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- Gold
- Silver
- Diamonds
- Others
- Antiquities
- Gem Stones
- Custom Design
Items that Russian girls cannot forgive
Items that Russian girls cannot forgive
Tens of thousands of western guys are dreaming about dating and sometimes even marrying a Russian woman. Needless to say it is all because Russian women are particularly various from western people. Russian women can be more feminine and additionally they appreciate the household traditions. They may not be career-oriented and are family-dedicated. Well, a whole antithesis to just exactly what western ladies are. Therefore, there's no shock that males from about the planet have burning aspire to fulfill a bride that is russian.
Most likely, you are picturing in your thoughts the way you're dating Russian females, the method that you're choosing the one that is right a huge selection of Russian brides. If you are utilizing among those online dating sites that provide you with to have familiarized with Russian girls that want to get wedding, you are most likely have actually somebody specific in your thoughts. And undoubtedly you may be imagining your love nest and exactly how great your life that is mutual will.
But, you may not understand how to treat A russian woman? Do you realize just how to treat A russian woman? Before you take women that are russian wedding or perhaps dating Russian girls, either on the web or in real globe, you should understand few things they can not stay, in addition to, few things they can not forgive.
Whining Russian men are ain't no bears. While Russian women dream of their perfect life of housewives or moms, they should work nearly 24/7. Whenever generation by generation guys are raised without daddy numbers inside their everyday lives, they begin females for given. After WWII advertised an incredible number of Russian guys, the number of ladies in Russia became superior. Hence, females had been obligated to compete for, the of males. As a total outcome, competition to obtain a spouse switched ladies to overprotective moms for their sons. Therefore, through the very very early years Russian guys are ruined with feminine attention. & Most of them are whiners.
Before you begin your on line or genuine activities that are dating you will need to evaluate your self. Are you currently totally pleased along with your life? Exactly exactly exactly How complaints that are many you've got?
Because, you unfair and you're not if you think that the world is treats the worker associated with only because your boss is a jerk, maybe that yearemancipated western girl is much better. She got accustomed your whining, 'cause she understands that males do cry and additionally they do whine a great deal.
If you'd like to take up a relationship having A russian woman – just forget about whining. Russian ladies can not stay it plus they've heard all of it before from their comrades that are male. In relationship with a girl that is russian should be definitely masculine. Show her, as possible care for her. Show her, that you could protect her.
Ignorance Russian girls are very smart and, primarily, they understand even more concerning the globe than you realize about Russia. Really, they could let you know one thing regarding the country which you never ever knew. If you happen to be Russia to go to her, never begin your discussion from the very first date with expressing your shock that anything you've heard before was not true. Yes, bears are maybe perhaps not walking within the roads of Moscow and individuals aren't vodka that is drinking usually while you thought. More over, balalaika just isn't utilized as much in Russian pop-songs while you may think. You might show your admiration of the good thing about Russia, she would definitely appreciate that.
If you need a fruitful relationships with a girl that is russian desire to put a marriage band on https://brightbrides.net/ her behalf hand, your muscle tissue aren't the best way that you can seduce her. Make, at the least, a quick research on Russia, it is history and tradition. Shock her with her knowledge.
Showing your understanding in Russian tradition, will highlight through the most readily useful part. She shall get certain, which you have actually severe intentions which go much further than spending few evening with a doll that is russian.
Now allow imagine, you are already in a relationship with A russian woman. No matter are you currently still online or your love moved to the real globe, you can find few items that Russian woman will never ever forgive.
Using her for given Yes, you have crossed one thousand kilometers when it comes to very first date with her. Yes, you do spend on her behalf. But, if you begin using her for issued, this means that financial component overshadows the part that is romantic of relationships. Such an mindset is unforgivable. And you will need certainly to sweat over thinking ways to get a lady to absolve you.
Lies When there is one point that Russian and women that are western in common, is they can not forgive lies. Particularly, in the event that you lied about one thing severe. It is usually safer to be truthful, specially having a girl that is russian. a small scandal will cause less harm, than lies, because in the course of time She shall discover. In the event for those who have lied and she understands that you've got lied, never ever assert that on yours "truth". There clearly was just one means steps to make a Russian woman to absolve you for lying. Russian girls hate when guys operate far from problems in the place of re re solving them. Yet again, that they had an adequate amount of by using bears and balalaikas. Russian males re re solve issues by operating away to drink vodka. With her and talk if you want her to forgive you – stay within the situation along with her.


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Supported by Workforce Singapore, companies enjoy 70% funding support for consultancy (up to 100 hours per project) under the SAPPHIRE grant or SNEF Digital grant.
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subset: commoncrawl


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City council rode a wave of perceived public opinion early Tuesday morning, voting against a resolution to study fluoridating Thunder Bay's water supply. An option to bring the matter before citizens as a plebiscite was also turned down.
"We can educate people on nutrition, proper oral care…those are the steps that I'm prepared to take first," said Coun. Trevor Giertuga. "I personally don't want it in my water."
While Giertuga said calls and emails from the public were three to one against flouridation, Mayor Lynn Peterson said it was more like 10 to one. Peterson voted against the resolution due to environmental concerns and personal choice.
"My issue is 2 million pounds of (flouride) being washed through our system with only one per cent being consumed (by the public), "said Peterson. "The rest being flushed into the Great Lakes."
Council heard deputations supporting the resolution from more than 10 public health officials from across the province. Ontario Dental Association president Dr. Ira Kirshen, Chief Dental Officer for Health Canada Dr. Peter Cooney and Royal College of Dental Surgeons of Ontario president Dr. Frank Stechey all spoke at the meeting to convince council of the benefits of fluoridated water.
"I sit here dumbfounded that you don't listen to the experts that you hire," Stechey told council. "Your public health officials are telling you this (fluoridating water) is the way to go."
Thunder Bay District Health Unit officials have been actively campaigning to get the city's water supply fluoridated since 2007. Three officials from the health unit spoke to council regarding the safety of fluoride and the urgency in which it's needed for the local water supply.
"The oral health of Thunder Bay's children is poor and it's getting worse," said the health unit's Cathy Farrell. "We're well above red flag levels for tooth decay."
City administration said the matter could still be put to a plebiscite if a petition can be signed by 10 per cent of the city's voters; over 8600 signatures. The meeting lasted until 2:40 a.m. Council deferred other matters until Tuesday evening.


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De Heuvel
Reflecting a trend that has seen shopping centres worldwide struggle with declining visitors, the Heuvelkwartier presents one vision of how the future of these ubiquitous buildings could look. The proposal radically transforms Eindhoven's Heuvel shopping centre into a green cultural quarter. On its roof, the design features not only a park, but also a stacked cultural building under a "glass mountain".
- Location
- Netherlands
- City
- Eindhoven
- Year
- 2021
- Surface
- 27000 m²
- Client
- CBRE Global Investors
- Status
- In progress
- Themes
- Leisure , Mixed use , Transformations , Urbanism , Culture
The project is the result of an agreement made in 2020 between CBRE Global Investors, the municipality of Eindhoven, the province of North Brabant, the Muziekgebouw Eindhoven, and VNO-NCW to develop a sustainable solution for the outdated Heuvel shopping centre and the Muziekgebouw, a music venue located in the existing shopping centre.
In MVRDV's vision, the Heuvel will be transformed into an urban quarter where shopping, culture, and recreation take place in the same location. The existing buildings will be expanded and broken open so that they better connect with the surrounding public spaces and cultural buildings of Eindhoven's inner city. The covered passages of the shopping centre are replaced with open streets, making the quarter an active part of the life of the city, while the roofs are accessible and green, creating a park that adds to the area's attractiveness.
Above the existing Muziekgebouw will be a stacked cultural building under a "glass mountain". This mountain – which visitors can climb for beautiful views of the city – creates an eye-catching landmark for the Heuvel, and makes the quarter an important contribution to the densification and greening of central Eindhoven. It also creates additional space for the Muziekgebouw, allowing the venue to adopt a broader programme. The ambition is to turn the Muziekgebouw into a living room for the city: during the day, Eindhoven residents will be able to stay in the building's foyers to work or relax. With this new mix of functions and the much broader programme offering, "Het Heuvelkwartier & De Muziekberg" ("The Hill Quarter & The Music Mountain", as the proposal has already been christened) will draw Eindhoven residents in greater numbers.
"Culture makes a city attractive, and a city as fast-growing as Eindhoven deserves a central music venue that is more visible", says MVRDV founding partner Winy Maas. "Our vision is an open and accessible shopping, residential, and cultural quarter. We achieve this by radically opening up the existing buildings, transforming the complex into seven new city blocks, and expanding upwards from the roofs. Our goal is to make the complex attractive again for all the people of Eindhoven who want to shop and go out, while at the same time ensuring interaction with the inner city. In our vision, the area will have a totally different allure."
- Architect
- Founding Partner in Charge
- Director
- Design Team


text: Sports / yacht race Insane-Sounding Ocean Race 'Round the World Has Begun Some of the contenders in the Clipper yacht challenge have zero experience By Jenn Gidman, Newser Staff Posted Aug 31, 2015 4:00 PM CDT Copied The yachts of the Clipper Round the World Yacht Race pass under Tower Bridge in London yesterday. (Chris Ison/PA via AP) A competition deemed "human will against nature" by its founder (the first person to ever sail, solo, nonstop around the world) officially kicked off today in London, with a motley assortment of mostly run-of-the-mill folks vying to win the 40,000-nautical-mile contest that will reach six continents, NBC News notes. The contenders for the Clipper Round the World event, featuring 12 teams racing on 70-foot Clipper yachts (each fortified with an expert skipper), range in age from 18 to 74 and include a Muslim woman who needs to pray five times a day, a deaf British man, and a 68-year-old woman who's been building muscle strength via pole-dancing (she's the one on her crew designated to ascend the mast to fix the sails). Perhaps most surprising: A good number of the 700 competitors—NBC pegs it at 40%—have zero sailing experience; two South Africans in the race had never even seen the ocean before joining (all contenders undergo training before the race). story continues below All of which sounds frightening when you consider the dangers and grueling regimen of the race, finishing up in London next July. Contenders can expect little sleep, extreme discomfort, and an enormous amount of required energy—NBC says they'll each burn about 5,000 calories a day. They'll also sleep tied into their beds (when yachts are booking, they tilt at 45-degree angles), and they'll only bathe when it rains. There's also the very real risk of falling into Poseidon's clutches. "The sea does not distinguish between Olympians or novices," the site reads. "There is nowhere to hide—if Mother Nature throws down the gauntlet, you must be ready." It sounds like competitors are up for the task. "They've come up with loads of ideas to support me," Gavin Reid, the deaf UK man, says of his teammates. "One of my crew members came up with the idea of glow-in-the-dark lipstick so I can lip-read at night." (Too extreme for you? Try chugging four beers while running a mile.)


