more missed appointments were found among those who perceived that prescribed treatments would not be effective (i.e. low outcome expectancy; Fischer et al., 2009).
Limited research in HIV supports that socioeconomic factors such as public health insurance status (Mugavero et al., 2009a) and lower income (Israelski et al., 2001) increase risk for HIV care disengagement. Younger patients (Catz et al., 1999; Giordano et al., 2007; Israelski et al., 2001; Mugavero et al., 2009b), those of racial minority status (Israelski et al., 2001; Mugavero et al., 2009a), and those who are not on ART (Bodenlos et al., 2007) may also be at greater risk. With regard to psychological factors, depression has been suggested to elevate risk (Weiser et al., 2006) although other work has not found this relationship (Bodenlos et al., 2007). Understanding the impact of depression is important because individuals with HIV are at least three times as likely to experience depression relative to the general population (Asch et al., 2003; Bing et al., 2001). Other emerging evidence indicates that perceptions of poorer support from HIV care providers present barriers to appointment adherence (Bakken et al., 2000; Beach et al., 2006). While HIV stigma outside of the clinic also has been linked with poorer treatment adherence (Stutterheim et al., 2011) and retention in care (McGuire et al., 2010), the association of HIV stigma specifically with appointment adherence has not yet been tested.
Current evidence supporting psychosocial risk factors in HIV should be interpreted with caution. For one, non-adherence is often measured for periods preceding the patient assessment, precluding causal inference. Much of this work also has not adjusted adequately for the influence of control variables such as socioeconomic factors. Furthermore, while depression has received some attention, other relevant psychiatric conditions such as post-traumatic stress disorder (PTSD) remain overlooked. As with depression, PTSD prevalence (10–54%) is higher than general population rates, particularly among HIV subgroups such men who have sex with men (MSM; Kelly et al., 1998; Kessler et al., 2005; Tsao et al., 2004). Since anxiety can increase withdrawal in stressful situations (Kagan et al., 1989, 1987; Rosenbaum et al., 1983; van Ameringen et al., 1998), it is plausible that MSM with PTSD may miss appointments to avoid activating negative affect (Martin & Knox 1997).
Links between socioeconomic factors and patient care disengagement have been established across chronic illnesses, including HIV (Mugavero et al., 2009a; Neal et al., 2001; Trenouth & Hough, 1991; Van der Meer & Loock, 2008). However, as prior researchers have noted, reducing the financial burden of HIV care is not enough to increase engagement among at-risk patients (Giordano et al., 2003; Kissinger et al., 1995). The current study aimed to identify risk factors for missed HIV primary care visits, to inform efforts toward increasing care engagement. To extend prior work, HIV-relevant factors including demographic (younger age, racial minority status, living alone), health/ treatment (poor health, no ART history, shorter duration since HIV diagnosis), psychiatric (depression, PTSD), and patient perception factors (HIV stigma, poor support from clinic staff, low appointment expectancy, and low self-efficacy for keeping appointments) were tested as risk factors for appointment non-adherence over a 12-month period, controlling for socioeconomic indicators.
This study focused specifically on MSM in HIV primary care. In the US, MSM continue to account for over half of new HIV infections and the largest group of people living with HIV, and they are the only group in which new infections have consistently increased over the past two decades (CDCP, 2010). As HIV treatment-as-prevention models emerge (Cohen et al., 2011), identifying barriers and facilitators to HIV care engagement among risk groups such as MSM is a key priority in these efforts (Mayer, 2011).
Participants were Fenway Health (FH) patients who were screened for enrollment in behavioral intervention trials related to HIV transmission risk (Knauz et al., 2007). FH is the largest outpatient HIV care provider in New England and traditionally has served sexual minority patients. Eligible patients included adults (ages 18 and older) who self-identified as MSM and who had been HIV-infected for at least 3 months.
Between 2004 and 2007, the approximate number of HIV primary care patients seen per annum at FH was 1,100. During this window, we recruited FH patients via several methods to optimize study reach, including specific in-house recruitment drives, medical provider referrals, distribution of study flyers throughout FH, and informational tables set up in clinic lobbies. Research assistants also approached patients at HIV primary care clinic appointments. Adult patients (ages 18 and older) who self-identified as MSM and who had been HIV-infected for at least 3 months were invited to complete a screening assessment at FH.
All participants signed institutional review board-approved informed consent forms prior to study screening. As part of the screening assessment, participants completed a computer-assisted questionnaire that included demographic items, mental health screens, and perceptions about healthcare and HIV. Participants received monetary compensation for time and effort. Data on HIV biological markers were extracted from electronic medical records, using the most proximate clinical report within a 3-week window to each participant's screening date. At 12 months post-assessment, medical records were reviewed again by trained study staff to assess appointment attendance. For the current analysis we utilized assessment and medical record data from all participants who completed the screening assessment.
Data on HIV medical appointment attendance were collected from electronic medical records for the 12-month period following study assessment. Of note, Fenway provides reminder phone calls to all patients 1 day prior to their scheduled appointments. Non-adherence was defined as at least one instance in which the participant missed or did not provide 24-h cancellation notice for an appointment. Consistent with previous research, clinical subspecialty appointments and missed appointments that were cancelled in advance were not included (Catz et al., 1999; Keruly et al., 2002; Melnikow & Kiefe, 1994; Mugavero et al., 2009a). While there are several other possible strategies for defining non-adherence, the current method was selected based on prior adherence research (Mellins et al., 2003) and on evidence that one missed visit within a 1-year period was a risk factor for new AIDS-defining illness or death following ART initiation (Park et al., 2007). This method also allowed us to avoid estimating an optimal number of appointments per year for all participants, as this figure may vary based on factors such as current health status and new treatment initiation (Department of Health and Human Services, 2011). We also did not analyze non-adherence as a continuous variable as these data are not normally distributed.
Participants completed items on education, yearly income, health insurance type, age, relationship status, and racial/ ethnic group identification.
Subjective health was assessed by an item derived from the Medical Outcomes Study Short Form-36 (SF-36; Ware & Sherbourne, 1992); participants identified their general health on a 5-point scale from ''poor'' to ''excellent''. Time since HIV diagnosis and history of ever being on ART were identified via self-report. Values for plasma HIV RNA concentration (copies/mL) and peripheral blood CD4+ T cell count (cells/µL) were extracted from medical records to help characterize the baseline sample.
Brief instruments were used to screen for clinical depression and post-traumatic stress disorder (PTSD). The nineitem Patient Health Questionnaire (PHQ; (Spitzer et al., 1999) was used to assess symptom severity during the past 2 weeks. This scale has demonstrated adequate sensitivity (75%) and specificity (90%) with clinician-diagnosed major depressive disorder (MDD; Spitzer et al., 1999). For this study, PHQ criteria were used to categorize participants by depression status (0 = negative screen, 1 = positive screen).
PTSD was assessed with the SPAN (Meltzer-Brody et al., 1999), which measures the extent to which respondents were distressed by four key symptoms (Startle, Physiologic arousal, Anger, and Numbness) during the past week. In a sample of trauma survivors, these items yielded 88% accuracy with structured clinician interview (Meltzer-Brody et al., 1999). In the current study, a SPAN score ≥5 in the presence of a traumatic event was used to identify positive PTSD screens, and PTSD status was coded as: 0 = negative screen, 1 = positive screen.
Four patient perception items were selected based on prior work testing psychosocial predictors of care disengagement (Bakken et al., 2000; Beach et al., 2006; Fischer et al., 2009; Mellins et al., 2003; Park et al., 2007). HIV stigma was measured as, ''I feel ashamed that I have HIV''. Perceived HIV clinic support was assessed as, ''The staff at this clinic understands what it is like to live with HIV in my community''. Perceived appointment outcome expectancy was assessed as ''Keeping medical appointments will prevent or quickly treat infections related to HIV''. In each case, participants were asked to indicate their agreement by selecting one of five or seven responses ranging from ''strongly disagree'' to ''strongly agree''. Self-efficacy for appointment adherence was assessed as ''How sure are you that you could always schedule and keep your HIV appointments in the next year?'' Participants completed this item by selecting one of five responses ranging from ''very unsure'' to ''very sure''. Based on non-normal data distributions, all four patient perception items were dichotomized and analyzed as categorical variables.
Simple (bivariate) logistic regression was used to test predictors of risk for appointment non-adherence. Factors that predicted risk of appointment non-adherence at a two-sided P < 0.25 were then entered in a multivariable logistic regression model of non-adherence. Non-adherence (0 = no missed visits, 1 = one or more missed visits) was identified as the dependent variable. A two-sided P < 0.05 was used to establish statistical significance in the multivariate model.
The sample comprised 503 MSM (see Table 1). Mean participant age was 41.9 years (SD = 8.3). Participants predominantly self-identified as non-Hispanic White (NHW; 75.1%), with 11.3% as African American (AA) and 8.9% as Hispanic/Latino (H/L). More than one-half of participants had obtained a college degree (51.7%), and over one-third (35.0%) reported a yearly income of ≤$20,000. Most (77.5%) had a history of ever being on ART. At study entry, 61.2% had a CD4+ T cell count ≥400 cells/µL and 58.1% had an undetectable HIV viral load (<75 copies/mL).
During 12 months post-assessment, 157 participants (31.2%) were appointment non-adherent. Specifically, 71 (14.1%) missed one appointment, 39 (7.8%) missed two, 17 (3.4%) missed three, 11 (2.2%) missed four, and 19 (3.8%) missed five or more.
Several predictors of non-adherence were identified (see Table 2). Among the socioeconomic indicators, both lower income (<$20,000; OR = 2.77, 95% CI = 1.87–4.11) and lower education level (<bachelors degree; OR = 2.30, 95% CI = 1.56–3.39) predicted greater risk of non-adherence, whereas having private/HMO insurance predicted lower risk relative to public or no insurance (OR = 0.33, 95% CI = 0.22–0.48).
Among other demographic factors, older age predicted lower risk (OR = 0.94, 95% CI = 0.92–0.97) and AA and H/L participants showed greater risk relative to NHW participants (AA: OR = 2.61, 95% CI = 1.48–4.61; H/L: OR = 2.17, 95% CI = 1.15–4.07). Overall, 27.0% of NHW, 44.4% of H/L, and 49.1% of AA were non-adherent. Having no domestic partner/spouse marginally predicted greater risk (OR = 1.51, 95% CI = 0.98–2.31).
Health/treatment factors showed mixed results. Reporting fair or poor health (versus good, very good or excellent health) predicted greater risk for non-adherence (OR = 2.01, 95% CI = 1.17–3.45) whereas time since HIV diagnosis (OR = 0.96, 0.97–1.02) and history of ever being on ART (OR = 0.72, 95% CI = 0.47–1.13) did not predict risk of non-adherence.
Among non-adherent participants, 21.3 and 41.3% screened positive for clinical depression and PTSD, respectively, compared with 9.2 and 31.8% of adherent participants. Positive screens for depression (OR = 2.67, 95% CI = 1.56–4.57) and for PTSD (OR = 1.51, 95% CI = 1.01–2.26) each predicted greater risk for non-adherence.
With regard to patient perceptions, 60.9% of non-adherent participants reported HIV stigma compared with 52.8% of adherent participants. Both groups reported high rates of clinic staff support (non-adherent = 91.0%, adherent = 87.8%), appointment expectancy for preventing/treating infections (non-adherent = 88.2%, adherent = 93.5%) and self-efficacy for keeping all scheduled appointments (non-adherent = 84.3%, adherent = 92.3%). Among these factors, lower appointment expectancy (OR = 1.93, 95% CI =<1.00–3.71) and lower self-efficacy (OR = 2.24, 95% CI = 1.24–4.05) predicted greater risk for non-adherence. HIV stigma marginally predicted greater risk for non-adherence (OR = 1.40, 95% CI = 0.95–2.05) whereas perceived staff support did not predict risk (OR = 0.72, 95% CI = 0.38–1.35).
In the multivariable model, a number of factors remained independent predictors of risk for non-adherence (see Table 2). Among socioeconomic indicators, lower income (≤$20,000) remained a risk factor (OR = 1.87, 95% CI = 1.06–3.30) whereas having private/HMO insurance (versus public, other or no insurance) remained a protective factor (OR = 0.48, 95% CI = 0.27–0.85). Lower education (<bachelor's degree) did not predict risk for non-adherence (OR = 1.35, 95% CI = 0.82–2.20).
With regard to other demographic and health/treatment factors, older age predicted lower risk for non-adherence (OR = 0.94, 95%CI = 0.91–0.97) whereas living without a domestic partner did not predict risk (OR = 0.90, 95% CI = 0.53–1.53). AAs (OR = 3.00, 95% CI = 1.50–5.99), and H/Ls (OR = 2.14, 95% CI = 1.04–4.40)showed greater risk relative to NHWs. Subjective health (OR = 1.06, 95% CI = 0.53–2.13) and history of being on ART (OR = 0.96, 95% CI = 0.55–1.68) did not predict risk of non-adherence.
Among psychiatric variables and patient perceptions, MSM who screened positive for clinical depression were approximately two times as likely as those with negative screens to be non-adherent (OR = 2.01, 95% CI = 1.01–3.99) whereas screening positive for PTSD did not predict risk (OR = 1.09, 95% CI = 0.66–1.79). Low appointment expectancy (OR = 2.38, 95% CI = 1.07–5.30) predicted greater risk for non-adherence whereas self-efficacy for keeping appointments predicted marginal risk (OR = 1.35, 95% CI = 0.89–3.80). HIV stigma did not predict risk for non-adherence (OR = 1.35, 95% CI = 0.83–2.20).
