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Health promotion lifestyle interventions for weight management in psychosis: a systematic review and meta-analysis of randomised controlled trials
Psychiatric patients have more physical health problems and much shorter life expectancies compared to the general population, due primarily to premature cardiovascular disease. A multi-causal model which includes a higher prevalence of risk factors has provided a valid explanation. It takes into consideration not only risks such as gender, age, and family history that are inherently non-modifiable, but also those such as obesity, smoking, diabetes, hypertension, and dyslipidemia that are modifiable through behavioural changes and improved care. Thus, it is crucial to focus on factors that increase cardiovascular risk. Obesity in particular has been associated with both the lifestyle habits and the side effects of antipsychotic medications. The present systematic review and meta-analysis aims at collecting and updating available evidence on the efficacy of non-pharmacological health promotion programmes for psychotic patients in randomised clinical trials.
We systematically reviewed the randomised controlled trials from 1990 onward, in which psychoeducational and/or cognitive-behavioural interventions aimed at weight loss or prevention of weight gain in patients with psychosis had been compared to treatment as usual. We carried out a meta-analysis and pooled the results of the studies with Body Mass Index as primary outcome.
The results of the meta-analysis show an effect toward the experimental group. At the end of the intervention phase there is a −0.98 kg/m2 reduction in the mean Body Mass Index of psychotic subjects. Notably, prevention studies with individual psychoeducational programmes that include diet and/or physical activity seem to have the highest impact.
When compared with treatment as usual in psychotic patients, preventive and individual lifestyle interventions that include diet and physical activity generally prove to be effective in reducing weight. Physical screening and monitoring programmes are well accepted by patients and can be implemented in a variety of settings. A weight loss of 0.98 points in the Body Mass Index corresponds to a loss of 3.12% of the initial weight. This percentage is below the 5% to 10% weight loss deemed sufficient to improve weight-related complications such as hypertension, type II diabetes, and dyslipidemia. However, it is reported that outcomes associated with metabolic risk factors may have greater health implications than weight changes alone. Therefore, in addition to weight reduction, the assessment of metabolic parameters to monitor other independent risk factors should also be integrated into physical health promotion and management in people with mental disorders.
In comparison to the general population, psychiatric patients, especially those with severe mental illness (SMI) such as schizophrenia or bipolar disorder, have worse physical health and a much shorter life expectancy, due primarily to premature cardiovascular disease (CVD)
In order to improve the long-term health of patients with schizophrenia, given their increased risk of CVD, it is imperative to focus attention on factors, such as obesity, which further increase this risk
Two systematic reviews and meta-analyses exist on this topic, one
Our systematic review and meta-analysis aims at collecting and updating available evidence on the efficacy of non-pharmacological health promotion programmes for psychotic patients in randomised clinical trials, extending the search period beyond the years covered by the other reviews. The twofold objective is to provide evidence about the physical health of psychiatric patients regarding excessive weight gain, in order to increase awareness of this issue in both the scientific community and the relevant stakeholders, and to expand the setting up of effective intervention programmes. The main outcome variable taken into consideration is Body Mass Index (BMI), as specified and explained in Methods.
We reviewed RCTs from 1990 onward, which pertain to psychoeducational and/or cognitive-behavioural interventions aimed at weight loss or prevention of weight gain in patients with psychosis. The present work is part of a larger systematic review (to be published) which, after a wide-scale search of the literature on physical health promotion interventions in psychiatric patients, considers not only weight management interventions but also interventions targeted at smoking, diet, physical activity, and HIV prevention.
Eligibility criteria
We considered as eligible those randomised clinical trials on the efficacy of weight management interventions which had been published in English from 1990 up to the date of the search. They included at least 50% of adult subjects between the ages of 18 and 65 who, according to the International Classification of Disorders (ICD)
The primary outcome considered is mean BMI (kg/m2) of the groups at endpoint or change in BMI. Although the use of BMI has limitations, because it does not distinguish between fat and lean mass nor does it adjust for age or sex, it is generally accepted as a reasonable guide for clinical and epidemiologic purposes
Search strategy
Only relevant studies from 1990 onward were considered, since previously published reviews had already covered the years prior to that date
Study selection
Records retrieved from the search were screened by title. Possible inclusions were screened by abstract. Full text and relevant papers were then selected. Conference abstracts and letters to the editor were excluded. For the meta-analysis, we considered eligible RCTs on weight management interventions. It was decided to contact the authors of the studies that did not include sufficient data for statistical analysis. Two reviewers discussed dubious cases in order to reach an agreement on the inclusion of studies.
Data extraction
Relevant data for the systematic review and for the meta-analysis were extracted by 2 of our authors using the format: 1) inclusion criteria; 2) characteristics of the sample (diagnosis of the subjects, duration of the illness, i.e., first episode or chronic psychosis); 3) number of subjects that entered the analysis in the experimental and in the control group; 4) number of drop-outs; 5) type of intervention (prevention of weight gain or weight loss, group or individual, cognitive-behavioural or psychoeducational, diet and/or physical activity); 6) mean and standard deviation (SD) of the outcome considered (BMI or BMI change) in both the experimental and the control group at baseline and endpoint. We assessed the risk of bias based on the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions
The summary measure considered is the mean difference (MD) of the primary outcome (BMI or BMI change) in the experimental and the control group at baseline and endpoint. The statistical method used for the meta-analysis is inverse variance, with a random-effects approach, utilising RevMan (Cochrane Collaboration's software for meta-analyses). Heterogeneity is investigated by the I2 statistic
We hypothesized that the methodological quality of the studies and some characteristics of the samples and procedures used might influence the variability of results. As a means of investigating the heterogeneity of results and answering specific questions about particular patient groups and types of interventions, we decided to carry out subgroup analyses, making the following comparisons:
first episode psychosis vs. chronic psychosis;
weight gain prevention vs. weight loss;
group intervention vs. individual intervention;
use of cognitive-behavioural therapy (CBT) vs. psychoeducation;
physical activity vs. no physical activity;
diet vs. no diet.
We also decided to analyse the differences between experimental and control groups regarding the number of drop-outs. We determined to assess the robustness of the findings through sensitivity analyses.
Seventeen RCTs were retrieved from the search. Five did not provide sufficient information for meta-analysis
Figure 1
Stages of systematic review and meta-analysis
Stages of systematic review and meta-analysis.
Five studies included CBT interventions whereas 8 included psychoeducational or other types of intervention. Four studies evaluated an individual intervention and 9 evaluated a group intervention. Four studies included some physical activity and 3 included a diet. In all the studies except one
Interventions lasted between 2 and 12 months. The mean duration of interventions (excluding the one of Brown and Smith
More detailed information on the characteristics of the studies is reported in Table
Risk of bias
The assessment of risk of bias is presented in Figure
Additional file 1
Table S1.Risk of bias table.
