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HearingLife - New London
A message from HearingLife - New London about COVID-19:
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Kathryn Abrams
Katy is a licensed hearing instrument specialist dedicated to helping her patients meet their hearing healthcare goals. She has more than 10 years of experience and is knowledgeable in today's most advanced hearing aid technology. Katy rearned her Bachelor of Science degree in Business Administration from the University of Nebraska.
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Here at HearingLife, we'll work with you to find the hearing solution that fits your needs, lifestyle and budget. Our caring and dedicated team is trained in the latest technology and offers a complete selection of hearing aids and devices from the top manufacturers. Throughout your journey back to hearing better and for the life of your hearing instruments, we provide our patients the best care in the industry.
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Our services include the following:
- comprehensive hearing evaluations and testing
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- hearing aid dispensing and fittings
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- hearing aid batteries
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- A Feminist Ethnomusicology: Writings on Music and Gender.
- Introduction to Quantum Mechanics by David J. Griffiths.
- Todd's Quantum Intro?
- Analecta Husserliana: The Yearbook of Phenomenological Research.
- Handy Dad in the Great Outdoors.
- Reflections on the motive power of heat and on machines fitted to develop this power.
Light had been a mystery for centuries. Some experiments proved beyond the shadow of a doubt that light was waves. Some other experiments proved beyond the shadow of a doubt that light was particles. The truth about light was obviously hidden and it wasn't until that people began to understand that there was something very weird about the world of the small. Something that required a complete revision of understanding. It was decided that the world of the very small was governed by rules that were different from the rules that governed the world we can see, and regular or classical mechanics begat Quantum Mechanics.
And that unanticipated breach in mechanics spawned this very important rule:. Individual quantum particles are subjected to a completely different law than the law to which large objects made from quantum particles are subjected. The Quantum Mechanical era commenced in when Max Planck postulated that everything is made up of little bits he called quanta one quantum; two quanta.
Matter had its quanta but also the forces that kept material objects together. Forces could only come in little steps at the time; there was no more such a thing as infinitely small. Albert Einstein took matters further when he successfully described how light interacts with electrons but it wasn't until the 's that things began to fall together and some fundamental rules about the world of the small where wrought almost by pure thought.
The men who mined these rules were the arch beginners of Quantum Mechanics, the Breakfast Club of the modern era. They were Europeans, struck by the depression, huddled together on tiny attics peeking into a strange new world as once the twelve spies checked out the Promised Land.
- The certified HACCP auditor handbook.
- Electric power distribution reliability Second Edition.
- Introduction to Quantum Mechanics!
- Rights and permissions?
- Earn $30,000 per Month Playing Online Poker: A Step-By-Step Guide to Single Table Tournaments?
- Introduction to Quantum Physics | Physics.
Let all due kudos abound. One of the toughest obstacles the early Quantum Mechanics explorers had to overcome was their own beliefs in determinism. What an excellent textbook. It is impossible to learn QM with only one text book, but this one is great nonetheless. A classic introduction. Very readable. Clearly not the most rigorous. Jan 02, Kelly rated it it was amazing Shelves: re-read.
The gateway book to the world of quantum mechanics, i. Aug 29, Munib Ur rated it it was amazing. This review has been hidden because it contains spoilers. To view it, click here.
[] An Introduction to Quantum Mechanics for those who dwell in the macroscopic world
One of the best book, I can't describe how Prof D. Griffiths described QM. I really enjoyed it all the time when I learned it. Jan 11, Heather rated it liked it. Exists in a state of both memorable and boring.
3.4. Summary
May 09, Saurav Kantha rated it it was ok. If you want to really learn quantum mechanics, never pick this book up. Aug 29, Sean McLaughlin rated it really liked it. Good, but some of the concepts don't carry over as well to more advanced courses later. Mar 23, Rizki Fitriansyah rated it it was amazing.
Is the moon there when nobody looks? Jun 20, Gildardo Rivas Valles rated it it was amazing. Excellent undergraduate level course on quantum mechanics. I've used it to teach an introductory course for the last several years. Feb 11, Mayang Dwinta Trisniarti rated it it was amazing. Apr 20, Eric Winter added it Shelves: physics. Quantum Mechanics has a reputation for being one of the most esoteric topics in all of Physics. This reputation is largely well deserved, and it has it source in two aspects of Quantum Mechanics that make it particularly hard to understand. Conceptually, Quantum Mechanics puts to test some of our most deeply engrained intuitions about the Physical world.
Such notions as the reality of the world apart from our attempts to observe it, causality of events, ability to measure all of relevant quantit Quantum Mechanics has a reputation for being one of the most esoteric topics in all of Physics. Such notions as the reality of the world apart from our attempts to observe it, causality of events, ability to measure all of relevant quantities at the same time, and localization of physical object are all put to the extreme test. On the other hand the mathematical machinery and sophistication that is required for understanding even some of the simplest quantum mechanical systems is rather daunting.
Quantum Mechanics is usually one of the last undergraduate classes that Physics majors take, usually in their junior or senior year, after they have acquired a certain level of mathematical maturity and sophistication. There is a school of thought that posits that the conceptual subtlety of Quantum Mechanics can only be appreciated once the mathematical background is fully mastered.
I happen to subscribe to that school of thought, and in my opinion Griffiths' textbook is the surest and the most straightforward path to acquiring the requisite knowledge and mathematical skills for the fullest understanding of Quantum Mechanics. This should definitely not be the first exposure that one gets of the Quantum Mechanics, but those students who are already familiar with some basic problems and results can benefit greatly from this textbook.
In fact, in my opinion this is the best overall science textbook. The writing is clear and to the point, chapters and sections are self-contained and build on previous material in the book, there are plenty of worked-out examples, and the problems at the ends of the sections and chapters are designed to put the concepts and the material to its proper use. All of the problems are well-formulated, and there is hardly any ambiguous wording anywhere.
Some of the problems are extremely difficult, and can take many, many hours to work out.
Those should be attempted only by students who feel very comfortable with long calculus calculations. Most of us ended up using it more than the official textbook for the class or the professor's notes. I also relied a lot on this textbook for the concise and clear explanation of certain points when I was taking a graduate level Quantum Mechanics. Now that I am actually teaching this course I have used it as the primary textbook for my class and have been extremely satisfied with the decision.
No textbook, of course, is perfect and there are a few things that I would have liked changed about this one as well. It would be useful to have a list of important equations at the end of each chapter, with the explanation of what they are used for. Even though I appreciate its abstract and mathematical approach, many students would benefit from having more of real-world problems and explanations early on.
001 Introduction to Quantum Mechanics, Probability Amplitudes and Quantum States
It takes almost all of the semester to get to the first physical system that has any real-world relevance. But other than these problems, I think this is a truly remarkable and great textbook, and it's likely to remain the paragon of good Physics textbooks for at least a few more decades. View 1 comment. Feb 23, Jeffrey Sung rated it really liked it.
Great introductory textbook. But needs to be supplemented by something more advanced for even the upper-division undergraduate level. For example, doesn't even cover the Method of Images. Or at least, didn't as of the 2nd Ed. Jan 18, Adam Lantos rated it it was amazing. The most accessible Quantum Mechanics book out there. Although accessible, it does not simplify things on most occasions.
That being said, it does present some material with less mathematical detail than other treatments, but it does so only on occasions where this will not sacrifice understanding. The writing style of the book makes reading it a breeze as it gives you a great vibe like it's a popular science book. That means that it is well-written! The author offers enough intuition behind the p The most accessible Quantum Mechanics book out there.
The author offers enough intuition behind the physics, but does not discuss various subtleties, such as those that occur when using the Hilbert space formalism Dirac's bra-ket notation rather than working with an explicit form of the wavefunctions using the coordinate basis, to be more precise. But as an introductory textbook, someone shouldn't expect this, although it would be really cool if it alerted the reader about the subtle points of the formalism by using some easy examples, like that of the free particle.
This is one of the best introductions to Quantum Mechanics, but certanly not THE best; in particular, I find Shankar's treatment to be better because it is as pedagogical as this but on a higher level roughly graduate, but still accessible. All in all, the great writing style, the intuitive explanations behind everything and the level of pedagogy of this textbook make it ideal for a first introduction to Quantum Mechanics.
According to the title the book is intended to be an introduction to quantum mechanics , but in fact it introduces the reader to wave mechanics. This is the story with many other introductory books on the subject, and as an introduction to wave mechanics this book is not that bad , although not excellent. But wave mechanics is not the whole story: the wave function formalism is not the most fundamental one and besides it is not general.
There are a lot of quantum systems the state of which can not According to the title the book is intended to be an introduction to quantum mechanics , but in fact it introduces the reader to wave mechanics. There are a lot of quantum systems the state of which can not be described by any kind of function.
The educational tradition is that usually students are introduced to wave mechanics first, and then, if necessary, to more general and fundamental state vector formalism of quantum mechanics. From my experience I even doubt that introducing quantum mechanics in such a way, i. This book was our set book for Quantum mechanics. Although the descriptions were good and the calculations were admittedly useful the main point against it was that a lot of the topic was relegated to the questions. But you were left entirely on your own at this point as there were no solutions to the questions these were supplied in a separate book for academic staff only.
With the result that if you couldn't answer the question you were left with a gaping hole in your knowledge and probably This book was our set book for Quantum mechanics.
With the result that if you couldn't answer the question you were left with a gaping hole in your knowledge and probably couldn't progress any further unless you had a fully supporting lecturer who had a lot of time for their students. In the end I had to forget this book and look elsewhere. I tried many books with little luck until it was virtually too late, when I found the book by Zettili ISBN - a brilliant book that should have been the set text.
Related Introduction to quantum mechanics
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With Brett Martin
MONDAY evenings from 6-7pm'
These classes will help you to support your physical foundation by learning how to gently and safely work your physical body using a few simple techniques and yoga asanas. No previous experience required.
Cost $10 per class. Call Pascha~Nourishing Body and Soul – ph 03 374 25 26 – to register your interest. You will need a Yoga mat. If do not already have one. Please wear comfortable loose clothing.