The current study examined non-adherence to HIV primary care visits among MSM in care at Fenway Health (FH). During the year following study assessment, almost one-third of participants missed at least one appointment without cancelling. This rate is consistent with prior work showing that appointment non-adherence is common in HIV-infected groups (Giordano et al., 2003, 2007; Israelski et al., 2001; Mellins et al., 2003; Mugavero et al., 2009a, b; Sohler et al., 2007). This study is also the first to extend findings to HIV-infected MSM specifically.
Controlling for college degrees, non-adherent MSM had higher prevalence of income falling at or below $20,000 and lower prevalence of private/HMO insurance coverage relative to adherent MSM. These findings are not surprising, given that socioeconomic factors are key predictors of missed appointments (Israelski et al., 2001; Mugavero et al., 2009a; Neal et al., 2001; Palacio et al., 1999; Trenouth & Hough, 1991; Van der Meer & Loock, 2008). However, HIV appointment non-adherence persists even in programs that reduce financial barriers to care (Giordano et al., 2007; Kissinger et al., 1995; Sohler et al., 2007), highlighting the need to identify additional risk factors in the context of socioeconomic disadvantage.
Among demographic factors, younger age and racial/ ethnic minority status (African American and Hispanic/ Latino versus non-Hispanic White) independently predicted elevated risk for appointment non-adherence. These findings support that the risks associated with age and racial/ethnic minority status cannot be solely explained by socioeconomic factors. The association of younger age with appointment non-adherence has been reported in prior work (Catz et al., 1999; Israelski et al., 2001); researchers have speculated that younger patients may be less adherent due to irregular schedules or lower perceived susceptibility to sickness (Catz et al., 1999), although these hypotheses have not been tested. Determinants of racial/ethnic group differences in appointment non-adherence also merit more attention. Mugavero et al. (2009a) reported that higher rates of appointment non-adherence among African Americans relative to non-Hispanic Whites partially explained racial disparities in rates of virologic failure. Other work has suggested that elevated rates of disease progression among African Americans and Hispanics/ Latinos reflect both greater delays in initiation of ART and lower treatment adherence (Giordano et al., 2010). As African Americans and Hispanic/Latinos are disproportionately infected with HIV and underrepresented in clinical trials (CDCP, 2008; Gifford et al., 2002), strategies to increase access and engage patients in treatment early on may be critical to reducing disparities in HIV outcomes.
The current results further substantiate that depression may be a key factor in care disengagement (Cashman et al., 2004; Weinger et al., 2005; Weiser et al., 2006), independent of socioeconomic status. MSM who screened positive for clinical depression were approximately two times as likely to be non-adherent than those with negative screens. Depression assessment and management is part of current standard care guidelines at FH. However, it is plausible that hopelessness and self-isolation may lead MSM with depression to disengage from care. Missed appointments, in turn, decrease opportunities for providers to detect and treat depression, creating a cycle with downstream effects on HIV health. Prior work has shown that cognitive-behavioral therapy can be adapted to improve both depression and medication adherence in HIV (Safren et al., 2009). Current findings show that this dual target approach may be relevant to a range of self-care behaviors including care engagement.
In comparison to screens for depression, positive PTSD screens were more prevalent in the non-adherent group relative to the adherent group but did not independently predict risk for non-adherence in the multivariable model. This study was the first to test this relationship, and more work is needed to understand how PTSD may impact barriers to HIV care. For instance, it is possible that some symptoms (e.g., hypervigilance) may preserve health behaviors whereas others (e.g., withdrawal) may increase risk. The importance of this work is highlighted by the high prevalence of trauma history and PTSD among HIV-infected MSM; in the current sample, 41% of non-adherent MSM and 32% of adherent MSM screened positive for this disorder.
With regard to patient perceptions, low appointment expectancy predicted higher risk for non-adherence. This finding extends prior work examining perceptions of care (Beach et al., 2006; Fischer et al., 2009). Results suggest that education about the purpose of HIV care may hold benefit as a target for change. Findings also showed that more than half of the sample endorsed shame about being HIV-infected. However, the overwhelming majority felt the clinic staff understood the challenges of living with HIV, and neither factor independently predicted adherence status. Importantly, while MSM were highly likely to endorse that they would be able to keep all scheduled appointments during the next year, this belief was only marginally related to subsequent risk for non-adherence. Intervening to enhance problem-solving skills may increase care engagement for patients whose perceived health efficacy does not translate to actual behaviors.
Current findings should be interpreted with attention to study limitations. This study focused on MSM in care at FH, and it is unknown whether results would generalize to other groups or to MSM in other types of care settings. Also, since recruitment was conducted on-site at FH during a 3.5-year recruitment window, more frequent visit attendance might have increased the likelihood of being approached for recruitment, leading to possible underestimation of non-adherence in this study sample. Within the current sample, patient perceptions were such that most MSM endorsed good health, positive attitudes about staff, and strong sense of appointment expectancy and self-efficacy. This relative lack of variability, as well as limited psychometric data supporting these items may have limited our ability to detect actual risks associated with these perceptions.
For the current analysis, hypothesized risk factors were selected based on prior research but do not represent an exhaustive list. Other suggested influences such as coinfection with hepatitis C (Giordano et al., 2003) or practical barriers such as lack of transportation to clinic visits were not addressed. Furthermore, we did not collect data on patient-reported reasons for non-adherence, and some missed appointments may have reflected specific circumstances such as inpatient hospitalizations of which the clinic was not advised. It is possible that risk factors for appointment non-adherence may vary among subsets of patients such as those with or without serious health problems or cognitive or functional impairment related to HIV and comorbid conditions. These hypotheses should be tested in future work identifying risk factors for appointment adherence and subsequent HIV outcomes.
In sum, findings indicate that missing HIV medical appointments is prevalent among HIV-infected MSM, even in settings where clinic staff members are perceived as supportive and sexual minority stigmatization is minimized. Socioeconomic barriers to care need to be addressed but represent only a portion of risk for care disengagement. MSM who are younger or of racial/ethnic minority status are at greater risk for missing appointments, independent of socioeconomic factors. Depression and low appointment expectancy and self-efficacy represent risks that may be amenable to intervention. The current findings help identify patients who may benefit from more intensive assessment and intervention to reduce depression symptoms and problem-solve healthcare barriers.
General funding for this project including data collection was from grant 5R01MH068746-05 and HRSA grant H97HA01293 to Drs. Steven A. Safren and Kenneth H. Mayer. Grant K24MH094214-01 to Dr. Steven A. Safren provided additional support for some investigator time.
Lara Traeger, Behavioral Medicine Service, Massachusetts General Hospital/Harvard Medical School, One Bowdoin Square, 7th Floor, Boston, MA 02114, USA, Email: gro.srentrap@REGEARTL.
Conall O'Cleirigh, Behavioral Medicine Service, Massachusetts General Hospital/Harvard Medical School, One Bowdoin Square, 7th Floor, Boston, MA 02114, USA. Fenway Institute, Fenway Health, Boston, MA, USA.
Margie R. Skeer, Fenway Institute, Fenway Health, Boston, MA, USA. Brown University Medical School, Providence, RI, USA.
Kenneth H. Mayer, Fenway Institute, Fenway Health, Boston, MA, USA. Brown University Medical School, Providence, RI, USA.
Steven A. Safren, Behavioral Medicine Service, Massachusetts General Hospital/Harvard Medical School, One Bowdoin Square, 7th Floor, Boston, MA 02114, USA. Fenway Institute, Fenway Health, Boston, MA, USA.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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Having secured a £50,000 investment in their fledgling company Spoon Cereals on the BBC's Dragons' Den, Annie Morris and Jonny Shimmin could have been forgiven for indulging in a few well-earned nightcaps. Even a holiday.
Instead, they drove the four hours from the television studios in Manchester to London to prepare for a 4am start the following day, selling their product – made-to-order breakfast pots of cereals, fruits, nuts, yogurts and compotes – to commuters at Old Street station. "After the hug in the lift and high fives with the [Dragons' Den] researchers, we were back in the car," Shimmin, 39, says as we discuss the experience in the kitchen of his Shepherd's Bush flat.
As celebrations go, it is fair to say that this wasn't a classic.
Their unstinting dedication has propelled the business partners from trying to bake granola in Shimmin's one-bedroom flat to having their cereal mixes stocked in Harvey Nichols, winning a Great Taste Award and earning the backing of Deborah Meaden and Peter Jones, two of Britain's most influential investors – all in the space of a year. "It's been a bit of a rollercoaster," says Morris, 26, who can't remember the last time she had a day off. "They don't really exist any more," says Shimmin. "But you don't mind taking a call or answering an email late at night because it's your own business."
Like so many good ideas, the suggestion that Morris and Shimmin, whose girlfriend is Morris's elder sister, should work together on Spoon Cereals came about at a family party. But while most potential business ventures discussed late at night are snubbed out with the last candle, a few weeks and a couple of Skype calls later, Spoon Cereals had ignited.
Dedicated:the Dragons' Den team (BBC)
"I didn't have a business head on me at the time," says Morris. "I love cereal and have it religiously every day. I had my own routine – bringing boxes to work, making mixes at home, adding nuts and seeds, and I thought, 'Why isn't there anything decent like this on the way to work?' Breakfast doesn't have to be ignored; it's not just about lunchtime."
"It's rare to find a business partner you work so well with," says Shimmin, who spent six years with an investment firm in Amsterdam before working on this project. His financial pragmatism combined with Morris's creativity and background in advertising has served Spoon Cereals well. "We have different skill sets so we've been able to divide and conquer when it feels like we're treading water," says Morris.
After experimenting with cereal mixes – and smoking out the Notting Hill street where Shimmin was living with burnt granola – the pair enjoyed moderate success trading at Barnes Food Fair and Old Street station.
By the time they appeared on Dragons' Den earlier this year, however, cash flow had become so stretched that Shimmin estimates the business had just three months to survive.
"If Dragons' Den hadn't gone so well that would have been it," he says. Although they agreed about the bleakness of the company's outlook, Shimmin and Morris were at loggerheads over which Dragons' Den investor should be charged with rescuing them. "Our discussion in the den was quite vigorous because, in my mind, Peter Jones was the one to go for," says Shimmin.
"I understood the importance of having Peter," says Morris, who had set her sights on securing the backing of Deborah Meaden.
In the end, they convinced both dragons to invest and, although they gave away a higher percentage of the company than they had intended, Shimmin is certain they made the right decision. "Having a smaller slice of a bigger business is better [than turning down the offer]. We wanted it to be a meaningful investment for the dragons so that they would give it time," he says.
They haven't been disappointed. Both Meaden and Jones (who masterminded the Dragons' Den success of Levi Roots's Reggae Reggae Sauce business) have been hands-on. Indeed, the expertise, financial boost and publicity have given Spoon Cereals every chance of achieving long-term success.
The ethos of hard work underpinning the company hasn't changed, however. Every pack of cereal is still cooked, mixed and prepared for market by the pair, who deliver to their wholesalers in Morris's tiny hatchback – an appropriate symbol of Spoon Cereal's David-and-Goliath battle against their big-hitting competitors.
"It's a really tough industry to make money in," says Shimmin. "But now with the money from the dragons, the PR boost and all the additional work that we've done, we hope to have a flourishing business – and we're here to stay."
Taste Spoon Cereals at Bestival from September 4-7
SPOON CEREALS (Granola: cinnamon)
Price: £5 for 450g
Design: Minimalist – appropriate for the kitchen table of a trendy Hampstead property. Has the best tag-line of any cereal: "No small talk before breakfast". Only grumble: the inner plastic casing split on opening, which made pouring hard.
Taste: Packed full of hazelnuts and coconut flakes with a sweet infusion of maple syrup, this is a rich and thoroughly satisfying start to the day.
Crunchiness 4/5
Overall 4/5
DORSET CEREALS (Honey granola)
Price: £3.79 for 550g
Design: Bright and cheery – sure to put a smile on your face whatever time the alarm clock goes off.
Taste: Flaked almonds and pecan nuts do their best to keep things lively, but it tastes healthy – and healthy food doesn't need to be boring. There is a persistent and unwelcome sense of the birdfeed going on here.
Crunchiness 5/5
Overall 3/5
JORDANS (Crunchy oat granola, tropical fruits)
Price: £2.99 for 750g
Design: No artisan cardboard boxes or minimalist labels going on here. It's a straightforward attack on the senses with piles of luscious-looking fresh fruit on the packaging.
Taste: Despite the price, this is excellent, with the citrus fruits coming through sharply to balance the sweet honey clusters of oats. Any complaints? Only that I haven't discovered this before.
Crunchiness 5/5
Overall 5/5
RUDE HEALTH (Granola, honey and nuts)
Price: £4.79 for 500g
Design: The odd-shaped box with a big mouth chomping away on the front screams "fun", and I could do without that first thing on a Monday morning.
Taste: A much more powerful taste than the other cereals, the roasted almonds and hazelnuts really have been roasted. Perfectly enjoyable, but you wouldn't want much.
Crunchiness 4/5
Overall 3/5


