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Factors associated with patient, and diagnostic delays in Chinese TB patients: a systematic review and meta-analysis
Delay in seeking care is a major impediment to effective management of tuberculosis (TB) in China. To elucidate factors that underpin patient and diagnostic delays in TB management, we conducted a systematic review and meta-analysis of factors that are associated with delays in TB care-seeking and diagnosis in the country.
This review was prepared following standard procedures of the Cochrane Collaboration and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and checklist. Relevant studies published up to November 2012 were identified from three major international and Chinese literature databases: Medline/PubMed, EMBASE and CNKI (China National Knowledge Infrastructure).
We included 29 studies involving 38,947 patients from 17 provinces in China. Qualitative analysis showed that key individual level determinants of delays included socio-demographic and economic factors, mostly poverty, rural residence, lack of health insurance, lower educational attainment, stigma and poor knowledge of TB. Health facility determinants included limited availability of resources to perform prompt diagnosis, lack of qualified health workers and geographical barriers.
Quantitative meta-analysis indicated that living in rural areas was a risk factor for patient delays (pooled odds ratio (OR) (95% confidence interval (CI)): 1.79 (1.62, 1.98)) and diagnostic delays (pooled OR (95% CI): 1.40 (1.23, 1.59)). Female patients had higher risk of patient delay (pooled OR (95% CI): 1.94 (1.13, 3.33)). Low educational attainment (primary school and below) was also a risk factor for patient delay (pooled OR (95% CI): 2.14 (1.03, 4.47)). The practice of seeking care first from Traditional Chinese Medicine (TMC) providers was also identified as a risk factor for diagnostic delay (pooled OR (95% CI): 5.75 (3.03, 10.94)).
Patient and diagnostic delays in TB care are mediated by individual and health facility factors. Population-based interventions that seek to reduce TB stigma and raise awareness about the benefits of early diagnosis and prompt treatment are needed. Policies that remove patients' financial barriers in access to TB care, and integration of the informal care sector into TB control in urban and rural settings are central factors in TB control.
Although progress has been made in global tuberculosis (TB) control
Limited knowledge about signs and symptoms of TB, poor health seeking behavior, and poor diagnosis and disease management in health facilities result in delays in TB diagnosis and treatment, which in turn, increase the risk of TB transmission and the development of MDR-TB
Early diagnosis and prompt treatment are the core objectives of an effective national TB control program
Although reviews conducted on TB care-seeking behavior in sub-Saharan Africa and elsewhere
According to the Chinese Ministry of Health (MOHC)
Search strategy
The review was prepared following standard procedures of the Cochrane Collaboration
Additional file 1
PRISMA checklist.
Click here for file
Inclusion/exclusion criteria
(1) Types of studies: Case-control, cross-sectional and cohort studies were included.
(2) Participants: Patients with pulmonary tuberculosis (including smear positive or negative patients, newly diagnosed cases and those undergoing retreatment).
(3) Exposure variables: We collected data on the following:
(i) Demographic characteristics: marital status (classified as married or living with partner, single, widowed, divorced), age (grouped into 60 years and older, and less than 60 years old), education level (categorized into primary school and below, middle school and above), residence (categorized into rural and urban).
(i) Risk behavior/lifestyle: smoking and alcohol consumption (categorized into smoker, non-smoker, alcohol drinker and non-drinker).
(i) Health systems factors: health facilities (categorized into non-TB health facilities and TB health facilities), health resource related to TB diagnosis, ability of health providers and traffic or geographical barriers.
(4) Outcomes measures: TB patient delay and TB diagnosis delay.
When there was evidence of multiple publications of the same study over time, only the article with a full report was included. Reports on TB suspects, extra-pulmonary TB, HIV infected TB patients, qualitative studies (data collected by qualitative research methods) and studies that focus on PTB patients in Hong Kong, Macao and Taiwan were excluded.
Study selection
Application of inclusion and exclusion criteria to identified studies was done by two reviewers (DL and YB). Both reviewers independently screened titles and abstracts of identified studies to assess their eligibility for inclusion in the review, using an eligibility form based on the inclusion criteria. Where there were disagreements regarding eligibility of studies, all reviewers participated in the decision about inclusion by discussion and consensus.
Quality assessment
We assessed the quality of case-control and cohort studies using the Newcastle-Ottawa Scale
For cross-sectional studies, we used the guideline for critical appraisal of cross-sectional studies developed by the National Collaborating Center for Environmental Health
Data abstraction
Data from eligible studies were independently abstracted by two reviewers (BY and KL). Differences were resolved by consensus among all reviewers. Data extracted from each study included name of first author, year of publication, type of study design, place of study, type of participants (newly diagnosed/retreatment and smear positive/negative pulmonary TB patients), residence of participants (rural/urban), sampling size, outcome (patient delay/diagnostic delay), information used for comparing analyses (numbers of participants with/without exposure variables) and the main results were extracted for all included studies.
Assessment of heterogeneity
Heterogeneity was evaluated using the Q test
Data synthesis
The first step of the data analysis involved a qualitative synthesis aimed at summarizing, comparing and contrasting the extracted data. Meta-analyses were then conducted to assess the association among patient delay, diagnostic delay, and gender, age, education, residence, healthcare seeking behaviors (TB health facility for first consultation or seeking care from Traditional Chinese Medicine (TMC) providers) and lifestyle factors (smoking and alcohol use). Only studies that adopted the definitions of patient and diagnostic delays proposed by the Office of TB Control in the MOHC
Description of studies
Figure 1
Results of literature search
Results of literature search. This figure is a description of the full search process.
Figure 2
This figure presents different definitions of delays used in studies on patient delay and diagnostic delay in mainland China
This figure presents different definitions of delays used in studies on patient delay and diagnostic delay in mainland China. A: Patient delay refers to the time from the onset of TB symptoms to first visit to health facility is greater than 2 weeks. Diagnostic delay refers to the time from the first visit to health facility to TB diagnosis is greater than 2 weeks. B: Patient delay refers to the time from the onset of TB symptoms to first visit to health facility is greater than 21days. Diagnostic delay refers to the time from the first visit to health facility to TB diagnosis is greater than 2 weeks. C: Patient delay refers to defined as the duration from the onset of symptoms to the first visit to a doctor in a hospital. Doctor's delay was defined as the duration from the first hospital visit to a confirmed TB diagnosis in the designated DTC or designated TB Care Unit. D: Patient delay was defined as the time (in days) from the onset of symptoms to first seeking care at a health facility. Health system delay as the time (in days) from first seeking care at a health facility (including village clinics) to diagnosis. E: Delayed initial health-seeking was defined as duration in excess of the median duration (10 days) (including hospital, TB dispensary, clinic, health center, etc.). F: Patient delay is defined as the time from the onset of TB symptoms to the first contact with a doctor in a county (or higher) TB center/ hospital.
The quality assessment of studies indicated that eight cross-sectional studies
Data synthesis
Summary of qualitative findings
Individual level factors
Health systems factors
Seventeen studies analyzed the relationship between health facility related factors and patient/diagnostic delays. It was found
Summary of findings from meta-analysis
Figure 3
Forest plots of meta-analysis of factors associated with patient delay
Forest plots of meta-analysis of factors associated with patient delay. This figure shows forest plots for the meta-analysis of factors associated with patient delay. OR and 99% CI for each factor are given.
Figure 4
Forest plots of meta-analysis of factors associated with diagnostic delay
Forest plots of meta-analysis of factors associated with diagnostic delay. This figure shows forest plots for the meta-analysis of factors associated with diagnostic delay. OR and 99% CI for each factor are given.
An important epidemiological challenge for TB control in China is inadequate and late case detection
The review showed that rural residence was an important determinant of patient delay in seeking and receiving care for TB. It is estimated that a third of TB suspects in China's rural settings do not seek care after three weeks of persistent cough, and lower-income individuals are less likely to seek care for TB than higher-income individuals
The review highlighted the practice of seeing a TMC provider as a cultural factor that underpins patient delays in seeking and receiving TB diagnosis and treatment. Many Chinese TB patients would have visited a TCM provider for their ill-health before seeking care at a formal TB health facility
Another cultural aspect of TB diagnosis and treatment delay is the stigma that is attached to the disease, which drives individuals to hide their condition from others, thus hindering them from accessing available diagnosis and treatment services. One study which focused on public awareness about TB concluded that approximately 72% of respondents held some stigmatizing attitudes towards the disease. Increasing public knowledge and awareness of TB as a disease that can be diagnosed and successfully treated if detected early is important for TB control efforts in the country
Finally, health system financing was been shown to be an important health systems determinant of patient delay in seeking TB care. Although the number of people living below the poverty line in China continues to decline as the economy grows, gross inequity, particularly in the financing of health, remains, as there is still significant difference in terms of socioeconomic development between the Western and Eastern part of China. The innovative, pre-market economy Chinese health system of the 1950s to 1970s has since disintegrated
To counter the impact of financial barriers on TB care, many TB programs began to incorporate material and financial performance-based incentives for patients, and occasionally, providers in the 1990s. Evaluation studies of these incentive programs show that they can be effective in reducing diagnostic and treatment barriers and delays
Similarly, China's once successful Cooperative Medical System (CMS) in the rural areas collapsed in the early 1980s leaving the majority of rural dwellers uninsured. The situation did not improve until 2003 when the Chinese government started to re-establish New Rural Cooperative Medical Scheme (NRCMS)
This review did not identify randomized controlled trials, which was expected since experiments that expose people of diverse backgrounds to TB in order to assess how they seek diagnosis and treatment would be unethical. Consequently, the review included mostly cross-sectional, one case-control and one cohort study. These studies have a number of inherent limitations that have the potential to introduce bias in the results of this review. For example, the included cross-sectional studies had low comparability and were fraught with numerous confounders. Although the studies controlled for these confounders using logistic regressions, their residual effect might have introduced some degree of bias to the review.
Most of the available studies had different definitions of patient and diagnostic delays, as well as multiple classification of socio-demographic variables, including age, income, education and type of health facility consulted by TB patients. This limits comparability of the studies, and makes pooled analyses of results difficult. The meta-analysis was restricted to studies that adopted the definition of patient delay proposed by the Office of TB Control in the MOHC (that is, a time interval of more than two weeks between the onset of TB symptoms and the patient's first presentation to a health facility). We acknowledge the limitation in accurately determining actual onset of TB symptoms by patients, given the generally low knowledge of TB among the public
Implications for policy and practice
As findings of this review show, rural residence is an important determinant of delay in seeking diagnosis by TB patients in China. At a time when there is global emphasis on the use of community health workers for health promotion and disease prevention at the community level, the need to resurrect the use of health workers at village and township levels to fight TB in rural China cannot be over-emphasized
To address the negative impact of high out-of-pocket payments, it is important to integrate TB control efforts into the overall health system, especially health insurance schemes. The National TB Program (NTP) in China has recently started to work with the Ministry of Civil Affairs that is responsible for medical financing assistance for the poor to ensure that TB patients, particularly MDR-TB patients, can be diagnosed in a timely fashion and treated successfully, regardless of their ability to pay
An important challenge for TB control in China is inadequate and late case detection. Patient and diagnostic delays in TB care are mediated by individual and health facility factors. Population-based interventions that seek to reduce TB stigma and raise awareness about the benefits of early diagnosis and prompt treatment are needed. Policies that remove patients' financial barriers in access to TB care, and integration of the informal care sector into TB control in urban and rural settings are central factors in TB control.
CI: Confidence interval; CMS: Cooperative medical system; CNKI: China national knowledge infrastructure; CTD: County TB dispensaries; DOTS: Directly observed therapies; MDR-TB: Multi-drug resistant tuberculosis; MOHC: Chinese ministry of health; NRCMS: New rural cooperative medical scheme; OR: Odds ratio; PRISMA: Preferred reporting items for systematic reviews and meta-analyses; PTB: Pulmonary tuberculosis; TB: Tuberculosis; TMC: Traditional Chinese medicine.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
JC designed the review. YL and JE designed the search strategy and searched the literature. YL analyzed data and drafted the manuscript. JE assessed the quality of data analysis and edited the manuscript. DL and YB selected the studies, while YL and DL extracted data. ST provided technical advice on health system issues related to TB management in China and edited an earlier draft of the manuscript. CM provided resources used in drafting the discussion and edited a later draft of the manuscript. All authors read and approved the final manuscript.
This project was funded by the National Natural Science Foundation of China (Award # 81001297). The authors would like to thank the library of the Third Military Medical University for the literature search support.
Global tuberculosis report
National survey of drug-resistant tuberculosis in China
The global burden of tuberculosis–combating drug resistance in difficult times
Delays in the diagnosis and treatment of tuberculosis patients in Vietnam: a cross-sectional study
Factors associated with patient and health system delays in the diagnosis of tuberculosis in South India
Delay in tuberculosis case detection in Pwani region, Tanzania. A cross sectional study
Diagnostic delay among pulmonary tuberculosis patients in Sarawak, Malaysia: a cross-sectional study
Delay in tuberculosis diagnosis and treatment in four provinces of Argentina
Health-seeking behavior of new smear-positive TB patients under a DOTS programme in Tamil Nadu, India, 2003
Factors associated with delayed identification of PTB
Patient and health service delay in the diagnosis of pulmonary tuberculosis in Ethiopia
Health seeking behaviour and diagnosis for pulmonary tuberculosis in an HIV-epidemic mountainous area of Thailand
Long delays and missed opportunities in diagnosing smear-positive pulmonary tuberculosis in Kampala, Uganda: a cross-sectional study
Active case finding of tuberculosis: historical perspective and future prospects
Factors associated with patient and health care system delay in diagnosis and treatment for TB in sub-Saharan African countries with high burdens of TB and HIV
A systematic review of delay in the diagnosis and treatment of tuberculosis
[Patient delay among migrants PTB]
[Factors associated with diagnostic delay of 142 PTB]
[Analysis on patient delay and reasons for pulmonary tuberculosis in poor rural]
[Delay in identification of PTB in Shang Yang city]
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomized studies in meta-analyses
A primer for evaluating the quality of studies on environmental health: critical appraisal of cross-sectional studies
The combination of estimates from different experiments
Quantifying heterogeneity in a meta-analysis
[Barriers in accessing to tuberculosis care among non-residents in Shanghai: a descriptive study of delays in diagnosis]
[Factors associated with diagnostic delay for patients with smear-positive pulmonary tuberculosis in rural Hunan, China]
[Research on the Affection of Doctors' Disease Diagnose Ability to the Pulmonary Tuberculosis Patient's Economic Burden]
[Patient delay and the impact factors for senile pulmonary tuberculosis in rural area]
[Analysis on causes and countermeasures of delay diagnosis of Pulmonary tuberculosis patients in north GuiZhou]
[Investigation of diagnostic delay of TB in Shang Qiu city]
[Investigation of Correlative Factors leading to Delayed Diagnosis of Smear-positive TB Cases]
[Spreads the Piece Negative Pulmonary Tuberculosis Sickness Diagnosis Level to the Patient Economic Burden Influence Research]
[Analysis on Delayed-detection Situation of New Smear-positive Cases With Pulmonary Tuberculosis in Anhui Province]
[Survey on the management of newly diagnosed PTB]
[Analysis on the cause of patient delay of PTB in rural area of Dingxi city]
[Survey on the identification delay of newly diagnosed PTB.]
[Research on detective delay and influence factors in youth patients with pulmonary tuberculosis.]
[Diagnostic delay of newly diagnosed PTB in Zhenzhou City]
[Delay in seeking medical consultation among pulmonary tuberculosis patients in migrants]
[The research on detection delay and patient's delay influencing factors of rural new smear positive pulmonary TB of Ji'ning City]
Factors affecting delays in tuberculosis diagnosis in rural China: a case study in four counties in Shandong Province
Predictors on delay of initial health-seeking in new pulmonary tuberculosis cases among migrants population in East China
The effect of geographical distance on TB patient delays in a mountainous province of China
Analysis of the cause for misdiagnosis of elderly smear-positive tuberculosis patients
Analysis for diagnostic delay of new smear positive patients
Survey on 290 smears positive PTB
Diagnosis and treatment of elderly tuberculosis patients in Shandong province
Diagnostic delay of newly diagnosed PTB
Social behavior risk factors for drug resistant tuberculosis in Mainland China: a meta-analysis
Health system impacts on maternal and child health
Persistent problems of access to appropriate, affordable TB services in rural China: experiences of different socio-economic groups
Public awareness of tuberculosis in China: a national survey of 69,253 subjects
Tuberculosis and stigmatization: pathways and interventions
Communicable disease control in China: from Mao to now
Tuberculosis patient expenditure on drugs and tests in subsidies, public services in China: a descriptive study
Providing health insurance in rural China: from research to policy
Patient medical costs for tuberculosis treatment and impact on adherence in China: a systematic review
Providing financial incentives to rural-to-urban migrants in Shanghai: an intervention study
Worldwide: Incentives for Tuberculosis Diagnosis and Treatment. Center for Global Development
Project description
The urban resident basic medical insurance: a landmark reform towards universal coverage in China
Do transportation subsidies and living allowances improve tuberculosis control outcomes among internal migrants in urban Shanghai, China?
Tuberculosis control in China: striving for sustainability
Pre-publication history
The pre-publication history for this paper can be accessed here:


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Dust removal without the clutter
Bagless vacuum cleaner Philips PowerPro Ultimate delivers superior cleaning performance. It is designed to reach full power in energy class. The aerodynamic design technology PowerCyclone 7 minimizes air resistance. Thereby reducing unwanted power losses and ensures exceptional cleaning effect. When cleaning carpets appreciate Superturbo brush that can remove even very resistant to dirt. This feature will come in handy especially animal pet owners. Superturbo to brush their hair will be removed in a jiffy.

subset: commoncrawl


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Browse All Bolivian Recipes: Bolivian Appetizers | Bolivian Beverages | Bolivian Soups | Bolivian Salads | Bolivian Vegetarian | Bolivian Meat Dishes | Bolivian Snacks | Bolivian Desserts
The meat is the main source of proteins in Bolivia. Although the tourists are recommended to consume light foods during the first days, eating more consistent foods is imperative for surviving at high altitudes. Beef is the most popular meat in Bolivia and Saice is one example of dish that uses it as the main ingredient, along with onions and potatoes, while Chairo, a dish made from beef and vegetables, is another one. People from the higher regions of the country prefer trout, while in the lower regions freshwater fish is chosen for the recipes. Picante de Pollo, which means chicken in spicy sauce and Pastel de Choclo con Pollo, which is a pie based on chicken and cornmeal, are the main dishes that make use of poultry. Most of the Bolivian meat dishes are served with either spicy salads or with spicy sauces.
Pages in category "Bolivian Meat Dishes"
The following 12 pages are in this category, out of 12 total.