Click here for file
Figure 2
Risk of bias graph
Risk of bias graph.
Results for all interventions
The main analysis (Figure
Figure 3
Efficacy of lifestyle interventions (Experimental) vs. treatment as usual (Control) for weight management in psychosis
Efficacy of lifestyle interventions (Experimental) vs. treatment as usual (Control) for weight management in psychosis.
There are no significant differences in the number of drop-outs between experimental and control groups (OR = 1.08 95% CI 0.67 to 1.73), except for Evans et al.
Subgroup analyses
Subgroup analyses (Table
Sensitivity analyses
We performed sensitivity analyses to assess the robustness of the findings with respect to: a) the choice of fixed-effect or random-effects methods, b) the exclusion of studies that provided only BMI values instead of BMI changes, c) the exclusion of trials with a duration of less than 12 weeks or more than 1 year, d) the exclusion of trials with control groups that are not completely inactive.
Heterogeneity of studies
Even though our analysis did not detect statistically significant heterogeneity, study samples are heterogeneous according to mean initial weight, length of illness, diagnosis, and pharmacological therapy. In 5 of the 13 studies, both the experimental and the control group at baseline have a mean BMI in the obesity category (30–39.9 kg/m2)
Trials are also heterogeneous according to objectives (weight gain prevention or weight loss), type and duration of interventions (presence or absence of diet and/or physical activity, psychoeducation or CBT, duration, follow-up etc.), background/training of professionals, control group (treatment as usual, informative booklets or sessions, treatment not specified), and methodological sophistication. It must be stated that it is very difficult to properly perform RCTs in this field due to the amount of external confounding influences
The results of the meta-analysis show that when compared to treatment as usual, preventive and individual lifestyle interventions including diet and physical activity generally reduce weight in psychotic patients by −0.98 BMI points. Such weight loss corresponds to a loss of 3.12% of the initial weight (31.36 kg/m2, except
Poor results of weight management interventions can be due to their short duration or to their lack of follow-up sessions. The mean duration of interventions in the trials included is only about 18 weeks with a median of 12 weeks. The lack of follow-up is evidenced by the fact that out of the 13 trials, only 3 provided follow-up sessions, one after 2 and the other two after 3 months
Strengths of the study
Scientific research in this field is relatively new. Differences between countries regarding resources, physical and mental health services, and attitudes toward physical and mental illness can be expected to produce wide variations in physical health care for patients with SMI
Limitations at study level
A notable limitation at study level regards heterogeneity, which has been presented in Results ("Heterogeneity of studies").
Limitations at review level
We conducted a methodical search of literature to find every relevant trial for our research question. However, we do not exclude the possibility of reporting bias.
It must also be taken into account that the following factors may have influenced the results of the meta-analysis:
– few studies describe the randomisation method;
– no study describes allocation concealment;
– few studies describe blinding;
– some studies only report data for completers or do not report the reasons for missing data;
– in one study subjects received money for their participation ( Additional file
With respect to informativeness, 4 studies out of 17 did not include data essential to carry out a meta-analysis, therefore we were forced to exclude them from our review. Other papers lack information on reasons for missing data and do not use approaches to deal with missing outcome data, such as intention-to-treat analysis or "last observation carried forward". This may be a problem because missing outcome data, due to attrition (drop-out) during the study or exclusions from the analysis, raise the possibility of a bias in the observed effect estimate
Implications for future research
As to research methodology, more comparable and more rigorous research methods would be advantageous. This would facilitate the comparisons and the testing of possible confounding factors and methodological biases on the outcome of interventions, and subsequently on the result of meta-analyses. Greater sample sizes and more studies would be necessary. More information on the cost-effectiveness of interventions would also be of use. Information on missing data in trials would need to be provided as it is crucial for the understanding of their influence on outcome, efficacy, and effectiveness of proposed interventions.
As to intervention methodology, it is important for professionals to have a more homogeneous background or at least a psychiatric professional background. Besides weight measurement, the measurement of both obesity-related physical health parameters (such as waist circumference) and metabolic parameters, should be considered mandatory in future protocols. The individual components of the metabolic syndrome, as well as some other non-metabolic parameters, should be checked at baseline and measured regularly thereafter (especially in drug- naïve first-episode patients, children and adolescents)
The studies reviewed are still to be considered preliminary. Our hope is that this paper will be a small but inspiring step toward the development of larger and much longer studies. Although the findings of this paper are to be regarded as of a preliminary nature, it is hoped that they will be instrumental in bringing this problem to the attention of medical practitioners world-wide. It is clear that more research is required, especially with an increase in the number of parameters under study. However, it is also clear that patients with SMI are willing to participate and remain in health promotion programmes. Consequently, these programmes may have positive effects in diminishing risk factors, with relevant impact on clinical practice.
BMI: Body mass index; BT: behavioural therapy; CBT: Cognitive-behavioural therapy; CI: Confidence interval; CVD: Cardiovascular disease; ICD: International classification of diseases; MD: Mean difference; N/A: Not available; NOS: Not otherwise specified; OR: Odds ratio; RCT: Randomised controlled trial; SMI: Severe mental illness; SD: Standard deviation; UC: usual care; USA: United States of America.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
CG carried out the review. FM updated it. CG, LBe, FM, and EB implemented data extraction. EB performed the meta-analysis and drafted the manuscript. LBu conceived the study, participated in its design and coordination, and participated in the writing of the manuscript. All authors read and approved the final manuscript.
The authors acknowledge professor Corrado Barbui, University of Verona, for his valuable supervision and advice on the meta-analysis, and John Vanzini for his accurate revision of the English language.