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What is Energy Kinesiology?
The field of "Energy kinesiology" is based on the unblocking and balancing of energetic flows throughout the human body and the energy field that surrounds it, e.g. the auric field. With the application of the technique of "muscle testing or muscle monitoring", your body is giving its own subconscious feedback via biofeedback monitoring: the muscle movement of an individual muscle, usually the movement of a person's arm by either locking or unlocking to give feedback. The practitioner who is doing the muscle testing remains neutral and acts as the facilitator that interprets the body's responses to identify the blockages and how to balance the stressors. How exciting to have a method of asking the body to direct its own energetic healing process! Energy kinesiology is a complementary, holistic modality that does not diagnose or replace western medicine protocols and treatment. It combines Eastern medicine with western healing modalities.


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Potpourri consists of a mix of oils, leaves, blossoms, and various other items based upon plants. They are often utilized to generate a particular or basic scent in a area. The scent generally relies on the products utilized in making the potpourri. Mixture adds a pleasurable aroma or smell to a area, but is normally likewise interesting the eye and also fairly attractive. Mixture is typically set up in bowls or meals as well as put in main or prominent places in homes or rooms with the intent of spreading out the odor, while giving a touch of aesthetic appeal. Mixture containers are offered for numerous spaces consisting of the drawing room, guest rooms, kitchen area, and etc
. According to most of the earlier practitioners of Eastern medicine, potpourri is vital for making individuals tolerate and also numb away pain. Just as it is a well-known fact that the body responds to stimulation, so a pleasant little can also divert our focus as well as assist us to tolerate discomfort in the body. The concept of the anesthetic effect of potpourri is the same one held in medicine. In addition to discomfort and bodily troubles, the mesmerizing smell of flowers, oils, as well as leaves that is mixture is loosening up and satisfying.
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Mixture permits any person to harness their very own creativity and artistic nature by using methodology as well as different blends of plants to produce a one-of-a-kind fragrance. Natural combinations can differ greatly each time potpourri is made, based on individual taste, a recipe, and even what remains in your garden. Many individuals use seasonal plants and leaves for inspiration to develop seasonal potpourri. Many people also choose creating or buying different kinds of potpourri for numerous spaces in your house including the kitchen, guest rooms, research study, room, and so on. This permits a selection of lovely scents to filter throughout one house, changing the feel of the residence as you relocate from area to area.
know more about liquid incense here.


