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There Are Big Improvements in International Market For California Walnuts
There are big improvements in the international markets for California walnuts.
Claire Lee is the Assistant International marketing Director for the California Walnut Board. She said things are looking much better for California Walnut growers in terms of shipping overseas.
"It's looking better. Things aren't the same as they were a year ago. There's definitely been improvements in the markets, things that were really pushing down, the market earlier last year. We don't have that issue today," Lee said.
She explains last year's problems with exports. "Chile had a lot of oversupply and a lot of crop in the markets and that really created a lot of issues, especially in Europe," she noted.
"California growers also had a lot of excess inventory going into the harvest and so the pipelines were full, and this year those pipelines are empty. Chile has sold through, we don't have any excess inventory, so foreign market demand is high," she said.
And new markets must be found because over the next five years there'll be another 196,000 tons entering the market just from California farmers. "That's the estimate from the strategic planning that happened earlier this year. We have a lot of trees in the ground and we have a lot of trees in the ground that aren't even producing yet, so we have to be ready for the larger crops to come," Lee noted.
And the California Walnut Board does have a strategic plan to do it. "We have to increase domestic and international demand. We also must increase , advocacy, and sustainability. All of those priorities are going to be high for us in order to continue to grow the industry," Lee explained.


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Terms and Conditions
An appointment at Fysio.Center can be made via e-mail, telephone or verbally. See herefor the contact details
For a first treatment you can report to the desk of the yoga studio "Bluebirds" and then take a seat in the waiting room. You will be picked up from the waiting room by the therapist.
You do not necessarily have to report to the desk for the following appointments. It may be that the therapist is running out. If you wait longer than 10 minutes for the therapist, come and knock on the door of the treatment room.
Fysio.Center has consciously chosen not to enter into contracts with health insurers. This means that the treatments are not declared to the health insurers but that you have to pay for the treatment yourself. You can then submit the invoice to your health care provider. The treatment is largely, and sometimes entirely, reimbursed by the health insurer.
Not all health insurance companies reimburse DTF (Direct Accessibility Physiotherapy). This means that you must first obtain a referral from your doctor before you can come to Total Care Fysio. Check with your health care provider whether DTF is reimbursed. If this is not the case, you should get a referral from your doctor.
At the end of the treatment you can pay by debit card or contact, after which you will receive the invoice by e-mail.
You must be able to identify yourself at the intake.
Cancel an appointment
If you want to cancel or move an appointment, you must do so at least 24 hours in advance. If you do not do this, an amount of € 25.00 will be charged. If you are late for an appointment, please contact us by telephone.
Treatment process
During the first treatment, an intake takes place in the form of a case history. This is followed by a physical examination.
During the physical examination you will have to remove certain items of clothing so that the body can be examined better. If you have difficulty with this, you must report this to the therapist. Then another solution is sought. If you do not like to stand in your underwear, you can put on small pants.
The transfer to third parties will take place by means of a written notification, in which the personal details (including BSN, personal details, insurance details) and the treatment process are stated and described. This transfer is made in accordance with and with the approval of the patient / client.
In the event of a different course in duration or in symptoms, it may be decided to refer the patient / client to the doctor for any further medical examination. For this purpose the transfer will take place, as described in the point above.
At the end of the treatment process, this is concluded with a final report to the referrer.
The reports are sent by mail, via a secure internet connection or by letter which is given to the patient.
House rules
You must bring your personal items to the treatment room. Fysio.Center is not liable for loss, loss, theft, or damage to property of patients, clients, or others who enter the practice.
The use of mobile phones during treatment is not appreciated.
In the event of an emergency you must follow the instructions of the personnel or the competent authority (police, fire brigade).
Privacy and handling of patient data
All data and information will be treated confidentially in accordance with the Data Protection Act. There will be no exchange with third parties without this in consultation and agreement with the patient.
See privacy statement.
Complaints procedure
If you nevertheless have a complaint about how you have been treated, about the course of the treatment process or procedure during treatment, it will be greatly appreciated if you report this to your therapist. In this way we want to keep the quality of care as optimal as possible, and hope to learn from our mistakes.
If you have a complaint that you do not want to report within Total Care Fysio, you can use the official complaints procedure of the KNGF. Information about this can be found on the KNGF consumer site (Fysionet.nl), where you can download the brochure "A complaint about your physical therapist" directly. Here you can find the procedure of the complaints procedure and where you can go with your complaint.
Fysio.Center has consciously chosen not to enter into contracts with health insurers. This means that the treatments are not declared to the health insurers but that you have to pay for the treatment yourself. You can then submit the invoice to your health care provider. The treatment is largely, and sometimes entirely, reimbursed by the health insurer.
The patient is responsible for the payment of the invoice. Check with your health insurer what you will be reimbursed per treatment. Ask for the reimbursement of physiotherapy.
If you cannot meet your financial obligations, it is possible to make a payment arrangement with Fysio.Center. This will be done in consultation with the therapist being treated. The therapist and patient will come to an agreement together.

subset: commoncrawl


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Craig O'Neill pushes lawmakers to 'Get it Done' in Conway | Politics
CONWAY, Ark. (KTHV) -- THV's Craig O'Neill is challenging Washington lawmakers to "get it done."
He's continuing the "Get It Done Tour" -- a non-partisan exercise in democracy -- Monday at 5 pm to give people a chance to send Senators a clear message. You can visit him live at the Faulkner County Courthouse and sign a "get well" card for Washington.
Craig is also urging you -- yes, you -- to call our Senators and tell them to make a decision on a plan to get our nation out of debt. Here are the phone numbers:
Sen. John Boozman (R) 501-372-7153
Sen. Mark Pryor (D) 501-324-6336


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A&E Fills Programming Slot with Sharenow
A&E promoted Robert Sharenow from VP to Senior VP, Non-Fiction & Alternative Programming. He fills the slot left with Nancy Dubuc was upped to head of the History Channel last month. Sharenow, who has been with A&E since 2003, will report to the network's EVP/GM Bob DeBitetto. He will oversee non-fiction programming and development teams, responsible for the network's unscripted series, documentaries, specials and independent films.
Sharenow joined A&E as Director in the department and has since been an executive producer on several of the network's successful specials and reality shows including Dog the Bounty Hunter and Criss Angel Mindfreak. He also helped develop Growing Up Gotti and Intervention.
Before A&E, he was Executive Producer of This Week in History, a series on A&E sister network The History Channel. He also co-created and produced several other series and specials for the network and has written for shows on other networks including Where in Time is Carmen Sandiego.


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Spearfish is a top nominee for "Small Business Revolution"
SPEARFISH, S.D. — On Tuesday, morning the City of Spearfish was named one of the top five in the running for the "Small Business Revolution."
The prize is more than a TV show makeover, it's an opportunity for growth.
"Seeing the transformation, not just in the maker of the business but in the faces of the people that are involved because by the end of the process you see a regained confidence, you see passion, you see belief that they're going to make it," says Ty Pennington, the show's host.
Spearfish was nominated by an artist in the Spearfish area for "Small Business Revolution." The show is a Deluxe Corps. original series, that will air on both Hulu and Amazon Prime. The small town chosen will receive a $500,000 prize that will be directly invested into a handful of businesses in that small town.
"The economic impact to have that money funneled into our community is going to be amazing," says Melissa Barth, the executive director of the Spearfish Chamber of Commerce.
If Spearfish wins the host, Ty Pennington and his crew will be in town sharing marketing tips, refurbishing businesses, and helping businesses get to that next level. The Spearfish Chamber of Commerce went through several phone and in-person interviews.
"We got to talking about the unemployment issues and the workforce and the housing cost and that is what they raised up as the reason to move us forward to the top ten," says Barth.
Interviewers came to Spearfish and had the opportunity to check out over 30 small businesses in the area, which was part of the reason why spearfish was one of the top nominees. In order to win, Spearfish will need votes from the nation. Votes can be cast online from January 14 through the 21, and anyone over 18 can vote once a day.
You can vote at this link.
A winner will be announced on January 28.