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Request for inspection of Petzl low-stretch kernmantle ropes
One of our clients found 2 critical defects on his Petzl low-stretch kernmantle ropes. To date, no other client has reported similar defects to us, and no accident or injury is known. Please read the information below and, if necessary, inspect your ropes.
July 21 2020
If you are in Canada, please click here.
If you are in USA, please click here.
If you are in other countries, please click here


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There is no excerpt because this is a protected post.
Mark Buckshon is president of the Construction News and Report Group, which publishes regional and national construction periodicals and websites in the U.S. and Canada. He also writes for his daily blog Construction Marketing Ideas, and has taken a moment now to share his insight with marketing for the AEC community.
VT: How did you get into Construction Marketing?
MB: I have a background in journalism. In 1989, after attending a then-large new local construction trade show in Ottawa, Canada, where I live, I thought there might be a market for a regional construction industry publication. I didn't really know anything about the industry then, but I have certainly learned much over the past 25 years. We now publish regional and national publications in Canada and the U.S. I started the blog when I realized that many businesses were purchasing advertising in our publications without knowing the least bit about effective marketing. It now serves a much wider audience.
VT: Since starting the Construction Marketing Ideas blog less than a decade ago, in what ways have you seen it make an impact for your readers?
MB: The blog turned out to be the first continuously-published blog focusing on architectural, engineering and construction marketing. It has opened up ideas and minds for marketing concepts and approaches. The annual Best Construction Blog competition, which started four years ago, highlights innovative blogs that have been successful for marketing. Nominations for the 2015 competition will open in December at ConstructionMarketingIdeas.com
VT: What creative marketing techniques are most effective in the construction industry?
MB: The simplest, and most effective, results occur when businesses provide a great client experience – and then connect with current and former clients for referrals and repeat business. Unfortunately, too many construction businesses proclaim: "We offer great customer service" – when the customers, not the company, need to say this (through genuine written and video testimonials).
Yes, many successful businesses in this industry passively rely on repeat and referral business. The repeat/referral volume certainly indicates the client experience has been successful, but the passive approach leaves incredible (and truly inexpensive) marketing capacity on the table. Conversely, an active, creative approach to encourage repeat and referral business includes developing events, programs and systematic processes.
VT: Do you have any examples of marketing working really well in this industry?
MB: There are some excellent examples of repeat/referral marketing initiatives such as this somewhat old, but still relevant, story about Maryland contractor Hopkins and Porter, which generated $375,000 in sales for a $2,000 investment when the company celebrated its 25th anniversary. The offer of some free handyman services in exchange for a lawn sign created good-will and incredible business volume. There are other stories like that out there, as well, including a Toronto contractor who scheduled a client-thank you dinner at an expensive restaurant, with a pre-dinner reception for the clients to bring/introduce their friends. That one I think cost a bit more than $2,000 but revenues reached $500,000 or more.
In the non-residential sector, the stories are more subtle. I don't think contractors win multi-million public works projects through advertising and overt marketing, but through the effective personal relationship building, solid RFP and bidding go/no-go rules and effective client-focused association participation. There's a wealth of information from the Society for Marketing Professional Services (www.smps.org), which I encourage marketers to join.
VT: What do you like most about what you do and why?
MB: When I was a young adult, I set out to learn a bit about the world, and achieved my goal of becoming a foreign correspondent by living as a journalist through the end of the Rhodesia/Zimbabwe civil war. I've retained my passion and interest in journalism and by discovering and learning new things, and sharing these observations with the community. I have the opportunity to learn new things every day.
VT: What's the number one "don't" that you have for construction businesses and their marketing strategies?
MB: I've published three "don'ts" as a free offer for anyone requesting a subscription to the no-charge weekly Construction Marketing Ideas newsletter. Simply put, they are wasting money on ineffective "charity" advertising, failing to have an adequate website and social media presence, and finally, believing that you don't need to market because you rely on word-of-mouth and referrals. You can get more details at this link: 3 "Don'ts" from Construction Marketing Ideas
To learn more about marketing ideas for AEC businesses, check out Mark Buckshon's website CONSTRUCTION MARKETING IDEAS , or contact Mark directly at: [email protected].
There is no excerpt because this is a protected post.
November 13-15, 2023 Autodesk University 2023: The Design & Make Conference Are you ready to join thousands of innovators at the Design & Make Conference? Autodesk University 2023 is the …
What is BIM Services? Building Information Modeling (BIM) software has gained popularity over the past several years as the new standard for the design, documentation, and execution of construction projects. …
Women have made great strides in pursuing careers and leadership roles in construction, but there's more that can be done to boost their numbers in the industry and ensure they …
About The Event https://community.shadow.vc/events/danielle-dy-buncio-event/ Over the last few months, we've witnessed the global pandemic change the way people live, work, and interact with each other. It has forced the acceleration …
Enabling Automation in the Built Environment The building and construction industry is primed for automation. The automatic manufacturing of the "stuff" of a building – the parts and pieces that …