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See Figures 1, 2, 3 and 4
The Vehicle Identification Number (VIN) is stamped on a plate located on the top left hand side of the instrument panel, so it can be seen by looking through the windshield. The VIN is a seventeen digit sequence of numbers and letters important for ordering parts and for servicing.
The tenth digit of the (VIN) represents the model and is designated as a letter. Starting with 1990 (L), 1991 (M), 1992 (N) and 1993 (P).Body Identification Label
See Figure 5
The body number plate was last used on some of the 1990 vehicles. The ID plate is located on the upper surface of the firewall. The plate supplies various information for original parts ordering and body, engine and transmission identification. As of 1991 all vehicles use the Service Parts identification Label.Service Parts Identification Label
See Figures 6, 7 and 8
The service parts identification label has been developed and placed on the vehicle to aid in identifying parts and options originally installed on the vehicle. This is extremely helpful when purchasing a used vehicle, or restoring a used vehicle to its original state. The label is located on the underside of the luggage compartment lid on sedans, and on the inner right rear quarter panel of wagons.
See Figure 9


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I just wanted to say a few things, I received a number of texts and emails, and heard a bunch of grumbling in the gym when people found out that we were going to retest 16.1 and I wanted to address it. (and I mean virtually all of the gym members who I saw in person and whom text me said something, so pretty much half the gym).
We retest for a number of reasons. First, statistically speaking most people improve upon their first score if they retest. I dont have hard and fast numbers because they vary across workouts but in my personal experience, and I have coached the opens for a few years now, people almost always tie or do better with a second exposure. I want you to succeed in this sport. If that means that a retest will jump you a few reps then we are going to retest. Keep in mind with populations the size of each region, a few reps can sometimes mean a few hundred places higher.
Second, you are training, generally to be a better athlete/crossfitter/ass-kicker and so stress inoculation must be part of that equation. Not liking a workout probably means you need to spend more time doing similar tasks, not less time. Yes, we all like to lift and get strong. But it is in the fringes that we will fail. Why did so many people bemoan 16.1 as a retest? Its not what was typical. Dont get complacent in CF, its a sure road to stagnation. If something stresses your system, mentally, physically, or both, you need more exposure until you overcome and adapt. That is not my opinion, that is the science that the strength and conditioning world is based upon. Remember the 10 qualities of fitness (look it up, its a Greg Glassman article), of those 10 qualities 5 are neurological. It wasnt that you guys were physically incapable of retesting, you were anticipating the pain and it stressed you out. We all need to be able to buck up and get the job done, even when we know its going to suck. So to retest, knowing whats coming, and still be able to stay calm and execute, that is part of what we are training. It isnt just the muscles, its the mind too. The grumbles I heard werent from weak bodies, it was from mindsets. It doesnt make you a bad person, it means we need to spend time working on the mental game sometimes. The opens are one of those times. That way we arent just better athletes, we are better people.
Last, most of you pay us money so you can improve in some regard. Hard work is most likely one of the things you like about CF. You get to bask in the knowledge you are working hard, and that as you continue to work hard you will reap the benefits. So why would you shy away from such a difficult workout? Im reminded of the quote someone much smarter than me came up with- everyone wants to win, but not one wants to work to win. Lets remember that hard work is a key component in life. Hard work includes things we are bad at. You cant say youre a hard worker if all you do is play to your strengths.
No, I am not singling anyone out. It was the majority of the gym. If you feel a little squirmy feeling of guilt in your stomach then thats OK. We learn these lessons in times like this so we can improve. Silver lining here, though there were moans and groans, protests, bargaining, avoidance, many of your folks bucked up and did the work. Im especially proud of you guys who at first resigned not to do it, but retested anyway. Seriously, lets keep up the good work and know that no matter what Castro throws at us we are going to test, retest and improve.
Tuesday March 1, 2016
Box Shoulder Stretch 4 x :45 with 20 PVC Pipe raises after each set
Split stretch 3 x 1:00
3 x 10 Arch to hollow on the rings
10x 1 Clean and Jerks @ 80% of 1 RM rest :60 between attempts
4 x 5 Deadlifts with the weight you just used. rest :90
5 Rounds of
rest :30
:30 ME Double Unders
rest :30


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Popular Now
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By: Michael P Moulton and James Sanderson
500 pages, B/w photos, figs, tabs
The conflict between `progress' and conservation is not likely to end anytime soon. In Zaire, poachers are systematically killing the last of the white rhinos. In Uganda, unprecendented numbers of gorillas are being shot daily. Even in the US hundreds of dead manatees have washed up on the shores of southwest Florida, and nobody knows why. This book analyzes our existing wildlife problems and examines bold new solutions to solving them. Among the main issues which are explored: wildlife laws; the definition of wildlife; genetic diversity; biodiversity; extinctions; and hunting and harvesting. Throughout classical scientific methodology helps put these issues are put into focus. Useful for students. This second edition has been re-organized to add focus on `The Evil Quartet' - the four principal causes of extinction - and new chapters on `A History of Wildlife in the U.S.' and `Can Humans Manage Wildlife?'
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On behalf of Parque Nacional Nahuel Huapi I would like to thank NHBS. The book will be very useful for my students.
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Germany Issues New Toner & Cartridge Standart # DIN 33871-1
Germany Issues New Toner & Cartridge Standart # DIN 33871-1
2014-06-10 at 11:12:52 am #3075
Germany Issues New Toner & Cartridge Standart # DIN 33871-1
New standard DIN 33871-1 will ensure that refilled inkjet printer heads and cartridges provide a constantly high print quality. The revised standard will be published in May and can be pre-ordered now at http://www.beuth.de
The newly revised standard, DIN 33871-1, describes the principles for preparing refilled inkjet printer heads and cartridges and testing their essential characteristics, such as colour rendition and yield. The aim of the standard is to maintain constant print quality when refilled inkjet printer accessories are used.
During the revision of the 2003 edition of the standard, current International Standards for determining ink cartridge yield were taken into consideration. These standards have since been adopted into the body of German Standards and published as DIN ISO/IEC 24711 and DIN ISO/IEC 24712, for example.
The standard was developed by producers of refilled inkjet printer heads and cartridges and original manufacturers alike, and by representatives from test institutes, research organizations, employers' liability insurance associations, public agencies, and users working within Working Committee "Office equipment" of DIN's Information Technology and IT Applications Standards Committee.
DIN 33871-1 is addressed to companies who refill and distribute original inkjet printer heads and cartridges. By marking their products in accordance with the standard, these companies can demonstrate the yield characteristics and printing quality they provide, making it easier for customers to choose the right accessory for their printing needs.
Inkjet cartridges and printer heads which have been prepared in accordance with DIN 33871-1 are low-cost alternatives to original products, and of course help conserve natural resources.