Comorbid somatic illnesses in patients with severe mental disorders: clinical, policy and research challenges
Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care
Physical health in schizophrenia: a challenge for antipsychotic therapy
Obesity among those with mental disorders
Long-term health considerations in schizophrenia: metabolic effects and the role of abdominal adiposity
Consensus Development Conference on Antipsychotic Drugs and Obesity and Diabetes
A comprehensive review of behavioral interventions for weight management in schizophrenia
Antipsychotic-induced weight gain: a comprehensive research synthesis
Factors leading to poor physical health in people with psychosis
Non-pharmacological management of antipsychotic-induced weight gain: systematic review and meta-analysis of randomized controlled trials
Interventions to reduce weight gain in schizophrenia
The effects of an educational intervention on antipsychotic-induced weight gain
Effects of behavioral therapy on weight loss in overweight and obese patients with schizophrenia or schizoaffective disorder
Nutritional intervention to prevent weight gain in patients commenced on olanzapine: a randomized controlled trial
Attenuation of antipsychotic-induced weight gain with early behavioral intervention in drug-naive first-episode psychosis patients: a randomized controlled trial
Weight management program for treatment emergent weight gain in olanzapine treated patients with schizophrenia or schizoaffective disorders: a 12-week randomized controlled clinical trial
A healthy lifestyle intervention for middle-aged and older schizophrenia patients with diabetes mellitus: A 6-month follow-up analysis
Weight change in treatment with olanzapine and a psychoeducational approach
A cognitive/behavioral group intervention for weight loss in patients treated with atypical antipsychotics
Cognitive behavioural therapy for weight gain associated with antipsychotic drugs
Outcomes of obese, clozapine-treated inpatients with schizophrenia placed on a six-month diet and physical activity program
Body mass index in persons with schizophrenia
Measuring inconsistency in meta-analyses
Can a brief health promotion intervention delivered by mental health key workers improve clients' physical health: a randomized controlled trial
Prevention of weight gain, by behavioral interventions, in patients starting novel antipsychotics
The role of a fitness intervention on people with serious psychiatric disabilities
A pilot study of a weight management program with food provision in schizophrenia
Appropriate intervention strategies for weight gain induced by olanzapine: a randomised controlled study
Physical health - a cluster randomized controlled lifestyle intervention among persons with a psychiatric disability and their staff
Effects of an educational intervention on weight gain in patients treated with antipsychotics
Diet blues: methodological problems in comparing non-pharmacological weight management programs for patients with schizophrenia
Behavioral treatment of obesity
Behavioral and pharmacologic therapies for obesity
Long-term effectiveness of diet-plus-exercise interventions vs. diet-only interventions for weight loss: a meta-analysis
Efficacy of behavioural interventions in managing atypical antipsychotic weight gain
Prevention of antipsychotic-induced weight gain with early behavioural intervention in first-episode psychosis: 2-year results of a randomized controlled trial
A healthy lifestyle intervention for middle-aged and older schizophrenia patients with diabetes mellitus: a 6-month follow-up analysis
Behavioral treatment of obesity
The role of lifestyle interventions and weight management in schizophrenia
Congruencies in increased mortality rates, years of potential life lost, and causes of death among public mental health clients in eight states
The need for routine physical health care in schizophrenia
Management of physical health in patients with schizophrenia: international insights
Physical illness in patients with severe mental disorders. II. Barriers to care, monitoring and treatment guidelines, plus recommendations at the system and individual level
Pre-publication history
The pre-publication history for this paper can be accessed here:


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Palazzo Trevi Charming House
Via Frassinago 31, Bologna, 40123
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Palazzo Trevi Charming House is in the heart of Bologna, walking distance from Chiesa di San Francesco and Glossatori Tombs. This townhouse accommodation is within close proximity of Sinagoga Ebraica and Palazzo Marescalchi.
Make yourself at home in one of the 6 air-conditioned rooms featuring minibars and plasma televisions.
Complimentary wireless Internet access is available to keep you connected. Private bathrooms with showers feature complimentary toiletries and bidets. Conveniences include laptop-compatible safes and desks, and housekeeping is provided daily.
Take in the views from a terrace and make use of amenities such as complimentary wireless Internet access and shopping on site.
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- Know Before You Go All guests, including children, must be present at check-in and show their government-issued photo ID card or passport. Cash transactions at this property cannot exceed EUR 2999.99, due to national regulations. For further details, please contact the property using information in the booking confirmation. One child 3 years old or younger stays free when occupying the parent or guardian's room, using existing bedding. Only registered guests are allowed in the guestrooms. Alcohol is not served at this property. Mandatory Fees and Taxes You'll be asked to pay the following charges at the property: A tax is imposed by the city: EUR 5.00 per person, per night, up to 5 nights. This tax does not apply to children under 14 years of age. We have included all charges provided to us by the property. However, charges can vary, for example, based on length of stay or the room you book. A tax is imposed by the city and will be collected at the property. The tax ranges from EUR 1.50 to EUR 5 per person, per night. The amount has been determined by the local administration and depends on the length of stay, property classification, and room price. This tax does not apply from the 6th consecutive night of stay onward. Guests exempted from this tax include residents of Bologna and children under 14 years of age. Please note that further exemptions may apply. For further details, please contact the property using the information contained in the confirmation received after booking. Renovations and Closures This property is closed from 22 December 2016 to 04 February 2017 (dates subject to change). The property is closed between 17 July and 31 August. The LateRooms.com rate for Palazzo Trevi Charming House in Bologna is the total price of the room and not the 'per person' rate. All taxes are included, with the exception of city tax, which will be charged at 3.00(EUR) per person per night and is payable to the hotel directly.
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text:
This time, Miller made the right move midway through his super giant slalom run. He picked up his first victory in six weeks, taking the gold medal Saturday to open skiing's world championships.
"I was going the wrong way and I knew I was, but there is no way to change it without giving away too much speed," he said. "So I just tried to make the recovery afterwards. That sometimes costs you a lot of time and today it did for sure, but I got away with it."
Miller got away with it because he was far faster than anyone else throughout the rest of the Stelvio course, which he covered in 1 minute, 27.55 seconds. This was Miller's sixth medal in the world championships or Olympics.
Michael Walchhofer, the only skier faster than Miller at the final checkpoint, won the silver medal and finished 0.14 seconds behind, leading a 2-3-4 finish for Austria. Benjamin Raich, second to Miller in the overall World Cup standings, took the bronze, 0.68 back. He was followed by Hermann Maier, 0.85 behind.
Miller's U.S. teammate Daron Rahlves, the 2001 super-G world champion, was 10th.
Miller began the season by piling up six victories in the first 10 races, but he had not won since. His previous victory came in a night slalom in Sestriere on Dec. 13.
"It feels good. It has been awhile," said Miller, who plans to race all six events at the worlds. "It wasn't the best of runs, but when I came down and crossed the finish I thought I would be lucky to hang on to a top-three."
Miller normally focuses more on skiing well than posting a good result.
"But sometimes you just have to take the result. On a day where no one had a perfect run and you were the best, it's still a good feeling," he said.
At the previous worlds in St. Moritz, Switzerland, in 2003, Miller tied for second with Maier behind super-G winner Stephan Eberharter, an Austrian who retired after last season.
Miller landed the longest jump of the race outside the blue lines marking the course.
"One of the tough parts about this hill is that there are a lot of blind turns. You're coming right up to a gate without any idea what's over that," he said. "Anyone who's driven a car over a hill where you can't see where the road goes after that, imagine doing it at 75 mph and going 100% as fast as you can."
Phil McNichol, coach of the U.S. team, said Miller could not stop talking about his bad jump.
"He was disappointed. It overshadowed things," McNichol said. "It works both ways. If he has a bad run he finds the good in it. If he has a good run he finds the bad. Any sport psychologist would try very hard to instill this in his athletes."