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Within the "vaccine firestorm" that has taken centrestage of late, voracious reporters have vehemently sought to demonise the filmmakers that dare to question the safety of vaccines. These filmmakers (dubbed "babykillers" or "frauds" in the mainstream media), are people who have put their careers and lives on the line to share the truth with the world—and they are finally making headway.
Despite all efforts to censor and divert attention from the true themes within the film, Vaxxed hit theatres this weekend in New York; with sold out screenings illustrating the public will NOT be told what to think. The people will make up their own mind about this documentary.
Del Bigtree, Producer of Vaxxed, encourages all to adopt the same strategy with regards to Dr. Andrew Wakefield, director of Vaxxed. Despite clearly outlining at the Vaxxed press conference that this movie is not about Dr. Wakefield, the media seek to place focus on him, instead of the uncomfortable truths confessed by the CDC Whistleblower within. For more information about the truths uncovered within this film, please read this article.
If you have found yourself at all swayed by the media's allegations in relation to Vaxxed or Dr. Wakefield, please read on, as Bigtree responds to the questions most asked about the movie Vaxxed.
To Those With Questions About The Movie Vaxxed
My name is Del Bigtree. I am the producer of the film Vaxxed: From Cover-Up To Catastrophe. From the moment I started working on this movie people have asked why I would choose to leave my career as a respected producer on the medical talk show, The Doctors, to make a movie with Dr. Andrew Wakefield, arguably the most controversial figure in modern medicine. The answer is I had no choice.
Upon meeting Andrew (who I will refer to as Andy) I was haunted by all of the headlines that preceded him, "Baby Killer," "Father of the anti-vax movement," "The fraudulent Doctor who created a fake paper linking vaccines to autism," "The doctor who performed unnecessary experiments on innocent children," the list went on and on. But when Andy showed me the documentary film he was making about Dr. William Thompson, the CDC whistleblower, I was blown away. The evidence was undeniable. The CDC had lied to the world. It was the most important story of my life. As an Emmy Award-winning medical producer I knew I had the skill to help Andy deliver a documentary about complicated science, but before I could move forward I had to investigate Andy himself.
As soon as I started looking into the facts behind the case against Andy I realized that I had been repeating a lot of bumper sticker slogans about his story that weren't actually true. To begin with I was shocked to discover that Andy never came out against vaccines. WHAT?! What Andy had recommended was that parents vaccinate their children with the single Measles, single Mumps, and single Rubella vaccines instead of the triple MMR vaccine, which many parents were blaming for their child's regression into autism. Seems reasonable enough. More alarming was the realization that the Lancet paper in question clearly states that it does not prove a link between the MMR vaccine and autism. Though the majority of parents in the study and tens of thousands world wide have made this claim, the paper admitted that more studies needed to be done before coming to a definitive conclusion.
I was surprised to find that the allegations against Andy were not initiated by a medical investigator or scientific institution, but by a freelance journalist named Brian Deer who wrote a Sunday Times article in the U.K. that was as scientifically accurate as a gossip column. The General Medical Council in the U.K. then used Brian's imaginative retelling of the story behind the Lancet paper as grounds for a medical trial that ultimately stripped Andy of his medical license.
I had always heard the Lancet paper described as Andrew Wakefield's fraud, but upon actually reading it the first thing one discovers is that there were twelve other co-authors on the paper. The claim that Andy used fake data to create a fraudulent paper is absurd when you realize that among his co-authors were top scientists in their fields who were responsible for performing the tests, outputting the data, and ultimately verifying that it was correctly represented in the paper before signing their names to it. If there was fraud all thirteen authors were implicated. So why is Andy the only one of the 13 co-authors currently barred from practicing medicine in the U.K.? Maybe because he was the only doctor brave enough to ignore pressure from the vaccine manufacturers and the U.K. Ministry of Health to begin larger, more in depth studies investigating the hypothesis that the MMR was causing autism in our children; studies that he never got to finish.
There is also the assertion that the Lancet study had been paid for by a biased outside source, which is easily refuted by following the paper trail that shows all financial contributions for the study were accepted by the Royal Free Hospital after the study had been completed.
Lastly the most disturbing accusation for me was the claim that Andy performed unnecessary procedures on innocent (mentally disabled) children. That sounds horrible until you discover that the parents had entered their children into the study because they were suffering from agonizing gastrointestinal pain and bowel issues in addition to their autism. The "unnecessary procedures" refers to the colonoscopies and intestinal biopsies that were performed by Andy's colleagues. I don't know how a gastroenterologist is supposed to investigate possible intestinal disease without performing these standard tests, but then again, I am not a doctor. And neither is the journalist who concocted this unfortunate obstruction of medical inquiry.
History has shown us time and time again that people like Galileo, who break from the scientific consensus to reveal discoveries like "the earth is not the center of the universe," are often persecuted. I suppose it's one of our great human flaws. Both of these men were essentially tried for heresy. The difference is that the imprisonment of Galileo just meant there would be a delay in the advancement of modern astronomy and physics. In Andy's case we may be responsible for a civilization-ending epidemic of autism that has skyrocketed from 1 in 10,000 to 1 in 45 children in less than forty years and is on a crash course for 1 in 2 by 2032. And still the CDC attempts to set our minds at ease with their official statement "we do not know what's causing autism."
In the Unites States of America we can never allow ourselves to believe that there is a case so sound that we avoid listening to a new witness or shirk our responsibility to investigate new forensic evidence. In the case of the possible link between vaccines and autism we have a new witness in the courageous CDC whistleblower, Dr. William Thompson, and we have new forensic evidence in the documents and data that he has provided us, much of which he claims was destroyed by the CDC.
Ultimately a documentary is not a court of law. It cannot prosecute a case. As journalists and filmmakers we can only reveal information as it is discovered and ask the questions we believe the citizens of the world should be asking. Much of the mainstream media have come out against this film warning people not to see it because it asks uncomfortable questions about the safety of the MMR vaccine. If we cannot ask important questions about the safety of a vaccine then I fear for more than the health of our children, I fear for the health of our democracy.
We should not allow anyone to dictate what we say, what we do, and what we see. You still have the power to make up your own mind. We have made a very important film. It shines a spotlight on damning evidence that the pharmaceutical industry and the CDC do not want you to see. That is probably because they know if you do see it you will find yourself in the same predicament as me for as Einstein said "Those who have the privilege to know have the duty to act."
Del Bigtree – producer of Vaxxed: From Cover-Up To Catastrophe
An interview with Dr. Andrew Wakefield
To learn more about Dr. Andrew Wakefield, please listen to this interview.
A Review of Vaxxed: From Cover Up To Catastrophe
The controversial doc Vaxxed: From Cover-Up to Catastrophe, about the CDC's cover-up of data in a 2004 study that links MMR (Measles-Mumps-Rubella) vaccines to autism, will open your eyes to the corruption of a government agency whose job is to protect public welfare. Dr. Andrew Wakefield, the film's director, combines fair and balanced interviews with sources ranging from parents of autistic children who were harmed by MMR vaccines to politicians, doctors and a former pharmaceutical rep along with archival footage of congressional audio recordings of Dr. William Thompson, CDC whistleblower who called Dr. Brian Hooker, a biologist, to confess that the CDC had covered-up and even manipulated crucial data in the 2004 study. Vaxxed does bring up the fact that Dr. Wakefield was accused of fraud in his 1998 report on MMR vaccines and autism, but he was falsely accused.
Unless you're made out of stone, you'll find yourself deeply moved by the interviews with the parents of children who have been injured by MMR vaccines and show clear signs of autism. The facts presented will enrage you because they show how the CDC knew that MMR vaccines are linked to autism, but did everything in their power to supress that link. You'll learn that, according to the National Childhood Vaccine Injury Act of 1986, pharmaceutical companies cannot be held liable for causing harm to consumers injured by MMR vaccines (in other words: you can't sue them), and that when it comes to scientific testing, MMR vaccines aren't tested as rigorously and thoroughly as pharmaceutical drugs. There are no long-term studies that have tested MMR vaccines nor are there any studies that test non-vaccinated children against vaccinated children. Vaxxed shows you in an easy-to-understand way precisely how the CDC covered-up and manipulated the data from the 2004 study, and what makes that data so crucial for the sake of public welfare to begin with. Even more enraging are the revolving doors between government and Big Pharma: Dr. Julie Louise Gerberding, the former director of the CDC during that study, now works for the pharmaceutical company Merck as President of Merck Vaccines. Merck just so happens to have an exclusive license to manufacture MMR vaccines. Make of that what you will. Not surprisingly, Dr. Gerberding declined to be interviewed. Her silence speaks louder than words, though.
Big Pharma seems like a pimp while government agencies such as the CDC and even the mainstream media are essentially Big Pharma's unctuous prostitutes. Learning about the CDC's conscious decision to undermine public welfare reminds me of what Hannah Arendt wrote about the banality of evil. Many members of the CDC are merely following orders and don't even consider the option of subversively criticizing the "party line" like Dr. Thompson dared to do so bravely.
How is the CDC's cover-up not a crime against humanity? If there were any justice in this world, they would be tried in the Hague. If there were indeed a Nuremberg-like trial for the CDC, it's doubtful that the excuse "I was just following orders" would be accepted. Better yet, there should be mandatory mental health assessments for all government agencies as well as politicans. Just imagine if Donald Trump were to undergo a mental health assessment! I wouldn't be surprised at all if Narcissistic Personality Disorder were a common mental illness found in our government.
Regardless of where you stand on the issue of vaccines, Vaxxed will ultimately change the way you look at vaccines and the CDC as long as you're a critical thinker who's open to new information and not a "Good German." To be fair, though, the doc doesn't highlight the difference between two kinds of vaccines: vaccines that contain adjuvants and thimerosal, a preservative that contains mercury, and live, attenuated vaccines that don't have any adjuvants and preservatives, but that's a minor, forgivable issue that can be solved once you do more research and ask questions after watching the film.
Prepare to be concurrently enlightened, alarmed and enraged. Instead of seeing vapid junk like Batman v. Superman (which is part of America's "bread and circuses"), see this important exposé and then decide for yourself whether or not it's worth the risk for you and your children to be injected with an MMR vaccine. Cinema Libre Studio opens Vaxxed at the Angelika Film Centre. The NYC Movie Guru
Support Vaxxed The Movie here:
image credit: Brant Brogan


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CHICAGO (WLS) -- Swapping out old light bulbs for more efficient light bulbs is just one of the energy-saving changes cutting the city's yearly energy bill by $1.5 million.
The city made changes, including the bulb swap, to more than 100 public buildings through Retrofit One. The program aims to cut its energy bills.
City officials said the energy savings are equal to taking 2,900 cars off the road each year.


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We're just barely into the new year, plenty of time for us dinosaurs who still write checks to date them 2019.
Are you already picking up on all the vision/visual/eye references to 2020?
Strap yourself in, Friend!
I am in it to win it this year.
For us check-writing dinosaurs, 2020 WAS the future. I started my career as a graphic facilitator in 1996, supporting change management workshops at Ernst & Young. When we gave our participants the task of envisioning the future, 2020 was their target.
It felt far away.
Until it wasn't.
I'm primed for 2020 and so excited for all visual thinking nerdery I'll be bringing you this year.
Over the past few years, my 20-year-old site had become a bit of a Frankenstein's monster. I launched in 1999, blogged from 2000 to 2007. Some hunk of malware screwed up my blog archives, but I was speeding ahead too quickly to go back and fix them. I collected a mile-long graphic facilitation portfolio. When I started publishing books in 2012, my work shifted and that section collected about 3" of digital dust.
My site's structure got to feeling a lot like this motel sign outside of Madison, Wisconsin in 2003:
(Friends and I stayed here on a road trip. Really not a clean room. *shudder*)
Instead of designing a new, enticing sign with all my own version of "cable TV" and "AIR CONDITIONE," I just kept adding to the old one. In 2016, I began building online courses using a platform called Kajabi. I was building great stuff in the "courses" subdomain of my site, as the rest of my site contined to patina... nah... it rusted.
In the last days on 2019, I finally demolished the old sign, made new handmade graphics and made my new site my WHOLE site.
It's a bit scary letting go of the old archives, but I for one am ready for more clarity.
I may not have been maintaining my site well, but I was building a big body of work about visual thinking. It's all accumulated. It's all part of a whole. I'm happy and proud that this year I'll be looking back and pulling older ideas and models into new pages, and to create new articles to help you be a stronger and more confident visual thinker.
And if you think visually professionally, specifically as a graphic facilitator, graphic recorder, or scribe, there's a lot of good stuff coming up for you.
I've been transitioning my own business from being the one person in the room drawing for a group of people, to now teaching everyone in the room how to draw out their own ideas.
As I work less as a graphic facilitator, I'll be writing articles and shooting video geared towards clients who hire graphic facilitators. To use my 23 year of experience to help you have a better experience on your project working with a visual practitioner.
I see more and more commodification in our field, but when you know more about the powers of graphic facilitation, and you find a skilled graphic facilitator, a valuable partnership is possible.
I am here to help with my past and future visual thinking and graphic facilitation resources.
Don't miss any of the newest free resources, first access to events, and special offers. I invite you to sign up for my newsletter.
Brandy sends you both the latest AND the greatest every 1-2 weeks.
I created a visual (quelle surprise!) to celebrate this year of:
Over the year, I'll be posting visual thinking prompts over the course of the year, using this image:
Because I preach process over product, I made two down-and-dirty videos documenting my drawing.
The first is inking my pencil sketch using a lightbox. In the second, I share what I did in Photoshop after scanning the drawing.
Thanks for watching!
As I say in the video, let me know in the comments below what you think of these process videos.
Written and drawn by Brandy Agerbeck.
Brandy Agerbeck writes, speaks and teaches about how to use drawing as your best thinking tool. She's the author of The Graphic Facilitator's Guide and The Idea Shapers. Brandy's work lives at Loosetooth.com.
Posted January 2, 2020