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By MICHAEL BILLINGTON
Published: March 15, 1987
LONDON— WHEN ANTHONY HOPKINS went to work in Hollywood in the mid-1970's, he was wryly amused to discover that when it came to party-going, one was either on the Alist or the Blist. One's social status depended entirely on one's box-office standing or one's hit ratio.
If Mr. Hopkins were to go back there now, there is little doubt which list he would be on. He is currently to be seen in two new films portraying wildly contrasting characters: a quiet, sedate London bookseller, Frank Doel, in David Jones's ''84 Charing Cross Road'' and a vindictive, glowering husband in Mike Newell's ''Good Father,'' a tale of marital conflict and tug-of-love children. At the same time, he is enjoying a rich run of success at Britain's National Theater. After an award-winning performance as a predatory newspaper proprietor in ''Pravda,'' he is currently playing Shakespeare's not-so-good father, King Lear; and next month he opens as Antony in ''Antony and Cleopatra,'' directed by Sir Peter Hall. Even in the midst of a 13-hour day of rehearsal and performance, he gives off an air of relaxed confidence only slightly marred by anxiety about tackling Shakespeare's Roman playboy.
Mr. Hopkins's career has a strange, erratic shape to it. He was born, the son of a baker, in the Welsh steel town of Port Talbot 49 years ago. He started acting at 17, slogged his way round the regional theaters, and in 1965 was taken on by Laurence Olivier's National Theater company. For his audition-piece he chose, with some chutzpah, a speech from ''Othello,'' which Olivier was then playing in. He was quickly marked as a rising star. On stage he exuded a burly strength and suggestion of physical danger (what one critic called ''a mystic union between beef and thunder''); on screen, he made a weighty, impressive debut in 1968 in ''The Lion in Winter'' as the young Richard the Lion-Hearted.
More films (''The Looking Glass War,'' ''When Eight Bells Toll'') and stage work followed. Everything was set fair. Then, in 1972, while playing Macbeth at the Old Vic, he suddenly walked out. The official reason was ''exhaustion.'' In fact, his exit was fueled by a row with the director Michael Blakemore and the burden of expectation in being seen as Olivier's heir apparent.
Mr. Hopkins next appeared on Broadway playing the psychiatrist in Peter Shaffer's ''Equus'' in 1974. An agent asked if he'd like to go to California, and there followed a 10-year sojourn during which he did a string of films and made-for-television movies of varying quality. He played a berserk ventriloquist in ''Magic'' and a humane, believable Captain Bligh in ''The Bounty.'' He also won Emmys for his work as Bruno Hauptmann in ''The Lindbergh Kidnapping Case'' and as Hitler in ''The Bunker.'' Mr. Hopkins says he went out to California as ''a bundle of sweating Welsh neurosis.'' He reckons he came back calmer, more at peace and capable of taking himself less seriously. * * *
For Mr. Hopkins, acting itself is now very much a question of getting the energy level right and having the confidence to play with concentrated quietness. That is one reason why he relished the chance to do ''84 Charing Cross Road,'' the story of a platonic literary friendship between a New York bibliophile, Helene Hanff (Anne Bancroft) and a sedately married London bookseller, Frank Doel. They never meet, but you feel some strange spiritual bond between them.
''I was very moved by the script when I read it,'' says Mr. Hopkins, ''despite an agent making a crack that it was about as exciting as watching paint dry. What caught me was the moment when Helene eventually goes to the shop she has so vividly imagined and says, 'I finally got here.' While playing it, I kept in mind all the time the fact that Frank Doel was going to die. Without signaling to the audience, I just tried to keep a hint throughout of his mortality and to suggest the story was about the sorrow of life as well as the joy and sweetness.
''There is a scene just before the end when Frank talks of his children growing up, leaving the nest and pursuing their careers. For me that caught very exactly the bone-aching sadness of life, the quiet pain of suburban existence when you ask after people's children and find they are gone and scattered.''
How, though, does an actor make ordinariness compelling? ''The first thing is to make sure one looks right. As Frank Doel, I tried to keep it as simple as possible. They put a 1940's suit on me, I greased back my hair and I talked quietly. I know there is more to it than that, but it's very much a question of degrees of energy. I suppose, conceitedly, people give me parts like Lear or Lambert Le Roux in 'Pravda' because they see some force of energy in my own personality. But with Frank Doel, just by relaxing and being this quiet, simple man, my innate enrgy hopefully comes through. I don't have to do the work, but the audience might see there's something else going on there. It relates curiously to playing Lear. I began way over the top, and I'm beginning now to climb down. I have a tendency to go off firing all the big guns, and I now realize you have to give an audience a chance to listen.'' * * *


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Video Wills, Kate & Harry Want A National Conversation On Mental Health
Men are less likely to talk than women with 54% of women having had a conversation compared to 37% of men.
Met Police say London's a 'safer place' after they jailed seven gang members for supplying guns and ammunition.
The group were sentenced to a total of 54 years at Woolwich Crown Court yesterday.
Police say the gang ran a sophisticated criminal network supplying guns and ammunition.
The two ring-leaders, Paul Alexander and Carl Gordon - were able to help coordinate supplying the guns using smuggled mobile phones while in jail.
Five others, including Alexander's wife and step-daughter, have also been jailed.
Detective Inspector Richard Mills said: "During the period that Gordon and Alexander met in prison, they effectively became business partners, dealing in deadly weapons and ammunition. The firearms and ammunition they converted had the potential to cause great harm on our streets and there is no doubt London is a safer place as a result of this network being dismantled.
"This was a complex investigation by the Met's Special Intelligence Section, which is committed to targeting criminal networks and bringing a successful prosecution. I would like to pay tribute to the detectives who have worked tirelessly to see this case to its successful conclusion."
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Chapter 1
Deep, deep, in the southern land's lie a tinny tribe of Otters. Nothing was different about this place it was normal quiet peaceful little village Next to a nice wide open river. This village was home to the southern land's greatest hero, Nathan the The travelling warrior and his apprentice Kale. Nathan was a taller Otter with silky black fur, A dark blue cloak and a hood and tunic, with grey leather boots and a sword on his back. His apprentice Kale was just about 15 years of age and was a smaller brown Otter who had a grey tunic and small short sword witch wrapped around his smaller waist.
The day was cool and crisp as they marched along the hills of the land that bent and curved like a giant snake. The farther they advanced the more wind there seemed to be, "Are we home yet Nathan!" Kale yelled as he marched along against the wind. "A little bit further Kale you must be strong!" Replied Nathan, "We have but one more mile from this point!" yelled Nathan. Just as they reached the next hilltop they spotted the village. Nathan paused for a moment and looked down at the village below, "What are we gonna do why we are home Nathan?" Said Kale as he tried to hold his cloak still from flapping in the wind. " Visit Our families and restock on supplies." Nathan said softly, 'you'll be able to see your aunt I can visit the Guard's and see how they are doing." "Well we aren't gonna get much done standing here!" yelled cherrfully Kale as he jolted off to the village. As soon as Kale was About
Fifty feet away he yelled "Are you comeing! I'll race you there last one there pays for dinner!" Nathan looked at him and smiled at him as Nathan sprinted to catch up. Once he did he looked at Kale smiled a bit and shouted "Go!" Both jolted as fast as they could to get to the village and by the time Nathan got there he was standing at the entrance gate of the village waiting for Nathan. "What took you so long?" Kale said in a bragging tone "You out run me?! This is impossible!" said Nathan playfully. "I learned from the best." said Kale. Nathan put his hand on his head and ruffled his fur "Now where do you want to eat Oh fast one?" Nathan said as he bowed. "Hmm.." Thought kale as he said "lets just go to my aunts home she can help us get some food in our stomachs." Nathan smiled and they walked off to Eat at Kale's old home.
The next day at the guard house just in the center of town the light shown on Nathan through the window. Nathan got up and let out a great large yawn, stretched a bit and put his sword on his back and left to fetch Kale who had slept at his aunt's house. In the morning Otters of all sorts gathered in the village square to trade and visit. As Nathan made his way though the crowd of people he found Kale's aunt's home he knocked on the door with a BONK! BONK! BONK! The door seemed unlocked as he opened the door and popped his head inside the hut he said "Hello? Kale? Aun't Elaka?" Then as from out of nowhere some type of loud deep voice went "I WILL STEAL YOU SOUL NATHAN!" as if it were like lighting Nathan jumped around with his sword and yelled "AHHHH!" and there he saw Kale laughing "I sure scared you Nathan!". Nathan put his sword away and said you "had me worried Kale.""And guess what?" said Kale proudly, "I got all the supplies last night!"
"Thinking ahead? Well done my boy." "Any Idea of where we are heading next?" asked Kale. Nathan pulled out a map from his leather bag pointing to a near by village. "It's a days walk from here and it's a village we have visited before, But from there we should head north. From there whereever there is no hope or light he go there. That is our destination Kale." Kale smiled at Nathan and nodded. "Well what are we waiting for a owl? We have a destination we best be there as quick as we can!" Said Nathan Cheerfully. Together they both walked off into the rolling hills.


text:
The immediate playing future of Canberra fast bowler Jason Behrendorff is up in the air, ruling him out of a dream Test debut.
Behrendorff would have come into consideration to replace the injured Mitchell Starc in the Australian Test team for the series against the West Indies.
But national selector Rod Marsh said the information he had received from Western Australia was that Behrendorff would be unavailable for at least the next month and maybe longer.
Behrendorff has a wonderful first-class record for WA, but was sidelined for five months at the end of last season with stress fractures in his back.
"Unfortunately [Jason] Behrendorff I believe is out for I think it's a month now," Marsh said.
"They [Western Australia] are not even sure whether he'll be out for the rest of the season, not sure whether it's a back problem or whether his stress fractures have opened, or I don't know what.
"There is something wrong with him that's keeping him out."
Behrendorff has missed the past two Sheffield Shield games with soreness and will sit out their next match against Tasmania at the WACA Ground, starting on Saturday.
His last four-day match was against South Australia from November 6-9 when he took 4-55 and 1-84 from 42.2 overs.
If he was fit, Behrendorff would have been a strong chance to be called into the Test squad.
His first-class record of 86 wickets at an average of 25.22 is superior to WA teammate Nathan Coulter-Nile (119 wickets at 28.97), who was called into the squad, and Victoria's Scott Boland (71 wickets at 30.14), who is on stand-by.
Behrendorff has previously played for Australia A and made his second straight appearance for the Prime Minister's XI in October.
He would be the only left-arm bowler in the attack with Starc set to miss the next four months and Mitchell Johnson having retired.