The race lived up to its billing as a duel between Austrians and Americans, with the elite portion coming down to the final five skiers, all from the two countries.
Raich started No. 26 and posted the fastest time to that point, despite also struggling on the long jump. Then came Miller, showing his usual unorthodox, flailing form but once again finishing ahead of everyone else.
Walchhofer was next and held a 0.04-second lead over Miller at the final split, but made the slightest error in the final section.
"I'm so happy because my super-G is never as good as my downhill," said Walchhofer, who will defend his downhill world title next Saturday.
Rahlves started 29th and was behind by the first checkpoint.
Maier, who won a super-G in Kitzbuehel, Austria, on Monday in his favorite discipline, was the final top skier out of the starting hut. He was in position for a top-three finish at the last split, but he also lost time in the final meters, a stretch that featured a jump just before the finish line.
Four inducted into U.S. Ski Hall of Fame
ISHPEMING, Mich. — Four skiers — Alan Engen, Thor Brandt Groswold, Picabo Street and Donna Weinbrecht — have been inducted into the U.S. National Ski Hall of Fame.
The ceremony took place Friday in front of several hundred people at Peterson Auditorium in Michigan's Upper Peninsula.
Street, a 14-year member of the U.S. Ski Team, has won numerous championships, including World Cup downhill titles in 1994-95 and 1995-96. She won the downhill silver medal at the 1994 Olympics and the super giant slalom gold medal at the 1998 Olympics.
"This is a once-in-a-lifetime experience," she told The Mining Journal of Marquette. "I grew up chasing my father and brother around Sun Valley ... following my heart, doing what I loved."
New Jersey-born Weinbrecht, 39, was a latecomer to the skiing world. She started when she was 18, earned a spot on the U.S. Freestyle Ski Team in 1988, and led the Americans to the Olympics in Albertville five years later.
"I can't picture what my life would be like if a Canadian family hadn't moved into our neighborhood and introduced me to skiing," she said. "Skiing is such a big part of my life."
Engen, 64, of Salt Lake City, is no stranger to the Hall. His father, legendary ski jumper Alf Engen, was inducted in 1959, followed by Alf's brothers in 1971 and 1973.
"But as far as my going in, I thought the odds were about zero. I'm truly honored and humbled," he said.
Named an All-American in 1960 while he was at the University of Utah, Engen later established a ski museum outside Park City, Utah, wrote two books about the sport, and worked for more than four decades as a ski instructor.
Groswold, 76, of Montrose, Colo., has also been involved in the sport all his life. Both of his parents were ski jumpers, and his father was a ski manufacturer who inducted into the hall in 1970. Groswold officiated at the 1960 and 1980 Olympics.


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The Black and Decker BDPS600K Two Speed Quick Clean Paint Sprayer is an easy to use two speed paint sprayer that is ideal for all paints and stains. It is great for use on sheds, deck, furniture or any outdoor painting project. The Quick Clean System allows users to easily flush out paint without taking sprayer apart. You can clean your system without emptying the paint canister. It has an Easy Fill Canister that allows for fast and clean refills. The high performance motor is powerful enough for spraying even heavier latex paints, and the dual speed setting allows users to have a more controlled spray patter. It includes Color Coded Nozzles to help distinguish between spray patterns at a glance. It features a quick release that allows for easy access to cleaning. Includes a pour/thinning assist bucket, that is great for transferring paint to the side fill canister cleanly. Backed by a Black and Decker 2 year warranty.
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text:
BRUSH, Colo. – Banner Health Clinic in Brush welcomes Anne Gallion, MD, a family medicine specialist with more than 15 years of experience.
Gallion earned her medical degree from the University of Minnesota Medical School in Minneapolis. She completed her residency at Regions Hospital in St. Paul, Minn. Dr. Gallion is Board Certified by the American Board of Family Medicine.
She specializes in primary care for all ages and offers in-office procedures, skin biopsy, toenail removal and treatment for minor cuts. "I believe that patient-physician partnerships in care should strive for health of the whole person – mind, body and spirit," said Dr. Gallion. In her spare time, she enjoys cooking, swimming, walking her dogs, skiing, hiking, traveling and horseback riding.
Banner Health Clinic is located at 2400 W. Edison in Brush. To make an appointment with Dr. Gallion, please call (970) 842-6262.
Banner Medical Group (BMG), Banner Health's employed provider group, is a team of more than 1,300 physicians and advanced practitioners across 65 specialties and more than 3,500 total employees located in Alaska, Arizona, Colorado, Nebraska, Nevada and Wyoming. BMG providers serve patients in a variety of care settings. BMG primary care providers like pediatricians, internists, family medicine physicians and obstetricians/gynecologists staff Banner Health Centers and Clinics, and BMG specialists care for patients in both clinic and hospital settings.
If you have reached this screen, your current device or browser is unable to access the full Banner Health website. To see the full site, please upgrade your browser to the most recent version of Safari, Chrome, Firefox or Internet Explorer. An update is not required, but is strongly recommended to improve your browsing experience


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Carl Sciortino Jr., a gay man, remembers that tough conversation with his father when he came out...as a liberal.
Carl Sciortino Jr. is a state congressman in Massachusetts, running to fill Ed Markey's seat in the United States Congress, which Markey vacated to become a senator (replacing John Kerry). Sciortino's latest ad features Carl Sciortino Sr., the politician's father and a proud member of the Tea Party. In the ad, the younger Sciortino, a gay man, comes out to his father…as a liberal.
"It was bad enough to take on the big banks and corporations," complains the elder Sciortino, "and he wrote the buffer zone law!"
"To protect women entering abortion clinics from harassment," Sciortino Jr. explains.
The ad works because Sciortino Sr. is a really lovable dad who can deliver supposed Tea Party complaints in a way that conveys both that he is a crotchety old man and that he really loves his son. The one minute spot goes down easy, and that has a lot more to do with Sciortino Sr. than Jr. (not the younger Carl is bad, he's just less of a charmer).
The other piece that makes it a worthwhile ad is that Sciortino Jr. announces that he is a proud liberal. That's easy enough to do in a liberal Massachusetts district, but it's something that liberals ought to have more fun with. Republicans have long held a monopoly on pride, and while that correlates with their lack of willingness to change, it helps the GOP build momentum. Both Sciortino's demonstrate that it's okay to be proud about what you believe in.


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Global Marketing News – 16th February 2017
Digital ad spend is expected to soar in South East Asia, YouTube has released a low-data app, and m-commerce in the US saw huge increases at the end of 2016.
Visit Webcertain.tv to watch the full bulletin or to watch a wide range of interviews with digital marketing professionals.