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From the CEO's Desk
RCCIWA – Stakeholder & Member Engagement, Representation
The past two months have been very busy in terms of engaging with our terrific members and of course our all-important stakeholders. Some highlights include:
- Attended the final Local Government Act Review Reference Group meeting . The Review of the all of the feedback from the extensive consultation period has now concluded. From this a panel of experts has been formed to progress the development of a new Local Government Act for Western Australia. The Local Government Review Panel will consider and recommend high-level direction and guiding principles for the new Act. The panel will continue to engage with the sector, community and stakeholders, and make recommendations on the requirements of a new Local Government Act to meet the future needs of local government. The panel will look at best practice models in Australia and overseas as well as feedback from the recent consultation on WA's Local Government Act 1995. Visit here to find out more.
- Met with various stakeholders regarding being part of a Food Relief Round table initiative for Western Australia
- Visited Pemberton to spend time with our member, the Pemberton CCI and attended their terrific networking event, which was hosted by nbn co.
- Attended the launch of the Grow Local program in Karratha in October, and met with representatives from our contributing partners Rio Tinto, the Chevron operated Gorgon Project and Woodside in Perth in November. To find out more about the program visit here.
- Participated in the Telstra Regional Advisory Council of WA teleconference as a member.
- Met with DTWD several times to continue discussions about the Working Together program that we deliver via 5 of our members, as well as to talk about extending this service to other areas.
- Visited Albany to spend time with our member the Albany CCI, attended their Business After Hours hosted by Due South, Firm Vision Advisory and Wauters Building – and incredible event with over 150 people in attendance. A great and very productive 2 days in Albany.
- Regular Meeting with the Dept of Jobs, Tourism, Science & Innovation (JTSI) to discuss:
- WA Industry Link
- Regional Sourcing Strategy
- Buy Local Policy
- Participated in a panel discussion at the Pilbara 2019 Conference in Perth, to talk about the important role that Chambers of Commerce play in the Pilbara.
For more information on our engagement and representation activities for this year please read here.
Next RCCIWA Monthly Teleconference – Tuesday December 19th
RCCIWA holds a monthly teleconference on the second Tuesday of each month at 10am. The next one will be on Tuesday December 10th.This are a great opportunity to share with and learn from fellow members and find out any updates on issues of importance to regional business communities. This teleconference is a free call to you, thanks to our lovely friends at Telstra Regional WA. The agenda will be sent out with your calendar invitation with the dial in details at the top. We hope you can join us on the line next Tuesday.
Changes to the State Government Buy Local Policy – Have your Say
The Buy Local Policy (BLP) is being enhanced to make it easier for Western Australian businesses when bidding for State Government contracts. BLP is a WA Government policy designed to support local businesses through a number of initiatives aimed at maximising participation of locally based businesses in supplying to government. As the BLP has remained relatively unchanged since its inception in 2002, the State Government decided to overhaul the policy, with the aim to simplify it.
A key feature of the updated BLP is the transfer of the current administrator from the State Supply Commission, to the Department of Jobs, Tourism, Science and Innovation (JTSI).
As with the Western Australian Jobs Act 2017, JTSI will be the lead agency responsible for the development, implementation and administration of the BLP.JTSI's review of BLP will also ensure the policy is aligned with the Western Australian Participation Strategy (WAIPS).
JTSI will undertake a review of the operation and effectiveness of the BLP on an annual basis.
As part of this process, there will be regular consultation with public and private sector stakeholders and greater scrutiny of policy outcomes. For any enquiries regarding this email please contact the Industry Link Advisory Service.
Email: firstname.lastname@example.com
Telephone: (08) 9222 0722
Lower Fees, Local Skills
The State Government recently announced the introduction of Lower fees, local skills, a VET fee reduction initiative to encourage growth in training, apprenticeships and traineeships.
Commencing 1 January 2020, Lower fees, local skills will see the course fees for 34 targeted priority qualifications reduced by 50 per cent and the maximum annual course fee for these courses capped at $400 for concession students and youth and $1,200 for non-concession students.
Lower fees, local skills is a two-year initiative which aims to stimulate training in jobs growth areas and support the industry sectors that are important for the diversification of the Western Australian economy, including aged and disability care, Metronet, defence industries, hospitality and tourism.
Lower fees, local skills also responds to the State Training Board's report on growing apprenticeships and traineeships, which identified the cost of training as a significant barrier to employers taking on apprentices and trainees.
Further information about Lower fees, local skills, including the full list of fee-reduced targeted courses and frequently asked questions, is available on the Jobs and Skills WA website at jobsandskills.wa.gov.au/lowerfees.