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The Place Beyond the Pines (2012)
One moment can change your life.
Rating: 7.4/10
Crime, Drama,
Ryan Gosling, Craig Van Hook, Eva Mendes, Olga Merediz, Anthony Pizza,
Fracture (2007)
If you look close enough, you'll find everyone has a weak spot.
Rating: 7.2/10
Crime, Drama, Mystery, Thriller,
Anthony Hopkins, Ryan Gosling, David Strathairn, Rosamund Pike, Embeth Davidtz,
Murder by Numbers (2002)
Justice will be served
Rating: 6.1/10
Crime, Drama, Thriller,
Sandra Bullock, Ben Chaplin, Ryan Gosling, Michael Pitt, Agnes Bruckner,
Drive (2011)
Some Heroes Are Real
Rating: 7.8/10
Crime, Drama,
Ryan Gosling, Carey Mulligan, Bryan Cranston, Albert Brooks, Oscar Isaac,
Stay (2005)
Between the worlds of the living and the dead there is a place you're not supposed to stay.
Rating: 6.9/10
Drama, Mystery, Thriller,
Ewan McGregor, Ryan Gosling, Kate Burton, Naomi Watts, Elizabeth Reaser,


text:
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The Monsters Of Moberly show is coming up on Jan 26. We will be performing with Coldrain and Tomorrow's Gone. This will be a great show and tickets are only $5 presale, $7 at the door. Contact us for tickets.
Accidental Influence will have their song Choke played on the Raven On The Rock show in Denver Colorado.
Its been a while since we put a post up. Accidental Influence will soon be featured on a compilation album with proceeds benefiting charity. Details are still forthcoming and more infomation will be out soon.
Accidental Influence is hitting the U.K. radio waves for the first time on 06-24-2012 at 3 PM Central time (8 PM local England time). They will be featured on The Rock Train 107.3 Siren FM. Tune into their website at www.sirenonline.co.uk/ and their listen live player is on the top right corner.
Accidental Influence has joined reverbnation. Stay tuned for info and thoughts from the band. Getting ready for tomorrow nights show, the practice last night was amazing and extremely high energy. 2 new songs coming tomorrow night, hell yeah!