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In stock resolution 1 x Bosch SM 25/70-TA No. 055130-106 axis module The module is operational and is being sold with a guarantee function. We have further bearing on supply modules
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…. Epicurious Another company failing at social media is the Condé Nast-owned food site, Epicurious who in the wake of the Boston Marathon bombing proceeded to post a string of food related tweets referencing Boston. The ill-judged tweets enraged followers who branded them insensitive and deemed them to be cashing in on the tragedy. The social media team…
Twitter accounts are frequently run by "social media managers" — that is to say, qualified specialists in social media — and yet, nary a crisis goes by without a distasteful twe...


text: I first approached my nearest TA field hospital last September after being talked into joining the RAMC by a member of the TA on a recruitment drive. The whole process since then has been a farse. I would have to write an entire essay to cover everything, but to sum things up I have been messed around, given conflicting information and am wondering whether the whole TA thing is really worth all this grief and frustration. I feel embarrassed when my colleagues and family ask me how things are going, because my story changes from week to week. The people within the unit are really nice, but their organisation and communication doesn't instill confidence!! I think I know what I'm doing, then someone tells me something completely different. Every new recruit within the unit has numerous complaints. Can anyone settle a couple of questions for me as I'm so confused. As a fully qualified state registered Biomedical Scientist in one of the largest hospitals in the country, am I eligible to apply for a commission straight away or do I have to complete the non-commission training first? I have been qualified for 6 years. Is the training route the same in an Independent unit as opposed to a Specialist unit? Thanks.