text: Research Article: Observational StudyAnalysis on plausible factors related to the prognosis of stage IV esophageal cancerLi, Chenghui PhD; Wang, Zhiqiu PhD∗; Duan, Aixiong PhD; Jiang, Qian PhDSection Editor(s): Staege., Martin S. Author Information Department of Medical Oncology, Anqing Hospital Affiliated to Medical University of Anhui, Anqing, China. ∗Correspondence: Zhiqiu Wang, Department of Medical Oncology, Anqing Hospital Affiliated to Medical University of Anhui, Anqing, China (e-mail: email@example.com). Abbreviations: AJCC = American Joint Committee on Cancer, ALB = albumin, BMI = body mass index, CT = computed tomography, DF = cisplatin+fluorouracil, ECOG = Eastern Cooperative Oncology Group, Hb = hemoglobin, OS = overall survival, PET = positron emission tomography, PNI = prognostic nutritional index, PS = performance status, PTV = planning target volume, TLC = total lymphocyte count, TNM = tumor node metastasis, TP = cisplatin+paclitaxel, UICC = Union for International Cancer Control. How to cite this article: Li C, Wang Z, Duan A, Jiang Q. Analysis on plausible factors related to the prognosis of stage IV esophageal cancer. Medicine. 2020;99:12(e18529). Funding: None. The authors have no conflicts of interest to disclose. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 Medicine: March 2020 - Volume 99 - Issue 12 - p e18529 doi: 10.1097/MD.0000000000018529 Open Metrics Abstract To investigate factors related to poor prognosis of patients with stage IV esophageal cancer and to provide some bases on which proper therapeutic schemes could be formulated for stage IV esophageal cancer patients with performance status (PS) score between 0 and 2. Clinical data of 60 patients with stage IV esophageal cancer were retrospectively analyzed, and the relationships of clinical characteristics and therapeutic methods with patients' prognosis were explored. Univariate analysis on factors possibly affecting the prognosis of patients with stage IV esophageal cancer was performed using Log-rank test, and independent risk factors for the prognosis were estimated in multivariate Cox regression analysis through embracing variables which showed statistical significance in univariate analyses. According to univariate analysis results, nutritional status, anemia, therapeutic method, esophageal stent, and visceral metastasis were main influencing factors for the prognosis of stage IV esophageal cancer (P < .05). While in multivariate Cox regression analysis, visceral metastasis was revealed to be an independent risk factor for poor prognosis in patients with stage IV esophageal cancer. Visceral metastasis is an independent risk factor for poor prognosis in patients with stage IV esophageal cancer. Optimizing therapeutic modes according to with or without combined visceral metastasis possesses certain clinical significance in prolonging survival time and in improving the quality of life among patients with stage IV esophageal cancer. 1 Introduction Esophageal cancer is a malignancy with strong invasiveness, poor prognosis, and high incidence. Of all its patients, about 35% have entered into advanced stage when they see a doctor, so these cases lose the opportunity to receive radical treatment and thus see unsatisfactory therapeutic effects, with a 5-year survival rate <5%.[1,2] Currently, evidence-based findings are insufficient for treating this malignancy, especially for those in advanced stages. In our research, we collected clinical data of 60 patients with stage IV esophageal cancer to retrospectively analyze the relationship of therapeutic regimens and clinical features with the cancer prognosis. 2 Materials and methods 2.1 Clinical data Sixty patients with stage IV esophageal cancer receiving initial treatment in our department between January 30, 2013 and January 30, 2018 were collected for this study. Through biopsy for specimens from gastroscopy, the patients were pathologically confirmed as squamous cell carcinoma. Clinical staging was implemented on the basis of findings from endoscopic ultrasonography combined with enhanced computed tomography (CT) or positron emission tomography (PET)/CT, and their Eastern Cooperative Oncology Group (ECOG) score was between 0 and 2. The cases consisted of 36 men and 24 women aged between 50 and 75. Of them, 22 were no >65 years old while the others over this figure. Besides, 26 cases had lesions at neck and upper thoracic sections, and the others showed lesions at mid- and lower-thoracic sections. Before treatment, malnutrition was detected in 36 patients while the figure for anemia was 38. Of all patients, 33 underwent combined regimen of radiotherapy and chemotherapy, and the others only received chemotherapy. Stent installment was operated for 12 cases. And 38 patients simultaneously had visceral metastasis (not including distant nodal metastasis, simple bone metastasis, or cerebral metastasis), while the others had none. This study was supported by the Research Ethics Committee of Anqing Hospital Affiliated to Medical University of Anhui. All study subjects signed written informed consents before enrollment. 2.2 Methods Staging criteria: According to Tumor Node Metastasis (TNM) Classification for esophageal cancer, 8th ed by Union for International Cancer Control/American Joint Committee on Cancer (UICC/AJCC) in 2017,[3] stage IV esophageal cancer contains T4aN1-2M0, T4bNxM0, TxN3M0, and TxNxM1. 2.3 Prognostic nutritional index Prognostic nutritional index (PNI) is a simple index only containing 2 parameters of peripheral blood, namely serum albumin (ALB) and total lymphocyte count (TLC), and calculated via the following equation: PNI = ALB (g/L) + 5 × TLC (109/L). PNI ≥45 meant normal nutritional status for patients.[4] 2.4 Diagnostic criteria for anemia In the light of Chinese clinical practise and therapeutic methods, anemia refers to hemoglobin (Hb) <120 g/L in men and Hb <110 g/L in women. 2.5 Chemotherapy regimen All of 60 patients received combined chemotherapy for at least 4 cycles, with 23 taking DF (cisplatin+fluorouracil) regimen while 37 bearing TP (cisplatin+paclitaxel) scheme. Specifically, of 9 patients undergoing concurrent chemoradiotherapy, 6 orally took tegafur gimeracil and oteracil potassium during radiotherapy and adopted DF regimen for consolidation chemotherapy; while the other 3 experienced TP regimen weekly during their radiotherapy and accepted TP for consolidation. Of 24 patients facing sequential chemoradiotherapy, 14 encountered TP regimen while the others bore DF scheme. Among those only receiving chemotherapy, 20 had TP and 7 took DF. 2.6 Radiotherapy plan All of the patients experienced three-dimensional conformal or intensity modulated radiotherapy. Total prescription dose was 54 to 60 Gy, and conventionally divided into 1.8 to 2.0 Gy each time per day, 5 times a week. Relevant requirements were as follows: 95% of planning target volume (PTV) were irradiated through 100% of the above mentioned prescribed dose, with whole lungs V5 ≤55% to 60%, V20 ≤25% to 30%, V30 ≤18%, heart Dmean ≤30 Gy, and spinal cord Dmax <45 Gy. 2.7 Observational index Survival time was calculated during the period between initial chemotherapy or radiotherapy and the end date of follow-up: August 1, 2018. The influences of clinical features and therapy-related factors on prognosis were monitored. 2.8 Statistical method SPSS 17.0 (SPSS, Inc., Chicago, IL) software was employed for statistical analyses, while Kaplan–Meier method was adopted to calculate overall survival (OS) and to plot survival curves. Log-rank tested P values and completed univariate prognosis analysis. And multivariate Cox regression model was applied for prognosis analysis. P < .05 stood for the presence of statistical significance in differences. 3 Results 3.1 Univariate analysis Univariate analysis was conducted for sex, age, lesion location, pretreatment nutritional status, with or without anemia before therapy, anti-tumor therapeutic method, with or without esophageal stent before therapy, and with or without combined visceral metastasis. Median survival time was compared between men (n = 36) and women (24), and the result showed no significant difference (P = .074), indicating sex had no obvious influence on the prognosis of stage IV esophageal cancer. Among 60 patients, 23 were no >65 years old while 37 exceeded this figure. Comparison on median survival between the 2 groups revealed no significant difference (P = .242), suggesting age harbored no substantial influence on the prognosis of stage IV esophageal cancer. Of 60 patients, 34 had lesions at mid- and lower-thoracic sections while the others at neck and upper thoracic sections. Between these 2 groups, median survival time displayed no statistical difference (P = .579), demonstrating the location of primary focus possessed no significant effect on the prognosis of stage IV esophageal cancer. Before therapy, 60 patients were classified into mulnutrition (n = 36) and normal nutrition (n = 24) groups. According to comparison findings, prognosis was poorer in mulnutritional group than in normal nutrition group, and difference between the 2 groups was statistically significant (P = .003). Pretreatment anemia was observed in 38 patients while the others (n = 22) had no such symptom. The prognosis in anemia group was more miserable than the other group according to their median survival, showing statistical difference between the 2 groups (P < .001). Among the patients, 33 adopted combined regimen of radiotherapy with chemotherapy while the other 27 ones received only chemotherapy. In comparing median survival, combination regimen group exhibited significantly better prognosis than chemotherapy-only group (P < .001). Sixty patients were divided into 2 groups according to with (n = 38) or without (22) visceral metastasis. After comparing their median survival, we saw poorer prognosis for metastasis group than that without metastasis, and the difference was statistically significant (P < .001). Esophageal stent was installed for 12 of our studied patients, while the others had none. According to result from comparing median survival, cases with the stent experienced poorer prognosis than those without the stent, showing statistical difference (P < .001). All of the above findings demonstrated that nutritional status, anemia, therapeutic method, esophageal stent, and visceral metastasis were major factors affecting the prognosis of stage IV esophageal cancer (P = .003, P < .001, P < .001, P < .001, P = .002, respectively) (Table 1 and Figs. 1–8).Table 1: Univariate prognosis analysis.Figure 1: Overall survival curve comparison between different sexes. P = .074.Figure 2: Overall survival curve comparison between different ages. P = .242.Figure 3: Overall survival curve comparison between different lesion locations. P = .579.Figure 4: Overall survival curve comparison between different nutritional statuses. P = .003.Figure 5: Overall survival curve comparison between with and without anemia. P < .001.Figure 6: Overall survival curve comparison between different therapeutic methods. P < .001.Figure 7: Overall survival curve comparison between with and without visceral metastasis. P < .001.Figure 8: Overall survival curve comparison between with and without esophageal stent. P = .002.3.2 Multivariate Cox regression model analysis Multivariate Cox regression analysis embraced all of the 5 elements exhibiting significant influences on prognosis in univariate analysis, namely nutritional status, anemia, therapeutic method, esophageal stent, and visceral metastasis. As a result, only visceral metastasis showed statistically significant influence on patients' prognosis (P = .032, Table 2).Table 2: Multivariate COX regression analysis.4 Discussion Esophageal cancer shows high incidence in China, with >90% of the cases as squamous carcinoma. This malignancy sees relatively poor prognosis, because even invasion into submucosa could lead to lymphatic distant metastasis or widespread skipping metastasis regardless of the cancer stage, owing to abundant lymphoid tissues in esophageal wall.[5] Esophageal cancer mainly attacks people in remote rural regions, with evil dietary habits (like taking moldy, salted, hot, and high-salt foods) as its high risk factors. Restrained to medical conditions, patients in early stage generally ignore their choking when they eat, and when they see a doctor for the first time after developing evident symptoms, about 35% of them have been in stage IV, thus losing the opportunity for radical cure. Besides, most patients would develop mulnutrition due to difficulty in swallowing, and then their constitutions become weak, even unable to suffer systemic chemotherapy, facing extremely short survival time.