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Video News Editor at Webcertain
Cal is the Video News Editor at Webcertain. He presents the daily Global Marketing News Bulletin as well as working behind the scenes as a video editor and production member. With 6 years experience as a professional filmmaker and videographer, Cal provides Webcertain with the ability to create video content for its ever-expanding catalogue of video content. Outside of the company, Cal enjoys writing and directing short films and is currently in the process of making his first feature.
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Two days later, special jonin House and his team found themselves on the hospital skybridge, watching one of their patients walk toward the gate.
"It looks like you were right about the Tsukuyomi." Foreman nodded pleasantly. "And it's a good thing, too."
"I spoke with Gai a few hours ago." Chase added. "Sasuke doesn't remember a thing about the actual fight with his brother. It looks like it was just part of one big nightmare to him. Something he doesn't exactly feel keen on retelling – or reliving."
"Good. That should be enough to keep that curse mark of his intact. At least for a little while." House replied. Cameron unconsciously rubbed her neck, a gesture that didn't go unnoticed by her superior. "But probably not for very long."
Foreman, Cameron and Chase all nodded reluctantly. As much as they hoped Cuddy's evil sealing method would have been unbreakable, they also witnessed, first hand, how deep Sasuke's desire for vengeance went. His anger was essentially bottomless, and when he released it, nothing, not even the most powerful sealing jutsu, would stop it. It was only a matter of time.
Time, of course, was exactly what their other patient didn't have.
House turned to Cameron.
"How about the other Uchiha? Any change?"
"We were able to wean him off the ventilator this morning." She reported. "He's still in critical condition, though."
"That means Cuddy's going to want him and his partner out of here and across the country by sunrise tomorrow." House added, not particularly in the mood for facing off with a second ANBU unit in the same week. "His kidneys should still be functioning well enough to metabolize a citrate anticoagulant. Start him on plasmapheresis to speed things up."
"Just one round?"
"It'll be better than nothing." Chase added, glancing back at House and Cameron. The former almost laughed under his breath.
"I didn't know you cared."
"Well… he did manage to save his brother's life… So I guess…"
Foreman shrugged, although he had to agree.
"It kind of makes me wonder whether that whole clan massacre story is as true as they say it is."
"Whether it is or not, don't expect him to take his secrets anywhere but his grave." House insisted, dropping the subject entirely. "Which is right where he's going unless you can get enough prednisolone and cyclophosphamide to last him the next four weeks. After that, and he's still alive, he can probably get by with methotrexate instead of cyclophosphamide."
"House, you do realize that'd make a two year supply, bare minimum..."
"And while you're at it, fill a scrip for a few months worth of vicodin too." House waved Foreman off. "Not for the patient, though. That one's for me."
Foreman rolled his eyes and shook his head in return.
"I wouldn't have guessed."
"Just get what you can." House added. His voice was soft, but serious. "It's not exactly like an Akatsuki can just step into the local village pharmacy for refills, but I'm sure you can figure something out."
He started to walk away, but Chase stopped him.
"Hang on." he inserted. "We can figure something out? What about you?"
"Me? I still have one more house call to make. Got kind of sidetracked from the last one." He smirked, as determined as ever. "Once you get me that vicodin, of course. After what the brat did to my leg, it's going to be a long, painful walk to Rice Country. Or should I say, the country formerly known as Rice Country."
As House left the Skybridge, the rest of his cell shared a series of long, nervous looks, calling his already tenuous loyalty into question once again. It was a concern, though, that they'd have to answer another time. There was still a lot to take care of before nightfall.
"… so, who's going to be the one to teach the other Akatsuki how to administer an IV?" Cameron finally broke the uneasy silence.
"Not it." Chase and Foreman both answered immediately. It was hardly a surprise, but in Cameron's mind, they were actually doing her a favor.
"Then you get to deal with the pharmacy." She smiled, heading off in the opposite direction.
The other two paused.
"Damn. We walked right into that one." Chase muttered.
"And for that, you're getting House's vicodin." Foreman countered just as quickly.
"Damn it!" Chase stomped his foot into the tile. "Why am I always stuck with falsifying records?"
Foreman let out a small chuckle.
"Just your luck, I guess."


text:
|17 Nov 2013
Dual monitor set up help.
HI Guys - thanks in advance for any help.
New Dell XPS desktop. I'm having trouble setting up dual monitors. Had them set up before. But so much is new. I need help. Nvidia 650GT. Fresh install of windows 7. Updated. Both monitors work. They just won't work together.
They will duplicate but they wont 'extend'. The mouse simply won't travel screen to screen. Both screen power up. Resolution recognizes both monitors by model # = Acer G215VH and ViewSonic VA2703
The Nvidia control panel recognizes both monitors also.
The device manager shows The Viewsonic with the latest driver.
The second driver is identified as PNP monitor and says best driver installed but it doesn't list the acer by name... ? When I search drivers for Acer I find only vista 32bit drivers - sorry to be so long here.
Both screens are same resolution and refresh rate although different sizes ?
Acer is on VGA cable and VA2703 is on a VID cable, these are the two jacks this card has.
|My System Specs
|17 Nov 2013
Windows 7 Ultimate 64-bit
What version of Windows 7 are you using? Windows 7 Starter?
|My System Specs
|17 Nov 2013
I'm using windows 7 home premium 64 bit, thank you.
|My System Specs
|17 Nov 2013
Right click on your desktop, click screen resolution and post a pic of the window.
What is a VID cable ?
Also post a link to your exact video card.
|My System Specs
|17 Nov 2013
8 Pro x64
It may be easier using the Windows Screen resolution setup
Try right clicking the desktop > Screen resolution
From there you should see your primary screen (the laptop screen) and a blanked out pic of the external monitor.
Click on the disabled display and select "extend these displays" > Apply
By rights you should now have an extended display instead of cloned mode.
The drivers shouldn't matter. It will most likely show up as PNP monitor.
|My System Specs
|17 Nov 2013
Thank you for your suggestions guys, Yes I meant DVI-D cable.
Both monitors work when selected as primary the screen and both work in 'duplicate display' mode but only #1 works in 'extend display' mode and mouse courser can not go from screen to screen at any time.
|My System Specs
|17 Nov 2013
Hi Scotty, welcome to the Seven Forums.
Does the Windows Screen Resolution tool show the displays as they are located on your desk? I mean, if your main display is at left and your secondary display at right, does the tool show the same, number 1 on left display and number 2 on right?
If not, you can drag and drop the display icons in Screen Resolution tool as you wish. An example:
Originally I had Display 1 at left, Display 2 at right. Now I have physically moved my secondary display (2.) on my desk from right to left, I also need to change how they are displayed in Screen Resolution tool, because only the location of displays as shown in Screen Resolution tool determines how the mouse pointer moves from one display to another.