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The Lofts of Columbia Heights is a traditional condo building located on the corner of 14th Street and Girard Street. Delivered in 2006, the 7-story building offers 56 units with a doorman/concierge and is pet-friendly. The Lofts of Columbia Heights is within walking distance of the Columbia Heights Metro Station.
- Units: 56
- Stories: 7
- Delivered: 2006
- Ownership: Condominium
- Location: Corner of 14th Street NW and Girard Street
- Neighborhood: Columbia Heights
- Metro: Columbia Heights
- Property Management: Oakbrook Management 301-651-2182
- Address: 2750 14th Street, NW Washington, DC 20009
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The listing content relating to real estate for sale on this web site is courtesy of MRIS. Listing information comes from various brokers who participate in the MRIS IDX.Properties listed with brokerage firms other than TTR Sotheby's International Realty are marked with the MRIS Logo and detailed information about them includes the name of the listing brokers.The properties displayed may not be all the properties available. All information provided is deemed reliable but is not guaranteed and should be independently verified.All listing information copyright MRIS 2020.
Listing information last updated on March 28th, 2020 at 7:45am EDT.


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Policy Regulations in relation to the overtaking of oversized ships by other seagoing ships in the North Sea Canal between the Velserpont (river ferry at Velsen) and the entrance to Afrikahaven
The Deputy Director of the Public Body Central Nautical Management, who is also the State Harbour Master, announces the following:
Seagoing ships should as much as possible avoid overtaking ingoing or outgoing oversized ships between the Velserpont and the entrance to Afrikahaven.
Binnen-buitenschepen (sea-river ships) are placed in the category of seagoing ships.
Following previous incidents in which smaller seagoing ships came into contact with the oversized ship as a result of suction, the following guideline for the North Sea Canal, called Oplopen bovenmaatse schepen Nee - Tenzij, ('Overtaking oversized ships - no, unless') is brought to your attention.
In the North Sea Canal between the Velserpont and the entrance to Afrikahaven, seagoing ships are not allowed to overtake oversized ships UNLESS certain conditions are met.
These conditions are the following:
- If a ship indicates that it wishes to overtake an oversized ship, the VTS Officer will clearly inform it of the oversized ship's draught and the traffic situation; the ship will then be requested to keep standby on the VHF after which the VTS Officer will inform the oversized ship of the request and ask if it can cooperate in this.
- The oversized ship's pilot must declare whether he can and will provide cooperation. Cooperation can be provided by reducing speed and/or deviating from the mid-fairway line. This will depend on the type of ship, its draught and other dimensions.
- The oversized ship's pilot must clearly communicate to the VTS Officer that he can and will provide cooperation. In that case, he must also clearly communicate in what way he will provide cooperation. If the traffic situation allows, the VTS Officer can inform the other ship that overtaking is allowed.
- If the oversized ship's pilot indicates that he cannot provide cooperation, he must clearly communicate this to the VTS Officer. The VTS Officer will inform the other ship that overtaking is not allowed. Also, if problems are anticipated in relation to the traffic situation, the VTS Officer will inform the other ship that overtaking is not allowed. The VTS Officer must communicate this clearly.
Moreover, it should be taken into account that the time saved by overtaking between the Velserpont and the entrance to Afrikahaven is only very limited.
The guideline mentioned above also applies in other stretches of the North Sea Canal, namely in Velserkom and east of Afrikahaven. Due to the nature of the waterway in these stretches, and due to the fact that oversized ships often secure their tugs here, there will be better opportunities for safely overtaking. But here too, clear communication and good agreements are important.
Should you have any questions about this Announcement, please contact the Duty Operations Manager at the following telephone number: +31 205 234 692.
The Deputy Director of the Public Body Central Nautical Management,
who is also the Deputy State Harbour Master
J.W. Husslage


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Watch This Team go on More Dangerous Missions in 'Macgyver' Season 3
This season this team loses a member or two and get a few new ones as well
Prepare for more dangerous missions in 'Macgyver' season 3
When I heard a reboot of Macgyver was coming out a few years ago, I wasn't sure if it was a good idea or not. Although I wasn't a huge fan of the original show, I still had doubts about this one. Yet over time this show has grown on me. Well now the third season is coming out on DVD. I was able to get a review copy of this season and here is what I thought of it.
You can read the plot for Macgyver season 3 here:
In this third action-packed season, Mac leads his crack team on one high-risk mission after another, crisscrossing the globe to keep the world safe from harm – while using little more than bubble gum, a paper clip, and his unending supply of resourcefulness.
This season brought lots of action packed moments, which made it a real joy to watch. We see Mac try to build a relationship with his dad, which isn't an easy thing for him to do. These friends also face off against some truly despicable people, and finally take some of them down for good. As the season moves along we also learn a pretty shocking secret about Matty. This team also loses one teammate, has another get pulled away for a mission and they gain a new one as well. If you enjoyed the previous season of this show then you won't want to miss this one.
Macgyver season 3 is available now on DVD.


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Pink and The Ting Tings for Wireless Festival 2010
Story by Jack Foley
P!NK has been announced as the first headline act for the Wireless Festival 2010 in London's Hyde Park on Friday, July 2.
Joined by special guests The Ting Tings, P!NK will make history as the first female to ever headline a Wireless Festival – following in the footsteps of JAY-Z, White Stripes, Kanye West, Morrissey, Fatboy Slim and Daft Punk along with many others in its five-year history.
With a record breaking tour under her belt this will be P!NK's first ever open-air London show, making this a whole new live experience.
P!NK said: "I'm so excited to headline Wireless festival. Hyde Park is such a legendary place to play and I feel so honoured that I am going to be the first female to headline the festival. Hyde Park better get ready for the Funhouse!"
Following multiple sell outs for past Wireless festivals, Live Nation promoter Steve Homer is looking forward to another groundbreaking year in the heart of London.
He commented: "Now in our sixth year and it only gets better and better. Last year's success was phenomenal and I guarantee that Wireless 2010 will take things to a new level."
Tickets go on sale at 9am on Friday, December 11, 2009. Buy tickets