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Vice President Yemi Osinbajo (SAN) has said that a concerted action by countries around the world is crucial towards tackling terrorism in the Sahel region, as well as the challenges posed by Boko Haram and ISWAP in Africa.
According to a release e-signed and made available to StarTrend Int'l magazine & www.startrendinternational.com by Laolu Akande, Senior Special Assistant to the President on Media & Publicity, Office of the Vice President, Prof. Osinbajo made this call when he received a delegation of members of Egypt's Parliament (House of Representatives), led by its Honourable Speaker, Dr. Ali Abdel-Aal Sayed Hamad. The delegation also included the Egyptian Ambassador to Nigeria, Assem Hanafy Elseify.
Similarly, speaking on behalf of the government of Egypt, Hamad said Egypt shared the same view as Nigeria that concerted efforts was needed to combat terrorism in the Sahel region.
Prof. Osinbajo, who welcomed the delegation on behalf of President Muhammadu Buhari, noted that Egypt and Nigeria have enjoyed very good relations over the years.
"Since Nigeria's independence in 1960, we've always had friendly relations and cooperation with the Republic of Egypt. We know that this very friendly and brotherly relation will continue."
On the issue of security challenges on the continent, the Vice President urged for more concerted global action to prevent similar escalating situations in some parts of the Middle East as related to ISIS.
He said, "We would want to urge that Egypt joins us in calling upon the world, the international community, to immediately see the need for a concerted action against Boko Haram, Islamic State's West Africa Province (ISWAP), and terrorist groups operating in the Sahel, in particular.
"We think that it is time for that kind of concerted action in the Sahel. And with such concerted action, we believe that we can prevent a situation as seen in some parts of the Middle East where damage to lives and livelihoods was done by ISIS.
The Vice President added that the world should not look away and hope that the problem would disappear, unless world powers come together to tackle it.
"Just as was done in Iraq, where the world powers came together to drive out ISIS, that is the sort of cooperation that we should have now to ensure that we're able to deal with terrorism, especially terrorism in the Sahel," he said.
Prof. Osinbajo also stated that Nigeria would continue to join hands with Egypt in promoting religious tolerance and tackling extreme poverty and challenges to social inclusion.
The Vice President further said Nigeria is open to Egypt for more investments, especially in the agri-business, agro-allied value chain, and also in light manufacturing and other such areas; just as he equally noted that Nigerian companies, particularly in the financial sector and industrial investments, are willing to do business in Egypt if given the opportunity.
In the same vein, the Egyptian Parliament speaker delivered a personal message from President Abdel Fattah al-Sisi to President Buhari and the VP, inviting him for the Africa Investment forum and the inaugural Forum for Sustainable Peace and Development in Egypt in November and December respectively.
The Vice President said he would convey the message to President Buhari. He also said President Buhari would be briefed on the request to mediate in the issue between Egypt and Ethiopia over the building of the Renaissance Dam project on the Blue Nile River.
"I would certainly ensure that I convey the strong feelings of the Egyptian government on this point to our president, President Muhammadu Buhari, and I believe that, within the auspices of the AU, we would be able to reach a just and fair conclusion. I'm sure that he would work within the AU to find a solution that is fair to all parties," the VP stated.
Also, Hamad pledged the full support of the Egyptian government for the candidacy of Nigeria's Dr. Akinwunmi Adesina, who is running for a second term as president of the African Development Bank (AfDB).
The Vice President had earlier stated that he (Adesina) has done quite well in the first team and that he would do better in the second term.
Speaking further, Hamad noted that, "Egypt and Nigeria are two big nations in Africa in terms of population and capabilities. We also pledge to put our expertise to foster and strengthen economic relations, especially in the economic and energy sector."


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Danielle Douglas-Gabriel has the story:
By the time Wayne Tibak graduated from college this spring, he had more than $118,000 in student debt. Then came the monthly payments, $1,700 due every month. Tibak started working two jobs, one during the day at Home Depot and another at night at Wal-Mart. But it wasn't nearly enough to make the math add up…
While in school, he did an unpaid internship with New Jersey governor Chris Christie's re-election campaign. To fit that into his schedule, Tibak cut back his hours at Home Depot and used credit cards to cover expenses. As result, he racked up $8,000 in credit card debt.
Yowza!!! After doing some research, Tibak learned about an Obama initiative that provides flexible repayment plans that let borrowers cap their monthly loan payments depending on how much income they're earning. The result:
After his Google search and a subsequent post seeking advice on Reddit, Tibak asked his loan servicer, Navient, about the repayment options available to him. The company told him he was eligible to have his federal loan payments lowered from $976 a month to $105 a month through IBR.
The article doesn't tell us whether Tibak is still a Christie supporter. But if he is, we all might want to ask him, "So Wayne, what's the Gov done for you lately?"


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Bamboo Cotton Muslin Swaddle
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Let's face it, you don't want to be waiting for your one sheet set to dry? Why not check out the other designs we have available and purchase multiple so you have enough in rotation.


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Trains are now operating back as the Ampang Line and the Sri Petaling Line, with both lines plying the shared sector between Sentul Timur and Chan Sow Lin. There is no more need to change trains at Chan Sow Lin if you are travelling to and from the shared sector.
From 17 July 2016, passengers travelling from Sentul Timur to Ampang will need to change trains at Chan Sow Lin. How can this be actually good for everyone? 1. Not everyone needs to change trains. With the split of services, the line between Sentul Timur and Putra Heights is now known as the Sri Petaling Line, and the line between Chan Sow Lin and Ampang is now knows as the Ampang Line. Only those travelling on the Ampang Line need to change trains. 2. No more changing of trains at Sri Petaling. With the split of services, the line between Sentul Timur and Sri Petaling is also now on the same new signalling system as the extension to Putra Heights, allowing Sri Petaling Line trains to run straight through. No changing of trains at Sri Petaling anymore! 3. New trains are now running into the city centre. The new AMY trains will make commute along the Sri Petaling Line more comfortable, with better air-conditioning, individual seats and improved passenger information system. 4. Transferring is very easy.
Click on the image to enlarge. As compared to older interchanges in Kuala Lumpur, Chan Sow Lin is extremely easy as trains will stop parallel to each other, and you only need to walk across the platform to make your transfer – that's less than 20 footsteps. And no, there is no increase of fares with the split in services as the RapidKL fare structure is integrated seamlessly across all lines operated by them, meaning you get charged by the total distance travelled and not by the number of times you change trains. To travel from Sentul Timur to Ampang and vice-versa:
Click on the image to enlarge. To travel from Putra Heights to Ampang and vice-versa:
Click on the image to enlarge. If you are travelling from Ampang:
Click on the image to enlarge. 5. The whole line's capacity has the potential to be doubled now. Contrary to many comments saying that trains will be more crowded now with the transfer, the split of services makes the whole line capable of running twice as many trains as compared to when the lines were shared between Sentul Timur and Chan Sow Lin, meaning there is potential to actually be less crowds on the train in the two branches.
Click on the image to enlarge. Assuming a headway of 2 minutes, if the line were to operate on the old method of sharing the line between Sentul Timur and Chan Sow Lin, the headway on both branch lines will be halved at 4 minutes as each train has to alternate from the main line.
Click on the image to enlarge. Assuming a headway of 2 minutes, if the line were to operate on the new method of running independent lines, the headway on the whole network will remain at 2 minutes as each train does not have to wait for another entering from a different line and sharing the same track. The whole network enjoys the higher 2 minute frequency, and capacity is doubled on the 2 branch lines. *This is just a theoretical explanation by RailTravel Station and not representative of the frequency that RapidKL may run their trains at. which means… 6. No more boarding the wrong train. With the split in services, there is no more shared sector between the Sri Petaling and Ampang Lines, so you definitely know that you are getting on the right train now – since it's the only direction. Gone are the days where you have to look out for the train's destination on the platform or train itself, or unsure whether to run in to a train that's about to depart and having to ask fellow passengers about the destination of the train. Even worse when there's no announcement at Chan Sow Lin and you actually get on the wrong line. And since you always get on the first train that arrives… 7. Total waiting time is now shorter. Now that you don't have to wait for the next train at the platform when the current one is not going to your destination, your waiting time of the train becomes shorter. On top of that, the frequency of both lines at Chan Sow Lin will almost match each other – you won't have to wait for a frequency of 2 trains now if you miss one! On a good day, which is everyday, just hop across the platform at Chan Sow Lin where a train is waiting for you already! Travelling on the Sri Petaling and Ampang Lines now will be easier and potentially faster. Remember to cross over to the middle platform for the train to Ampang!