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Sonal Chauhan on the cover of Hello! magazine: The babe slips into hot swimwear!The 3G gal pairs her sizzling swimsuit look with junk accessories and vibrant make-up for the style shoot of the entertainment glossy
Sonal Chauhan is indulging in some hardcore swimming pool fashion for the shoot of Hello! The babe is posing and prancing in her uber stylish designer bathing costumes. Click here to read more


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Sitting on its own broad bay on Italy's incredibly beautiful southern coast, Naples is an ancient city with a modern outlook. As the third largest Italian city, and capital of the Campania region, Naples offers you idyllic scenery, incredible history and delicious Italian cuisine.
Get out and explore everything the region has to offer by hiring a car from one of our pick-up branches located across Naples. We charge no cancellation or amendment fees,* and there are no hidden extras to pay. Plus, we provide a 24-hour rental helpline so you know we're only ever a phone call away should you need us.
*When the booking is cancelled within seven days of being made.
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With a wide range of travellers passing through our locations every day, we've got a wide range of vehicles on offer to suit your needs - from smart executive saloons to compact family hatchbacks. ***
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One of the country's largest cities, Naples is a sprawling urban metropolis sitting alongside Europe's last active volcano – Vesuvius. At the heart of all the bustle and creativity is a history that stretches back through the centuries, and one that has left its mark in the Neapolitan architecture, culture and cuisine.
For many, Mount Vesuvius is the prime draw for a trip to Naples. The still-active volcano last erupted in 1944 but that's not to say another furious outburst may not happen at any moment. It was Mount Vesuvius's 79AD eruption that gave historians their best glance into Roman life, as it famously turned the Roman city of Pompeii into a dusty time capsule. Today, visitors enjoy hiking or walking on Vesuvius, which sits proudly surveying the broad Bay of Naples, as well as the city itself.
There is a simple reason why Naples is known as a capital of cuisine and that is the land on which the city sits. Thanks to Mount Vesuvius, the farmers who make their livelihood here enjoy some of the richest, most fertile soil in the world. It's perfect for growing delicious produce including plump olives, zingy citrus, wine grapes and endless tomatoes, as well as for raising healthy livestock. Additionally, the close proximity of the sea means fish and seafood are always ultra fresh and super delicious. So, be sure to tuck in. Whether you're buying pizza by the slice from a street vendor or going all out with a posh sit-down meal, eating in Naples is a joy.
Naples is awash with historical hotspots and its entire historic centre has been defined by the United Nations as a UNESCO World Heritage Site. One highlight in that particular area is the Cappella Sansevero, home of stunning artworks including the famous Veiled Christ statue, which is executed exquisitely in marble.
If you've a taste for breathtaking churches, visit Naples Cathedral, also known as Cattedrale di San Gennaro, which is finished in the gothic revival style. The cathedral in its current incarnation was erected in the 13th century but, incredibly, there has been a place of worship on this site since 570AD. Take some time to admire the frescoes in the cathedral's Chapel of the Treasure, and marvel at the phenomenal 4th century mosaic work.
Please note that from 15 Nov to 15 Apr many cities are required by law to restrict the circulation to only vehicles equipped with snow chains or winter tyres. For a summary of the orders, please visit www.poliziadistato.it. To comply with the regulations, in specific locations subject to this requirement, vehicles are equipped with snow chains - the price is included in the rental charges through the cost of "Winterization Fee". At pick-up if you decide to bring your own snow chains or do not intend on driving on the roads subject to this requirement, you may decline the equipment by signing the appropriate release form. This change will be reflected in the rental charges. For more information on the fees, please click here. In all other regions, we recommend that you check before renting if your journey includes one of the roads subject to this requirement and therefore request the snow chains, if necessary.