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If you are the CTIA registered owner, or an authorized agent for the owner of this phone number, you can apply to manage this directory page. Once approved, you'll be able to edit your directory page, view statistics, receive messages from consumers, and respond to reviews. To apply, click here.
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Uber is currently leasing the vanity short code number 827222. The Uber short code 827222, is registered in the with the CSCA - Common Short Code Administration, as a standard rate short code, and is used in the Automotive industry.
For more information about the short code 827222, text the word "HELP" to 827222, or call their short code customer support telephone number at 1 (866) 576-1039. Did you receive a text message from 827222, and you want to opt-out? You can opt-out from receiving Uber text messages at anytime, simply replying to any message received from 827222, with the word "STOP".
Uber is using the vanity short code - 827222, in the automotive industry to engage with both existing and new customers. Many automotive brands similar to Uber, use their short codes to send text message service reminders, generate new sales by using text messaging to capture new leads, and even use text messaging to send out discounts and promotions for their service centers.
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4 Comments
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Mock Neck Crepe Knit Top
Regular price
Simple and versatile, this long sleeve knit top is equal part delicate poise and casual ease. Featuring a pretty lace yoke on the front as well as a mock neck and a figure-hugging silhouette, this laid-back piece is easy to pack for last minute getaways and easy to pair with work and weekend wear.
- Model's Size: XS
- Model's Height: 5'8
- 95% rayon, 5% spandex
- Machine wash in cold water
- Do not bleach
- Hang to dry
- Iron low or dry clean
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Lutron Dimmers S-600P-LA Skylark® Dimmer
Skylark is the original designer-style slide dimmer from Lutron. It features a convenient rocker switch that turns the lights on and off, and an easy-to-use slide control to adjust the light for any activity. The Skylark replaces any designer-style switch and works with existing multi-gang decorator wallplates.


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Modern Weave Harvest Baskets
- Handcrafted
Sturdy storage for magazines, media and more. The durable frames of our Modern Weave Harvest Baskets are covered in tightly handwoven rattan peel and stained to highlight its rich texture.
- 14"w x 17"d x 9"h.
- Handwoven rattan peel.
- Imported.
Overall product dimensions: 14"w x 17"d x 9"h.
Wipe clean.
We offer four types of delivery (Small Parcel, Large Parcel, Small Furniture & Large Rugs, White Glove Delivery) determined by the products in your order. A product's delivery type is displayed under the "Stock Status" information on each product page online. Delivery charges are determined by your delivery destination and are charged per order. Multiple-product orders are charged according to the product with the highest delivery type. Sometimes products may arrive separately but you will only be charged one delivery fee per order. If orders ship separately, they may ship according to the ship mode specifically for the item being delivered and not the highest delivery mode for the order
Please provide a street address for delivery - we cannot ship to PO Boxes.
For pricing and further details, visit our Shipping Information Page.
NOTE: Delivery is not available to all postal codes. Exclusions apply. We are unable to ship to Quebec at this time.