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Side Heading
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Thuya occidentalis 'Smaragd'
A handsome pyramidal tree that is excellent to provide good vertical accent in landscape projects. It has rich green foliage with fresh green tips, in fan-shaped clusters. Excellent as a specimen or hedge. Very hardy and reliable. Great for formal gardens, and shelter.
Species occidentalis
Cultivar 'Smaragd'
Pyramid arborvitae
North American
4 m
1 m(expected growth in average NZ conditions in 5 to 10 years)
Grows in most soil types
Tolerates wet soils
Grows in sun or semi-shade / Tolerates coastal sites / Tolerates exposed sites. / Will tolerate very hard frosts.
Immaculate / Magnificent / Sanctuary / Structure / Texture
Medium 10 to 18 metre.
We have this currently available in a PB 28 container. Ask for it at your retailer.
Where to buy our plants
Where to buy our plants


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COVID-19 (2019 Novel Coronavirus)
COVID-19 Vaccine Messaging Resources
- COVID-19 Vaccines FAQs for Patients and Physicians. Regularly updated information about the COVID-19 vaccine in a format that can be printed and shared with patients and physicians. The most current versions will always be accessible via these links:
- COVID-19 Vaccine: Physician FAQs: https://www.ama-assn.org/system/files/2020-12/covid-19-vaccine-physician-faqs.pdf
- COVID-19 Vaccine: Patient FAQs: https://www.ama-assn.org/system/files/2020-12/covid-19-vaccine-patient-faqs.pdf
COVID-19 Vaccine Resource Center. The AMA is featuring this prominently on our website to curate clinical vaccine guidance from the FDA, CDC and other health organizations to help combat vaccine misinformation. We will be frequently updating this resource.
- We have built a multi-channel marketing communications #VaccinesWork campaign to provide physicians and patients with education and tools on the science and safety of vaccines. We urge physicians to take the pledge to #MaskUp and get the #COVID19Vaccine and get new materials pushed to their inbox as soon as they become available.
- We have also produced, in partnership with the FDA and CDC, multiple What Physicians Need to Know webinars on the topics of vaccine safety, supply and distribution, which have reached thousands of physicians.
(Listed alphabetically)
CMS COVID-19 Information and Updates
CMS Emergency Waivers - Including Audio Only Pay Parity
CMS: Re-opening for Non-emergent Non-COVID-19 Healthcare: Phase I
COVID-19 Business Impact and Assistance Information MMA 5.2020 4.3.2020
COVID-19 Frequently Asked Questions | American Medical Association
COVID-19 Frequently Asked Questions | Maine CDC
COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing UPDATED 8/7/2020 (previous versions 5/1/2020 and UPDATED 6/19/2020)
Fact Sheet: Repayment Terms for Accelerated and Advance Payments Issued to Providers and Suppliers During COVID-19 Emergency 10/8/2020
FAQs Accelerated and Advance Payment Repayment & Recovery Frequently Asked Questions 10/8/2020
Fact Sheet: Expansion of the Accelerated and Advance Payments Program for Providers and Suppliers During COVID-19 Emergency
It's About ME flyer Safe schools are our community responsibility - let's work together.
Maine Bureau of Insurance Information
Maine Centers for Disease Control
Maine CDC Health Alert Network System
Maine DHHS COVID-19 Guidance for Health Care Providers
Maine DHHS Hand Sanitizer Guidance 031920
Maine DHHS Standing Order for Pharmacy for Hand Sanitizer 031920
Maine State Lab Updated COVID Specimen Guidelines
Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) SE20011 Revised June 1, 2020
Medicare Part B Billing for the COVID-19 Vaccine and Monoclonal Antibody
MGMA COVID-19 Recovery Center *login required
SBA Business Interruption Loans Information (Section 1102 of CARES ACT)
SBA Disaster Assistance Maine Small Businesses March 2020 English Spanish
SBA Participating Maine Lenders
Telehealth Services Medical Fee Schedule
Telehealth AMA Resources:
AMA Telehealth Implementation Playbook
AMA Quick Guide to Telemedicine in Practice
Telehealth Handout Medicare CMS May 2020
Telehealth Vendor Options (Massachusetts Medical Society)
U.S. Centers for Disease Control and Prevention
U.S. Chamber of Commerce Emergency Loans Small Business Guide and Checklist
Why Don't We Do It In Our Sleeves? (Video)


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Miguel Miranda is the founder of 21st Century Asian Arms Race. He frequently writes about modern weapons and the different conflicts being fought across the world today. He also runs the Twitter account @21aar_show to scrutinize arms fairs and military/security conferences. Divergent Options' content does not contain information of an official nature nor does the content represent the official position of any government, any organization, or any group.
Title: An Assessment of the Iranian Ballistic Missile Arsenal and Regional Preparedness
Date Originally Written: September 17, 2018.
Date Originally Published: October 8, 2018.
Summary: As battle lines are drawn across the Middle East, the U.S. is sinking deeper into a protracted struggle with the Islamic Republic of Iran. But any plans to confront the neighbourhood's penultimate rogue actor don't acknowledge its single greatest capability—an enormous ballistic missile stockpile that can strike the capital cities and military bases of its enemies.
Text: In August 2018, Iran's defence ministry unveiled two new weapons. One was a long-range air-to-air missile called the Fakour[1]. The other is the latest addition to the Fateh-series of short-range tactical ballistic missiles called the "Fateh Mobin[2]."
Then in September 2018, a barrage of Fateh-110B missiles launched from northwestern Iran struck a target 200 kilometres away in Iraqi Kurdistan[3]. Although condemned by press statements, the Iranian Revolutionary Guard Corps' (IRGC) attack on a Kurdish militant base had zero repercussions from a docile Iraq. The Gulf Cooperation Countries (GCC) countries struggling to defeat the Houthis in Yemen are in the same pickle. Try as they might, continuous Iranian support for the Houthis means regular launches of guided and unguided munitions aimed at Saudi Arabia and the United Arab Emirates (UAE).
Iran's missile activity is reason enough for the U.S. Department of Defense (DoD) to start thinking about anti-ballistic missile defences in the region. After all, DoD outposts in Eastern Syria are very close to local Iranian proxies. Meanwhile, the Iraqi Popular Mobilization Units or PMUs controlled by Tehran have quietly acquired large diameter battlefield rockets and perhaps a few missiles[4]. Keep in mind, DoD air defences are legacy "platforms" such as the Avenger ADS and the MIM-104 Patriot. Neither legacy platform is suited for intercepting large diameter rockets, much less current generation ballistic missiles. Then consider the almost two dozen DoD bases in the Gulf and the Levant. What protection do they have from Iranian missiles?
Since 2000 at least two new large diameter rockets or ballistic missiles are unveiled each year by the Iranian media, who are complicit in spinning these as homegrown "innovations." While it's true some Iranian weapons are blatant fakes[6], there are two niches where Iran's state-owned military industries excel: drones and missiles.
Iran's obsession with missiles dates to the war against Saddam Hussein's Iraq from 1980-1988. Towards the end of the bitter conflict an exhausted Iraq launched its Scud A rockets at Iranian cities[8]. With its air force crippled by attrition and a lack of spare parts, Iran's war planners concocted an elaborate scheme to acquire the same capability as Iraq. In an arrangement whose details remain muddled, Libya's Muammar Gaddafi, Syria's Hafez Assad, and North Korea's Kim il Sung all agreed to supply Iran with hand-me-down Scud B's after years of selling conventional weapons to Tehran.
As both Iraq and Iran endured economic sanctions in the 1990s, Tehran kept spending vast sums on its missiles because its airpower and naval fleet had atrophied. Since the advent of the first domestically produced Shahab missile, which was modelled after a North Korean Scud C variant called the Nodong/No Dong[8], Iran persisted in improving its conventional missiles on top of an immense rocket artillery arsenal. Imitating Soviet, Chinese, and North Korean doctrine, both the Artesh (regular army) and the IRGC have a multitude of short, medium, and long-range rockets whose quantity now surpasses those of neighbouring countries. In recent years, only Azerbaijan's bloated defence expenditures has produced an inventory to rival Iran's battlefield rocket stockpile[9]. When it comes to missiles, however, there are no specifics on how many Iran has, but a total above four digits is the lowest estimate[10].
For the reader's benefit, below is an easy guide to Iranian ballistic missiles:
Fateh-100 "family" – Comparable to the Soviet SS-21 Scarab and even the SS-26 Stone (Iskander) surface-to-surface ballistic missiles. Fatehs are made in eight variants, with the Fateh Mobin and the Zolfaqar being the deadliest with ranges of 700 kilometres[10].
Scud C – North Korean Hwasong 6 or "Scud C" missiles with a range of several hundred kilometres. It's assumed Pyongyang also helped build a production facility somewhere in Iran.
Shahab "family" – Introduced in the 2000s, the Shahabs resemble the Scud C 6 but have varying capabilities. The Shahab-3 is considered a nuclear capable medium-range ballistic missile that can reach targets more than a thousand kilometres away.
Khorramshahr – This road mobile medium-range ballistic missile (MRBM) is suspected to have been developed with North Korean assistance and its range covers much of South Asia and the Middle East. Analysts acknowledge its resemblance to the Musudan MRBM that Pyongyang showed off in its annual parades until early 2018[11].
Soumar – A land-based variant of the Soviet Kh-35 naval cruise missile. In December 2017 Houthi fighters launched a cruise missile resembling the Soumar at a nuclear power plant in Abu Dhabi. Although the result of the attack is unknown, it proves how Iran can strike its enemies anywhere[12].
Although the U.S.-developed Patriot surface-to-air missile (SAM) batteries are in service with Kuwait, Jordan, Saudi Arabia, and the UAE, these don't count as serious anti-ballistic missile defenses as a layered network is best. So far, only the UAE is close to achieving this layered network with its Terminal High Altitude Area Defense (THAAD) and the Patriot Advanced Capability-3 (PAC-3) batteries complemented by short-range SAMs. Of course, Israel is in a better position to stop Iranian missiles since it built a network for the PAC-3 together with its own Arrow 2/3 long-range SAM, the David's Sling, and the Iron Dome[13].
Remarkably, Saudi Arabia is the most vulnerable to an Iranian missile barrage. Since 2016 not a month has gone by without the Houthis in Yemen sending either large diameter rockets or ballistic missiles into the Kingdom, with successful intercepts by Saudi air defences up for debate[14]. Even with a defence budget considered the third largest in the world, Saudi Arabia's collection of Patriot's won't be able to thwart multiple launches at its major cities and energy infrastructure[15]. Worse, Riyadh's orders for either the S-400 Triumf or the THAAD have yet to arrive[16].
If the Trump Administration is serious about confronting Iran in the region, it's doing an abysmal job preparing for the small and big fights where the IRGC and its proxies can bring asymmetric weapons to bear. Whether or not Gulf allies agree to host a top of the line DoD ballistic missile defense capabilities like AEGIS Ashore[17], genuine layered anti-ballistic missile defences[18] are needed to protect U.S. bases against hundreds of potential missile and rocket attacks by Iran in a future war. Thousands of American servicemen and women are at grave risk without one.
[1] Miranda, M. (2018, July 29). Iran made a big deal about a copycat missile. Retrieved September 17, 2018, from https://21stcenturyasianarmsrace.com/2018/07/29/iran-made-a-big-deal-about-a-copycat-missile/
[2] Miranda, M. (2018, August 14). Iran unveiled a juiced up ballistic missile this week. Retrieved September 17, 2018, from https://21stcenturyasianarmsrace.com/2018/08/14/iran-unveiled-a-juiced-up-ballistic-missile-this-week/
[3] Miranda, M. (2018, September 11) Iran just bombarded kurdish rebels with missiles. Retrieved September 17, 2018, from https://21stcenturyasianarmsrace.com/2018/09/11/iran-just-bombarded-kurdish-rebels-with-missiles/
[4] Karako, T. (2015, August 10). Getting the GCC to Cooperate on Missile Defense. Retrieved September 17, 2018, from https://warontherocks.com/2015/05/getting-the-gcc-to-cooperate-on-missile-defense/
[5] Irish, J. (2018, August 31). Exclusive: Iran moves missiles to Iraq in warning to enemies. Retrieved September 17, 2018, from https://www.reuters.com/article/us-iran-iraq-missiles-exclusive/exclusive-iran-moves-missiles-to-iraq-in-warning-to-enemies-idUSKCN1LG0WB?il=0
[6] Miranda, M. (2018, August 26). Iran military industries are promoting fake modernization. Retrieved September 17, 2018, from https://21stcenturyasianarmsrace.com/2018/08/26/iranian-military-industries-are-promoting-fake-modernization/
[7] Press, A. (1988, March 14). 'War of Cities' Truce Ends as Iraqi Missile Hits Tehran. Retrieved from http://articles.latimes.com/1988-03-14/news/mn-734_1_iraqi-news-agency
[8] No-dong. September 17, 2018, from https://missilethreat.csis.org/missile/musudan/
[9] Miranda, M. (2018, July 12). Azerbaijan is showing off new weapons again. Retrieved September 17, 2018, from https://21stcenturyasianarmsrace.com/2018/06/12/azerbaijan-is-showing-off-new-weapons-again/
[10] Iran's ballistic missile capabilities. (2017, September 21). Retrieved September 17, 2018, from https://www.aljazeera.com/indepth/interactive/2017/06/iran-ballistic-missile-capabilities-170621125051403.html
[11] Iran Inaugurates Production Line Of New Missile. (2016, September 26). September 17, 2018, from http://www.israeldefense.co.il/en/content/iran-inaugurates-production-line-new-missile
[12] Musudan (BM-25). September 17, 2018, from https://missilethreat.csis.org/missile/musudan/
[13] Yemen's Houthis claim to fire missile toward unfinished Abu Dhabi nuclear reactor. (2017, December 3). September 17, 2018, from https://www.japantimes.co.jp/news/2017/12/03/world/yemens-houthis-claim-fire-missile-toward-unfinished-abu-dhabi-nuclear-reactor/#.W56g0_ZoTIU
[14] Defense, I. (2018, February 19). Israel Successfully Test Fires Arrow 3 Missile System. Retrieved September 17, 2018, from http://www.israeldefense.co.il/en/node/33120
[15] Gambrell, J. (2018, March 26). Videos raise questions over Saudi missile intercept claims. Retrieved September 17, 2018, from https://www.defensenews.com/global/mideast-africa/2018/03/26/videos-raise-questions-over-saudi-missile-intercept-claims/
[16] Riedel, B. (2018, March 27). What you need to know about the latest Houthi attack on Riyadh. Retrieved September 17, 2018, from https://www.brookings.edu/blog/order-from-chaos/2018/03/27/what-you-need-to-know-about-the-latest-houthi-attack-on-riyadh/
[17] Saudi Arabia wants Russian help for its arms industry. (2017, October 7). Retrieved September 17, 2018, from https://21stcenturyasianarmsrace.com/2017/10/07/saudi-arabia-wants-russian-help-for-its-arms-industry/
[18] Larter, D. (2018, June 20). The US Navy is fed up with ballistic missile defense patrols. Retrieved September 17, 2018, from https://www.defensenews.com/naval/2018/06/16/the-us-navy-is-fed-up-with-ballistic-missile-defense-patrols/