Original situation, I select the display 2 and drag it in to a new position to the left of display 1:
Now the display icons are located as the real displays on my desk, display 2 at left and display 1 at right:
Notice that you can set the display icons exactly as you want to but you need to remember that the way you organize the display icons determines the area and direction where mouse can move from one display to another. See the screenshot below; the top and bottom red arrows show where mouse cannot move over the edge to the next display, the highlighted yellow area and the bidirectional arrow in it show where mouse can move over the display border to the next display:
More here: Dual Monitor issue GTX 260
|My System Specs
|17 Nov 2013
You are a genius!
One thousand thank yous.
The fix was as simple as swapping the display icons
|My System Specs
|17 Nov 2013
You are welcome .
|My System Specs
|17 Nov 2013
Thought you would have tried that already, but glad you got it sorted.
|My System Specs
|Thread Tools
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Welcome to Seabreeze Casa and Nature Reserve!! This beautiful home with detached guest villa is 15 min. from Playa Dominical, a world class eco-tourism and surfing destination. Dominical is also the gateway to the Osa Peninsula, one of the most bio-diverse locations on the planet.
Please check out our new virtual tour at:
Our GPS Location 9 degrees 17' 50"N 83 degrees 52'54"W
The Main house is built on two levels with 2600 sq ft of living area. Both levels have white water ocean views, mountain vista views, kitchens, laundry facilities, private entrances, and a total of four baths. Granite counters, Italian tiles, slate from Brazil, A/C in the bedrooms, and elegant furnishings make this house a very comfortable place to spend your vacation!
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Our home can accommodate a max. of 10 with two king beds, one queen bed, and four double futon beds. Cool off in the 15 meter infinity edge pool with jacuzzi bench and children's play area. The pool is plenty big enough to swim laps. For the nature enthusiast, Seabreeze Casa has access to our adjoining 75 acre nature reserve with abundant wildlife and miles of trails through the rainforest.
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The Nauyaca waterfall horseback tour is always popular. To the north 25 miles is Manuel Antonio National Park with beautiful beaches and lots of monkeys to watch. Ten miles south is Ballena National Marine Park with miles of beaches and great snorkeling. Fishermen will have a choice of excellent river, surf, inshore, and deep sea fishing.
Reptilandia is a fascinating place to view and learn about snakes and many other types of reptiles.
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My wife, Bea, and I (Bob) have lived full time on this amazing 100 acres since 1998. I am a retired firefighter and Bea was a RN in Yakima, WA. We live 75 meters from the rental and are available 24/7 if our guests need anything.
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My name is Bob Kable. My wife, Bea, and I came to Costa Rica on our honeymoon in 1998 and loved the country and people so much we decided to make it our permanent home. We lived in the Pacific NW in Yakima WA before we moved to Costa Rica. I am a retired firefighter and Bea was a RN for many years. We bought two hundred acres in 1998 and dedicated a portion of it to a private wildlife reserve. We developed hiking trails through the reserve that our guests are welcome to enjoy. Bea has been involved in animal rescue and is the go to person when someone finds an injured critter or has a sick pet. One of her more recent adventures involved 2 of the neighbor's dogs and a porcupine. I love hiking in the rainforest and spend a lot of my spare time making new trails.We live near the rental house and are available if our guests need anything..Having lived here for 16 years, we are very familiar with the area and are happy to help with tours and suggestions for local activities.
Bob or Bea Kable purchased this house in 1998
Seabreeze has a unique blend of so much of what one comes to Costa Rica to see, feel, and experience. The journey up the mountain to get here is best understood once you are here. What awaits you is peace and tranquility, spectacular mountain and ocean views, a host of wild life critters, with frequent visits by monkeys, toucans, and many species of birds....oh, let's not forget the parrots...wink, wink...they will sing to you in the morning. Yes..... Seabreeze is that unique blend of luxury, comfort, nature, far enough away from everything and everyone yet close enough to all that you need as you venture off for the day.
We love Seabreeze for all of these reasons and we are sure you will too.
It's really amazing what one person can accomplish, in this case what one man has accomplished, Bob Kable. Through his vision, determination, and sweat, Bob has transformed a hillside jungle setting into basically this kind of Shangri-La. Wikipedia describes Shangri-La as an 'earthly paradise'. It's really amazing what has been created here. Everybody appreciates this home, but I wonder how many think about the effort that went into it.
When you read the reviews of this place, you will notice that folks talk about Bob and Bea as much as they do about the property. They are a lovely couple, and we enjoyed our chats with them. We've stayed in many VRBO/Home Away properties, and we've enjoyed meeting many of the owners, but these two are in a class by themselves.
In the moments when Bob wasn't speaking, I could tell that Bob was always thinking about something, his mind racing ahead. There's a lot of work to do to keep that place functioning. He is one smart cookie. ... And Bob is super responsive and so helpful. I'd like to compare him to a Marriott concierge. But that would be a disservice to Bob. He is much better than that.
Bea is wonderful as well, and we so enjoyed getting to know her a bit. She is very accomplished in her own right. More than that, she is just a very sweet, compassionate, and caring person.
I will add that the gravel road up to Sea Breeze is a bit of a trek. So make sure you have your SUV with 4WD. But I'm 65 and a city driver .. and I made it.
I'm not sure if I would describe the Sea Breeze as an 'earthly paradise', but it comes pretty close. Thank you Bob and Bea for an unforgettable experience.
Casa Seabreeze surpasses the expectations. There were 10 of us and there was plenty of space to accommodate even 2 more. Bob and Bea are great, very helpful, gave us very good advices. You DO need an SUV for sure. You need it for both the ground clearance and the 4x4 traction needed on the dirt road.
Four of us visited Sea Breeze last year and were really impressed with what Bob and Bea were providing. So much so that three of us returned for a longer stay this year and found Sea Breeze to be even better. The covered area and outdoor kitchen are wonderful improvements and we really enjoyed our cool mid-morning brunches at the outdoor table. The grounds seem to have hundreds of new plantings with most of them in full bloom. The property is beautifully maintained and if you search youtube movies for "Sea Breeze Casa and Nature Reserve" you will se a beautiful video of the location.
Bob and Bea are wonderful hosts, never intrusive but always ready to answer questions or provide additional service. Before we arrived, I had difficulty securing a commitment for a 4wd rental car and asked Bob if he could help. He replied, within hours, with a contact and quote. This year Bea took us to see some undeveloped beachfront property that they have at Playa Linda. It was the most beautiful beach I have ever seen: Hawaii has nothing like this.
We had selected booking dates for a 2018 return and discovered someone had already booked ahead of us, so don't wait too long. We are building a new return plan now.