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Need help creating, logging into or making the most of your UCRAYS account? Check out the how-to guides below to help you get started and take care of essential tasks related to your retirement account.
Important: The UC Retirement Administration Service Center (RASC) has adjusted operations in response to the stay at home order issued by the State of California, restricting access to RASC offices. We want to reassure those who receive UC Retirement Plan benefits that payments, including the upcoming April 1 benefit payment, will continue on schedule.
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Revista Colombiana de Gastroenterologia
Print version ISSN 0120-9957
Rev Col Gastroenterol vol.31 no.1 Bogotá Jan./Mar. 2016
Hirschsprungs Disease in an Adult Patient
Ramón Estopiñan Rebollar MD (1), Ramón Estopiñan Cánovas MD (1), Rafael Pila Peláez MD (1)
(1) Manuel Ascunse Domenech Provincial Clinical and Surgical Hospital in Camagüey, Cuba.
Received: 09-12-14 Accepted: 26-01-16
Objective: This study presents a rare case of Hirschsprungs disease in an adult. Case Report: The patient was a 32 year old man with severe intellectual and mental retardation from a poorly educated family. Since childhood, he had had a history of episodes of constipation which was relieved with laxatives and for which he had been admitted on many occasions to the Childrens Hospital of his province. Hirschsprungs disease was diagnosed with a barium enema and rectal manometry. Surgery was recommended, but his family did not give their permission. When he arrived at the hospital, he told doctors that he had not had a bowel movement for 83 days. Physical examination showed a globular, asymmetrical abdomen with a 30x 15cm palpable tumor in the right abdomen. Digital rectal examination showed normal sphincter muscle tone and an empty rectal ampulla. Bowel sounds were minimal. The analytical study was normal. Standing and prone abdominal radiography showed x-ray opacity compatible with fecal matter. Hartmanns procedure was performed to resolve the acute situation. Surgery revealed aganglionic megacolon which was confirmed by histopathology. The patient was asymptomatic while awaiting definitive surgical treatment. Conclusions: Hirschsprungs disease is rare in adults, and must be distinguished from other causes of megacolon. Its etiology is unknown, although it is considered multifactorial. The first and most important symptom is constipation. Diagnosis requires imaging and rectal manometry and confirmation by histopathology. Treatment is always surgical.
Adult Hirschsprungs disease.
Hirschsprungs disease (HD) was first described by Harald Hirschsprung, a pediatrician in Copenhagen, Denmark in 1888. He described two cases in two infants. Although rare, it occurs in only one of every 5,000 births, it is one of the most common causes of intestinal obstruction in newborns. (1)
HD is also often called congenital aganglionic megacolon. It is considered to be one of the disorders known as dysganglionoses along with adult hypogaganglionosis and intestinal neuronal dysplasia. (1)
It has been described as a congenital absence of ganglions in the part of the plexus of the enteric nervous system which determines the affected segment. (2) It is a relatively common genetic disorder, but because its transmission is complex, Mendelism is not always apparent. Currently, there are pathogenic bases and genetic aspects of the disease, including descriptions of the involvement of about 13 genes in morphogenesis and differentiation of the enteric nervous system. (3) So far the most important mutations identified occur in the RET proto-oncogene which encodes a receptor tyrosine kinase. It is located on the long arm of chromosome 10. These mutations have been detected in up to 50% of familial cases of HD and in up to 20% of sporadic cases. They are most closely related to long segment disorders. (3)
The patient was a 32 year old man with severe intellectual and mental retardation. The patients family consisted of agricultural workers with low educational levels from the province of Las Tunas. Since childhood, the patient had suffered from episodes of constipation that had been treated with laxatives. He had been admitted to the Childrens Hospital of Las Tunas on numerous occasions because of constipation that did not respond positively to the use of laxatives or bulking enemas. A barium enema and rectal colon manometry were used to diagnose Hirschsprungs disease, but relatives opposed surgery to treat the condition. On this occasion, he came to the emergency room of the hospital after 83 days without a bowel movement accompanied by diffuse abdominal pain, cramping and a serious constitutional syndrome.
A complete and local physical examination and laboratory tests had normal results except for moderate malnutrition. The patients blood pressure was 110/70 mmHg and his central heart rate was 112 beats per minute. His abdomen was distended and asymmetrical following respiratory movements. Bowel sounds were minimal,. The patient had a diffuse pain upon palpation of a 30cm long, 15cm wide tumor on the right side of the abdomen. It had smooth, regular edges and soft a surface. There was an abundant and visible venous network. Digital rectal examination showed tonic contraction of the sphincter and an empty rectal vault. The tumor was not palpated and there was no pain during the examination. Blood tests were normal for blood chemistry, enzymes, ions, renal function and pancreatic function. Chest x-rays were taken of both hemidiaphragms. An ECG showed sinus tachycardia. Plain abdominal anteroposterior and lateral x-rays were taken with the patient standing and lying. They showed a soft abdomen, radiopacity that gave the impression of fecal material with dilated bowel loops toward the hypochondrium and the right flank.
Surgery had been recommended because of the diagnosis of HD, but the patients family had opposed the procedure. At this point, an emergency Hartman sigmoid colostomy was performed (Figures 1 and 2) in order to resolve the acute distention of the colon due to stool which occupied the upper third of the rectum. An area of stenosis that prevented the passage of fecal content was found. The surgical specimen was analyzed by histopathology. It was a 60 x 25 x 15 cm overly distended intestinal segment which was entirely filled with compacted stool which had caused severe bloating. The folds of the intestinal walls had been completely effaced (Figure 3). The histological diagnosis was compatible with aganglionic megacolon. (Figures 4)
The patient is currently undergoing continued treatment as an outpatient in the coloproctology department. He is asymptomatic at this time.
The lower limit of aganglionosis, the internal anal sphincter, is constant, but the upper limit is variable and serves to classify the disease. The most common form is HD which is short segment aganglionosis in which the condition does not extend beyond the sigmoid colon. This accounts for 80% of cases. A small number of these cases have ultrashort segments which occupy only the distal rectum below the floor of the pelvis. In long segment aganglionosis, the condition is proximal to the sigmoid colon. This condition accounts for 20% of cases. Among a minority of these patients, the condition affects the entire colon (Colonic HD) or the entire intestine (HD). (4) the case reported here was short segment HD. This occurs in isolation in 70% of cases. In 30% it appears together with other congenital abnormalities. (2) In 12% of the cases, there is a chromosomal abnormality, usually Down syndrome. The other 18% have syndromic alterations or other isolated alterations. (2) In the case we treated, the patient was mentally retarded and had not been treated because of family opposition.
Although the etiology of HD is not known, it is considered to be multifactorial. (1) Symptoms vary according to age, the extent of the area affected, and the presence of complications. The length of the affected segment is not related to age of onset or severity of symptoms. (3) The main symptom is early onset constipation in full term infants. (3) Newborns and small infants almost always have clinical bowel obstruction. (3) Intermittent constipation occurs in 66% of patients beginning in the neonatal period. Abdominal distension and vomiting may occur. If constipation does not have a mechanical cause such as intestinal atresia, meconium ileus, malrotation or imperforate anus, the attending physician should suspect HD. (5)
It was suspected in this patient because of the severe abdominal distension, visible venous network, bloating, anorexia, vomiting, and stunted growth. (4)
Diagnosis of this case in adulthood is probably due to previously undetected congenital causes (5%) or misdiagnosis. Patients with chronic constipation are usually diagnosed after complications such as intestinal volvulus. (3, 4) The simple and proven technique of anteroposterior and lateral x-rays can support the diagnosis when there is an aganglionic segment. This is found in the rectum or sigmoid colon in 80% to 85% of cases. (6). Most authors, (5) but not all, (6) suggest that, prior to corrective surgery, certainty of a positive diagnosis should be established with a biopsy of the rectal wall. This has sensitivity and specificity of close to 100%. (6) Histologically HD is characterized by the absence of parasympathetic ganglion cells and is accompanied by hypertrophy of nerve trunks in 69% of the cases. (7) These were both observed in this patient.
With the advent of immunohistochemistry and histopathological diagnoses, various antibodies have been proposed for identification of certainty ganglion cells. The marker that has proven to be most useful are antibodies to calretinin which has sensitivity and specificity of 100%, (6, 7) but this test is not available in our environment. A barium enema provides more information than plain radiography especially in non-acute patients. Although its sensitivity (70%) and specificity (83%) are lower than those of other diagnostic tests, it is usually the first test conducted. (7)
Rectal manometry, which was used to diagnose this patient, has high sensitivity (91%) and specificity (94%) and is very useful in cases of ultrashort aganglionic segments. (2) Nevertheless, diagnostic certainty requires histological study. The gold standard of diagnosis is a standard surgical biopsy including the muscle layer which has both sensitivity and specificity of 100%. The biopsy sample is usually taken by suction which reduces complications such as infections, bleeding, and perforations and avoids the need for general anesthesia and sutures. (6)
Diagnoses which must be considered in cases of megacolon in adults include HD, intestinal neuronal dysplasia, acquired megacolon, Chagas disease secondary to constipation, chronic intestinal pseudo-obstruction, toxic megacolon due to an infection, and inflammation. (3, 5)
Once the diagnosis has been confirmed, treatment is always surgical. (8) Surgical resection of the affected segment achieves favorable results in the improvement of patients. (8) After the emergency Hartman sigmoid colostomy, our department is currently preparing for definitive treatment of our patient.
Adult HD or aganglionic megacolon is an intestinal disorder that results from congenital aganglionosis of the colon that is normally diagnosed in childhood. It eventually produces functional intestinal occlusion. Diagnosis in adults is rare, but this condition can cause multiple complications and result in misdiagnosis if a patients family and medical history are not taken into account.
Conflict of interests
The authors have no potential conflicts of interest related to this study.
1. Menchaca Cervantes C, Rodriguez Velazco A, Ramón García G, Rendom Macías ME. Enfermedad de Hirschsprung. La inmunohistoquímica como apoyo para el diagnóstico. Rev Med Inst Mex Seguro SOE. 2013;51(6):610- 3. [ Links ]
2. Hart J, Wilcox R, Weber C. The gastrointestinal tract. Ed: Stockes JT, Dehner LP, editors. Pediatric pathology. Third edition. USA: wolters kluwer/Lippincott Williams and wilkins; 2011 p 592- 96. [ Links ]
3. Yuksel I, Ataseven I, Ertugrul L, Basar O, Sasmaz N. Adult segmental Hirschprung´s disease. South Med J. 2009;102:184- 5. [ Links ]
4. Fortea C, Martinez D, Rivadulla I, Daroca J, Paira Gitol. Hirschsprung´s disease in adults. Rev Esp Enferm Dig. 2001;3:150-151. [ Links ]
5. Haricharan RN, Georgeson KE. Hirschsprung´s disease. Senein Pediatr Surg. 2008;17:266-75. [ Links ]
6. Kapur RP, Reed RC, Tinn LS, Patterson K, Joanson J, Rothedge JC. Calretinin inmunohistochemestry in the evaluation of suction rectal biopsies for Hirschsprung´s disease. Pediatr Dev Pathol. 2009;12(1):6-15. [ Links ]
7. Memarzadeh M, Talebi A, Edalaty M, Hosseinpoor M, Vattidi N. Hirschsprung´s disease diagnosis: Comparison of inmunohistochimical, hematoxilin and eosin staining. J Indian Assoc Pediatr Surg. 2009;14(2):59-62. [ Links ]
8. Dasgupta R, Langer J. Evaluation and management of persistent problems after surgery for Hirschsprung´s disease in a child. J Pediatr Gastrointernal. 2008;46:13-19. [ Links ]