[1,2] In this study, we collected clinical data on 60 patients who were diagnosed as stage IV esophageal cancer, and then retrospectively analyzed the relationships of the patients' clinical features and therapeutic methods with their prognosis. In univariate analysis, patients' age, sex, or the location of esophageal lesion exhibited no relationship with prognosis. In comparing patients with and without anemia before therapy, we adopted Kaplan–Meier curve method to calculate OS and to plot survival curves, using Log-rank for testing, and found statistical difference between the 2 groups, indicating anemia acted as a risk factor for poor prognosis in esophageal cancer patients at advanced stage. According to current clinical researches, anemia affects not only radiotherapeutic and chemotherapeutic effects on esophageal cancer patients but also impacts the cases' quality of life and survival time.[6–8] In recent years, many indexes have been employed to assess nutritional status, like body mass index (BMI), Glasgow prognosis score, and PNI. Among others, PNI represents a relatively mature one in practical application, and offers a simpler and more convenient testing method. Therefore, we employed PNI in this study to evaluate pre-therapy nutritional status for patients with stage IV esophageal cancer. As a result, of total 60 patients, 38 were malnourished while the others well-nourished. For these 2 groups, Kaplan–Meier method was applied to calculate their OS and to establish corresponding survival curves. In Log-rank test, statistical difference was detected between the groups, suggesting malnutrition functioned as a risk factor for poor prognosis among patients with advanced esophageal cancer. Up to now, accumulating documents have confirmed that among esophageal cancer patients, malnutrition significantly increases adverse responses to chemotherapy and is also a trigger of poor prognosis.[4,6,8] Treatment for stage I esophageal cancer mainly relies on surgery, while for patients with stage II and III cancer, universally accepted approach refers to comprehensively multi-disciplinary mode combining radiotherapy, chemotherapy, and surgery.[9,10] As for cases with stage IV esophageal cancer, whether local radiotherapy or esophageal stent should be adopted to alleviate patients' difficulty in eating and whether these applications could prolong patients' survival have been discussed by Lyu et al.[11] In their retrospective research on stage IV esophageal cancer, the scholars compared therapeutic effects between concurrent radiochemotherapy and chemotherapy alone. As a result, median survival time reached 14 months in concurrent radiochemotherapy group and 11 months in chemotherapy-alone group, with statistical difference, manifesting concurrent radiochemotherapy could significantly prolong median survival for patients with stage IV esophageal cancer. Among 60 patients with advanced esophageal cancer in this study, 33 adopted extra radiotherapy for esophageal lesions, and only 9 of them received concurrent radiochemotherapy while the others underwent sequential radiotherapy and chemotherapy. According to corresponding analysis, median survival time reached 10 months among patients experiencing additional radiotherapy, and the figure was merely 8 months in those taking chemotherapy alone, showing statistical difference. Such findings suggested radiotherapy regimen could improve survival time for cases with stage IV esophageal cancer. Local radiotherapy can solve the problem of eating obstruction, and then further improve patients' nutritional status, thus benefiting their survival. In that way, whether local installation of esophageal stent could also improve patients' survival still should be probed, considering that such operation similarly relieves difficulty in swallowing. In the retrospective study by Lu et al[12] on esophageal cancer, the incidence rate of esophageal fistula was compared between chemoradiotherapy combined with stent installation and chemoradiotherapy alone. As a result, such incidence rate achieved 87.5% in the group adopting stent and only 2.6% in the group without stent, showing statistically significant difference. Moreover, in their study, median survival time was 6 months in combination group and up to 16 months in the latter group, suggesting higher morbidity of esophageal fistula and higher mortality due to stent installation. In 12 cases with esophageal stent in our research, 10 showed chest pain, 6 developed esophageal fistula, and 3 had massive hemorrhage. Among 6 patients taking simultaneous radiotherapy, 5 developed esophageal fistula while 2 showed massive hemorrhage, with a median survival time of 7 months. And median survival was 9 months in the group without stent, exhibiting statistical difference between the groups with and without the stent. In other words, our findings also supported that median survival was obviously lower in stent group than in the group without stent, and that patients' living quality was dramatically decreased in stent group as well. Yu et al[8] compared the influences on patients' nutritional status between stent installation, nasal feeding, and gastrostomy feeding during chemoradiotherapy. Consequently, the degrees of chest pain and ALB decrease were dramatically higher in patients adopting stent installation than in other groups, indicating that esophageal stent was unsuitable during chemoradiotherapy. In the present study, we observed a similar incidence rate of esophageal fistula to that in the research by Lu et al.[12] And numerous studies have demonstrated that stent installation in esophageal cancer patients not only reduces their living quality but also possibly shortens their survival period. Therefore, we recommend that esophageal stent should be cautiously adopted among patients preparing for chemoradiotherapy. Stage is a main influencing factor for the prognosis of all solid tumor patients. Focusing on patients with stage IV esophageal cancer, a study from Japan explored whether visceral metastasis could affect patients' prognosis.[13] Accordingly, among esophageal cancer patients receiving chemoradiotherapy for T4 and/or M1, the prognosis was obviously better in cases without M1 than those with M1. And in our research, median survival time was 8 months in patients with visceral metastasis and 10 months in those without metastasis, showing statistical difference, which also implied that visceral metastasis represented an adverse effector on prognosis among patients with stage IV esophageal cancer. In the present study, Cox risk regression mode also encompassed all of the 5 components into analysis, which exhibited significant influences on patients' prognoses in univariate analysis, namely anemia, therapeutic method, visceral metastasis, and esophageal stent. And relevant result presented that only visceral metastasis was related to poor prognosis among patients with stage IV esophageal cancer. Lacking significant impact for the other 4 aspects in multivariate analysis might be explained by the fact that as treatments begin to take effects and tumors shrink, anemia, and mulnutrition before therapy might be corrected to a certain degree. As for the impact of extra radiotherapy added in treatment on patients' prognosis, some existing researches claimed that concurrent chemoradiotherapy could elevate the survival of patients with stage IV esophageal cancer when compared with chemotherapy alone. In our study, among 33 patients receiving chemoradiotherapy, only 9 adopted concurrent chemoradiotherapy, while 6 cases with esophageal stent took radiotherapy; all of these mentioned individuals developed severe complications which significantly affected median survival time of the patients adopting chemoradiotherapy. Therefore, the influence of radiotherapy on the survival of patients with stage IV esophageal cancer could not been determined yet, which need to be further explored by prospective studies with larger sample sizes. Until now, only retrospectively clinical researches have ever discussed the impact of esophageal stent installation on the prognosis of esophageal cancer patients, lacking findings from prospective studies. Since in our research only 12 patients had esophageal stent, a small number for analysis, we could not statistically regarded the stent as a risk factor for poor prognosis. But esophageal stent installation did obviously increase the incidence rate of esophageal fistula and chest pain, gravely affecting patients' living quality. In the current study, both univariate and multivariate analyses indicated visceral metastasis as an independent risk factor for poor prognosis of patients with stage IV esophageal cancer. Hence, we should proceed thorough evaluation on patients showing poor prognosis, and discretely consider whether active comprehensive therapeutic regimen could be employed. For stage IV esophageal cancer patients with PS score between 0 and 2 and free from visceral metastasis, we recommend concurrent chemoradiotherapy or sequential radiotherapy and chemotherapy; and esophageal stent installation should be avoided among patients preparing for chemoradiotherapy. Optimizing therapeutic mode possesses certain clinical significance in prolonging survival time and in improving patients' living quality among cases with stage IV esophageal cancer. Author contributions Conceptualization: Chenghui Li. Data curation: Chenghui Li, Qian Jiang. Formal analysis: Chenghui Li, Zhiqiu Wang. Funding acquisition: Chenghui Li, Aixiong Duan, Qian Jiang. Investigation: Zhiqiu Wang. Methodology: Chenghui Li, Zhiqiu Wang. Project administration: Chenghui Li. Resources: Zhiqiu Wang, Aixiong Duan, Qian Jiang. Software: Chenghui Li, Zhiqiu Wang, Aixiong Duan. Supervision: Aixiong Duan, Qian Jiang. Validation: Chenghui Li, Zhiqiu Wang, Aixiong Duan. Visualization: Qian Jiang. Writing – original draft: Zhiqiu Wang, Qian Jiang. Writing – review & editing: Chenghui Li, Zhiqiu Wang.References [1]. Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin 2016;66:115–32. Cited Here | PubMed [2]. Zhang Y. Epidemiology of esophageal cancer. World J Gastroenterol 2013;19:5598–606. Cited Here | PubMed | CrossRef [3]. Rice TW, Ishwaran H, Ferguson MK, et al. Cancer of the esophagus and esophagogastric junction: an eighth edition staging primer. J Thorac Oncol 2017;12:36–42. Cited Here | View Full Text | PubMed | CrossRef [4]. Nakatani M, Migita K, Matsumoto S, et al. Prognostic significance of the prognostic nutritional index in esophageal cancer patients undergoing neoadjuvant chemotherapy. Dis Esophagus 2017;30:1–7. Cited Here | CrossRef [5]. Tachimori Y. Pattern of lymph node metastases of squamous cell esophageal cancer based on the anatomical lymphatic drainage system: efficacy of lymph node dissection according to tumor location. J Thorac Dis 2017;9:S724–30. Cited Here | PubMed [6]. Wang Q, Wang J, Wang Y. Effect of nutritional status and inflammatory markers on acute adverse reactions during concurrent chemoradiotherapy for esophageal carcinoma. Chin J Radiat Oncol 2017;26:1012–8. Cited Here [7]. Yafei N, Ren C, Jikai X. The incidence of anemia in 386 patients with esophageal carcinoma undergoing radiotherapy and its effect on prognosis. Cancer Res Clin 2015;27:690–3. Cited Here [8]. Yu FJ, Shih HY, Wu CY, et al. Enteral nutrition and quality of life in patients undergoing chemoradiotherapy for esophageal carcinoma: a comparison of nasogastric tube, esophageal stent, and ostomy tube feeding. Gastrointest Endosc 2018;88:21.e4–31.e4. Cited Here [9]. Courrech Staal EF, Aleman BM, Boot H, et al. Systematic review of the benefits and risks of neoadjuvant chemoradiation for oesophageal cancer. Br J Surg 2010;97:1482–96. Cited Here | View Full Text | PubMed | CrossRef [10]. Hara H, Tahara M, Daiko H, et al. Phase II feasibility study of preoperative chemotherapy with docetaxel, cisplatin, and fluorouracil for esophageal squamous cell carcinoma. Cancer Sci 2013;104:1455–60. Cited Here | View Full Text | PubMed | CrossRef [11]. Lyu J, Li T, Wang Q, et al. Outcomes of concurrent chemoradiotherapy versus chemotherapy alone for stage IV esophageal squamous cell carcinoma: a retrospective controlled study. Radiat Oncol 2018;13:233. Cited Here [12]. Lu YF, Chung CS, Liu CY, et al. Esophageal metal stents with concurrent chemoradiation therapy for locally advanced esophageal cancer: safe or not? Oncologist 2018;23:1426–35. Cited Here [13]. Jingu K, Umezawa R, Matsushita H, et al. Chemoradiotherapy for T4 and/or M1 lymph node esophageal cancer: experience since 2000 at a high-volume center in Japan. Int J Clin Oncol 2016;21:276–82. Cited Here Keywords:esophageal stent; prognostic nutritional index; stage IV esophageal cancer Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc.View full article text


