text:
The stats helper monkeys at WordPress.com mulled over how this blog did in 2010, and here's a high level summary of its overall blog health:
The Blog-Health-o-Meter™ reads Fresher than ever.
Crunchy numbers
A Boeing 747-400 passenger jet can hold 416 passengers. This blog was viewed about 2,400 times in 2010. That's about 6 full 747s.
In 2010, there were 28 new posts, not bad for the first year! There were 724 pictures uploaded, taking up a total of 288mb. That's about 2 pictures per day.
The busiest day of the year was November 8th with 90 views. The most popular post that day was SHE.SHOT.ME.
Where did they come from?
The top referring sites in 2010 were facebook.com, martaphotography.wordpress.com, and bloglovin.com.
Attractions in 2010
These are the posts and pages that got the most views in 2010.
SHE.SHOT.ME November 2010
4 comments
MELLE is inspired May 2010
Illustration Contest \\\\ July 2010
ARCHIVES May 2010
About May 2010


text:
We partnered with Mysterious Minds Escape Room to offer you a discount program!
Discount: 20%
Discount will be applied at venue prior to payment upon presenting valid U of T Student ID card. Please see their website for hours of operation.
Instructions for use:
– Go to website www.mysteriousminds.ca and click on 'Book Now'
– Proceed with choosing desired booking date/time (discounted price takes effect)
– Payment is required upon arrival at Mysterious Minds. Discount will be applied when presenting UofT ID
– Please arrive 15 minutes prior to the start of your experience
– Cancellations can be made online up to 1 hour prior
Instructions for use:
Go to website www.mysteriousminds.ca and click on 'Book Now

subset: commoncrawl


text:
The day started out so oridnary….Up at 5:30 AM – Ate a candy bar – yeah that is so good for you. It was a Snickers. Do you even care? Anyway, my point it this week I have been craving sugar like crazy. Another thing methadone does for you is make you eat sugar like a monkey on a banana!! Eventhough, the medical director at the clinics will tell you that it is not the methadone do not listen to them. Your sugar in take regardless of who you are will increase…I am thankful now that my methadone amount is very low so is my sugar in take (normally), but this week for some reason I have been craving it morning, noon, and night!! Anyway, than this also will make you feel sick feeling….it keeps you on the cycle of always detoxing off of something just as hard to kick.
Posted by: addictmystory | April 26, 2012
4.26.12 – Things that make you go hummmm
Posted in Uncategorized
Leave a Reply
- Affairs
- Alcohol
- and the Analgesics
- April 2012
- Company Policy
- God
- God -Prayer – Scripture –
- Herion
- Heroin
- How Can YOU HELP SOMEONE
- If you know someone I can help please email me to my private email at email@example.com
- Inspirational
- March 2012 – Methadone and Opiate Hell
- Marilyn Monroe
- Mark Twain
- Masturbating
- May 2012
- Methadone and Addiction
- Methadone and Doctors and Greed
- Opiates
- Parents Corner
- Peer Pressure
- Pill Head
- Poems
- Quotes
- Reading Material or ieas to try
- Risky Behaviors
- Scripture and addiction
- Sexual Desire (increase/decrease)
- Shareholders
- Sweet of Child of Mine
- The DT's (Detoxing – my personal hell)
- Tips for reducing pain and/or cravings
- Uncategorized


text:
India on Friday announced that a new rule whereby all travellers from Pakistan would have to be vaccinated against polio would be implemented from February 14.
India had said last month that it would be mandatory for all persons adults or children travelling to the country from Pakistan to furnish proof of vaccination against polio from January 30.
"Travelers from Pakistan to India after January 30 will require carrying their vaccination record as evidence of polio vaccination. They will be requested to show their record of vaccination for entry into India," said the statement.
India was removed from the World Health Organization's list of countries where polio remains endemic in 2012. Pakistan, Nigeria and Afghanistan are now the only countries in the world where the highly infectious disease remains a problem.
The Pakistani polio virus has reportedly affected at least five countries in the past 23 months, and has become a threat to other countries as well.
Even the European health journal, The Lancet Medical Journal, has warned that the Pakistani polio virus could become a threat to Europe.