It is hard to put into words our time spent at Seabreeze simply put the property is Magical, the thought and care that has gone into the house and grounds is outstanding, from the outdoor lounging area around the incredible infinity pool with a killer view complete with an outdoor shower and kitchen, to the luxurious bedrooms, this property will not disappoint.
Bob and Bea Kable are wonderful hosts who are available to answer any questions and offer many ideas for outings in the area, we highly recommend the ATV ride to the farm in Tres Piedras, it was the highlight of our trip. The house is in the middle of a nature reserve so the view in unobstructed and what a view!!!! We made sure we were there for every sunset and moonrise, one night we turned off all the lights, laid in the pool and watched for shooting stars, like we said magical! Now the animals on the property are plentiful, waking to the toucans and parrots singing in the morning, watching the monkeys twice a day jump through the trees to get some bananas, we even saw three baby monkeys! Bea's love of animals truly makes this a very special place on earth.
Seabreeze is close to some of the most beautiful beaches we have seen, Manuel Antonio has a few where the waves are awesome, I couldn't get my husband out of the water he said he felt like a 10 year old boy again riding every wave to the shore! Great restaurants are very close in Dominical, but if you enjoy cooking this house has an amazing fully stocked indoor and outdoor kitchen, getting fresh fruit, veggies and fish from the farmers market and just throwing it all on the grill was great because leaving the view to go somewhere else is next to impossible!
Honestly this was he best vacation experience we have ever had and we have traveled extensively all over the world and we have never rebooked a vacation while we were still on the vacation, but we did this time, Costa Rica has boundless places to visit and experience we want to see as much as possible and knowing we have a "Home away from Home" to come back to at the end of the day made the decision easy.
Thank you Bob and Bea for an amazing experience, see you next year!
No words can explain how truly amazing this place is. But I'll try.
We had arrived a little late Friday night in the pouring rain , thought we knew the way,after a failed attempt to make it the house on our own . We had to turn back and stop at a local restaurant and call Bob and Bea at 9:00 at night and with no questions asked Bob came and met us and led the way. Bea was waiting for us with umbrellas. Once we arrived at the house we couldn't have been more pleased. The house is truly an oasis !
We had 7 people on this vacation . The house comfortably accommodated everyone. The house has every amenity you could imagine and then some not to mention the amazing outdoor living space with a Ridiculous infinity pool and a brand new BBQ , outdoor shower and fire pit over looking the amazing landscape.There are 3 separate living quarters all with satellite tvs and DVD players.
The house and grounds are impeccable .
The wild life on the property is truly amazing , you can see toucans,monkeys,exotic birds even a sloth made an appearance with her baby in tow.
Bob and Bea are truly two of the greatest people I've had the pleasure of meeting.
They took care of everything for us even before we arrived in Costa Rica.
Our activities included fishing trips (snook and mahi-mahi) very successful btw, horseback riding to the waterfalls,shopping in dominical , numerous local restaurants and bars ,beaches most times we didn't want to leave the property.
We will be returning sooner than later ! Thanks again Bob and Bea !
If you are looking for a PERFECT VACATION HOME, look no further. The managers, Bob and Bea are extremely helpful and have become close friends. We have stayed at Sea Breeze 8 times and will continue to keep staying here whenever we can.
If you come to Costa Rica to see the animals and view of the ocean, there is no home that can provide all this, except Sea Breeze. The minute you arrive at this paradise, you will see monkeys, toucans, and many other types of wildlife. As I write this review, and am looking out at the ocean and can even see the waves breaking on the beach.
Bea makes this trip even more wonderful. Her love for animals is wonderful. She will take in an injured dog, monkey or any other animal needing help. She will have it mended, then released back into nature.
What can I say about the home and property? The house and master suite across from the house is amazing. You can bring your entire family and everyone will have a place to sleep and relax. The pool is the perfect place to relax while watching the Toucans eating the berries in the trees above you.
We will be back again this spring and as we pack to leave, we are already looking at our vacation schedule .
Thank you Bob and Bea for another perfect trip!
Dominical is the closest town to Seabreeze Casa and has some of the best surfing and eco-tourism activities in the world. Haciendo Baru is close by. It is a 900 acre National Wildlife Refuge that offers canopy tours, zip lines, bird watching, and nature walks lead by trained naturalist guides. The Nayaca waterfall horseback tour is possibly the most popular tour in the Dominical area. We highly recomend it.To the north 25 miles is Manual Antonio National Park with beautiful beaches and lots of monkeys to watch. Ten miles south is Ballena National Marine Park with miles of beach and great snorkeling. Fishermen will have a choice of excellent river, surf, inshore, or deep sea fishing. Sea kayak tours are a fun way to explore sea caves and view wild life in the mangroves. Without leaving Seabreeze Casa you will be able to meet Stitch the raccoon and see white face monkeys twice a day when they pass by. Toucans and parrots can be seen daily near the house and the adjoining 75 acre nature reserve is teaming with exotic bird, animal, and plant life.
Other Activities: Canopy tours, white water rafting, zip-line, reptile zoo, fishing, diving/snorkeling, surfing, hiking
Golf: Los Suenos Resort and Marina near Jaco has a beautiful course and is 1.5 hours away. A new course is open about 45 min south of Dominical. Repilandia is a fascinating reptile attraction 7 km from the house.
|Rate Period
|Weekend Night
Green 2017
1 May 2017 - 11 Nov 2017
4 night minimum stay
Winter 2017
12 Nov 2017 - 23 Dec 2017
7 night minimum stay
Christmas/New Year 2017
24 Dec 2017 - 7 Jan 2018
7 night minimum stay
High 2018
8 Jan 2018 - 30 Apr 2018
5 night minimum stay
Green 2018
1 May 2018 - 17 Nov 2018
5 night minimum stay
Winter 2018
18 Nov 2018 - 20 Dec 2018
7 night minimum stay
Christmas/New Year 2018
21 Dec 2018 - 6 Jan 2019
7 night minimum stay
High 2019
7 Jan 2019 - 30 Apr 2019
5 night minimum stay
green 2019
1 May 2019 - 16 Nov 2019
5 night minimum stay
My Standard Rate
5 night minimum stay
Easter Week $3300.00
Check-out is 10:00 am


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Mahindra Satyam had approached the Ministry of Commerce to extend the validity of its project in MIHAN at Nagpur for two more years
Hyderabad: Mahindra Satyam (MSat), formerly Satyam Computer Services, is set to revive its plans for setting up a facility in the Multi-modal International Cargo Hub and Airport at Nagpur (MIHAN) special economic zone (SEZ) at Nagpur, reports PTI.
The company had approached the Ministry of Commerce to extend the validity of the project for two more years, according to a senior official of MSat.
The letter of approval for the project with an initial validity of one year had expired in June 2009 and later, on a request from the company, it was extended till July this year.