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May 23, 2012
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RESIDENTS' car parking passes for the Malvern Hills Trust's car parks on the Hills and Commons will be available to purchase from Malvern Library from next week.
Alongside the Library, Resident's passes will also be available to purchase from Colwall Library and the Malvern Hills Trust's offices from the 1st March 2020.
This new partnership comes as the Tourist Information Centre ceases to sell the passes following their move to smaller premises at the Lyttelton Well Courtyard.
Beck Baker, community and conservation officer said: "We're delighted to be working with Malvern Library to sell our car park passes this year.
"The extended opening hours of the Library will offer people the chance to purchase their car park pass when it is most convenient for them before getting out and exploring the Hills and Commons."
Councillor Lucy Hodgson, cabinet member for communities from Worcestershire County Council said: "This is great news for local people and a win win situation for us.
"By working with Malvern Hills Trust to offer an alternative venue to sell their car passes, we can encourage local people who may not regularly visit Malvern Library the chance to take a peek inside."
The Resident's (concessionary) car park passes are available to residents of the town of Malvern, and the parishes of Colwall, Guarlford, Malvern Wells, Mathon and West Malvern who pay a levy toward the Trust. The pass is valid from the 1st April 2020 to 31st March 2021 for £5.70.
Residents need to bring their Council Tax bill, either paper or electronic copies, which details the levy to the Trust, as proof of their address. No other forms of ID will be accepted.
Further information about the work of the Trust and car parking information can be found at www.malvernhills.org.uk.


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Murray Shukyn designs programs and teaching materials to assist people in GED preparation. Dale E. Shuttleworth, PhD, has extensive experience in speaking and writing about educational issues and in GED training.Shukyn, Murray is the author of 'Ged for Dummies' with ISBN 9780764554704 and ISBN 0764554700.[read more]
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SPRING VALLEY LAKE — The country club here is known to cater to its golf lovers. But now the community can enjoy a more unique, yet just as beloved, lawn game.
The Spring Valley Lake Country Club hosted its first Cornhole Tournament just behind its clubhouse on Saturday afternoon. The tournament was open to all residents of the High Desert. For just $3, players got 10 bags, filled with corn, and a chance to win some cold hard cash.
The tournament was a chance for the country club to market itself to the cities surrounding the small, often insular community, director of club membership David Leabman said.
"I think that's something that's gotten away from this club in the last few years, so having a few more events like this, something that's fun for the public, is good for us," Leabman said.
He evidently took the sentiment to heart, dressing in a corn costume for the occasion.
"I'm the official mascot," Leabman said with a grin.
The rules of the tournament were simple: each player starts with four bags. Players could compete individually or as part of a doubles team. Each player or team got four shots, with three points awarded if the bag made it, and one point if the bag hit the board.
The players or team with the highest point count won half the pot at the end of the tournament, according to event organizer and club director of athletics Brian Gill. All other proceeds went to the Country Club.
The competition began at 2 p.m. for adults, with children playing in their own tournament in the morning. The event also featured street tacos and drinks for purchase.
"It's always nice to bring the family over and hang out with your neighbors," resident Jim Evans said, as he watched his daughter and grandchildren take aim. "It's been fun so far."
Paola Baker may be reached at 760-955-5332 or firstname.lastname@example.com. Follow her on Twitter at @DP_PaolaBaker.


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mathews attending classes
Sponsorship for Malawian student through Fairtrade link
A sponsorship link-up between Forth Valley College and Stirling Fairtrade Steering Group will help a Malawian student to pay his way through college.
Mathews Mwamlima (pictured) who is from Mlinda Village, Traditional Authority (T/A) Kilupula Karonga North East, Malawi, will now have his Diploma in Business Management at the University of Malawi sponsored by FVC, with individuals connected with the Stirling Fairtrade Steering Group taking care of his accommodation and living expenses
The announcement of the sponsorship comes just after the 2019 Fairtrade Fortnight celebrations across the whole of the UK. Forth Valley College have been heavily involved in promoting the ethos of Fairtrade and were the first college in Scotland to attain Fair Trade status, in 2011.
Lisa Hachemi, Chair of FVC's Fairtrade Committee, said: "We are delighted to help sponsor Mathews. His mother approached a farmer called Howard Mskuwa in Malawi who has visited the UK as part of the Fairtrade Fortnight activities and asked if he knew of anyone who would be able to support him throughout this studies. Howard contacted Jon Cape from Stirling Fairtrade Steering Group who then linked with me to see if we were able to help sponsor him.
"Mathews is from an extremely poor family and he was lucky enough to secure a place at university, but due to the death of his cousin (who was going to sponsor his studies) he was going to have to withdraw his application. It was agreed that FVC would sponsor Mathews education through Fairtrade fundraising and and Jon would find sponsors for his accommodation and living expenses."
Mathews, said: "Since education is a key to success, that is the influencing factor for me to continue with my studies, I am also the only son in my family who has managed study at university. My ambition when I have finished my diploma program is that I want to continue with a degree."
Howard Msuka, said: "The one who was supposed to be supporting him was his late father who died a few weeks after he had started school. Matthews' mother then came to ask me if I would buy her fridge, so that she can get money to pay the school. But it was not even enough. I am only a volunteer with eyes of sorrow with the way our children fail to proceed with education because of poverty."
Jon Cape from Stirling Fairtrade Steering Group, said: "Fair Trade Stirling has been working closely with the Karonga rice growers in Malawi for several years now and when the request came through seeking help with Mathews' education we were delighted to be able to make the connections."