text:
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Voyeur : January 2010
008 VIRGINBLUE å CONTENTS_0110_ Developing healthy habits and losing we ight are among our top new year's resolutions according to global surve ys How ever it's o ften hard to see those resolutions through to the end of Januar y So whynotkick-start thenewyear--andthe new you -- by putting your resolutions into someone els e's hands? Spending anything from a few days to a couple of wee ks at a retre at where the meals activities and rules are set by pr ofessional s was just the answer these four ind ivi duals needed to stay motivated TIPPING THE BALANCE Aft er the in d u lgence s of the festive se ason Kay te Nunn resolves to g et he althy again. "End-of-year indulgence always le aves me with the need to t ip the balance back in favour of health so I find myself on a co ach heading toGwinganna LifestyleRetreat intheGold Coa st hinterland I'm w or ried about w h at's in store for me over the next few days and wonder if I'll be subjected to 5am w ake-ups followed by gruel ling hikes and tofu for lunch Thankfully my concerns are not realised as no acti vity is compulsory th e staff are nur tur ing and the food is plentif u l and fil ling My room with a king-sized bed and peaceful verandah is as luxurious as any five-star hotel Perched high on a pla teau on 200 he ctares the retreat's loc ation is captiv ating I eagerly explore the new and heritage buildings and make a mental note to take a dip in one of the t wo enticing infinity-edge pools w hich offers views of the Gold Coast in the distance The fo od is a highlight The retreat u ses organic produce much of it grown on the property and the me als are prepared a cco rding to t h e 'low human intervention' philosophy There is more sal ad at lunch than I usually eat in a week and the d inners include a vegetarian fish or lean meat option The mornings are ac tive offering guests a choice of qi gong (moving meditation) bushwalking yoga Pilates and dance but it's the afternoons that I reli sh when I can indulge in do wn time ('Dreamtime' as it's k n own at Gwinganna) and sp a tr eatments The spa is where I go for a series of revi talising treatments my favourites being those that balance the f low of energy between the chakras (energy centres in the body) to enhance overall wellbeing I leave the retreat feeling m or e gro u n ded than I have in years and I'm sl eeping like a baby The best thing a bout the experi ence? AlittlebitofGwingannahasstayedwithme a mid the hustle and bust le of the city " G n nn ty R t t n T bud n th G o d Co t h nt n d, bout 30 nut d o Go d Co t o t. C +61 7 5589 5000 o t . n nn . o . RESOLUTIONS WANT TO LOSE WEIGHT, GET FIT OR BALANCE MIND, BODY AND SOUL? FOUR INDIVIDUALS TELL HOW THEY KICK-STARTED THEIR NEW YEAR S RESOLUTIONS WITH A STAY AT A WELLNESS RETREAT. 034 VIRGINBLUE 035 JANUARYVOYEUR å CULTURE_ NEW YEAR, NEW YOU t t t t t c t t t t t t 028 COVER PHOTOGRAPHY :: RICHARD BAILEY PHOTOGRAPHY :: GETTY IMAGES, RICHARD MORTIMER 050 056 063 042 015 KNOW IT ALL Vamp up your beauty routine, cheer on Sam Stosur and meet the affordable supercar. 067 SUCCESS FILES How to give your business a health check. 069 BUSINESS BRIEFS Clean up your act and grow your wealth. 071 WHERE DO I GO FROM HERE? Go back to school to boost your bank account. MICHAEL CLARKE Behind the public face of Australian cricket's captain-in-waiting. LOSE IT IN NOOSA It may serve up a feast for foodies, but it's easy to beat the bulge in Noosa. THE LAST BOY SCOUTS Vancouver is prepared for the Winter Olymics next month, but are you prepared for Vancouver? ON THE COVER NEW YOU RESOLUTIONS Kick-start your resolve to restore balance to mind, body and soul at a health retreat. 034 PHUKET FOUND Get off the beaten track to discover the lesser-known gems on Thailand's most popular island paradise. KIMBERLEY CRUISING The stunning wilderness of the Kimberley coast looks even better from aboard a luxury catamaran.
December 2009
February 2010
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|Arizona's death chamber
Attorneys representing the state of Arizona called on a federal judge to dismiss a lawsuit challenging the way the state carries out the death penalty.
If U.S. District Judge Neil Wake rules in its favor, the Arizona Department of Corrections would be free to resume lethal injections, which were put on hold after an experiment with a new drug cocktail went awry in 2014, leaving convicted murderer Joseph Wood gasping on the executioner's gurney for more than 2 hours.
7 death-row inmates and the First Amendment Coalition of Arizona filed the lawsuit hoping to define the parameters of execution and make the process more transparent by forcing the state to, among other things, release information about which lethal-injection drugs it intends to use and how they were obtained.
Arizona, along with the rest of the nation, has been flailing to find a reliable drug cocktail since U.S. manufacturers stopped producing the anesthetic sodium thiopental and the European Union, in 2010, banned its export for use in lethal injection.
The Department of Corrections has twice been caught illegally importing sodium thiopental. Meanwhile, on Wood, officials tried using a 2-drug mix, including the sedative midazolam, which previously had been used in 2 other high-profile botched executions.
Despite the controversy surrounding Wood's death, when the department published its lethal-injection protocol under court order in October, it did not drop midazolam. Instead, it added a 3rd drug that would paralyze prisoners before the final heart-stopping chemical was injected.
Attorney Mark Haddad, representing the inmates, argued that Arizona's chemical experimentation amounts to a violation of prisoners' Eighth Amendment right to be protected from "cruel and unusual" punishment.
In particular, he objected to the state's use of the paralytic, which he argued wasn't necessary to kill a prisoner but would cause "a distinct kind of suffering, which is the feeling of imminent suffocation."
He expressed concern that the paralytic would mask any pain caused by insufficient sedation under midazolam.
"When the state introduces a chemical that ensures there will be no public awareness or ability to observe the prisoners' experience of pain, that puts a complete curtain over the reality of the proceedings," he said. "It's as if the state carried out the execution in a back room."
Attorney David D. Weinzweig, representing the Department of Corrections, pointed out that the U.S. Supreme Court last year determined that it was constitutionally permissible to use midazolam along with a paralytic.
Arguing that Arizona adheres to national standards in execution, he accused death-penalty opponents of manipulating the courts in an attempt to block executions.
The state is strapped for time because, attorneys told the court earlier this year, its supply of midazolam is scheduled to expire at the end of May.
"I would ask the court to remember that victims and state governments have rights and interests, too, including an important interest in the timely enforcement of a sentence and the state's ability to enforce its own laws," Weinzweig said.
Wake, with a nod to the state's predicament, committed to "get an order out as fast as I can.
"Capital punishment is legal, and there has to be a way to do it," he said.
Source: phoenixnewtimes.com, April 8, 2016
Arizona death penalty executions remain on hold as judge hears arguments
A judge heard arguments Thursday on an effort by Arizona to dismiss a lawsuit over how it carries out the death penalty in a decision that could let the state resume executions.
Executions in Arizona are on hold until the lawsuit is resolved, but a dismissal would clear the way to continue using the death penalty.
But even then, the state would face what's believed to be a fast-approaching expiration date on its supply of a key lethal-injection drug.
That would leave a short timeframe for carrying out executions.
State lawyers said in January that Arizona's supply of the sedative midazolam will expire on May 31 and that it didn't have a means to get more.
No update has been provided on whether it has since found a new supply.
Source: KTAR news, April 8, 2016
Judge Mulls Whether to Let Arizona's Executions Resume
A federal judge heard arguments Thursday on an effort by Arizona to dismiss a lawsuit over how it carries out the death penalty in a decision that could let the state resume executions.
Executions in Arizona are on hold until the lawsuit is resolved, but if the case is dismissed, it would clear the way for the state to continue using the death penalty.
But even then, the state would face what's believed to be a fast-approaching expiration date on its supply of a key lethal-injection drug, leaving Arizona with a short timeframe for carrying out executions.
Lawyers for the state told U.S. District Judge Neil Wake earlier this year that Arizona's supply of the sedative midazolam will expire on May 31 and that it didn't have a means to get more. The Arizona Department of Corrections and Attorney General's Office had no immediate comment Thursday on whether the state has since found a new supply.
The lawsuit by 7 death-row inmates and the First Amendment Coalition of Arizona seeks more transparency in the state's execution process, such as information about the suppliers of lethal-injection drugs, their expiration dates and the state's efforts to find such drugs. It protests the use of a paralytic drug that's part of the state's 3-drug lethal-injection protocol, claiming it masks whether midazolam given to a condemned inmate is effective.
Lawyers pushing the lawsuit say there's no valid reason for the government to use the paralytic. The lawsuit says the state has violated the First Amendment rights of access to government proceedings and violates the prisoners' right to be free from chemical experimentation.
Attorneys for the state are seeking the dismissal of the lawsuit, saying the U.S. Supreme Court has upheld the use of midazolam and a paralytic in lethal injections.
They say death penalty critics are manipulating the judicial system and pharmaceutical market in their opposition to executions. They also say Arizona embraces national standards in executions to avoid mishaps.
Executions in Arizona were put on hold after the July 2014 death of convicted killer Joseph Rudolph Wood, who was given 15 doses of midazolam and a painkiller and who took nearly 2 hours to die. His attorney says the execution was botched.
Wake had an up-close perspective of the Wood execution. The judge received an emergency phone call during the execution from lawyers who asked him to halt it and order medical staff to revive the inmate. The judge did not intervene because Wood died during his conversation with lawyers.
Since then, the Department of Corrections has issued new protocols that include 4 different drug combinations that can be used in executions.
Similar lawsuits are playing out in other parts of the country that seek more transparency about where states get their execution drugs.
States are struggling to obtain execution drugs because European pharmaceutical companies began blocking the use of their products for lethal injections. Death penalty states refuse to disclose the sources of their drugs, though the sources are widely believed to be compounding pharmacies - organizations that make drugs tailored to the needs of a specific client. Those pharmacies do not face the same approval process or testing standards of larger pharmaceutical companies.
Source: Associated Press, April 8, 2016
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The following is a list of programs and events offered by Brookline Recreation. For information, visit www.brooklinerec.com; www.facebook.com/brooklinerec; www.twitter.com/brooklinerec
The following is a list of programs and events offered by Brookline Recreation. For information, visit www.brooklinerec.com; www.facebook.com/brooklinerec; www.twitter.com/brooklinerec
Commission Meetings
The Park & Recreation Commission consists of residents appointed by the Brookline Board of Selectmen. The commission is a policy-making board responsible to the town for providing year-round high quality indoor and outdoor recreation activities for children and adults. The goals of the commission are to deliver programs that are culturally, socially, physically, and mentally healthy and which are presented at well-maintained parks and facilities. We are concerned with meeting appropriate community-based needs that are cost efficient and within the reach of the overall community resource base while providing the highest level of participant satisfaction. Safety and quality are paramount. All individuals with special conditions are entitled to full participation in any Brookline Recreation Program. The Park & Recreation Commission meets at 6 p.m. at the Brookline Town Hall, 333 Washington St., in Room #111 on the first floor. To be included on the agenda, please email email@example.com or call 617-730-2069. The next meeting will be held Thursday, May 14.
55+ Faneuil Hall
Faneuil Hall has been a marketplace and a meeting hall since 1742. It was the site of several speeches by Samuel Adams, James Otis, and others encouraging independence from Great Britain, and is now part of Boston National Historical Park and a well-known stop on the Freedom Trail. Today Faneuil Hall is the home to more than 100 shops and specialty carts featuring everything from handmade jewelry and fine art to sports gear and apparel. Trip pickup/dropoff will be at Soule Recreation Center and the Brookline Senior Center.
Location: Eliot Recreation Center
Fee (Res/NR): $10/$14
For ages 55 and up; Friday, May 17, 10 a.m.-2 p.m. Activity #310056-5C
Mark Frost Event
Meet Mark Frost, author of "The Greatest Game Ever Played," hosted by the town of Brookline, the Country Club and the Dexter Southfield School. Registration fee includes hors d' oeuvres and spirits. Join us for a presentation and conversation about one of the most incredible events in the history golf. Books will be available for purchase and author signing for additional $15.
Location: Dexter Southfield School
Fee (Res/NR): $15
For ages 18 and up, Thursday, May 16, 6-8 p.m. Activity #413004-4K
CPR/First Aid Combo Class
American Heart Association Pediatric First Aid and CPR/AED training. This course meets the requirements of camp counselors, babysitters, coaches, and children's sports organizations. The Heartsaver Pediatric First Aid course, taught under the guidelines of the American Heart Association, is designed for anyone who may need to respond to a first-aid emergency. This course teaches participants how to handle injuries and manage illness in the first few minutes until help arrives. The six modules covered in this course are First Aid Basics, Medical Emergencies, Injury Emergencies, Environmental Emergencies, Adult CPR and Pediatric CPR. Certification is good for two years.
Location: Town Hall
Fee (Res/NR): $85/$115
For ages 14 and up, 6:30-10 p.m., Wednesday, May 22. Activity #406028-6Q
Preschool Science Series
Begin exploring science at an early age. In this class, kids will discover basic elements of science ... they will be exposed to a whole new world of wonder and excitement. All experiments children will experience in class will be something that they can take home and show and tell to friends and family. If you would like additional information about each session, please call the office.
Location: Eliot Recreation Center
Fee (Res/NR): $17/$23
For ages 3-4.5 years, 10-10:50 a.m. Wednesdays, May 8 (Activity #406048-3C); May 15 (Activity #406048-3D); May 22 (Activity #406048-3E); May 29 (Activity #406048-3F)
Fairy Houses
Families are invited to come hear the popular children's story "Fairy Houses" by Tracy Kane. We will then set out to build our very own Fairy Village in the park. Don't forget to bring your camera, as we will tour the village, sip tea and eat cookies before bidding farewell. Participants are encouraged to bring natural materials to use for their fairy houses and children are welcome to come in costume to add to the feeling of enchantment.
Location: Dane Park
Fee (Res/NR): $5/$7
For ages 3 and up, Thursday, May 30, 3-4 p.m. Activity #404021-6G
Rock Climbing
This three-week series is an excellent introduction to basic rock climbing skills. We will cover tips for scaling walls, important knots and equipment, and belaying basics. Once you've mastered our indoor course, take your skills outside on real boulders! All equipment and certified instructors will be provided.
Location: Tappan Facility
Fee (Res/NR): $45/$61
For ages 12-15, 6-8 p.m., Wednesdays, May 22-June 5. Activity #404022-4J
Junior Golf SNAG
Starting New at Golf uses special equipment to help teach kids the basics of the game of golf without getting frustrated. The technology focuses on building a foundation of skills while having fun. In the SNAG program, juniors will develop their golf swings using plastic golf clubs with oversized heads and miniature tennis balls to develop the skill of hitting a ball. The special equipment helps kids learn the basics of the game in a fun and playful environment. No prior golf experience is necessary.
Location: Robert T. Lynch Municipal Golf Course
Fee (Res/NR): $100/$100
For ages 5-7, 4-5 p.m., Thursdays, May 7-28. Activity #415000-2I
Yoga is a physical, mental, and meditative discipline, originating in ancient India. Yoga will help you unwind and relax after a long day to foster a good night's sleep and a healthier lifestyle. Bring a buddy to share in this experience with you! A 35 percent discount is available for seniors, students, veterans and disabled participants. To receive your reduced rate, please register by phone or in person.
Location: Tappan Facility
Fee (Res/NR): $50/$68
For ages 18-70, Sundays, 9:45-10:45 a.m., May 12-June 16. Activity #407006-3K
Research has shown that an average 40-minute spinning class will help you burn around 500 calories. Join us for this invigorating class that is guaranteed to make you sweat and get you feeling good. A 35 percent discount is available for seniors, students, veterans and disabled participants. To receive your reduced rate, please register by phone or in person.
Location: Brookline High School
Fee (Res/NR): $50/$68
For ages 18 and up, Wednesdays, 6-7 p.m., May 15-June 19, Activity 407007-3L
Cardio Muscle Blast - Offered by Karna Fitness
We will combine strength training and cardio while using the resistance tube, band and ball combination. This class promises to get your heart rate up and get you toned and energized. This class will be held Mondays at 7:30 p.m. right before Restore the Core at 8 p.m., so join us for both and get in a full-body 75-minute workout that will leave you feeling rejuvenated, stronger and healthier. Register at email@example.com or 617-429-6369.
Location: Soule Park
For ages 18 and up, Mondays, 7:30-8 p.m., May 6-Aug. 26, Activity #555580-1L
Restore the Core - Offered by Karna Fitness
Come join us and tighten up the core, lift that backside, lose the belly sag and slim down those hips. We will pay particular attention to the transverse abdominus, which is the deepest muscle in the abdomen and the key to tightening up the lower belly region. You will see results. This is an intensive mat-based, Pilates-style core class incorporating resistance bands and balls. No impact. No cardio. All core. Fee includes equipment for class. Register at firstname.lastname@example.com or call 617-429-6369.
Location: Soule Park
Ages 18 and up, Men, 8-9 p.m., May 6-Aug. 26 (Activity #555583-1M); Women, 6:45-7:35 p.m., May 8-Aug. 28 (Activity #555583-3K); Women, 7;45-8:45 p.m., May 8-Aug. 28 (Activity #555583-3L)
Come join us in a six-week private bowling league at Kings in Dedham. Participants will have a half-hour of warm up time, followed by two games of bowling. Boys and girls of all skill level are accepted. Compete against your friends or try and beat your own personal score. Player statistics will be kept so you can see how you have improved throughout the league. Transportation will be provided from the Soule Park to the bowling alley and back.
Location: Soule Park
Fee (Res/NR): $75/$102
For ages 6-14, Thursdays, 4-6 p.m., May 16-June 20. Activity #410061-4F
BLAST Babysitting
Potential babysitters will learn how to handle the basics of infant and child care. Topics you'll cover range from how to react responsibly to medical emergencies, how to perform first aid for common childhood injuries and illnesses, how to set-up and run your own babysitting business and how to entertain with games and songs. Participants receive a certificate of completion, easy to follow first aid instructions and a sitter checklist to copy for each job. Participants should bring a drink and snack.
Location: Main Public Library
Fee (Res/NR): $50/$68
For ages 11-15, Wednesday, May 22, 3:15-6:15 p.m. Activity #406012-3H
Social Netiquette
Social networking has become the new "playground" for tweens, and who can blame them for being drawn to a place where you can be anyone you want, meet people from around the world, share pictures and experiences, build or join a community or become an instant celebrity? In the Kidproof Social Netiquette workshop, students learn to develop and apply proper social etiquette, good citizenship and critical thinking skills to meeting people, sharing information and socializing through the internet.
Location: Main Public Library
Fee (Res/NR): $40/$54
For ages 10-12, Tuesday, May 21, 5:30-7:30 p.m. Activity #406046-4H
RAFT Legacy Place Shopping
Join your fellow RAFT members as we travel to Legacy Place Dedham to enjoy the outdoor weather and do some shopping. We will be leaving from the Brookline Recreation Eliot Center at 10 a.m. on Saturday, May 11, and be returning to the center by 4 p.m. The fee is only $10 and includes transportation and chaperones. Registration is now open, so reserve your spot today.
Location: Eliot Recreation Center
Fee (Res/NR): $10
For ages 10-14, Saturday, May 11, 10 a.m.-4 p.m. Activity #407617-01
OTT: TGIFridays (Recreation Therapy)
This On the Town promises to be very appetizing. What better day to go to TGIFridays than on Friday? Join the group for an evening of great food, conversation, and friends! This is a Recreational Therapy program designed for individuals who have various disabilities.
Location: Eliot Recreation Center
Fee (Res/NR): $39/$52
For ages 14-24, Friday, May 24, 6-10 p.m. Activity #411529-5K
OTT: The Clayroom (Recreation Therapy)
Armed with paintbrushes, pottery and creativity, The Clayroom promises to be a fun evening out on the town. We will choose various ceramics to paint and take home a few days later once they have been fired. *This is a Recreational Therapy program designed for individuals who have various disabilities.
Location: Eliot Recreation Center
Fee (Res/NR): $41/$56
For ages 14-24, Friday, May 10, 6-10 p.m. Activity #411533-5K
Home Alone Safety
Children will learn telephone and door answering techniques, Internet safety, accident and fire protection and first aid techniques. We'll also talk about how to manage your time when you're home alone for short periods. The class includes a variety of teaching methods, including a video and role playing.
Location: Main Public Library
Fee (Res/NR): $45/$61
For ages 9-11, Tuesday, May 21, 3:15-5:15 p.m. Activity #406024-2H
After-School Program
This program offers a safe, supportive alternative between school and home for children. Activities include outdoor play, golf, ice skating, swimming, open gym, cooking, arts and crafts, homework, community service, seasonal activities and field trips. Transportation to the program and snack are included in the monthly fee. Participants will be transported via school buses to the Eliot Recreation Center daily and must be picked up at that location by 6 p.m. Program follows the Brookline Public Schools calendar.
Location: Eliot Recreation Center
Fee (Res/NR): $400/$400
For ages 4-12, Mondays-Fridays, Sept. 3-June 28. Activity #606000-01
Six Flags Tickets
Have you ever wanted to go to Six Flags New England with your friends or family, but always thought it would be too expensive? Look no further. Here is your chance to purchase "Good Any Day Tickets" to the Six Flags New England Theme Park for the 2013 Season and save up to 55 percent off the regular price! To purchase your "Good Any Day Tickets" to use at your leisure before Oct. 27, please visit the Brookline Recreation Main Office. Ticket prices are subject to change by vendor, are nonrefundable, valid for one day admission, and do not include admission to Sky Coaster, paid attractions, and other special events or programs requiring upgrade.
Location: Eliot Recreation Center
Fee (Res/NR): $37
Strollfit — Offered by Baby Boot Camp
This one-hour cardio and muscle conditioning class gets you working out while the kids are engaged and stimulated through songs, games, finger plays and more. Burn calories, improve and increase your cardiovascular strength while you interact and bond with your child(ren). Stay for social play time for you and your child. Ongoing classes are held mornings Monday-Saturday; outdoors in spring/summer and indoors in fall/winter.
Register by email: email@example.com. Register by phone: 617-458-9758.
Location: Larz Anderson Park
Fee (Res/NR): $0/$0
For ages 18 and up, May 1-Dec. 31, Mondays-Saturdays, 9:30-10:30 a.m., Activity #555582-1L
No Class Nov. 22, Sept. 21