text:
Israel's gains from the death of Arafat cannot be ignored ~
Jonathan Cook, The National, Abu Dhabi.
It seems there are still plenty of parties who would prefer that the death of the long-time Palestinian leader Yasser Arafat continues to be treated as a mystery rather than as an assassination.
It is hard, however, to avoid drawing the logical conclusion from the finding last week by Swiss scientists that the Palestinian leader's body contained high levels of a radioactive isotope, polonium-210. An inconclusive and much more limited study by a Russian team published shortly immediately after the Swiss announcement also suggests Arafat died from poisoning.
It is time to state the obvious: Arafat was killed. And suspicion falls squarely on Israel.
Israel alone had the means, track record, stated…
View original post 933 more words


text:
About time I posted this, right? I've been sitting on this bounty since last Thursday…
Meat, meat, meat! The second Farm School Winter Meat CSA share of the season. Containing everything pictured above plus a dozen cute little brown eggs, not pictured, most of which are, yet again, destined to become egg sandwiches and fried eggs.
Another packet of smoked bacon
1 packet of ground lamb
1 smoked ham slice (and it's beautiful to behold)
1 boneless New York sirloin steak (hefty, gorgeously marbled)
For some reason, I wasn't able to really embrace the first meat share until I knew what was in the second. We were able to finish off last month's pork breakfast sausage fairly quickly, because we made it in to patties, refroze them, and could just pull out a pattie and fry it when we wanted it. And it was delicious, perfectly seasoned with sage and clove, firm, not at all fatty, and rich in flavor. I've also been working through the hot Italian sausage from last month, baking one partway, slicing it, and finishing it in the frying pan and tossing it with cavatappi and chunky garden pasta sauce. The Italian sausage shares many of the breakfast sausage's qualities, being firm and rich and not too fatty — mostly what fat there is fries off and turns the outside of the sausage a lovely crisp golden brown.
I'm trying to plan more meals using the Farm School meat in the coming month, because there's very little point in having all this lovely bounty and then not using it. Pork chops from the first share are thawing now to be showcased on a bed of sauerkraut for Christmas Eve dinner tonight. I've already got plans for the ham slice and the steak.


text:
It is easy to say, "I trust God." It is harder to do it. We talk a lot about having faith, but I think it would be better if we also talked about having trust. Too often we mix the two. Faith is taking God's Word to us and believing it. There is no faith without a direct word from God. To quit my successful job and go to Haiti as a missionary is not to have faith. Why? Because God has not spoken directly to me and told me to do so. "Faith cometh by hearing, and hearing by the Word of God." (Romans 10:17) Yet I have neither heard, nor read my decision within the pages of the Bible. No, it is not faith I show here, but trust. Trust that God will bring me through the decision I've made. Trust that He will lead me. Trust that He will protect me. Trust that even if I've made the wrong decision God will never abandon me.
This is why it is a shame when we call what should properly be trust "faith." It is as if we are saying that this is God's idea, not our own. And perhaps it is! But we don't have that written in stone, nor has it been spoken directly to us. As people, we can always be wrong. As I said last letter, when we really want something, it is easy for us to "put words in God's mouth," so to speak, because we so want to follow Him and yet we also so want Him to answer in a certain way. But if we say we are "having faith," we say that God himself has sanctioned our actions, and we do not know this is the case. What if we have made the wrong decision? What if God wanted us to go in another path? Have we not been false prophets, saying that "God has spoken," when he has not?
No, our response to this sort of thing must be trust, not faith. When we refuse to engage in immorality, that is faith, for it is God's revealed Word that we avoid all such things. When we marry Joe instead of Frank or Mary instead of Martha (assuming they are both equally good Christians), that is trust, for we look for God's leadership in helping us make our decision, and then in God's provision for helping us live with it, right or wrong. Let us separate in our minds once and for all the concepts of "faith" and "trust." We do what we feel God is leading us to do, not what He has spoken to us and told us to do. This is not as satisfying as imagining that He has spoken and told us this directly, but He does not work like that with us, and so we must be content to have trust and not faith in such matters.
It is hard to trust God. If He came to us and said, "You will find My choice for a partner for you in November, 1997, and marry him/her in August, 1998," we could say, "Great, Lord! I'll be looking forward to that." But He doesn't do that, so we cannot respond in faith. Rather, we must trust Him to know what is best and to lead and guide us. In some ways, this is harder to do than to simply have faith. Faith is blind except for the revelation, but trust is blind without even a revelation!
In one way only could trust be said to be faith, and that is when we learn from the Bible that God is, indeed, trustworthy. Along this line of thinking, we could say that when we trust God we are having faith, for we are believing God's revelation that He is worthy of that trust. Yet, in many ways, this is stretching our point. If we mix faith and trust, it becomes all together too easy to declare that God is condoning our actions, whether that is the case or not. And we do not often know for sure. Often, we are surprised how wonderfully things work out, and we are assured that we did, indeed, do what God wanted us to do. But sometimes our reasoning or our feelings may be wrong, and in this case it is not fair to blame God that "I had faith, and You didn't respond." Here we can trust God to help "bail us out," so to speak, and to learn from our mistake. But if we make trust faith, we end up blaming God rather than leaning upon Him.
I could continue on this subject for some time yet, but I think I'll cut it off here, and let you ponder what I've written, whatever it is worth. Feel free to disagree with me. What do you think is the difference between faith and trust? Do you think that someone can have faith without also having a direct revelation from God (which today is only through His Word)?