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Joshua s Ice Cream Extravaganza
|Raspberry ripple/Vanilla ice cream
|1 Liter
|74 Gram (2 Tubes, 37 Gram Each)
|37 Gram
|Mars bars
|232 Gram, roughly chopped (4 Bars, 58 Gram Each)
|2 Tablespoon
|80 Gram (2 Crunchie Bars, 40 Gram Each)
|18 Large (Or 60 Mini)
1. Remove ice cream from the refrigerator and cut into chunks
2. Tip the chunks into a large bowl and leave to soften till the ice cream can be stirred easily.
3. Mix Smarties and Maltesers into the softened ice cream.
4. Separate the softened mixture into small serving bowls or sundae bowls.
5. Level the top of the ice-cream and allow to chill in the refrigerator for 20-30 minutes or till firm.
6. In a double boiler, melt the Mars bars with milk. Use a bowl over simmering water if a double boiler is unavailable. Stir the melted Mars and milk mixture till blended
7. Smash the Crunchie bars in their wrappers and then add these smashed Crunchie bars into the Mars and milk mixture.
8. Remove the frozen ice-cream from the refrigerator and scatter marshmallows on top of each bowl just before serving.
9. Spoon the melted Mars bar sauce on top along with the crushed Crunchie bars.
Recipe Summary
Rate It
Nutrition Rank
Nutrition Facts
Serving size
Calories 927 Calories from Fat 153
% Daily Value*
Total Fat 21 g32.3%
Saturated Fat 10.1 g50.6%
Trans Fat 0 g
Cholesterol 40.6 mg13.5%
Sodium 307.6 mg12.8%
Total Carbohydrates 172 g57.2%
Dietary Fiber 4.1 g16.2%
Sugars 128.5 g
Protein 13 g26.6%
Vitamin A 0.5% Vitamin C 10.6%
Calcium 11.3% Iron 15.2%
*Based on a 2000 Calorie diet


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Malabsorption involves problems with the body's ability to take in nutrients from food.
Many diseases can cause malabsorption. Most often, malabsorption involves problems absorbing certain sugars, fats, proteins, or vitamins. It can also involve an overall problem with absorbing food.
Problems or damage to the small intestine that may lead to problems absorbing important nutrients. These include:
Enzymes produced by the pancreas help absorb fats and other nutrients. A decrease of these enzymes makes it harder to absorb fats and certain nutrients. Problems with the pancreas may be caused by:
Some of the other causes of malabsorption include:
In children, current weight or rate of weight gain is often much lower than that of other children of similar age and gender. This is called failure to thrive. The child may not grow and develop normally.
Adults may also have failure to thrive, with weight loss, muscle wasting, weakness, and even problems thinking.
Changes in the stools are often present, but not always.
Changes in the stools may include:
Your health care provider will do an exam. Tests that may be done include:
Treatment depends on the cause and is aimed at relieving symptoms and ensuring the body receives enough nutrients.
A high-calorie diet may be tried. It should supply:
If needed, injections of some vitamins and minerals or special growth factors will be given. Those with damage to the pancreas may need to take pancreatic enzymes. Your provider will prescribe these if necessary.
Medicines to slow down the normal movement of the intestine can be tried. This may allow food to remain in the intestine longer
If the body is not able to absorb enough nutrients, total parenteral nutrition (TPN) is tried. It will help you or your child get nutrition from a special formula through a vein in the body. Your provider will select the right amount of calories and TPN solution. Sometimes, you can also eat and drink while getting nutrition from TPN.
The outlook depends on what is causing the malabsorption.
Long-term malabsorption can result in:
Call your provider if you have symptoms of malabsorption.
Prevention depends on the condition causing malabsorption.
Högenauer C, Hammer HF. Maldigestion and malabsorption. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 104.
Semrad CE. Approach to the patient with diarrhea and malabsorption. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 140.
Last reviewed on: 5/11/2016
Reviewed by: Subodh K. Lal, MD, gastroenterologist with Gastrointestinal Specialists of Georgia, Austell, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.