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Category:Regional Express Holdings
English: Regional Express Holdings is the parent company of a number of airline and associated companies in Australia. It is based in Mascot (a suburb of Sydney) and is a public listed company on the Australian Stock Exchange. (→Regional Express Holdings)
This category has the following 3 subcategories, out of 3 total.
- ► Australian Airline Pilot Academy (3 F)
- ► Pel-Air (9 C)
- ► Regional Express (3 C, 6 F)
Media in category "Regional Express Holdings"
This category contains only the following file.
- Regional Express Head Office located on 81-83 Baxter Road in Mascot.jpg 1,968 × 2,000; 4.01 MB


text:
Abigail Rug
This item has been discontinued and is no longer available.
Call us at 631-768-8130 (open 10am-6pm)or
drop us a message here.
Liven up any room with the Abigail accent rug. With its intricate geometric pattern, you'll love the touch of modern style and fun it brings under your feet.
4.4 x 6.9 Machine Made Rug. Printed Geometric Designs in today's colors. Bound by Serging Finish. Made of Nylon. Backed with Polyester/Jute. High Performance for Cleaning and Traffic. Rug Pad Recommended. Made In Egypt. Spot Clean Only, Professional Cleaning Recommended.
52.8 W x 82.8 D x 0.16 H
Product Specification
Style - Transitional


text:
We help you locate a Middlewich harpsichord teacher. Harpsichord lessons are a brilliant way to learn a stimulating new hobby, pick up a new talent and gain confidence with harpsichord. Use our service to find Middlewich harpsichord teachers and choose which suits your needs so you can begin your harpsichord tuition in Middlewich straight away!
This is the best place to contact Middlewich harpsichord teachers in the UK, helping you discover Middlewich harpsichord lessons close to home and Middlewich tutors to help with any instrument such as piano, violin or guitar. We can help you find Middlewich harpsichord lessons or a Middlewich harpsichord tutor to prepare for harpsichord grades and develop your harpsichord skills! Our search will order Middlewich harpsichord tutors near you according to their tuition prices and distance from you.
If you are a harpsichord tutor and would like to offer your harpsichord lessons in Middlewich or throughout the UK, please register with First Tutors: Music or learn about us here. Becoming a Middlewich harpsichord teacher is a wonderful way to improve your own skills through giving harpsichord tuition while helping someone else, all in the Middlewich area!