text:
Thursday, March 12, 2009
257/365: The Vicar
We met him on a canal boat trip up the Thames from London to Oxford. He could have stepped out of a 40s British film, he was so stereotypical. Delightful 88 year old man, who called himself the "errant vicar." He took the cruises often and was a great source of information. But he cheated at Scrabble, which we played in the galley at night.
Posted by Bev Sykes at 12:01 AM
No comments:
Subscribe to: Post Comments (Atom)


text:
One hallmark of cancer cells is their ability to switch their metabolism from oxidative phosphorylation to glycolysis. This is accomplished via an increase in glucose uptake and high rate of glycolysis. Therefore, one attractive strategy for a favorable anti-cancer response would be to deprive cancer cells of this essential nutrient. Here we investigated the effect of glucose withdrawal on death receptor-induced apoptosis in human leukemia cells overexpressing Bcl-2. Interestingly, subjecting Bcl-2 overexpressing cancer cells to a 30-60 minutes of glucose deprivation significantly increased sensitivity to CD95 (Fas/Apo1)-induced apoptosis. We have previously reported that death signaling in cancer cells is regulated by the cellular redox status in that a slight increase in superoxide anion (O2-) inhibited apoptotic signaling1. Of note, we also reported the ability of Bcl-2 and other oncogenes such as Rac1 to inhibit apoptosis via generating a pro-oxidant intracellular milieu. In line with those findings, we report here that glucose withdrawal resulted in a significant decrease in intracellular O2- and triggered strong activation of caspases 8, 9, and 3, translocation of Bax to the mitochondria and subsequent release of cytochrome C, independent of Bcl-2 expression. More importantly, we identified the death inhibitory protein cFLIP as a target of glucose withdrawal induced sensitization to death receptor induced apoptosis; glucose withdrawal decreased the expression and promoter activity of cFLIP, which correlated with increased caspase 8 activation. In order to provide evidence to link O2- to death inhibition, intracellular O2- levels were manipulated by incubation with PMA (62.5ng/ml), paraquat (50uM), or upon transient transfection with the constutively active form of the GTP binding protein Rac1 (RacV12) or a variety of functional mutants of Rac1, namely H103A, K166E, H40 and L37, and the effect on glucose withdrawal induced apoptosis was assessed. Indeed, increasing O2- strongly inhibited death signaling in cancer cells via an effect on the promoter activity and transcription of cFLIP, whereas blocking NADHP oxidase repressed cFLIP expression and facilitated death execution. This finding suggest that the glycolytic pathway may be important in sensitizing tumor cells to death receptor ligand by inhibiting cFLIP and facilitating the activation of initiator caspase-8 via a drop in intracellular O2-.
1 Clement, M-V., Hirpara, J.L., and Pervaiz, S. Decrease in intracellular superoxide sensitizes Bcl-2 overexpressing tumor cells to receptor- and drug-induced apoptosis independent of the mitochondria. Cell Death Diff. 10(11):1273-85, 2003.
This work is supported by research grants to S.P. from the NMRC, Singapore.
Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 102nd Annual Meeting of the American Association for Cancer Research; 2011 Apr 2-6; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2011;71(8 Suppl):Abstract nr 4698. doi:10.1158/1538-7445.AM2011-4698
- ©2011 American Association for Cancer Research