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Labour leader Ed Miliband appealed to voters today not to treat tomorrow's poll on electoral reform as a referendum on Nick Clegg.
Campaigners were making a last pitch for support in the battle over whether to adopt the Alternative Vote (AV) system for electing MPs, as well as the fight for English councils and devolved assemblies in Scotland, Northern Ireland and Wales.
Mr Miliband, who supports the move to AV - under which voters would rank candidates in order of preference - said it was a "once-in-a-generation opportunity" to change Britain's political system for the better.
The Labour leader appealed to voters to use tomorrow's elections to send a message to the coalition Government about their concerns over cuts, university tuition fees and the proposed shake-up of the NHS.
But he urged them not to seek to punish the Deputy Prime Minister for breaking Liberal Democrat election promises by voting down AV in the referendum, which was the key concession he gained from David Cameron in last year's coalition negotiations.
Mr Miliband told BBC Radio 5 Live: "The reason I did not share a platform with Nick Clegg is because I didn't want it to become what in some people's minds I think it still is, which is a referendum on Nick Clegg and some of the promises he has broken.
"This isn't about Nick Clegg. This is about whether we change our politics for the better and this is a once-in-a-generation opportunity to do it."
A ComRes poll for The Independent today showed a commanding 32-point lead for the No campaign among those who have made up their minds and say they are sure to vote in the AV referendum.
It put the No vote on 66% compared with 34% for the Yes campaign - a 12-point widening of the gap since last week, when the margin was 60% to 40%.
Mr Miliband told Radio 5 Live why he backed a Yes vote: "This is a chance to change our political system for the better, in my view, a chance to ensure that every MP elected must seek 50% of the vote, a chance to make more people's views count and a chance to change the yah-boo political culture, because we will all have to reach out more."
The Labour leader said a good result in Thursday's elections will not guarantee that it is on the route back to power, and acknowledged that his party has yet to regain the trust of voters.
"We are winning it back by talking about the issues that people care about," he said, citing squeezed living standards, prospects for young people and building stronger communities.
"It's by talking about these issues that we start to regain trust, but it is a process and I don't say it will be completed after these local elections, whatever the outcome.
"The basic point that we shouldn't assume that any gains we make in local elections mean we are on course to win the next general election is right. You will find me over the coming years as the eternal warrior against complacency, because I know my party has a long way to go to regain trust with people."
Mr Miliband added: "These elections are an opportunity for people to send a message about the direction this Government is going. They are doing things people didn't vote for.
"This isn't a majority Tory Government and if you look at what they are doing on the NHS, on tuition fees, on the deficit, a majority of people didn't vote for these changes at the last election.
"I hope people will use the opportunity of these local elections to elect good local Labour councillors but also to send a message to this Government."
Mr Clegg conceded that feelings were "rising high" in Westminster but sought to divert attention towards the issues - telling voters AV was "a bit better" than first past the post.
Tensions between the governing coalition partners erupted across the Cabinet table yesterday when Energy Secretary Chris Huhne directly confronted Prime Minister David Cameron and Chancellor George Osborne over alleged "lies" by the No camp.
The Deputy Prime Minister declined to comment directly on his Lib Dem colleague's intervention - the latest in a succession of vociferous criticisms - which was criticised by the Yes campaign yesterday as unhelpful.
But he told BBC Radio 5 Live: "The temperature is rising, feelings are rising high as you would expect at this stage of a referendum campaign but at the end of the day it isn't about what politicians think or feel or even say to each other, it's about what people want.
"If you basically think the current system is absolutely fine, totally perfect, nothing wrong with it then obviously vote No and stick with what we've got.
"If you want something a bit fairer, a bit better, which makes all politicians work a bit harder for your vote then vote Yes, vote for change."
Many people would not put their minds to how to vote until tomorrow, he suggested, refusing to concede that defeat appeared likely.
"Gallons of ink is going to be spilled in the nation's newspapers providing a post-mortem one way or another. Actually the choice before people is not whether this was said in the referendum campaign or that was said in the referendum campaign but what this is all about."
The coalition would "move on" whichever way the referendum went and continue dealing with priorities such as addressing the UK's record deficit, he insisted.
Mr Miliband acknowledged that there were party political calculations, as well as arguments of principle, behind his backing for AV.
And he admitted that Labour did not introduce it during its time in power because it had a large enough majority not to need it.
The Labour leader insisted that he did not see the vote on AV as a stepping stone to a proportional representation (PR) system, which he opposes.
And he made clear that a No vote tomorrow will put electoral reform off the agenda for a long time.
"I don't think we are going to be coming back to this very quickly," he told BBC Radio 4's Today programme.
Asked if a No outcome would mean "that's it" for electoral reform, he replied: "Well, yeah, but let's see what the result is."
In a frank discussion of the electoral impact of AV on the different parties, Mr Miliband said: "I do think there is an anti-Conservative majority in this country and I don't think first-past-the-post gives expression to it.
"My main reasons for advocating a change are principled reasons to do with a fairer system. I also happen to believe there is a progressive majority in this country and first-past-the-post doesn't give expression to it."
Challenged over why Labour did not introduce AV during its 13 years in power, Mr Miliband said: "We should have done. It is something I pushed for in relation to the manifesto, which I was responsible for, and indeed it was in the manifesto."
But he admitted: "We had too big a majority. When a Government comes along and has a majority of 170, there is not much incentive to change the electoral system."
During a visit to Leicester, where voters are electing a mayor and a new MP for Leicester South as well as taking part in council polls and the AV referendum, Mr Clegg was asked what he would do if Lib Dem losses damaged the credibility of the coalition.
He replied: "You know, what I've never done - and I'm not going to do it now - is to start playing this 'what if' game the day before the election.
"Tomorrow is an important day for people to ask themselves who is the best placed in a local community to work for local families, to work for local communities.
"As I travel around the country I am so impressed by the hard work, the dedication, the commitment of thousands of Liberal Democrat campaigners whose only care in the world is what is best for their own communities and I hope that will be recognised by people when they vote tomorrow."
Asked whether Mr Huhne's comments in Cabinet yesterday suggested he was positioning himself to quit the Government and become a leadership rival from the backbenches, Mr Clegg said: "I think temperatures of course run high in the final stages of a referendum campaign.
"At the end of the day, this isn't about what one politician said to another, it's not even about what one political party thinks about it, it's what do people think when they have the chance to cast their vote at the referendum tomorrow.
"I'm not going to provide a running commentary on Cabinet. Clearly temperatures run high at this stage in the referendum campaign but the great thing about a referendum is it's not about the politicians, it's about what the people want."
Mr Cameron defended the existing voting system in the Commons against charges by one Lib Dem MP that it produced results "that would embarrass Robert Mugabe".
Colchester MP Bob Russell said that at last year's general election, Tories polled 49% of the votes in Essex but won 95% of the seats.
"Other than that Essex is now a Labour-free zone, do you think that result was fair?" he asked.
The Prime Minister told him: "In Colchester, everyone had one vote, it was counted once, and you won. I congratulate you.
"In other parts of Essex everyone had one vote, they were all counted once and many of my honourable friends won."
He also insisted that, despite the differences over AV, there was "as good an argument" today for the coalition as when it was formed.
"Of course we do not agree about the future of our electoral system. We are having a referendum, we are having a debate about it," he told MPs.
"But the reason for having a coalition Government, coming together, sorting out this country's problems in the national interest, is as good an argument today as it was a year ago when we went into government to clear up the mess that was made by the party opposite."
Former foreign secretary David Miliband blamed "personality infighting" inside the coalition for the failure of the pro-AV camp to enthuse voters.
"The personality infighting in the coalition has rather got in the way of the real issues," he told the Boulton & Co show on Sky News.
"I was at Sussex University yesterday with 400 students and they were complaining that there was not proper engagement with the issues - and, by the way, they were nine to one in favour of change, which was surprising to me as I can read the polls as well as you can."
Mr Miliband joked that he might be seen to have "more reasons than some to be dubious about AV" about his shock defeat by brother Ed in the Labour leadership election using the system.
But he went on: "We have an opportunity tomorrow to change our voting system in a way that enfranchises more people in Britain and ensures that every MP gets 50% of the vote."
- More about:
- Colchester
- Liberal Democrat Party
- Nick Clegg


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Embarcadero Webinar to Reveal How Mobile Developers can Drive User Engagement and Increase App Retention with BaaS
Embarcadero Webinar to Reveal How Mobile Developers can Drive User Engagement and Increase App Retention with BaaS
Experts from ShepHertz and Embarcadero Technologies to share key Backend as a Service (BaaS) features
SAN FRANCISCO – August 21, 2014 – Embarcadero Technologies is hosting a webinar on Wednesday August 27, 2014 that will provide mobile application developers with best practices for driving user engagement and increasing app retention.
At the end of the webinar, participants will get a BaaS checklist for mobile app development, and code snippets for getting started fast.
About Embarcadero Technologies
Embarcadero Technologies, Inc. is a leading provider of award-winning tools for application developers and database professionals so they can design systems right, build them faster and run them better, regardless of their platform or programming language. Ninety of the Fortune 100 and an active community of more than three million users worldwide rely on Embarcadero products to increase productivity, reduce costs, simplify change management and compliance, and accelerate innovation. Founded in 1993, Embarcadero is headquartered in San Francisco, with offices located around the world. To learn more, please visit www.embarcadero.com.
Media Contact
Lizanne McReelis
This press release is licensed under a Creative Commons Attribution 3.0 Unported License. Read full copyright information here.