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Dulce Carmen:
Essay on the Church Plain Chant, 1782;
Arr. Samuel Webbe, 1792
Tr. John Mason Neale, 1861;
Alleluia, song of gladness,
Voice of joy that cannot die;
Alleluia is the anthem
Ever dear to choirs on high;
In the house of God abiding
Thus they sing eternally.
Alleluia thou resoundest,
True Jerusalem and free;
Alleluia, joyful mother,
All thy children sing with thee;
But by Babylon's sad waters
Mourning exiles now are we.
Alleluia cannot always
Be our song while here below;
Alleluia our transgressions
Make us for a while forego:
For the solemn time is coming
When our tears for sin must flow.
Therefore in our hymns we pray thee,
Grant us, blessed Trinity,
At the last to keep thine Easter
In our home beyond the sky;
There to thee for ever singing
Alleluia joyfully.


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well where do i begin i have in my possession an extra fiero frame and i want to give it a good cutting!! i have a sawzall and i am trigger happy!! i want to get a spyder and i want to cut off the roof. now i see all of yall have cut the frame 3 inches behind the rear window and just completely cut off the roof. now as for the front dosent the front needs to be cut 5 inches or so back?
and the final thing is the 3 inch stretch: i know the body must be cut 3 inches but what about the engine cradle? ive taken it out and i wonder if that has to be cut???? and the x frame reinforcement do i make that myself? i have measured out a 1/4 inch thick x box to go underneath my fiero and i wonder if you all purchased yours or did yall make them yourselves???????
all info will be assimilated lol!!!!!!!!!


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BLUE IS THE NEW BLACK As a home stager and designer, I'm always mixing things up. My design reflects a smattering of transitional contemporary Cape Cod chic, coupled with a touch of urban modernism. I'm passionate about energizing spaces using an elegant palette of colors that creates a cozy unique atmosphere. For the longest time,
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When you are first looking to sell your home, the natural step you are going to take is going to involve contacting a realtor to help you get a listing and present your home to potential buyers. While the bulk of the work at this point may fall to the realtor there are things that
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When staging a small scale home keep in mind the old adage, Less is More. With limited space, attention to detail is key. What is left out speaks as loudly as what is put in. Open space with breathing room is what makes this midcentury home (totally transformed after being torn down to the studs) into a
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Continuous Professional Development for Teachers
Workshop on 'The Art of Writing Good MCQs'
February 28, 29, 2020
Team of 8 teachers went for a two-day workshop cum training programme to KGIM. The session was addressed to science teachers teaching classes 3 to 8. It was conducted by Dr Ashok Arora and teachers from all the branches attended. The session was also attended by our academic auditors Dr Pachauri, Mr Vashisht, MrSushil Chaudhary and DrAdhikari. On February 28, 2020, Dr Arora addressed the teachers on a range of topics encompassing Assessment and its importance. The session began with need and importance of Concept Map of a chapter and various ways of preparing it. Formative assessment and Summative assessment were also discussed. The art of making a question paper based on Bloom's Taxonomy was explained and discussed. Dr Arora addressed the need and the technique of preparing Multiple Choice Questions as per the given syllabus. The next day teachers were given tasks and had to present them in the second half. Teachers were assigned different chapters from their teaching classes to prepare and assess MCQs. Teachers teaching 3 to 5 had to only prepare and present the MCQs from the given topics while teachers teaching 6 to 8 had to prepare MCQs from any given topic and also assess the MCQs as given in the Question Bank Booklet of every chapter. The final presentation was also a critically interactive session which concluded with giving away of the training Certificates. It was an extremely interactive and learning forum which allowed gainof in depth knowledge and experience.


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Z-Line Designs Ergonomic Standing Desk - Espresso
Model Number: ZL7010-48DU
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Don't let working at a desk get in the way of your health. This ergonomic standing desk from Z-Line Designs is designed to help you improve your posture and align your core and back muscles as you work. With an electric motor, this desk is easy to move from a sitting to a standing orientation, helping your body stay engaged for the whole work day.
Sold and shipped by Best Buy
Available online only


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Located just over 250 metres from the marina of Porto Pozzo, a neighbourhood of Santa Teresa Gallura (OT) it is part of the "Zodiaco" residence complex, which also features an attractive swimming pool with large sun terrace areas and a breathtaking sea view. The property units total 21, 20 one-bedroom units and 1 two-bedroom unit, the interiors of which are extended by outdoor verandas and, in the case of the ground floor units, by private gardens. Both closed garages and open-air parking lots are available. Delivery expected for June 2008.
» Contact us: tel: +39.030.68.40.831
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A beautiful blue dial with rose-gold details and an on-trend strap of quilted calfskin. The case in polished steel, circled by glittering diamonds, makes a statement of decisive poise and assured confidence.Read more
Color and material options
The polished steel bezel is set with 54 shimmering diamonds. The indexes, hands, logo and date are plated with rose gold. The look is poised, refined and dazzling.
The curved crystal protecting the 36mm case is sapphire. Both sides are coated with anti-reflective treatment to ensure perfect visibility no matter the conditions.
The Swiss-Made and exceptionally accurate quartz-crystal movement powers this luxury watch.
Want to discover our latest news? Subscribe to our newsletter and be the first to discover all news from TAG Heuer.
Get early access to our latest watch releases and news.Find a store


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Katherine Flachs Wojnowich M.D. is a female specialist practicing Sports Medicine in Saint Petersburg.
Dr. Wojnowich graduated from Mount Sinai School Of Medicine Of City University Of New York in 2011.
Dr. Wojnowich is affiliated with Bayfront Health St Petersburg .
Dr. Wojnowich works at Bayfront Hma Physician Management Llc.
Find reviews of Dr. Wojnowich on Yelp.


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Would you share this Article with others?
Fake iTunes Gift Cards and Code Generators are now big business for cybercriminals. There are hundreds of fake iTunes Gift Cards and Code generating websites, which were created by cybercriminals to trick persons into completing surveys. Some of these websites might ask you to download malicious software and send your personal and financial information.
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About us »Partners »Asmas
ASMAS, a Turkish company specialized in the manufacture of high quality tundish magnesite based refractories and electric arc furnace hot repair gunning mix for steel making industry. One of their specialty products, Ferrogun Hot Patching material are being used successfully in most of our Malaysian Steel Mills.
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Southwest Rapid Rewards® Priority Credit Card
Learn More
Learn more about this non-partner offer on Chase's secure website.
See Rates & Fees. Terms Apply.
We don't make money on this offer.
Our contracts with banks don't allow us, or any publisher, to link you to their site directly for this offer (this is a wonky regulatory thing). We hate it, and we're trying to fix this. We found these rewards and terms by going directly to the bank site as recently as 3/26/2020.
|Card Details
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|Up to $39
Editorial note: The evaluations of financial products in this article are independently determined by Wirecutter and have not been reviewed, approved, or otherwise endorsed by any third party.


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Siemens Powerlines Limited – Safety Critical Communications (SCC) Training
The demand for high quality, practical and contextualised Safety Critical Communications (SCC) training across the rail industry has rarely been higher. Benchmark is currently delivering a four-month programme of SCC training to 150 x staff across Siemens Powerlines Limited. The courses are being delivered at SPL's premises in Wellingborough and incorporate both day and night courses to match the delegatres shift patterns.
The training focuses upon both the generic requirement to communicate effectively and also upon the specific circumstances and environment within which SPL's critical communicators are required to operate. Each training course is highly interactive with delegates continually practising and demonstrating their skills and assessing their performance against the competency standard adopted across the rail industry. Delegate feedback is exceptional with many reporting a significant sense of achievement when their communications are judged to sit at the very highest end of the SCC grading spectrum. As ever, our trainers use a coach approach throughout each course which is, we believe, a major factor underpinning the success of the training.