text:
|Reviews for Hadrian Potter: Darkness Rising
| Monster King chapter 12 . 3/25
Great story I really liked it good job writing the story.
| stylo1 chapter 2 . 2/13
your conversion rate is a bit on the high side, his first shopping trip left him a few 100.000 lighter
| hplemonpersona chapter 2 . 8/30/2017
OML I love how nargles are Cheshire cats and the doors are made of Wolverine's bone metal! Yay references!
| Guest chapter 4 . 4/18/2017
Hughes stupidity, you may advice this a gay story in the closet moron.
| Guest chapter 2 . 4/18/2017
This is getting really stupid, Draco is my lovely friend, another gay lover who will like to be screw by Harry.
| Damon Fyrian chapter 2 . 12/19/2016
Is Quod non occidas me fecit Vestibulum error "That he did not kill/slay me is his error"?
| SilentSnowLeopardNinja chapter 11 . 11/3/2016
So many questions. So many.
| SilentSnowLeopardNinja chapter 9 . 11/3/2016
Higgs is an idiot. His beef is with his retarded captain not a damn first year.
| SilentSnowLeopardNinja chapter 8 . 11/2/2016
Why the fuck is he even interested in doing Divine Magic?! Stupidity! !
| SilentSnowLeopardNinja chapter 7 . 11/2/2016
Harry Potter, benevolent reaper, for President of all beings!
| SilentSnowLeopardNinja chapter 6 . 11/2/2016
A fucking reaper? ! Holy hell dude! He owns Azkaban. And should really tell the goblins about Dumbledore's plots at least.
| SilentSnowLeopardNinja chapter 5 . 11/2/2016
I was wondering when Harry would remember that Dumbledore shouldn't be trusted. It only took him hearing the old man plotting his death and to steal his money to (hopefully ) drive it home and make it stick.
| SilentSnowLeopardNinja chapter 4 . 11/2/2016
So is Harry like Danny Fenton? Half dead?
| SilentSnowLeopardNinja chapter 3 . 11/2/2016
A teacher should have acted sooner in defense of Hermione especially since they instructed her to help her fellow ungrateful classmates.
| SilentSnowLeopardNinja chapter 2 . 11/2/2016
Cool Harry has the Cheshire cat from wonderland as a pet. Luna will be thrilled.


text:
Classification: P30 Tump.
OS Grid Ref: NB353097 This data is currently only accurate to a 6 figure grid reference (c.a 100m).
Click here to learn how to help improve it.
UK Area: 24 - Lewis and Nearby Islands (OS Maps 1:50k 14. 1:25k 457.)
Latitude: 57.997384, Longitude: -6.481378, Height: 197 metres (646 feet)
Prominence: 52 metres (171 feet)
Unique Waypoint POI Name: 0197.- (DoBIH Hill ID: 12351)
Associated Parent Hill:
Uisinis (374m, p229)
External Links for Mullach nan Ron:
-GeoHack link... -OS Map Bing link... -Google Map link... -Geograph link... -Mullach nan Ron on hill-bagging.co.uk...
Data courtesy of the Database of British and Irish Hills
Selected mapping: Google or Bing / Ordnance Survey:All | :Nearby Hill | :Nearby Trigpoint | : mouseover
Climbed Mullach nan Ron? Log in to tick it off...
Cnoc Laimhrig Mhurchaidh (1.1km)Gluinn an Eich Bhain (1.6km)Giearol (1.7km)Meall Mor an t-Stroim (2.0km)Druim an Easa Dhuibh (2.4km)Fiar Chreag (2.4km)Fiar Chreag West Top (2.5km)Cnoc Corrach (2.8km)Cleite Loch Shaghachain (2.8km)Beinn Doimhne (2.8km)
Total = 1 All
* The waypoint data in italics is only accurate to a 6 fig grid reference. Click here to learn how to help improve it.
Data courtesy of the Database of British and Irish Hills


text: Professor Krische's research focuses on the development of new synthetic methods with attendant applications in natural product synthesis. A central theme of his program involves the identification of new reactivity patterns, the evolution of related catalytic processes and, ultimately, the development of new synthetic strategies. His research program encompasses organic synthesis, catalysis, organometallic chemistry, and supramolecular chemistry.