text:
Home > Art / Photo > Pastels > Frozen Anna
Frozen AnnaReport abuse
This piece has also been published in Teen Ink's monthly print magazine.
This piece won the March 2015 Teen Ink Cover Art Contest.
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Join the DiscussionThis art/photo has 9 comments. Post your own now!
Banana Brother said...
Jan. 28 at 1:22 pm
Jan. 28 at 1:22 pm
Doesn't it remind you of Anna and Elsa
Vanna_Springs replied...
Mar. 24 at 12:39 am
Mar. 24 at 12:39 am
that is what it is
LibraryofDangerousIdeas said...
Oct. 6, 2015 at 10:49 pm
Oct. 6, 2015 at 10:49 pm
Absolutely beautiful. Love it. :)
Hellhoundprincess13 said...
Aug. 25, 2015 at 12:40 am
Aug. 25, 2015 at 12:40 am
friend loves it
Made_Of_Greed said...
Mar. 5, 2015 at 7:47 am
Mar. 5, 2015 at 7:47 am
It is simply beautiful how you put these two together.It's an amazing drawing in the end.
HannahLedger said...
Sept. 24, 2014 at 2:46 pm
Sept. 24, 2014 at 2:46 pm
Oh my gosh thats so awesome! Thats something I wanna try in the future.
KFT22 said...
Aug. 12, 2014 at 4:03 am
Aug. 12, 2014 at 4:03 am
This looks so cool! It looks so spot-on! The division contrasts their differences and highlights their similarities--they truly look like sisters. Nice job!
AlaNova said...
Jul. 3, 2014 at 2:20 pm
Jul. 3, 2014 at 2:20 pm
Agreed there! There aren't a lot of artists that can draw Anna and Elsa so well, much else add a different dimension of character to them. This is so incredibly cool, especially the marks on Elsa's side: bravissima!!
drwholock101 said...
Jun. 28, 2014 at 7:19 pm
Jun. 28, 2014 at 7:19 pm
Wow! It's so pretty! I really like it!


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- "♫ Throw up your hands ♫
♫ Stick out your tush ♫
♫ Hands on your hips ♫
♫ Give 'em a push ♫
♫ You'll be surprised, you're doing the Mandalorian Mistake ♫
♫ Voila! ♫"
- ―Dance song lyrics
The Mandalorian Mistake was a MANDALORIAN song-and-dance number that was popular during the time of the Clone Wars and after, including the First and Second Galactic Civil Wars. Pioneered by Mandalorian captain Buddy Bizarre and based on an ancient number performed by Captain Sillybollocks, it was well-known on Mandalore. Boba Fett liked to pretend that he hated the dance, but in his youth he had performed it quite expertly.


text: Amazing Ocean Front View!!!. Brand new furniture & Decoration: 2 Queen beds, Dining table, desk, kitchenette, 46" TV. Hotel Amenities: 4 restaurants, beach and pool service, spa, sauna, gym, meeting rooms, 24hr Concierge, tennis court.Spectacular Pool, Top of the line Gym, state of the art SPA, Beach and pool service (chairs, umbrellas, towels, food, drinks, wave runners...), Kids Planet (daily kids entertainment) and more.


text:
Africa Regional Specialist and avid hiker Hilary Walters shares her training tips for Mountain Travel Sobek's Strenuous and Ultimate Challenge hiking trips.
"When my cheap local flashlight flickered and died in the total darkness of an Indonesian jungle path, I tried to look at the bright side of things. At least the sunset on the summit had been pretty."
"With four million annual visitors, you wouldn't think Yosemite would be a spot for solitude. But hike for just a mile or two away from the crowded main valley, and you'll discover, as I did, the peaceful tranquility of one of America's most popular parks."
"While a group hike has the advantages of a trusted guide, companionship, and safety, the downside is that you're in traffic—that very same congestion you left home to avoid. While road rage on the trail is rare, the frustration of a group march can be real, whether you're a high-speed hiker or a dawdler. But a couple lessons I learned on the Inca Trail changed my perspective."
"The air was humid, the road was rocky, and the path just seemed to keep going uphill. I was hiking Japan's "Samurai Trail" (on Mountain Travel Sobek's Walking Japan trip) but I felt like a peasant. Sweaty, thirsty, dust-covered, I arrived with my group at the village of Hirasawa, a drab collection of concrete buildings linked by a tangle of telephone wires. It hardly seemed the right reward for a difficult day of hiking. Little did I know this unassuming destination would become a surprise highlight of our trip, a gold-medal payoff we'd be talking about for years."


text:
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April 20th, 2015 um 1:28 Uhr • Uncategorized • 0 Kommentare •
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The Boutique Hotel has been designed to accommodate a small number of rooms respecting the original architecture and spirit of the house and at the same time, meet the needs of the most demanding contemporary traveler. Through it offers a private environment warm and familiar, but at the same time highly professional in order to ensure a pleasant and unforgettable stay enjoying Cusco colonial architecture. The hotel offers the following services: breakfast, coffee bar, Internet access, safe, laundry service, luggage storage, medical care (extra charge).
The Boutique Hotel is located in the historic center of the city, in the neighborhood of Nueva Alta, one of the most traditional and typical of Cusco. It is located just five blocks from the Main Square and two blocks from the square and market San Pedro, next to the train station to Machu Picchu. It is 15 minutes by taxi from Velasco Astete and 10 bus stations.
Room Facilities:
Direct dial telephone
Satellite cable TV
Internet access
Tea Coffee
Double bed
Individual heating


text:
B00VHIZP8Q Used good or better, we ship best copy available! May have signs of use, may be ex library copy. Book Only. Expedited shipping is 2-6 business days after shipment, standard is 4-14 business days after shipment. Used items do not include access codes, cd's or other accessories, regardless of what is stated in item title. If you need to guarantee that these items are included, please purchase a brand new copy. Bookseller Inventory #
Title: The works of the Most Reverend Dr. John ...
Publisher: Printed for James, John and Paul Knapton . [and 12 others]
Book Condition: Good
Book Description Printed for James, John and Paul Knapton . [and 12 others],, London, 1735. Hardcover. Book Condition: G-. Tenth Edition. Fair. Boards poor, detached but present. Pages very good+. Binding with some loosening. ; Subjects: Sergeant, John, -- 1622-1707. -- Sure footing in christianity; or, rational discourses on the rule of faith. Church of England -- Sermons -- Early works to 1800. Catholic Church -- Doctrines -- Protestant authors -- Early works to 1800. Bookseller Inventory # 124628
More Information About This Seller | Ask Bookseller a Question


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2014 Patient and Congressional Visits
October 16, 2014
NIAMS Participates in Hill Visits with American Academy of Orthopaedic Surgeons
From left: AAOS Past President Joshua Jacobs, M.D., Rep. Andy Harris (R-MD), NIAMS Director Stephen I. Katz, M.D., Ph.D.
On July 16, 2014, NIAMS Director Stephen I. Katz, M.D., Ph.D., accompanied Joshua Jacobs, M.D., Past President of the American Academy of Orthopaedic Surgeons (AAOS), on several visits with Members of Congress and staff to describe the Institutes musculoskeletal research portfolio and the importance of biomedical research. They met with Sen. John Barasso (R-WY), Rep. Steve Womack (R-AR), Rep. Andy Harris (R-MD), and Rep. Frank Pallone (D-NJ), as well as staff from the offices of Rep. Michael Burgess (R-TX), Rep. Joe Pitts (R-PA), Rep. Jan Schakowsky (D-IL), and Rep. Marsha Blackburn (R-TN). Discussion topics included the need for personalized treatments, recognizing the importance of the NIH while being cognizant of a limited budget, the challenges faced by new and early-stage investigators, the 21st Century Cures Initiative, and the overall health impacts of musculoskeletal diseases.


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Old Bethpage Village – Oct 2008 – Well aren't they cute! Mommy and two babies, complete with curly tail.
*Suburban Scenes by Mike Savad
savad sdr country mikesavad old msavad mother suburbanscenes living bethpage baby piglings mike bacon happy family farm suburban pig village eating barn hdr babies ham chops sausage scenes pigs momma mommy piglets pork hog 2008 hogs oct
Rrr, never thought I'd hear myself say pigs were cute LOL.Lovely work here Mike..
This is a fabulous capture!! Great work!
Very nice work Mike
Fabulous capture and treatment Mike.
Congratulations you have been featured in Rural Around The Globe. BigD
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