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Releasing exclusively in-store and online this Tuesday, June 6 at 11am HST.
Aloha kākou!
We have a new Nihi snapback and Aloha Cruz tee releasing this Tuesday under our FITSTRIKE program. The bright neon Nihi snapback has a grey undervisor and black accents on the visor, top button, eyelets, embroidery, and snap enclosure, while the matching Aloha Cruz tee features a neon, white, and grey design printed on a black tee.
Tags: Aloha Cruz, FITSTRIKE, Nihi


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Process / Continuous Improvement Manager
Process / Continuous Improvement Manager
A process manager or a continuous improvement manager facilitates process improvement plans within a division or throughout a company. They ensure accurate and organized process documentation in procedures, paperwork and computer business systems. Additionally, they ensure ongoing coaching, developing and training of team members for a productive work environment.
What Responsibilities Will I Have?:
- Identify and document business and gap analysis for workflow
- Develop and implement business improvement strategies
- Coordinate and manage key process improvement/change projects
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- Communicate to the business and stakeholders on projects and initiatives
- Make recommendations for change
- Ensure efficient and effective resource use at the lowest cost
- Guarantee accurate and organized process documentation
- Prepare and present annual process review documents
- Supervise product quality by adherence to product specifications
- Ensure ongoing coaching, development and training
- Establish measurable criteria to ensure desired results are obtained
- Provide management with updates via tracking reports
- Align process goals with company's key initiatives/accountabilities
- Assist with identification of hard and soft training needs
- Identify potential workforce training grants
Recommended High School Courses:
The following high school courses are recommended: agricultural education, a focus on sciences, business, computer skills, personal finance and advanced mathematics.
Education/Training Required:
A bachelor's degree in engineering, operations management or business management is typically required.


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A great price for a home an easy walk to a private beach. This home was renovated down to the studs after Sandy. Updates include windows, roof, hot water heater, electric baseboard heat, kitchen and appliances. Great alternative to condo living. Home is co-op form of ownership.
Dryer, Light Fixtures, Microwave, Refrigerator, Washer, AC Units
The data relating to real estate on this web site comes in part from the Internet Data Exchange program of the MLS of the Monmouth Ocean Regional REALTORS®, and is updated as of March 28th, 2020 at 7:35pm EDT (date/time). IDX information is provided exclusively for consumers' personal, non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be interested in purchasing.


text: mom24grlz 897 Report post Posted March 9, 2016 Here is our latest frustration. First off Ashleigh has dawn phenomenon. She always had, and it was pretty easy to handle on the insulin pump. Not so easy for us on Lantus injections. Ashleigh does split dose of Lantus, at 7am and 8pm. Last week Lantus was 16u at night. But she kept dropping overnight to the 60s and 70s. the only good thing was, her fasting numbers were decent (90-110). But i decided to decrease Lantus by 1 unit (because the darn pen only comes in whole units). Now she's running 135-140 overnight, but waking up between 175-185! I really can't win. And honestly I don't like the 130s and 140s overnight either. Id rather have her between 80-100. But I'm afraid if we go back to 16 units she'll start dropping into the 60s again. I have contemplated making her use a syringe for nighttime lantus that way we can do 15.5 units, even though I know how much she hates them. Share this post Link to post Share on other sites


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Patient Information
This patient information leaflet contains a summary of key information and practical tips on physical activity for people with Diabetes.
Share it online, by social media or print it out. You can even use it as a poster on the wall to get people thinking.
We Are Undefeatable
Visit weareundefeatable.co.uk or use #WeAreUndefeatable on social media to find ways in which other people with your condition build physical activity into their lives.


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All of the groups under the L.
Are You Ready for a Gay Dating Reality Show Like You've Never Seen Before? • Instinct Magazine
Finding Prince Charming could be the first step toward a much more inclusive future. Read More. By Rebecca Guinness. By Julie Miller. Get Real. Cast a Black Leading Man. By Joanna Robinson. By episode three, I had decided it was deceptively appealing.
Navigation menu
At that point, the addictive secret of Dating Around was clear: Sure, Dating Around is still limited in scope in its own way. But it takes advantage of the gaps other dating shows leave unconsidered. Many of the singles featured are people of color; two of the episodes are about queer people.
Episode four, my favorite of the bunch, is about a widower in his 60s — a private eye , no less! The breadth is good because it makes the show better. Although the episodes follow the same format of drinks, dinner, and a potential after-dinner drink, cutting between five different dates, the rhythm and tone of each is distinct.
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Twelve mates remain. In the series finale, the final three mates spend their last night and day together, while Andra and James try to figure out which of them is straight.
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In addition to containing all six episodes, the DVD set includes additional interviews and footage with behind the scenes featurettes, casting reels, performances by Miss Coco Peru , the original unaired opening sequence, cast biographies, and a "Where Are They Now? Boy Meets Boy creator Doug Ross held out hope for a second season.
He acknowledged that the popularity of season one would make it practically impossible for another season with the same twist but also said that he has come up with another twist which Bravo executives thought was fun. Speaking in , Bravo executive Frances Berwick pointed to public knowledge of the twist as a stumbling block to a second season, noting the difficulty Bravo had selling the series overseas because of international press reports on the twist.
On the possibility of a season two with a new twist, Berwick said, "What Bravo does best is to do things first and to really sort of shake up people's preconceptions and notions about things. And we would accept many different formats [for a Boy Meets Boy -type show]. I'm not saying that they wouldn't be as good, because you can always come up with something else.
One sketch had a second season of the show called Boy Meets Goy , recurring sketches had the pair appear on Scare Tactics and then on Hollywood Squares. From Wikipedia, the free encyclopedia. Television portal. The New York Times.
Retrieved Entertainment Weekly. Gay contestant on 'Boy Meets Boy' came out to supervisors before show aired".faberlic-manshuk.com/modules/73.php
Are You Ready for a Gay Dating Reality Show Like You've Never Seen Before?
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A Look Back
The last couple of months have been filled with a lot of excitement for our team. The beginning of August held two big events held two big that sapped a lot of our energy, but left us feeling encouraged and hopeful as we continue to see how we can fill a gap in youth services. Thank you so much to everyone who showed up to our fall event and to all who stopped by our booth at NewWestFest. It means so much to us that there are so many people who are as passionate about the youth of our community as we are.
What's Happening Now
Perhaps the biggest update that we have is that, in September, we were officially recognized as a 501(c)(3) tax-exempt organization by the IRS. This has huge implications as we continue to build relationships with other organizations and businesses in the area, and, for our donors, this means that all donations to Foundry Mentoring, whether given previously or in the future, are completely tax deductible. This was a huge victory for our team as it took a lot of time and other resources to put together the application.
Moving Forward
We are also excited to announce that Foundry Mentoring is a recipient of a grant from Mentor Colorado for 50 hours of technical assistance. This grant is focused on helping us research, develop and implement a strong mentoring program. This couldn't come at a better time as we are hoping to begin offering services to youth as early as Spring, 2017.
This is just a small glimpse into what has been going on with our team. We will continue to update you moving forward. Thank you for your continued support of our organization. Don't forget that there are plenty of ways that you can get involved with the Foundry. Thanks for reading!


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Large Photograph Frame
Wedgwood Primrose
A Wedgwood Primrose Jasperware photograph frame.
The frame stands approximately 8 inches tall by 6 inches wide and the insert for the photo measures approximately 5 1/2 inches by 3 1/2 inches.
The photograph frame has been previously owned and used but is in very good condition.
There are 2 sets of this item available.


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Uhura Solutions
Contract intelligence platform
The Business
Uhura Solutions, a London and Podgorica-based contract intelligence platform. Uhura Solutions was part of the 2018 Tel Aviv cohort of the Barclays Accelerator powered by Techstars, the most prestigious Fintech accelerator. The programme offers unprecedented access not only to Barclays, which is one of the world's leading banks, but also to Techstars international mentor and investor relationships.
The Department for International Trade selected Uhura Solutions to be part of the Global Entrepreneur Programme (GEP), a venture capital programme, which aims to create global companies from startups while using the United Kingdom as a strategic hub for international
The Partnership
The funding comes from European venture firm South Central Ventures, which is joining existing investors Barclays and Techstars. The company plans to use the funds to improve its technology and expand its presence in the financial and enterprise sectors.