text:
Mozilla: The Browser with Everything and the Kitchen Sink
Wednesday February 19th, 2003
For years, many of Mozilla's detractors have complained that Mozilla is too bloated with useless features. "Mozilla has everything but the kitchen sink," they retort. Well they're wrong because the kitchen sink will soon be coming to a Mozilla browser near you!
Makali writes: "A patch for Bug 122411 got a super-review today meaning that Mozilla (and presumably the next release of Netscape) will now have a kitchen sink. While in good humour and a rather cute touch, this does make me wonder how much time developers spend adding features of dubious value to our favourite browser when it still doesn't correctly support HTML 4.01." Makali offers up bug 915 as an example of a long-standing standards-compliance bug. Please remember that this bug, like all bugs, doesn't need to be spammed with useless comments.
#19 This is endemic...
by bcortez <firstname.lastname@example.com>
Thursday February 20th, 2003 9:22 AM
You are replying to this message
...of the lack of committment that is growing in this project. C'mon. The fact that they seriously took the time to VOTE this code in/out takes time away from REAL bugfixes. HTML4.01 standards compliant bugs that have lain dormant for years should be priority #1 in my opinion. How the heck does this effort expect to survive if these things are allowed to bubble up through the system? This is inexcusable in my opinion. I AM a software engineer, have been for years, and have been doing web development since mosaic 0.9! So don't tell me this is a responsible reaction when soooooo many other things are more important.


text:
Thank you, oh Lord, for making someone smart enough in the school district to start school before Labor Day.
Because they need to learn from the best of the best. SIR!! And when you go back, remember to make sure to stop at the registrar's office:
Just to make sure all of your records are legible and in order.
Educational aides are essential, aren't they?
Our school workers are among the most literate in the world!!! Just remember that, if you point how literate they are, you may end up here:
Have a great week!! I'm sure as hell going to enjoy mine!! 😀
Update! Baiting Deer is Illegal!


text:
Friday, February 10, 2006
Grizzly People
Where does Werner Herzog find these folks? I finally saw Grizzly Man last night after a number of people recommended it. Amazing. Megalomaniac guy with a death wish goes to Alaska every summer ("alone") to act like a grizzly bear and then he and his invisible girlfriend get eaten by a bear. Classic Werner. There is something compelling about the guy but at the same time he is so obviously delusional and troubled that you can't but feel for him. Incredible wild life photography as well as a study into the mind of someone that wanted out.
Posted by Fons at 2/10/2006 07:38:00 AM
1 comment:
Is this movie a hoax? Too many opportunists to be real. Coroner, former girlfriend seem to be lead on so much by Werner in interviews.
Subscribe to: Post Comments (Atom)


text: Hi my name is Kaitlin O'Donnell and i am from Glocester Rhode Island. I am a senior TMD commuter here at the University of Rhode Island . I currently work at Nordstroms in providence place and have for the past 2 years. I have loved fashion ever since i was able to understand the word "fashion". Since working with Nordstroms i have figured out that i want to further my career with the company and hopefully some day become a district manager who over looks all the Nordstroms in there specific region. With taking this class i hope to further my education and understand more of what the theory of fashion is.