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- Products Overview
Hub Assemblies
Products Overview
Raybestos® has been a giant in the automotive aftermarket industry for over a century. As an industry leader, Raybestos is committed to manufacturing high-quality brake parts that offer unparalleled performance and safety.
At Raybestos, we are proud of our storied past, but continuously strive to be innovators in our industry. Whether it is the cutting-edge EHT™ Enhanced Hybrid Technology on our premium line of Element3™ friction or the Element3™ Premium New Caliper that's made with 100% new materials and requires no core return, Raybestos is always looking for ways to revolutionize the aftermarket industry and differentiate ourselves from our competitors.
From brake parts to rotors, calipers to hydraulics, Raybestos produces dependable brake parts with expansive coverage. All of our products are extensively tested so you can be sure you are buying a product that is reliable and safe. Rely on Raybestos to deliver brake parts that you can depend on.
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State of the art console management products, complete with Access Control Lists, audited trail, always on non connect port buffering and in network SNMP reporting and OBM monitoring, access and reporting.Accessing, automating and troubleshooting your devices has never been as complete or as easy.
In today's technology landscape we see many customers using a variety of communication and network technologies to keep their business running at peak performance. Therefore, it is important to look to a partner that will help you manage the mix of new and legacy equipment on multi-vendor platforms.
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In today's technology landscape we see many custom
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August 5, 2015 by Arianne Bellizaire
Interior designer Kristin Drohan may have been a new addition to the list of showrooms at the Spring 2015 High Point Market, but she is no newbie to the design industry! Kristin's bold design aesthetic combined with her emphasis on using sustainable materials made her showroom a must-see destination at Market.Here's a quick video of Kristin describing how she designed the uber-popular Denise bed.
Kristin Drohan's work has appeared in print and on-line publications nationwide. Her furniture line, which features a collection of durable, eco-friendly pieces including sofas, sectionals, beds, tables and chairs, is featured in high-end showrooms across the country.
The furniture is manufactured in Hickory, North Carolina using natural, toxic-free materials. In fact, she is one of the first 100 interior design professionals to be certified by the Sustainable Furnishing Council, a coalition of suppliers, manufacturers, retailers and others dedicated to promoting eco-friendly furnishings.
Kristin designed the Denise bed for a client who wanted a French feel with a touch of drama. Sure to be the focal point of any room, this luxurious bed features a seven-foot high headboard and an exposed frame in a dark walnut finish. For her showroom at Market, Kristin covered it in this bold, blue printed fabric that would compliment the Farrow and Ball Cobalt wall color.
Because each piece is customizable, the finish and upholstery material can be changed to your liking.
A few of the buzz-words this Market were MADE IN AMERICA, HIGHLY CUSTOMIZABLE, and SUSTAINABLE.
The Kristin Drohan Collections (and the Denise Bed in particular) fits all three of these categories. Her furniture is not only glamorous, but it is infused with Kristin's desire to create beautiful pieces that are also environmentally responsible.
Kristin has set out to design a collection of products to fill a niche missing from the current market. Her contemporary style also meets the performance needs of sophisticated, active families.
I'd say she is a welcome addition to Market and valuable resource to designers everywhere!
Via Inpired to Style August 5, 2015 by Arianne Bellizaire


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ProAct Services Corp, which is backed by Hammond, Kennedy, Whitney & Company, has acquired Carbonair. No financial terms were disclosed. Based in Roseville, Minnesota, Carbonair is a provider of water treatment equipment and systems.
Indianapolis, IN – ProAct Services Corporation ("ProAct"), a portfolio company of Hammond, Kennedy, Whitney & Company, Inc. ("HKW") announced that it closed on the acquisition of Carbonair ("Carbonair" or "Company") on December 22, 2015. Carbonair, headquartered in Roseville, MN, further expands ProAct's capabilities in renting and selling specialized groundwater treatment equipment for the environmental, petroleum, and construction industries across North America. For additional information on the Company, please visit http://carbonair.com/.
Frank Smiddy, CEO of ProAct, stated, "This is a great opportunity to expand our ability to provide environmental air and water solutions across the United States."
"Carbonair is an exciting addition to the ProAct business, which will further expand the company's geographic footprint and service offering in environmental services," said Mike Foisy, HKW's Lead Operations Partner and Chairman of ProAct's Board of Directors.
About ProAct – ProAct, headquartered in Ludington, Michigan, is an environmental treatment solutions provider focused on removing contaminants from water, air, and soil for clients across the United States and abroad. For additional information on the Company, please visit http://www.proact-usa.com/.
About HKW – HKW is a private equity firm founded in 1903 with offices in Indianapolis and New York. Since 1982, HKW has sponsored 50 platform transactions of lower middle-market companies throughout North America, as well as 56 add-on acquisitions. For further information on HKW, please visit www.hkwinc.com.


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When it comes to pasta, orzo has never been my go-to. However, I was pleasantly surprised at my boyfriend's parents' house when I ate a mouthful of what I thought was rice only to find that it was indeed orzo—with a little twist. It was flavorful, crunchy and incorporated cooked spinach. After asking for the recipe, I was even happier to see that it's ridiculously easy to make. Basically, it's too good to not share.
Prep Time: 2 minutes
Cook Time: 20 minutes
Total Time: About 22 minutes
Servings: 6
1 lb orzo
2 cups spinach
3 tablespoons lemon juice
1/2 cup olive oil
1/2 cup nut of choice (I used almonds)
1 1/4 cup crumbled feta (or to taste)
1/4 cup balsamic vinegar (or to taste)
Garlic to taste
1. Boil orzo in water for 8-10 minutes.
2. Stir-fry spinach and chopped garlic cloves until soft.
3. Drain orzo and cool for 10-15 minutes.
4. Add spinach, garlic, lemon juice, balsamic vinegar and olive oil and toss.
5. Top with nuts and crumbled feta and eat up!