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THE MOST INTENSE GAME EVER CREATED!! - Family Beatdo...iMAVERIQ
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Thanks to everyone that is taking the time to like and favorite these videos. It may seem like something small to you... but you taking the 2 seconds out of your day to show support to the video with a like and a favorite is the positive feedback that keeps me motivated to make more videos and the catalyst that helps my channel grow. Also be sure to subscribe to follow the series. Thanks again for all of the support, It really means a lot. God first, God Bless! #G1GB
iMAV3RIQ = I am a #MAV3RIQ
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[mav-er-ik, mav-rik] - An unorthodox or independent-minded person. A nonconformist, individualist; free thinker. Someone committed to living a life without limits!
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The Road South: In Search of Mexico's Wine Country
Photos by Benjamin Wheatley My sister looked skeptical."I don't think this is the way," she said. I looked down at Google Maps. The twisting network of roads meandered aimlessly with no real point of orientation. Looking up at the steep, dirt hill ahead and the cloud of dust that had gathered, I agreed with her […]
Queso Without Borders: Se Vendo Queso Fresco
Consider yourself lucky if you've seen a sign with that phrase, which translates to "queso fresco for sale," anywhere in the US. I used to see it often in my old neighborhood in Brooklyn. Since I moved to Michigan, I started making my own cheese at home. I've still never found some of the more […]
Queso Without Borders: Aisles of Change
Statesville, North Carolina is the definition of "small town America." Spanning just over 24 square miles, outsiders would never consider the Iredell County seat a melting pot—but the dairy aisles of its modest markets tell a different story. Latinos make up the largest ethnic minority in the country, and the American South has the fastest […]
Queso in the Capital
In Mexico City, you can hardly go dos pasos without tripping over cheese.
Manchego Vs. Manchego
As political drama envelopes society, not even cheese will be left unscathed. The latest fray to hit international dairy relations involves Manchego DOP. The beloved sheep's milk wheel has become the sticking point in a dispute between Mexico and the European Union, effectively stymying renegotiations over an 18-year-old trade deal. The controversy surrounds the name. Since 1984, […]
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Custom Home on 2.35 Acres – Tahoe City Luxury Home in the Highlands Subdivision
Impressive Mountain Lodge on a private 2.35 acres. Cross country skiing, mountain biking and hiking right outside the back door. Situated at the end of a cul-de-sac in the popular Highlands subdivision, just 2 miles outside of Tahoe City this property offers privacy, as well as a convenient location. Grand wood beamed 14′ ceilings with steel gussets, 10′ windows with wood casement, custom lighting fixutres, custom wrought iron stair railings and skylight over grand staircase, and luxurioius walnut floors.
This 5 bedroom home has 5 full baths plus 1 half bath. Master suite has beautiful stone fireplace, extra room that can be used as nursery/office/exercise, and a beautifully appointed master bath with deep tub, large steam shower with two shower heads, and double sink vanity with marble countertop. In-floor heating in both the kitchen and the master bath. Kitchen has Wolf range, wine refrigerator, bread warming drawers, extra sink in island, granite countertops and dark knotty alder cabinets. Alder wood wainscoting in the family room and dining room.
Wing over garage can be closed off from main house as it has a private entry and second stairwell. Home also has 3 furnaces and 2 hot water heaters. Floor plan allows for several options. Offered at $2,480,000.
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Thanks for your interest in Infusionsoft Database Scheme!
I'm currently working on a detailed video to get you the latest information on this…
But in the meantime…
Checkout the best ClickFunnels offers, benefits, and features below.
In this day and age, the means your service runs online can make or break you.
How do most services currently have an existence online?
The reality of the matter is, however, that websites have considerably evolved over the past decade – as well as the approaches of old are not useful for modern organisation.
Back in the day, it would certainly be enough to have an easy web site with a web page, solutions, prices, concerning us, and also speak to web pages.
A possible consumer would go to your site, scroll around, visit the various web pages as well as take in material as they please.
Nonetheless, if you are a company investing any loan on advertising, you wish to control just what customers are learning more about on your website, present deals at the right time, and also make the most of the income you make from each individual.
Just how does one attain this?
Making use of sales funnels.
Get in ClickFunnels
ClickFunnels is the easiest method making high converting sales as well as advertising funnels.
It is an unique tool developed specifically to transform prospective consumers into customers.
It truly is an all-in-one remedy to develop sales funnels and also consists of landing pages, email assimilation, billing, webinars, membership sites, therefore far more. Not surprising that it has quickly end up being a favorite tool for marketing experts.
Below is my comprehensive ClickFunnels Evaluation, including preferred functions, prices, pros/cons, and contrasts versus rivals.
Infusionsoft Database Scheme: But First, Exactly What Is a Sales Channel?
Sales funnels (also called advertising and marketing funnels) are multi-step projects that are developed to move prospective prospects with your sales procedure, and also turn them into customers.
Picture a real-life channel. At the top, you put fluid in, which narrows down towards one taken care of destination.
In sales, a similar occasion happens. On top, visitors get to your site, but not all who enter make it from the other end as customers.
Numerous things have to happen from the moment a site visitor enters your channel, to the time they take action and successfully complete a purchase.
By breaking down the customer's trip into smaller sized actions, you could be more exact regarding just how when you present an offer to your target market.
The comprehensive steps in a channel might look something such as this:
- Unqualified lead reaches touchdown page
- Page interacts the very first offer (something complimentary to collect an email).
- When e-mail is collected, primary deal is pitched.
- Lead comes to be a paying customer.
- Even more email communication delivering customer value.
- Further relationship structure
- Persisting sales.
ClickFunnels also has a graphic that describes this in a straightforward way:.
Just what is ClickFunnels?
As pointed out previously, ClickFunnels is the most effective sales funnel software application around today.
The business makes the bold insurance claim of providing you everything you have to market, sell, as well as supply your products online – as well as they most definitely provide.
A common channel will certainly make use of an opt-in page (to gather e-mail addresses), an e-mail automobile -responder (to send e-mails to your clients), plus an extra sales page with some material and also an order type, possibly adhered to by added content, a subscription site, and so on
. Previously, you would need to utilize various systems as well as tools to complete every one of these jobs such as:
- Develop an internet site
- Find Hosting
- Discover an autoresponder solution
- Locate subscription website software program
- Find split-testing software … etc
However ClickFunnels looks after whatever with their system. You not only conserve a ton of cash by not needing to get different products/services, however you likewise stay clear of the technological mess of needing to set whatever up, and could focus on what's really crucial – growing your service.
ClickFunnels provides a Cost-free 14-Day Test, so you get to explore the tool and really see if it's appropriate for your service.
Preferred Attributes
* Promptly Create Pages Utilizing Templates and also Elements *.
Before obtaining too much, it is necessary to recognize that a funnel is a collection of web pages created in a calculated order, with the objective of transforming as lots of leads right into consumers. As well as a page is just a collection of numerous elements designed to get someone to take a certain action.
ClickFunnels supplies even more than 50 different aspects in order to help you develop the excellent page. The editor is exceptionally easy to utilize as well as all you have to do is drag and also drop different components on the page, as well as upgrade the text and also appearance to fit your requirements – no coding skills needed!
ClickFunnels likewise makes your life less complicated by providing you with a lots of complimentary layouts.
In fact, ClickFunnels supplies over 37 types of web pages for you to mix and also match with. These are damaged down right into the following 10 categories:
- Presell Pages: Survey Web Page, Post Web Page, Presell Page, Clickpop Web Page
- Optin Pages: Press Page, Reverse Capture Web Page, Lead Magnet, Promo Code
- Thanks Pages: Thanks Web Page, Deal Wall, Bridge Page, Share Page
- Sales Pages: Video Sales Page, Business Letter Page, Item Launch Web Page
- OTO Pages: Upsell Page, Downsell Page
- Order Forms: 2 Action Order Page, Standard Order Page, Video Sales Letter Order Web Page, Sales Letter Order Page, Product Introduce Order Web Page
- Webinar Pages: Webinar Enrollment Web Page, Webinar Verification Web Page, Webinar Program Area, Webinar Replay Space
- Subscription Pages: Gain Access To Web page, Member's Location
- Associate Pages: Gain Access To Page, Affiliate Area
- Various Other Pages: Application Page, Ask Web Page, Shop Front, Web Page, Hero Page, Hangout Page, Live Trial Page
The pre-built design templates are completely adjustable, as well as are just what most customers utilize.
You have the ability to select a theme, modify or replace the components with your very own, and also your brand-new page is ready to go.