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Glossary - Page 4 of 4
(English version of "El Filibusterismo")
- tapis
- A piece of dark cloth or lace, often richly worked or embroidered, worn at the waist somewhat in the fashion of an apron; a distinctive portion of the native women's attire, especially among the Tagalogs.
- tatakut
- The Tagalog term for
- teniente-mayor
Senior lieutenant,the senior member of the town council and substitute for the gobernadorcillo.
- tertiary sister
- A member of a lay society affiliated with a regular monastic order.
- tienda
- A shop or stall for the sale of merchandise.
- tikbalang
- An evil spirit, capable of assuming various forms, but said to appear usually as a tall black man with disproportionately long legs: the
bogey manof Tagalog children.
- tulisan
- Outlaw, bandit. Under the old régime in the Philippines the tulisanes were those who, on account of real or fancied grievances against the authorities, or from fear of punishment for crime, or from an instinctive desire to return to primitive simplicity, foreswore life in the towns
under the bell,and made their homes in the mountains or other remote places. Gathered in small bands with such arms as they could secure, they sustained themselves by highway robbery and the levying of black-mail from the country folk.
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Darien police investigate Middlesex Road crash
DARIEN — Police are investigating a single-car accident on Middlesex Road where a driver struck a fence and utility police.
On Jan. 22 around 4:15 p.m., police responded to a car crash on Middlesex Road near High School Lane. A 27-year-old Darien man driving a white 2008 Saturn allegedly exited the St. Thomas Moore parking lot onto Middlesex Road and then hit a fence and utility pole.
Police said witnesses reported the car was speeding. There were no passengers in the car with him.
The driver suffered a head injury and was still in the hospital as of Monday, Jan. 30.
The crash is under investigation.
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Mr. Black brings some data that causes as much disorientation in Captain Lee's office as dropping a black hole in that office would ...
To get totally caught up on The Posture of Innocence, here are the prologue, day 1, day 2, day 3, day 3.5, day 4, day 4.5, day 5, day 5.5, day 6, day 7, day 7.5, day 8, day 9, day 9.5, day 10, day 10.5, day 11, day 11.5, day 12, day 12.5, day 13, day 13.5, day 14, day 15, day 16, day 16.5, day 17, day 18, day 19, day 19.5, day 20, day 20.5, day 21, day 22, day 22.5, day 23, day 23.5, day 24, day 24.5, day 25, day 25.5, day 26, day 26.5, day 27, day 27.5, day 28, day 28.5, day 29, day 29.5, day 30, day 30.5, day 31, day 31.5, day 32, day 32.5, and day 33!
Mr. Black had come in at 10:30, bearing gifts of data to the cold case division as it began its next work – who, what, when, where, and how of a lot of things it had charge of were now solved. Officer Cadbury accounted for 25 murders alone; there were others like him to be grabbed up. The remaining question was, why had John Soames been killed, along with so many others, and how did all of that fit in with the sequence of events that also was emerging: the criminal conspiracy to get Pendleton Prison in neighboring Roanoke County built and full and profitable in just 12 years.
The powers that be didn't care about the Black lives that had been destroyed as Mr. Black did, but he knew they would care intensely about the state and federal funds that had been misappropriated and diverted into the pockets of key figures. There was a resonance to the thing: at the time of the FOIA release, a great number of police officers had been spurred into terrorist behavior at the Gilligan House to protect the secret of how they were framing Black people left and right to get that prison full, and from the public connecting that to the big houses they all were getting over the better part of the same 12 years.
But the average officer involved was reaping a pittance compared with a hit(police)man like Officer Cadbury, and he was reaping a pittance compared to some in the Blue Ridge, Skyview, and Starview neighborhoods of Big Loft. Before the Gilligan House Burning, the matter was conceived of being in the millions of dollars. With the new information, the actual known sums of money involved ended up being in the hundreds of millions.
Colonel Lee, once again in his manifestation as Captain Lee, commander of the cold case division, looked over the new data and was so disoriented by it that he had to put it all down, consider it for several minutes, and then pick it up and look again for understanding. So heavy was his gravity once he had that understanding that two of the division's lieutenants walked in talking and stopped like they had hit a wall – like light itself is disoriented and swallowed up by the gravity of a black hole.
The gravity did not break but only increased as Captain Lee returned his mind to those present with him with a long, slow shake of the head.
"Mr. Black, my respect for the nobility and patience of Africans in America has been greatly increased," he said. "The fact that those of you that know this information have not all gotten up like Nat Turner and slaughtered everyone that you know is involved in this modern-day slavery shows a forbearance that most men on the earth will never possess."
Lieutenants Lightfoot and Longstreet jumped and bumped into each other so hard they nearly fell over as their entire understanding of the history of America, and its men of greatest, noblest character, was permanently disoriented.
Mr. Black smiled grimly.
"Thank you, Captain Lee, for the compliment. Count yourself and those with you blessed that you have stopped pushing the edges of that forbearance."


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MARVEL Summons New Screenwriter for DOCTOR STRANGE 2 - Report
Disney+'s Loki head writer Michael Waldron has been tapped to write Doctor Strange in the Multiverse of Madness, according to The Hollywood Reporter. Waldron would reportedly take over from the film's original writer, Jade Bartlett; it is unspecified if this is to revise that script, or start from scratch.
This writing change follows the departure of the franchise's original director Scott Derrickson, and reports that Sam Raimi (yeah, that Sam Raimi) was in talks to replace him.
Of course, Waldron was already connected somewhat to this Doctor Strange sequel - his Loki film was announced to tie into this film, alongside sister Disney+ show WandaVision.
Doctor Strange in the Multiverse of Madness is scheduled to hit theaters May 7, 2021.