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All NRE reports represent a moment in time. For the most accurate data, please search on the Detailed View page. The website is updated daily, frequently with exonerations that occurred in the past.
27-year-old Lemuel Parrott was convicted of robbery and first-degree murder and sentenced to death in Lenoir County, North Carolina, in 1947. His alleged accomplice, Sam Thompson, was convicted of second-degree murder and sentenced to thirty years in prison. Parrott was exonerated the following year when Thompson provided an affidavit stating that Parrott did not commit the crime.
On the evening of January 31, 1947, 50-year-old Kenneth Taylor was slain while resisting robbery at the bakery where he worked in Kinston, North Carolina. Thompson's second-degree murder conviction came when he confessed to having been Parrott's accomplice in the murder of Taylor. On the basis of Thompson's claims that Parrott had killed Taylor, the jury convicted Parrott at his trial.
On April 14, 1948, the North Carolina Supreme Court denied Parrott's appeal, and Parrott was scheduled to die in the gas chamber on April 30, 1948. However, the week after Parrott's appeal was denied, Thompson, who was serving his prison sentence, admitted that he had fabricated his original statement because the police had threatened him. He signed an affidavit stating that both he and Parrott had been in North Wilkesboro and Winston-Salem on the night of the crime, several hundred miles away. An investigation by the State Bureau of Investigation corroborated Thompson's claim.
On April 22, 1948, Judge John J. Burney granted Parrott a new trial on the basis of Thompson's affidavit, and Parrott was acquitted by the jury at his retrial on September 17, 1948. Despite the new evidence, Thompson's conviction was permitted to stand. In July 1959, Thompson was paroled despite his perjury charge for false testimony because he had already spent so many years in prison.
- Researched by Carling Spelhaug
The National Registry of Exonerations is a project of the Newkirk Center for Science & Society at University of California Irvine, the University of Michigan Law School and Michigan State University College of Law. It was founded in 2012 in conjunction with the Center on Wrongful Convictions at Northwestern University School of Law. The Registry provides detailed information about every known exoneration in the United States since 1989—cases in which a person was wrongly convicted of a crime and later cleared of all the charges based on new evidence of innocence. The Registry also maintains a more limited database of known exonerations prior to 1989.
We welcome new information from any source about exonerations already on our list and about cases not in the Registry that might be exonerations.
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The Missionary Outreach Office teamed up with FOCUS missionaries on Feb. 4 to host a workshop to teach Franciscan students how to give an effective testimony.
At the request of Rhett Young, director of Missionary Outreach at Franciscan University, a group of FOCUS missionaries gave a presentation on "How to Give Your Personal Testimony in Under Three Minutes." The workshop, open to all students, was meant to help those in SENT Ministry and those going on Missions of Peace.
FOCUS missionaries Nathaniel Binversie, Mary Adam, Steven Loya and Erin Sarotte gave practical tips to help students give a powerful personal testimony quickly, in everyday situations on campus and on mission. The missionaries stressed the importance of showing the love of Christ in testimony, so that the seed of the Gospel message can be planted in hearts.
Adam gave the four essential steps of a personal testimony: life before a personal encounter with Christ, a concrete moment of encounter, life transformed by a personal encounter and an invitation or challenge to the listener.
Adam said that most importantly, a testimony should be Christ-centered.
Loya said that it is important to remember that a personal testimony is meant to show Christ's love, not instantly convert.
"You're not the savior," said Loya. "Let Jesus Christ work through you and for you."
Loya spoke about the importance of building a friendship with the person listening to a testimony. He said it is crucial to love people where they are at and to listen, not just talk.
An important part of giving testimony is challenging people to come to Christ, said Loya, but he continued that whether someone is open to conversion or not, a testimony is "where you really get to love (someone)."
In addition to talks, the workshop included skits by the FOCUS missionaries and time to practice and ask questions.
Binversie addressed a question from the crowd about the best way to invite someone to pray for openness, saying that there is no way to avoid a little awkwardness.
"Eternity is worth the awkward," said Binversie.
Senior Grant Bright said that he thought the workshop was helpful in learning how to give a testimony.
"(It's a) very practical way to help Catholics go into the world," said Bright.
"It was helpful and inspiring," said junior Leah La Fon. "I'm ready to be sent out and show the love of Jesus Christ."


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Located in Historic Downtown Goldsboro, Barrique presents a unique experience of fine wine & dining
Barrique is an upscale casual restaurant featuring quality Angus steaks, fine wine, and barrel aged whiskeys. We are located in the rapidly expanding Downtown Goldsboro, NC.
Barrique is a venue where all can come and celebrate life through dining, craft cocktails and wine selections from throughout the globe. Barrique, being the French term for wine barrel, features two levels of dining and entertainment. On the first floor we feature a wine cellar where wines can be purchased for retail and in-house consumption. Enjoy our beautiful wine bar to dine or enjoy a wine tasting. Dinner hours (5 to 10) features a boutique steakhouse dining experience along with produce and pork from local, sustainable farmers. Fresh seafood from the North Carolina coastline rounds out the dinner menu.
Our second floor hosts the 18th Amendment Lounge featuring a bar, lounge, and table service where barrel aged craft cocktails and whiskeys showcase the enjoyable benefits of oak treatment. All barrel aged craft cocktails have a minimum of 21 days rest, then bottled and ready for guests consumption. We offer Lounge seating for a fun and intimate evening with friends. Enjoy our pre-prohibition menu created just for the 18th Amendment Lounge!
A lovely covered pet-friendly back patio is available for those wishing to enjoy the outdoors while they dine and enjoy a beverage.
Barrique's ambiance and décor flows with the industrial history of the business once occupying the building. Come see our "Ghost" wall! The building was designed by the award winning renovation company, Blue Yonder Properties, in coordination with David Maurer Architecture and Billy Brock Construction.
Gift Cards are available in increments of $25! Support your local restaurants by purchasing gift cards now for use later!
10% off of your meal everyday!


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Brea Spring Cleaning and Summer Roof Check
Brea Spring Cleaning & Summer Brea Roof Check Spring is still lingering around and Summer is around the corner. Now is the time to do some around the house checking. Especially checking for any maintenance needs and take a look at your brea roof. This is the time that many homeowners consider home improvement and…Details