You can likewise link any type of funnel you develop with your own email advertising and marketing solution (if you don't utilize the one included in ClickFunnels), and make use of the ClickFunnels constructed in invoicing system.
This is also a great time to discuss that ClickFunnels supplies very helpful and easy to understand training videos when you first sign up. I extremely advise undergoing those since they rapidly allow you to utilize the tool at its complete capacity, as well as you'll have extra enjoyable playing around. Infusionsoft Database Scheme
* Produce One-Click Membership Websites *.
Among the very best attributes with ClickFunnels is the capability to conveniently develop membership sites as well as deliver web content to your target market in one area.
Your membership website will come full with enrollment pages, subscription gain access to web pages, and content web pages which you could quickly secure or leak feed to your consumers according to purchases they made in your funnel.
ClickFunnels membership websites permit you to send e-mails, quickly manage your emails, and build a neighborhood all while eliminating the stress that's related to other remedies such as Kajabi, or WordPress platforms.
It's actually convenient to not need to purchase a different software or plugin to create membership sites.
* Email Assimilation & Actionetics *.
With every funnel comes email checklist structure possibilities.
ClickFunnels sustains email combination with all of the significant e-mail automation systems such as:
- Active Campaign
- Aweber
- Constant Contact
- ConvertKit
- Drip
- Get Response
- Hubspot
- InfusionSoft
- Mad Mimi
- MailChimp
- Market Hero
- Ontraport
- Salesforce
- Sendlane
- And others
Nevertheless, ClickFunnels also has their own powerful automation tool called Actionetics.
Although you could develop, timetable, as well as supply e-mails similar to other e-mail marketing system, Actionetics is a lot more.
I enjoy Actionetics since it not just replaces your email advertising however carrier advertising and marketing and also SMS marketing software applications also. This takes automation to an entire new degree and helps you interact the perfect message to your clients, specifically when they need it. A video review of Actionetics will be given better listed below.
* Payment and Settlement Combination *.
An incredible feature within ClickFunnels is the ability to gather all of the payment details from your customers exactly on your sales web page. Marketing is made a lot less complicated when consumers do not need to leave your website.
ClickFunnels integrates with significant payment gateways such as PayPal, Stripe, and InfusionSoft, among others.
ClickFunnels Pricing.
While you can start with the Free 14-Day Test, there are 3 various prices choices with ClickFunnels:
- $ 97/month.
- $ 297/month.
- $ 997 mass price cut strategy (advised).
I'll explain for each of these plans below.
1. ClickFunnels Standard Plan – $97/month.
The conventional plan consists of all the functions you would certainly need within ClickFunnels, but with restrictions on the variety of funnels (20) as well as web pages (100) you could have in your account, as well as how many site visitors (20K) could see your pages monthly.
You likewise do not obtain innovative functionality such as ClickFunnels own email marketing as well as affiliate monitoring tools.
2. ClickFunnels Etison Suite – $297/month.
This plan consists of all the bells and whistles of the typical plan, without any constraints. It additionally comes with 2 additional items generated by ClickFunnels called Actionetics (email advertising) and Knapsack (associate management platform).
In Actionetics – you can take care of all of your calls that sign up for your listing, send out email broadcasts, and produce a host of other automations. Infusionsoft Database Scheme
The difference between the two strategies truly is the restrictions, as well as Actionetics/Backpack. If you are a standard user and don't expect to use more than 20 funnels in your account – the Standard Strategy ought to suffice.
However, if you intend to have an associate program or want to keep your email advertising and marketing within ClickFunnels as well as not utilize a third party software program, the Etison Collection is for you.
You could always begin on the lower strategy and upgrade if needed.
3. Funnel Hacks System – $997
For anyone that's significant regarding their business, the ClickFunnels Funnel Hacks System is the deal of the century.
The $997 Funnel Hacks System has robust training programs packed with 6-month accessibility to the ClickFunnels Etison Suite.
This is an amazing deal given that outside of this program, 6-months of Etison Collection alone would certainly cost you $1782.
Not just are you conserving $785 however you're getting a ton of trainings and also overviews of help you obtain one of the most out of ClickFunnels!
ClickFunnels Pros and Cons
- Creating funnels is very straightforward, simple, and also quick
- All-in-one system with everything your business should win
- Split testing and also conversion monitoring consisted of
- Email integration with every one of the significant email autoresponder systems
- Settlement handling capabilities within ClickFunnels
- ClickFunnels is always adjusting and upgrading to the times
- There is always sustain available (whether real-time or not).
- Incredibly active Facebook Group Area.
- Free 14-Day Trial – permits you to try it risk free.
- As remarkable as ClickFunnels is, it most definitely is not an economical remedy as well as needs a continuous membership to use
- Assistance isn't always the fastest as well as may extract from 1 minute to 24 hours relying on the problem.
ClickFunnels versus Everybody Else.
Many people ask how ClickFunnels compares with various other landing page home builders such as Leadpages, Unbounce, and also Infusionsoft.
Generally it's not actually a reasonable comparison since each of these tools stands out is one location or the other.
The graph above provides a complete analysis – however I'll highlight a few of the significant comparisons listed below.
ClickFunnels vs Leadpages
Prior to ClickFunnels, Leadpages was the huge pet dog.
Leadpages is just a lead capture software application – nothing even more. You could create landing pages, lead boxes, collect leads … that's practically it. In addition, the Leadpages themes are likewise limited on modification.
ClickFunnels is much more versatile – it's much easier to make use of and does so far more compared to create lead capture web pages.
Simply put, Leadpages is actually just a touchdown web page contractor, while ClickFunnels is focused around developing highly integrated funnels.
ClickFunnels vs Infusionsoft
Infusionsoft is not a landing page or sales web page building contractor. It has a few of that performance constructed it, but that's not what it's known for.
At it's core, Infusionsoft is a CRM platform – one that enables you to manage your entire client database. ClickFunnels has this capability with Actionetics, but it's not nearly as progressed as Infusionsoft.
Infusionsoft is likewise extremely pricey and pressures every new consumer to pay $2000 for a mandatory kickstart coaching package simply to learn the best ways to utilize the intricate system (which is infamously tough to make use of).
ClickFunnels Associate Program
There are 2 main paths individuals go down as ClickFunnels individuals.
Those that prefer to utilize the tool for their business – in hopes of eventually achieve the Two Comma Club (over $1M in income).
And also those that have an interest in gaining passive income as a ClickFunnels Associate and winning the Desire Automobile Contest (where they pay $500/$1000 towards your dream car if you reach 100/200 energetic regular monthly signups, respectively).
With a massive 40% regular monthly persisting commission, ClickFunnels easily has among the best associate programs of any kind of system available.
That's right – you earn money a recurring 40% payment on every affiliate signup you make with the ClickFunnels Affiliate Program. However, just what does that actually equate to?
The fundamental plan is a $97/month financial investment and the Etison Collection plan is a $297/month financial investment. as a result you make $38.80 per standard strategy and also $118.80 per Etison Suite plan … every single month!
On average, every 100 signups will bring in $4000/month in affiliate compensations (more or less depending upon how many Etison Strategy customers are in there).
Click here to get more information about ending up being a ClickFunnels Associate.
All-time Low Line
ClickFunnels is by far the best system if you are looking to quickly build high converting sales funnels.
Due to the fact that it was built from scratch to be the very best sales channel home builder, it beats out all of the competition because regard.
Externally, it may not be the least expensive item out there – yet if you use it to its full ability, your business will certainly come to be more profitable as well as you will save loan from not having to use various other tools. Infusionsoft Database Scheme
If you have actually read this much right into my ClickFunnels Review, I recommend you see for yourself with a Free 14-Day Test below.


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Primary Authority: Ian Parkin writes most content, and reviews, verifies and edits all guest posts published on Psychic-Junkie.com
by Kari
(Minneapolis, MN)
I have known I've been special since 1964. But today, I found a name for it...Indigo. My most vivid memory is seeing the movie Thomasina and my immediate connection with the witch and the whole story in certain ways. This morning I followed a path on the internet after typing EMPATH, and found Indigo children and I feel like I finally found the "mother ship." I found there are other people like me, and I couldn't be more delighted!
I feel like a child, yet I am considered an elder....go figure! I have some learning to do to catch up...but I think I have been practicing for this for my whole life. I feel like Steve Martin in the movie "The Jerk" "I FOUND MY SPECIAL PURPOSE!" {smirk}
I'm so excited to make some good things happen!
Use this wizard to connect with your perfect online psychic today!