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Monday, 11,11.19
Guys and Gals Groups – Guys and gals groups will meet at HFC at 8pm. We will study the Bible, discuss relevant topics, and pray together. Guys will meet in the basement, and gals will meet in the worship room.
Tuesday, 11.12.19
Potter Volunteer Night – On Tuesday we will volunteer at Potter Children's Home and Family Ministries. On Tuesday nights, Potter offers dinner and classes for single mothers, and while the mothers are in their class, we will watch, hangout, and play with their kids. We will play sports and board games and help them with their homework. We will meet at HFC at 5pm to carpool to Potter. Dinner is served from 5:30pm-6pm. We will watch the kids from 6pm-7pm. We will arrive back at HFC at around 7:15pm.
Wednesday, 11.13.19
Worship Wednesday – Join us for Worship Wednesday! Our free meal is at 7pm, and worship starts at 8pm. We'll have soups and sandwiches for dinner. In worship we will continue our series on the Gospel of Mark by studying Mark 5:1-20. It'll be a great night of food, worship, prayer, Scripture reading, singing, Bible teaching, and fellowship!
Thursday, 11.14.19
Work Night at Greenwood Park – We will paint the hallway outside of the HFC classroom at Greenwood Park Church of Christ, HFC's sponsoring Church. We will meet at Greenwood Park at 4:30pm. Dinner will be provided.
Ask Anything with Albert Mohler – Al Mohler, president of Southern Seminary in Louisville, in his Ask Anything Tour, speaks at various universities around the United States. He answers students' questions, especially question about doubt, the Bible, and the Christian worldview. This event will be held in DSU at 7:30pm on Thursday, 11.14.19.
Sunday, 11.17.19
Bible Class and Worship at Greenwood Park – Many HFC students regularly attend Greenwood Park Church of Christ, the sponsoring church of Hilltoppers for Christ. Bible class starts at 9am and is in room 210. Coffee and breakfast will be provided. A time of fellowship and breakfast will be from 9:00am-9:15am, and the Bible study will be from 9:15am to 9:45am. After Bible class, worship with the whole church starts at 10am. Greenwood Park's address is 1818 Campbell Lane, which is about 3 miles from WKU. If you need a ride to church, contact our campus minister, Ryan Cole.


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Open/Close Toolbox
Format: Knowledge Node
Linked To
Node (any)
- Rodd Archive
- Lieutenant Thomas Gerald George Fahey - World War 1
- William D Lawton Collection
- Dalton Family Archives
no stories yet
World War I
Also known as... the Great War, the First World War, World War 1
All our online resources related to World War I are linked to this page.DateBetween 28th July 1914 and 11th November 1918
A view of a few light railway steam locos at Savy (Picardy, France) - with a truck in foreground and aerodrome in back
Letter 010 - Letter from James Dalton to his mother and to his brother William from SS Argyllshire, Albany, 31 October 1914
Letter 014 - Letter from James Dalton to Jack Dalton from SS Argyllshire near Aden, 23 November 1914
Letter 015 - Letter from James Dalton to Ida and Harry Dalton from SS Argyllshire near Aden, 24 November 1914
ANZAC Cove, Photo by Lieut. Col. Millard.
Living Histories (20th Jun 2017). World War I. In Website Living Histories. Retrieved 30th Mar 2020 06:13, from https://livinghistories.newcastle.edu.au/nodes/view/67304


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Keep Visiting this Page for the Most Recent News about our Celebrity and Topic Chats
- January – Craft and Marketing Month
- February – romance
- March – editing/revision
- April – children's/young adult
- May – Memoir Month
- June – July – Book Cover Month
- August – Humor
- September – Writing Habits and Hygiene
- October – still and forever horror/dark fiction
- November – NaNoWriMo topics The Muse vs the Shoulder Vulture
- December – Goals/Planning/Dreams are Goals with Deadlines (could be closed 1 or 2 days depending on Christmas and New Year days)
Keep scrolling and you'll see the Calendar.
Prompts and Word Sprints Night
What's Your Book Marketing Plan? 6 Crucial Steps to Include
Traditional publishers are far more likely to take a chance on an author when they know that he comes with an engaged following. If you're planning to self-publish, a strong online platform is even more critical because you are entirely dependent upon your own ability to promote and distribute your work.
- Start early
- Build your website around yourself
- Focus on growing an email list
- Be generous
- Use social media strategically
- Seed early reviews
I can't overstate the importance of those first few weeks after release. To improve your book's discoverability on Amazon, it's critical to have a handful of solid reviews — aim for 10, at a minimum. It's ok for some of these to come from family and friends, but it's even better for those to come from top Amazon reviewers and verified buyers.
Ed Mitchell was a foster child who later graduated from the U.S. Military Academy at West Point. He went on to be an Airborne Infantry Ranger, a RAND Corporation Fellow, an aerospace systems engineer, and a community activist fighting to protect water resources in California. Along the way, Ed became a national award-winning author by weaving his real-world experiences from foxhole to space into his contemporary adventure/thrillers.
From private to Lieutenant Colonel, Ed served in Airborne, Air Cavalry, Armor, and Mechanized Infantry units, including guarding the DMZ in Korea and protecting nuclear weapons. Prior to the 1st war in Iraq, as the Space-Ground Combat Analyst for U.S. Joint Space Command, Ed fought that war in a simulator and analyzed the results for the command. Additionally, he spent years working National Missile Defense and Homeland Security research and development. Ed helped develop the prototype command launch center for the Army's Strategic Missile Defense units in Alaska and California. Later, as a civilian Payload Integration Manager, he helped develop and test NMD kill vehicles for Lockheed Martin and Boeing. As a writer, he is proud of being a charter-founding member of the International Thriller Writers Organization.


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De Beers Overall Winner of Sustainability Reporting AwardsOctober 18, 11
(IDEX Online News) – For the second year running, De Beers has been declared the Overall Winner in the ACCA South Africa Sustainability Reporting Awards for its Report to Society 2010.
This is the fourth consecutive year that the diamond miner's Report to Society has been recognized by ACCA South Africa. Both the 2009 and 2010 Report to Society have won the first prize in the Resources category, and won the Overall Winner, Best Sustainability Report.
Announcing the award, ACCA noted that De Beers "remains unmatched" in explaining its approach to sustainability management and reporting. Rating De Beers as "head and shoulders above anyone else," ACCA judge Professor Neil Eccles cited the "overwhelming impression" that reporting is taken extremely seriously by the company.
ACCA has been a driving force in promoting transparency and accountability in reporting on sustainability issues for two decades. The Sustainability Reporting Awards aim to identify excellence and reward innovative attempts to communicate environmental and social corporate performance.
Commenting on the Award, Dr James Suzman, Director of Public Affairs for De Beers, said, "Winning these Awards for the second year is a great endorsement of our commitment to meet the expectations of our many different stakeholders in achieving our commercial goals. It's particularly pleasing to be recognized for our leadership in this area, not only in the mining sector, but across all industries.