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medwireNews Hot Topic Reviews provide up-to-date overviews of fast-moving areas of research in order to help healthcare providers keep abreast of the latest developments that may influence patient care.
The past few years have seen the clinical development of closed-loop or "artificial pancreas" systems for treating type 1 diabetes, with the first hybrid closed-loop device being approved by the US Food & Drug Administration (FDA) in September 2016 [1].
medwireNews spoke to Professor Richard Bergenstal (International Diabetes Center at Park Nicollet, Minneapolis, Minnesota, USA), who believes that these devices, which combine glucose sensing and insulin delivery in one system, could represent "a landmark step in the management of type 1 diabetes."
We also outline key clinical data leading to the approval of the first artificial pancreas, and address some common questions about this innovative approach to controlling glucose levels.
What is an artificial pancreas, and how does it differ from insulin pumps?
The artificial pancreas – developed to measure and adjust blood glucose levels as the pancreas does in people without diabetes – is a medical device that is worn like an insulin pump. A subcutaneous sensor measures glucose levels, which are transmitted wirelessly into a device with a sophisticated computer algorithm that interprets the data and controls delivery of the correct amount of insulin via an insulin pump (Figure 1) [2].
Bergenstal explains that during the development of the artificial pancreas, "we've been adding technology piece by piece, each one having an incremental benefit," and that combining these technological advances will meet two goals of better glycemic control and reduced burden for patients.
Whereas an insulin pump delivers a small amount of fast-acting insulin continuously throughout the day, with patients testing their own blood sugar levels and delivering boluses at meal times, the artificial pancreas automatically adjusts the amount of insulin entering the body based on glucose levels measured by the sensor.
The autonomous control of insulin delivery both above and below the preset insulin amount depending on glucose levels also differentiates artificial pancreas systems from insulin pumps, which suspend insulin delivery – if linked to a glucose sensor – only when glucose levels are below a preset threshold, or rely entirely on user input [3].
Why is there a need for artificial pancreas systems?
When using insulin pumps, patients are required to test their blood sugar levels regularly, meaning that there is an unmet need for improved glucose control without a high burden of self-care.
Bergenstal says that artificial pancreas systems will give "better numbers and reduced burden for patients" as glucose monitoring and insulin pump systems work together.
How was the artificial pancreas developed, and what are the key data supporting its use?
Figure 2 outlines the key milestones in the development and clinical testing of the closed-loop systems.
Blood glucose monitors were first introduced into clinical practice in the late 1960s, and the clinical feasibility of insulin pumps was established in the 1970s. Subsequently, minimally invasive continuous glucose monitoring has progressed to precise, factory-calibrated systems that are approved for insulin dosing [3, 4], and these advances have been combined into the artificial pancreas system.
Initial studies carried out in laboratory conditions and hospitals, followed by transitional studies in non-hospital settings, have shown that artificial pancreas systems can improve glucose control in adults, adolescents, and children with type 1 diabetes. More recent trials have demonstrated that it is feasible for patients to use the artificial pancreas at home.
Most studies of the artificial pancreas have been randomized crossover trials, in which each patient receives both treatments, and randomization is used to determine the order in which they are received.
Hospital studies
Trials conducted in hospitals demonstrated the feasibility of closed-loop systems to improve overnight glucose control and reduce the risk of nocturnal hypoglycemia.
In a phase II randomized crossover trial involving 19 children and adolescents, Roman Hovorka (University of Cambridge, UK) and colleagues found a nonsignificant increase in the time spent in the target range for plasma glucose (3.91–8.00 mmol/L) with overnight manual closed-loop insulin delivery compared with standard continuous subcutaneous insulin infusion [5]. A subsequent investigation found that automated overnight closed-loop insulin delivery was feasible in young children [6]. Hospital-based studies conducted in adult patients demonstrated that closed-loop systems significantly improved overnight glucose control compared with conventional insulin pump therapy or patients' usual insulin delivery routine [7,8].
Transitional studies
A number of studies carried out in diabetes camps, hotels, and restaurants provided evidence for the implementation of closed-loop systems outside of the hospital setting.
For example, Moshe Phillip (Schneider Children's Medical Center of Israel, Petah Tikva) and colleagues found a significant reduction in nocturnal hypoglycemia and tighter glucose control when 56 children and adolescents were treated with an automated artificial pancreas compared with a sensor-augmented insulin pump at a diabetes camp [9]. Similarly, a closed-loop system running on a smartphone was shown to reduce daytime and nocturnal hypoglycemia compared with insulin pump treatment among 18 adults staying in a hotel or guesthouse [10].
Home studies
Following encouraging results in hospital and transitional studies, home-based trials of the artificial pancreas have been completed as of 2014. Such studies have been described as "the final benchmark testing environment" [3].
Some home studies were performed with remote supervision for safety reasons. In a randomized crossover trial, 21 patients completed 6 weeks of artificial pancreas use with remote monitoring supervision. In this study, the use of overnight closed-loop insulin delivery reduced nocturnal hypoglycemia and improved the time spent within the target glucose range compared with sensor-augmented pump therapy [11].
Additionally, unsupervised home studies conducted in adults and adolescents demonstrated that day and night closed-loop insulin delivery significantly improved time spent within target glucose range compared with insulin pump therapy [12, 13].
In the largest outpatient study to date, Bergenstal and team found that wearing a hybrid closed-loop device for 3 months resulted in reductions in day and night hypoglycemia and hyperglycemia, and improved the time spent in target glucose range, compared with baseline data from insulin pump use in 124 participants [14]. The results of this study formed the basis of the FDA's approval of the hybrid device – Medtronic's MiniMed 670G – in September 2016 [1].
Whilst most studies to date have involved patients with poor glycemic control, a crossover trial published in early 2017 showed that closed-loop insulin delivery used day and night at home offered improved glycemic control even among patients who were well-controlled when self-monitoring their glucose levels [15].
Who can use the hybrid closed-loop system approved by the FDA, and when will it be available?
The FDA approved the MiniMed 670G hybrid closed-loop system to monitor glucose levels and provide appropriate insulin doses in patients with type 1 diabetes aged 14 years and over. A clinical trial is currently underway to determine the safety and efficacy of this system in children aged between 7 and 13 years [16]. The device is expected to become available in the USA in spring 2017 [17].
Bergenstal says that "people with type 1 diabetes, especially those who are struggling with overnight difficulties, and those with hypoglycemia or hypoglycemia unawareness who are afraid to try to tighten their glucose control and therefore run much higher than they need to" are the patients who stand to benefit the most from using an artificial pancreas. He observes that this is a large group of people, with around half of type 1 diabetes patients struggling with low blood glucose.
How does a 'hybrid' device differ from a fully closed-loop device?
The MiniMed 670G device is referred to as "the world's first artificial pancreas" because it responds to both high and low glucose levels, and automatically adjusts insulin levels with little or no input from the user. However, patients need to enter information about mealtime carbohydrates for the device to deliver bolus insulin doses, meaning that it is called a "hybrid" rather than a completely closed-loop system [1].
"The ideal system is going to be one where there's less and less patient-dependent interaction, and that reacts much faster to the individual's needs," says Bergenstal.
Are there any risks associated with the use of an artificial pancreas?
In a statement released when the MiniMed 670G system was approved [1], the FDA noted that the associated risks "may include hypoglycemia, hyperglycemia, as well as skin irritation or redness around the device's infusion patch." They add that the current version of the device is not safe for use by children aged 6 years or younger and in patients who require fewer than 8 units of insulin per day.
As part of the approval of the MiniMed 670G device, the FDA requires a post-marketing study to be conducted to better understand how the system works in real-world settings.
Additional adverse events reported in clinical trials of closed-loop systems include headaches and dizziness [9].
Is there an advantage to bihormonal over single hormone systems?
In nondiabetic people, the effect of insulin is counteracted by glucagon, whereas glucagon secretion (in addition to insulin production) is impaired in those with type 1 diabetes. Therefore, the use of both hormones in an artificial pancreas is "a logical and feasible option" for managing hypoglycemia [reviewed in 18].
A small study comparing closed-loop control with insulin plus glucagon versus insulin plus placebo found that high gain pulses of glucagon decreased the frequency of hypoglycemia relative to placebo [19]. More recently, Edward Damiano (Boston University, Massachusetts, USA) and colleagues showed that a bihormonal artificial pancreas significantly improved glycemic control compared with an insulin pump among adults and adolescents [20].
In a randomized crossover trial published in late 2016 [21], researchers demonstrated that a bihormonal artificial pancreas that can be used at home and is initialized only with body mass index provides improved glycemic control compared with usual care among 39 adults with type 1 diabetes.
The study authors explain that since meal announcements are optional and carbohydrate counting is not required, using the bihormonal artificial pancreas could reduce the patient burden associated with management of diabetes.
However, these systems await more extensive testing in wider patient populations. Although Bergenstal says that the research to date on bihormonal artificial pancreases is "encouraging" and the use of a bihormonal system may permit "even tighter glucose control where insulin alone is struggling," he notes that the bihormonal system is likely to be the "third generation artificial pancreas," following improvements in insulin-only systems.
Can closed-loop systems be used during pregnancy?
Just one study to date [22] has tested the artificial pancreas in pregnant women. This crossover trial involving 16 pregnant women showed that overnight closed-loop therapy improved the time spent in target range and reduced mean glucose levels compared with sensor-augmented pump therapy.
Additionally, 14 women continued to use day-and-night closed-loop insulin delivery after the crossover period of the study, with the results suggesting that 24-hour use of the closed-loop system is feasible during pregnancy, delivery, and in the 48 hours after childbirth.
Is the artificial pancreas likely to be approved in countries other than the USA?
The GlucoSitter algorithm – a component of the artificial pancreas system shown to improve glycemic control among children and adolescents in a diabetes camp [9] – has received a CE Mark in Europe, meaning it conforms with EU health and safety directives [23]. However, no artificial pancreas devices have been approved outside of the USA to date, and the majority of systems are still undergoing testing in clinical trials.
Will it be possible to use the artificial pancreas to treat type 2 diabetes?
The MiniMed 670G system was approved by the FDA for the treatment of type 1 diabetes only, and research studies have focused on patients with type 1 diabetes. However, Bergenstal explains that patients with insulin-dependent type 2 diabetes experience many similar issues to those with type 1 diabetes, such as "getting the dosing right and a variation of needs from day to day." He cautions that research into the artificial pancreas for patients with type 2 diabetes is preliminary, but early study findings "look encouraging."
For example, the results of a pilot study suggested that closed-loop insulin delivery is feasible for patients with insulin-dependent type 2 diabetes on the general ward [24]. In this study, Hovorka and colleagues demonstrated an improvement in time spent within the target blood glucose range among patients with insulin-dependent type 2 diabetes who were assigned to closed-loop insulin delivery compared with those assigned to insulin delivery according to local guidelines.
Are there likely to be any barriers to clinical implementation?
From the physician perspective, "some rethinking, some retraining and some new implementation skills" are required before the artificial pancreas can be used in the clinic, believes Bergenstal. He also says that new terminology, such as "closed-loop systems" (devices that combine glucose sensing and insulin delivery in one system) and "changing the insulin active time" (the duration of insulin action that the artificial pancreas system uses to calculate how much insulin to give) will require incorporation into training for healthcare providers.
Bergenstal notes that patients must be committed to working with the artificial pancreas, with a mindset of "I can envision myself wearing technology." He emphasizes that healthcare providers must communicate to patients that if they put in the time to work with the artificial pancreas, "what is really difficult to start with gets easier and easier."
Other possible barriers to the use of artificial pancreas systems include the need for recalibrations, periodic replacement of sensors, physician time, lack of software standardization, the need for clinical practice guidelines, cost, and – in the USA – variable reimbursement [4].
A recent study [25] also identified physical barriers to wearing glucose monitors and insulin pumps, including discomfort and appearance, which could be targeted to increase device use.
Despite the potential barriers to clinical implementation of the artificial pancreas, Bergenstal thinks that patients' commitment to using the devices is likely to pay dividends. He explains that in the past, patients could commit to using devices to help manage their diabetes but could still experience disappointing results. With the artificial pancreas, however, "the commitment suddenly pays off," with patients achieving results that they hoped for, he adds.
Five years from now, when we look back at how diabetes was treated in 2017, "we're going to say type 1 diabetes is being treated in a whole different way," says Bergenstal. And he believes that, health insurance and reimbursement permitting, the majority of people with type 1 diabetes could be using an artificial pancreas.
medwireNews is an independent medical news service provided by Springer Healthcare. © 2017 Springer Healthcare part of the Springer Nature group


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what to sell on ebay , is normally the first question which comes up for most people who are looking at building an eBay business from scratch.
The first step before deciding which are the best products for "you"… to sell on eBay, is to first narrow down which
eBay methodology suits you best.
Do you want to sell used products, new products, import, source products locally, or dropship products?
Leave a comment below and let me know what you think.
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Caroling Sheet Music
Description: At first glance, a fine old piece of parchment that brings to mind a simpler life in a simpler time. Upon closer examination, you find that it's actually a piece of 24 lb, 94 bright multi-purpose printer paper stained with coffee. Ah, disillusionment...what a grinch you are.
Price: This item has no specific price
Store: Not currently available
Gender: Any
Date first appeared on Gaia: 2007-12-07
Find listings for Caroling Sheet Music in the Virtual Item Marketplace


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Artsbridge Funding Sources and Uses
The United Arts Fund Campaign is the backbone of Artsbridge funding. Individual projects may also receive support from sponsorships and targeted donations. Artsbridge awards grants to selected arts organizations and special projects that respond to its periodical call for grant requests. We also are grateful to our major donors for helping Artsbridge pursue its mission, and are not above asking visitors to this web site (i.e., YOU) to join them in making our work possible.