text:
My two month old just discovered his mobile and he is currently lying on his back cooing at the teddy bears. The mobile isn't even on. He's just lying there talking to the teddy bears. And I am convinced this is genius. This is why I don't consult with the baby books. I am secretly terrified when I look up two months it will say at two months your baby should lie on his back and talk to teddy bears. And my bubble will burst.
My two year old has me equally convinced. Yesterday, when we sat down to read Hand, Hand, Fingers, Thumb I began with the title Hand, Hand, Fingers, Thumb by… and he interrupted me and said Al Perkins. Just like that. Al Perkins. Is that not genius?
Of course, being the cynic that I am, I openly admit only to my kids being average. But secretly I'm convinced they are spectacular. My baby lifted his head at least two inches off the ground and I know he will be drafted into the NFL at the tender age of 15 only to turn them down so that he can become a world famous doctor slash rabbi.
But the scary thing about genius is that I think it needs to be cultivated. And I am not a cultivator. I've killed five rosemary plants in the past few months and that was when all they needed was water. I'm a little scared of these budding young uns implanted in my care, thirsting for knowledge I probably don't possess.
"What's this Mama?" I'm questioned around four thousand times a day by my two year old. He calls me Mama because I told him that was my name. And he believes me. He doesn't consider that I may have made that up just because I love hearing small blue eyed children with Jamaican/Hispanic/African American accents call me Mama. And therein lies the problem. He believes what I say. So I need to have some good things to tell him.
And I do lie. He has a set of plastic lizards and he insists on asking me what each of them are.
"What's this one, Mama," he asks, holding each one up individually.
The lizard answer bored him so they are now lady salamanders, brown tailed reptiles, and spotted iguanas.
So not only do I have to cultivate a thirst for knowledge, I have to actually fill that thirst.
But not this second. Right now my baby is crying. Maybe the genius thinks the bears in his mobile are going to attack him.


text: Mrs. Anne Hurst is in room 103 at the St. Helena Hospital. She has been fighting an infection and needed to get stronger medication to get better. This is her problem that rears its ugly head periodically. She asks that all of you pray for her because your prayers are stronger than any medication.


text:
I was heading back to my hostel in York, England one night in October and I came upon a very theatrical tour guide who told the ghostly and ghastly stories of the city. I think I had to pay to hear him but I managed to sneak in at the back.
He started one ghost story with a bit of Roman history as he stood in front of the treasurer's mansion near the center of city. The story that follows is one of the few ghost stories I tell people. I like it because it's true, or at least seems so.
York is one of the oldest cities in Western Europe as it was once the seat of the Roman Empire. It was a roman stronghold beginning in AD 71, and the seat of the Roman Empire in 306 under Constantine. This is important to the story, because in the treasurer's mansion, a plumber had a very strange encounter. He was laying pipes below the basement floor when he heard a loud trumpet that seemed to come from behind the walls. He was confused, but thought nothing of it, until he witnessed what appeared to be a Roman Legion walking from one side of the basement to the other. They walked through the floor as though they were wading in a pool of water up to their knees.
The shocked plumber told a few of his close friends about his experience, and made them promise to keep his sighting on the down low. Mr. Plumber feared he would be labeled as a wacko... or worse. His friends kept it under wraps for the next few years until a renovation of the Treasurer's mansion resulted in an important historical discovery: A Roman road was discovered buried three feet below the basement floor. ooooooOOOOOOOOOOO.
Did a little research: This York Tourism site explains:
A company of Roman foot soldiers, who appeared through a cellar wall in 1953 – the terrified young plumber who saw them described their garb in meticulous detail – and experts later confirmed that the house is indeed built over a Roman road.