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1608 E RIVER LN E Oakley, UT 84055
Hi, Blueroof .com.
My name is
and I have a question about 1608 E RIVER LN E Oakley
You can respond by either emailing me at
or call during
My Question Is:
Estimated Monthly Payment$5,051
- Photos
- Location
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- Share
- Virtual Tour
- Mortgage Calculator
- Status: Pending
Listing courtesy of Berkshire Hathaway HomeServices Utah - Main
Year round access to this lovely 3 bedroom, 2 bath, plus loft. Exceptionally well built tongue and groove cabin. 3rd sleeping area is in the large loft. Oversized 2 car garage, very nice lot, with back area fenced. Exceptionally nice neighborhood with ATV or snowmobile access to thousands of acres of national forest trails. Square footage estimated, having floor plan and measurements taken by appraiser. HOA has no restrictions on animals.
Interior Features Include:
Dishwasher, Built-In, Disposal, Kitchen: Updated, Vaulted Ceilings
Basement None/Crawl Space
Fireplaces 0
Window Cov: Blinds
Heating: Electric: Baseboard, Propane, Space Heater
Floor Type: Carpet, Hardwood, Tile
None/Crawl Space
Exterior Features Include:
Deck; Covered, Double Pane Windows, Sliding Glass Doors, Storm Doors
Acreage: 0.4500 Acres
Lot: Fenced: Part, Road: Unpaved, Terrain: Grad Slope, View: Mountain, View: Valley, Wooded
Landscape Landscaping: Full, Mature Trees
Landscape: Full Landscaping, Mature Trees
Roof: Composition
Exterior: Log
Patio/Deck: 0 Patio 1 Deck
Garage/Parking: Detached, Extra Height, Extra Length
Garage Capacity: 2
Other Features Include:
Inclusions: Dryer, Range, Refrigerator, Washer, Wood Stove
Amenities: Electric Dryer Hookup
Water: Culinary
Sewer: Septic
Utilities Gas: Not Connected, Power: Available, Power: Connected, Sewer: Septic Tank, Water: Available, Water: Connected
Storage Garage
Taxes 873
School District: South Summit
Information deemed reliable but not guaranteed accurate. Buyer to verify all information.The multiple listing information is provided by Wasatch Front Regional Multiple Listing Service, Inc. from a copyrighted compilation of listings. The compilation of listings and each individual listing are © 2014 Wasatch Front Regional Multiple Listing Service, Inc., All Rights Reserved. The information provided is for consumers, personal, non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be interested in purchasing.


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At Skin Care Network, we know the importance of genital skin issues being recognized and treated appropriately. Our consultant dermatologists understand the personal nature of these problems.
Staff at our clinics in London do have a thorough knowledge of wider sexual health issues, although most genital skin rashes are not sexually transmitted.
They are simply attacks on a vulnerable part of your body and can happen at any age. Children suffer genital problems, from eczema, to ulceration, penile papules erupt in young men, adults are subject to infection, pigment changes, malignant conditions.
With psychological, functional and cosmetic needs all important in genital cases, professional assessment is essential. If you prefer, we offer the choice of a male, or female consultant.
Diagnosis Of Genital Rashes
Many genital skin diseases show signs elsewhere on the body, so we will examine you thoroughly to help with diagnosis. An experienced consultant can tell much from the appearance of a condition.
Further tests may include skin swabs, blood tests analysed in our laboratory, or a biopsy. The latest confocal microscope can however avoid biopsies, high magnification microscopes and computer analysis are part of accurate diagnosis for precise treatment.
Lichen planus and lichen sclerosus for example are skin infections which often infect the genitals, in men and women. They share common features, both are thought to be autoimmune diseases but have subtle differences and may need different treatment.
You could already have a diagnosis of balanitis, inflammation of the penis, or vulva. This tends however to be used as an umbrella term, the cause amongst others may be eczema, bacterial infection, human papilloma virus.
We wish to be as exact as possible, for our patients sake. Less time with genital infections is a plus, full recovery more so, from a disease which can impinge on your life and relationships.
Cases For Partner Testing
Treatment for genital infections in our London clinics truly is confidential, most cases are an issue for the patient alone. There are a few exceptions to be considered, often within the confines of intraepithelial neoplasia.
Intraepithelial neoplasia is a disease which can affect the vulva, anal area, or penis. Hence the acronyms for different types, VIN, AIN, PIN. There are other causes, lichen sclerosus, or lichen planus, or immune system issues but a common cause is a form of the human papilloma virus.
Symptoms can range from an itching, or burning sensation in the vulva, to similar in the penis. Ulcers, or bleeding are possible, there can be associated lesions, potentially early stage skin cancers.
Bowenoid papulosis is a related rare infection, triggered by human papilloma virus induced intraepithelial neoplasia. This can affect men and women, often showing as small, red, brown, or flesh coloured spots on the genitals, or anal region.
Many cases of Bowenoid papulosis are benign and disappear by themselves, the same applies to other infections which might be shared. Testing for your partner still makes sense and is an important safety measure.
Screening for your partner can exclude pre malignant change, or other issues. Our staff are highly experienced and will give all the advice you need on broaching the subject.
Treatment For Genital Rashes
In a wide ranging field, treatment should be precise but will by nature be varied and case specific. Also as non invasive as possible, with cosmetic and functional needs at the core of decisions.
Modern medication, Such as imiquimod cream, an immune response modifier, or fluorouracil cream for damaged cells can be valuable by themselves. Cryosurgery, photodynamic therapy and laser ablation are other minimally invasive, well proven options.
The need for any form of surgery is unusual and even where needed, is often superficial. In the rare cases where more is required, advanced, cosmetically sensitive techniques such as Mohs surgery are available at our London clinics.
The need for invasive treatment truly is unusual, medical approaches to personal hygiene are as likely to help. Our consultants can advise on this and on other treatment to bring a solution.
Treating genital rashes in our London dermatology clinics is also more common than you might think. They are part of life and a part we are pleased to help with.
You may find the options below useful:
- Read more on treatments: Dermatology Navigation.
- See the facilities in Chelsea: Central London Clinic.
- Visit our centre in Barnet: North London Clinic.
For any advice, or to arrange a dermatology appointment, call 020 3535 7850, or send us an email via the Make An Appointment button below.


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Easton A11280931 YB16MK10 MAKO XL COMP -10 Baseball Bat, 31/21
Easton Youth Mako XL Baseball Bat Maximize Your Power Easton Mako XL youth baseball bats return with a massive sweet spot and unmatched bat speed to enhance a playerA's performance at the plate. Easton's exclusive TCTATM Thermo Composite Technology creates a bat that gives players the benefit of having more barrel in the hitting zone with the bat speed to drive the ball from line to line. The Mako is a balanced design featuring EastonA's patented two-piece ConneXionATM technology to maximize energy transfer for optimized feel. Easton Youth Mako XL Baseball Bats feature: TCTATM Thermo Composite Technology for a massive sweet spot and unmatched bat speed technology maximizes energy transfer for optimized feel 29/32" composite handle with 1.2mm HYPERSKINATM grip USSSA 1.15 BPF certified 21/4" barrel 1-Year Warranty Length/Weight (-10): 28"-18 oz A* 29"-19 oz A* 30"-20 oz A* 31"-21 oz A* 32"-22 oz *Note: MINUS (-) DROP: Refers to the differential between the length and weight of a bat. As an example a (-)10 bat would be a 29" length 19 oz weight bat. Easton...For Athletes Who Know The Difference.
- Patented two-piece ConneXion Technology Maximizes Energy Transfer
- TCT Thermo Composite technology
- Ultra-Thin 29/32" Handle with Diamond Performance Grip
- 1.2MM HYPERSKIN Grip
- Balanced Weight Distribution
- 2 1/4" Barrel Diameter
- -10 Length to Weight Ratio