"We are planning to begin the project by constructing a compound wall. However there is long way to go," the official told PTI while refusing to provide further details about capacity and investments.
Satyam had been the first investor in the SEZ and was allotted 128 acres of land. However, after the Satyam scam broke out in 2009 the project was put in cold storage by the new management- Mahindras.
According to the information furnished to the Commerce ministry, the company has finalised the contractor for construction of compound wall. An architect has also been appointed for working out a detailed plan for its campus.
Tech Mahindra took over the scam-hit Satyam in April, 2009, and rebranded it as Mahindra Satyam. Sources indicated that the project will be taken up only after the merger process is completed.
Recently, the Andhra Pradesh High Court directed MSat to convene a shareholders' meeting on 8th June to consider merger with Tech Mahindra.
"A clear picture will emerge after the merger. Most likely next year serious work will be initiated," sources said.
Last month, MSat CEO C P Gurnani, while refusing to give a time frame for the completion of merger process, had said they don't foresee any hurdles in the way.
Board of Approvals under the Ministry will take decision on the extension of validity in a meeting slated for next week.
Meanwhile, MSat is set announce its Q4 and annual results of FY12 on May 17, according to a filing to BSE.
Bharti Airtel, the country's largest private telecom company, is under the ED scanner for alleged money laundering case
New Delhi: The Enforcement Directorate (ED) is probing money laundering cases against Bharti Airtel, minister of state for Finance SS Palanimanickam informed the Rajya Sabha on Tuesday, reports PTI.
"Directorate of Enforcement is investigating cases under the provisions of Prevention of Money Laundering Act, 2002, and Foreign Exchange Management Act, 1999, involving Bharti Airtel Ltd," he said in a written reply.
The minister, however, did not provide additional information, saying, "It may not be in the interest of the ongoing investigations to provide any further details."
Bharti Airtel is the country's largest private telecom company, which offers mobile phone services under 'Airtel'. It has operations in several other countries, including Africa.
The court granted bail to the DMK MP on a personal bond of Rs20 lakh and two sureties of the like amount
New Delhi: Over 15 months after his arrest, former Telecom Minister A Raja on Tuesday was granted bail by a Delhi court in the 2G spectrum case, reports PTI.
"The bail application is allowed," Special CBI Judge OP Saini said.
The court granted bail to the DMK MP on a personal bond of Rs20 lakh and two sureties of the like amount.
The court while granting bail imposed conditions on Mr Raja that he will not visit Tamil Nadu without its prior permission and will not go to the office of the Department of Telecom (DoT).
The court, in its 14-page bail order, also said that Raja would not try to influence any witnesses while on bail. Raja was arrested on 2nd February, last year.
The CBI had raised questions on Raja's alleged links with Mauritius-based Delphi Investment Ltd, in which Reliance Telecom Ltd had allegedly transferred its shares and said if released on bail at this stage, he might tamper with evidence.
Raja had sought bail, saying the Supreme Court, while granting bail to former Telecom Secretary Siddharth Behura, had not distinguished the case of public servant from that of others.
He had submitted that he and Behura were facing similar charges of abetment, conspiracy and criminal breach of trust.
Raja's counsel had submitted that as his client was no longer a Union cabinet minister, he could not tamper with the evidence or influence the witnesses.
Besides Raja, his private secretary RK Chandolia, Behura, DMK MP Kanimozhi, corporate honchos -- Reliance Anil Dhirubhai Ambani group's MD Gautam Doshi, ADAG group President Surendra Pipara and Senior Vice President Hari Nair, Unitech MD Sanjay Chandra and Swan Telecom promoters Shahid Usman Balwa and Vinod Goenka--are facing trial in the case.
The court has also put on trial Kalaignar TV MD Sharad Kumar, Director of Cineyug Media and Entertainment Pvt Ltd Karim Morani and Directors of Kusegaon Fruits and Vegetables Pvt Ltd Asif Balwa and Rajeev Agarwal.
Besides these 14 persons, three telecom firms - Swan Telecom Pvt Ltd, Reliance Telecom Ltd and Unitech Wireless (Tamil Nadu) Pvt Ltd, are also facing trial in the case.
Raja and others have been charged for the offences of cheating, forgery, criminal conspiracy and corruption besides criminal breach of trust that entails a maximum punishment of life imprisonment.


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MFG Advocate …
Getting real about diversity
By Penny Brown, Public Affairs Director
Malcolm Forbes defined diversity as "the act of thinking independently together." Businesses especially stand to benefit when they operate in an inclusive environment.
There has been a push lately to improve diversity among workers in manufacturing. That includes both cultural and gender diversity. Why is this so important? It's not just because "it's a nice thing to do." Diversity has real business benefits that can help a company's overall competitiveness.
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If you think your business could benefit from improved diversity, consider taking action. The full study is available at The Manufacturing Institute's website (themanufacturinginstitute.org), along with ideas for how the industry can move forward to making itself more inclusive – and improve business at the same time.
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I highly recommend this engaging treatise to programmers interested in effectively utilizing the Intel® Xeon Phi™ coprocessor." R. Glenn Brook, Ph.D., Chief Technology Officer, Joint Institute for Computational Sciences, Director, Application Acceleration Center of Excellence, University of Tennessee / Oak Ridge National Laboratory
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A svayamvarA pArvatI homa that can undoubtedly be called one of the biggest of its kinds was conducted in palakkad this February by shrI damodaran (Babu) Nambuthiri. During the pUrNAhuti, a shuka appeared from nowhere and circumambulated the yoni kuNDa thrice. This was captured on video by one Smt. Radha Gopalan of Trivandrum on her cell phone. While we could not attend the homa, shrI babu kindly made a copy of the svayamvarA kalpa used traditionally in his family for us. Apart from various mantras, hymns and prayogas, the AvaraNa structure of devI described in this work is completely different from what is generally seen in works like prapanchasAra sArasaMgraha, mantra mahodadhi, mantrArNava, saubhAgyalakShmI tantra etc. Sixteen gauri-s are described as the chief AvaraNa devatas of svayamvarA and a chapter is dedicated to each of the gauris, much like the importance given to the sixteen nityAs in kAdimata. The sixteen gauris are:
1. svarNagaurI
2. arkagaurI
3. tiMtriNI gaurI
4. trilochanA gaurI
5. maunagaurI
6. a~NgushTha gaurI
7. sandoha gaurI
8. keshabandhana gaurI
9. pUrNa gaurI
10. kapittha gaurI
11. saubhAgya gaurI
12. bR^ihadgaurI
13. upA~NgalalitA gaurI
14. kundagaurI
15. badarI gaurI
16. kArtika gaurI
Some of them, like svarNagaurI, maunagaurI, kArtika-gaurI are well-known through the associated vratas.