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Cork is open Tuesday thru Saturday evenings, serving dinner from 4pm to 10pm, and upon request during off hours for private parties. We will be open Sundays in May for Mother's Day, King's College Graduation and the University of Scranton Graduation.
Locally owned and operated in Wilkes-Barre, PA, and only minutes from Public Square and the downtown area and also the arena, Cork Bar & Restaurant offers a delicious dining experience in a casual bistro atmosphere – where customers become friends! From a great bottle of wine and candlelight dinner in our upstairs dining room to a night of martinis and laughter in our downstairs bar or on our beautiful outdoor patio, we hope you will enjoy a taste of the finest Cork has to offer! Cork Restaurant is the ideal spot for celebratory parties, showers, rehearsal dinners, business functions and other dinner and cocktail parties. We offer packages to fit any budget and different settings for your celebration, from a casual party in our downstairs bar area to a more formal sit down dinner in our upstairs dining room or an outdoor party on our patio. See our rehearsal dinner packages on the bottom of our Specials/Events page or call or email for a more detailed list of packages. Cork Bar & Restaurant is conveniently located in north Wilkes-Barre just 2 blocks from the Little Theatre of Wilkes-Barre, less that one mile from King's College and the FM Kirby Center, one mile from Wilkes University and only 2.5 miles from Mohegan Sun Arena in Wilkes-Barre. Reserve a table for dinner at Cork today by calling 570-270-3818.
Looking for a great dinner in Wilkes-Barre? Give Cork Restaurant a try. Visit our specials page for information on our wine classes, medium nights, happy hour, Art n' Vino nights and other events! Like us on Facebook to get updates on all specials and events.
Kitchen Open Tuesday thru Saturday 4pm-10pm. Located in Wilkes-Barre's north end at 463 Madison St.
Award Winner – Best Restaurant for a First Date and Best Wine List – 2014 Diamond City Readers Poll
Award Winner – Best Restaurant, Best Patio Dining, Best Wine Menu, Best Young Professionals Bar – 2013 Diamond City Readers Poll
Award Winner – Best Restaurant Menu – 2013 The Times Leader Readers Poll.
Award Winner – Small Business of the Year 2011 – Greater Wilkes Barre Chamber of Commerce.
Award Winner – Best Restaurant, Best Fine Dining & Best Wine List – 2010 Weekender Readers Poll.
Need to purchase a gift certificate, but don't have time to stop in? Just give us a call at 270.3818 or email firstname.lastname@example.com and we'll email a certificate.
Click here to make a reservation!
Click here to join our mailing list & receive special email coupons & offers.


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- Öffnungszeiten: 24 hours a day / 365 days a year
- Geschätzte Transferzeit zum Flughafen: Leave your car in the airport terminal
- Ihre Schlüssel bleiben während Ihrer Abwesenheit bei dem Parkplatzanbieter.
Parkevoa is a young company designed with the objective to provide a low cost VIP service to anyone flying from Porto Airport. We want you to start and finish your trip, whether it be for business or pleasure, in the best way possible, avoiding unnecessary waiting around. You can also make the most of the time you wont be using your car to have it serviced and cleaned so you return to your car in perfect condition.
We are perfectly positioned at less than 1km from the airport and we have an enclosed car park with security cameras operating at all times. We offer our services 24 hours a day so you don't have to worry if your flight is delayed – we will be here waiting for you!
Warum sollten Sie diesen Parkplatz buchen?
- Low cost, high quality Meet and Greet service in Porto.
- Video surveillance and high level security 24 hours a day
- Same price as the Park and Ride service but much more convenient
- Open 24 hours a day 365 days a year
- Additional maintenance and cleaning services available on request
Informationen für Menschen mit Behinderungen
No transfers are needed, Parkevoa will be an excellent alternative for disabled customers who would find it difficult to use transfer buses. Your car is collected from the terminal when you leave, and brought back to you at the terminal on return.
Weitere Informationen
None Available
Bei Ankunft
Call us on the number provided in the confirmation email 15 minutes before you arrive at the airport. We will be waiting for you at the Departures Terminal.
Bei Rückkehr
When you have collected your luggage call us and we will be waiting for you with your car at the Arrivals Terminal.
Adresse für Navigationssysteme
Francisco Sa Carneiro International Airport, Pedras Rubras, 4470, Maiav, Portugal
GPS Coordinates: 41.244049, -8.678723


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Defender Moris Carrozzieri has revealed that he will be playing for Lecce in Serie A next season.
"I won't be joining Bari, but I will be going to the region of Puglia," he confirmed. "I'll be wearing the shirt of Lecce.
"I have signed a one-year contract with the club, which also includes an option for a second campaign."
Carrozzieri, who played for Bari during the early part of his career, has been at Palermo since 2008.
However, he's had his problems at the Stadio Barbera given that he was banned for two years after failing a drugs test in April 2009.
Keep up to date with the latest news and action from Spain's Primera Division with Football Espana - from the team behind Football Italia.


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Chocoholics Afternoon Tea
Chocoholics Afternoon Tea
We have created a Chocoholics dream by replacing the traditional scones, sandwiches and tea with Chocolate cakes, strawberries dipped in chocolate, macarons, chocolate truffles and freshly made hot chocolate made from real melted chocolate.
The chocolate indulgence takes place from our residency at The Penthouse on the 8th floor chocolate workshops space in Leicester Square where our guests enjoy the most amazing panoramic view of London's Skyline and specific viewing areas have been set up for you to have a peak at the workshops. Guests will have the opportunity to pipe their choice of filings into their macarons and decorate their truffles before enjoying them.
Advance booking is required. Seating times are 1:30PM, 3:30PM, 5:30PM and 7:30PM for 90 minutes on days we operate from Leicester Square. Once booked, we allow for people to change the date booked if at least 72 hours prior notice is made.
£43 per person
Guests are offered seats in booths and tables with amazing skyline and workshop views. Guests with small parties may share the booth with other parties, but we limit each booth to just two parties.
we intentionally kept the room cool and recommend wearing several layers of clothing or an extra jacket.
Guests should arrive a couple minutes before their allocated seating time as we have limited space for guests to wait. If the venue is not open to the public when you arrive, a member of our team will open the doors on the ground at the scheduled seating times.
Guests will be seated within 30 minutes of the scheduled seating time. If seating is delayed more than 30 minutes, the scheduled seating will be cancelled and guests will be rebooked for another day. Guests arriving more than 30 minutes late will not be seated.
As we prepare food in the same room as our guests are enjoying afternoon tea, we require the following:
- Guests must be in good health with no contagious diseases.
- Guests with nut allergies are not allowed. Guests with other food allergy reactions must discuss them with us in advance of making a booking.
- Health & Safety documentation and Liability Waiver must be completed to participate.
- We have age restrictions for all our events at the Leicester Square location: under 5's are not allowed, under 16's must be accompanied with an adult and under 18's not allowed in the venue after 9pm.


text:
Season 2 of the Overtime podcast is here! Listen to the first episode with Meg Robichaud now.
A big thanks to Luca Candela for the invite!
Here's my personal logo mark. I'm looking forward to sharing plenty of pixels in the coming year.
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text:
Subject: engine foult
My Name: TEJASKUMAR MANILAL LAKHANI
My City: una
My Complaint Against: om hyundai car pvt ltd junagadh
Complaint Category: Service Providers
Claim Amount (Approx.): aording to compne 4000+tax+labour
My Complaint Description:
dear sir
i have hyundai eon era plus car puschase on 27/07/2014 from om hyundai cars junagadh. Compny gives 2 year of engine warrnty on it.on date 09/07/2016 i put my car on show room and said about foult.on 13/07/2016 show room gives me custady of car but foult is same i complaint again but they say when u come next time we clear foult.… Continue reading
Om Hyundai Car Pvt Ltd Junagadh Complaint – Engine Foult
Subject: engine foult


text:
Connect Magento with bank
This project was successfully completed by steven6 for $111 USD in a day.Get free quotes for a project like this
Project Budget$50 - $100 USD
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I have a Magento Site, i want to connect with Bac-Credomatic Bank , there is a extension that i have purchased but it does not work. So, web developer has to connect the store with bank using custom code ore something similar. I will pay after the proyect end satisfactory. Please post only if you are sure you can do this. i have had bad experiencies.
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We would like to remind our faculty, students and the community in general that regardless of the government shutdown, The University of Tulsa's McFarlin Library and the Department of Special Collections and University Archives have old-style librarians still available both for your government information needs.
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- The Jack H. and Tybie Davis Satin Rare Book Room | From McFarlin Tower on History of the Jack H. and Tybee Satin Rare Book Room
- Some new WWI Digital Collections uploads. | From McFarlin Tower on The Great War / World War I collections