text:
The bombers, a Saudi and a Syrian, detonated their explosives-laden trucks against army positions on the eastern edge of the capital amid a barrage of artillery shells that landed in the heart of Damascus. "We have fire control over the Abassiyin garages and began storming it", Wael Alwan, spokesman of rebel group Failaq al-Rahman, told Reuters.
A Syrian military source said the army had recaptured "most of the positions" where rebels advanced on Sunday.
Russia's foreign ministry yesterday summoned Israel's ambassador over air strikes close to Moscow's forces near the historic Syrian city of Palmyra. The source said a group of rebels that had entered the area had been encircled and were "being dealt with".
A security government source, who requested anonymity, told dpa that the attack started with two vehicle bombings around 500 meters from the eastern edge of Damascus.
The clashes killed at least 26 members of the regime forces and 21 rebels and militants, Abdel-Rahman said.
Government forces have escalated military operations against Eastern Ghouta in recent weeks, seeking to tighten a siege on the area.
State-affiliated al-Ikhbariya TV said government forces had killed and wounded several "terrorists" and arrested several more.
The attackers utilized numerous guerilla warfare techniques, including auto bombs, suicide attacks and the use of secret tunnels.
Derry City captain Ryan McBride dies suddenly
President Michael D Higgins led the flood of condolences coming in on Twitter. "This news is so hard to take in", he said. Tributes have been pouring in from far and wide after Derry City captain Ryan McBride passed away suddenly on Sunday.
Israel's UN Ambassador: Resignation of UN official 'long overdue'
When Guterres instructed her on Thursday morning to withdraw the report, Khalaf said, "I asked him to review his position but he insisted on it".
AARP Opposes Health-Care Replacement Plan
If the poor and others can't afford health insurance, they won't be covered unless someone subsidizes their insurance. The president said the Republican bill to repeal and replace key parts of the Affordable Care Act "is a great plan".
"These are not intermittent clashes - these are ongoing attempts to advance", he said.
One rebel commander told the Associated Press news agency they launched the assualt from Jobar as a way to relieve allied fighters in the nearby districts of Barzeh, Tishreen, and Qabun from government attacks.
The fighting comes only days before another round of UN-brokered peace talks in Geneva aimed at finding a political solution to Syria's six-year civil war.
Control of Jobar has been divided between moderate rebels, government troops, and jihadists for more than two years.
Israel rarely comments on such alleged strikes, either to confirm or deny them.
"This attack in Damascus will show other rebel groups it is capable of delivering results", she said.
Government jets pounded the areas behind rebel lines, according to footage released by opposition factions, and fighters scrambled between rubble and burning buses to take up positions.
Related news
Google apologises for ads next to extremist videosThe British government said last week that it would temporarily restrict its advertising on the company's platforms. Unilever declined to comment on whether it had suspended advertising through Google.
Oil pumps up as market starts to move back into balanceThe data , he added, also suggests that oil prices around $50 a barrel are encouraging the restart of idled US shale oil output. We are still holding, however, to our forecast that the price of Brent crude will see $60/bbl in the second quarter.
Hyundai Motor's Sonata to be recalled in USA due to seatbelt defectThe National Highway Traffic Safety Administration reports that the seatbelts in those vehicles might detach during collisions. This can lead to the seat belt separating from the anchor during a collision if it's not properly put in place.
Sizing John powers to Gold Cup gloryThe Cheltenham Gold Cup is the race that every trainer, jockey and owner in the land wants to win. The eight-year old has finished second in both the previous two Cheltenham Festival Gold Cups.
Dollar slides, yields rise as investors digest FedThe dollar fell 0.2 percent against a basket of key currencies, adding to Wednesday's steep slide after the Fed's decision. On Wall Street, the benchmark S&P 500 index slipped after gaining sharply on Wednesday in the wake of the U.S.
United Kingdom to question Google after adverts appear alongside extremist videosGoogle, meanwhile, said that it had "strict guidelines" about the ad placements but conceded "we don't always get it right". YouTube uses a personalized ad-selection tool known as programmatic advertising.
Michigan, Oklahoma State look to play off each other's differencesGillette College standout and 2016-17 NJCAA player of the year Kavell Bigby-Williams shoud see more minutes in Boucher's absence. The last time the teams met in the NCAA Tournament , the Spartans beat the Jayhawks 67-62 in 2009 to reach the Elite 8.
Trump Didn't Not Shake Angela Merkel's HandThe meeting was the first between the new U.S. president and the long-serving stateswoman, who leads Europe's largest economy. Trump had previously accused Merkel of "ruining" Germany with her pro-refugee policies and more internationalist worldview.
Manchester United 1 FC Rostov 0United have never lost to a Russian side on home soil in European competition, but three of those four games have ended all square (W1).
Mass Effect Andromeda: 12 Critical Reactions You Need To KnowIn soccer simulator game Federation Internationale de Football Association 17, you could also dress your players in a rainbow kit. As Scott Ryder (you can also play twin sister Sara if you like) in the year 2163, you meet chief engineer on the Tempest - Gil.
How to Watch Villanova vsSo ultimately the most surprising thing about Villanova's surprise loss to Wisconsin was that it really wasn't surprising at all. Wisconsin already faced a strong offense in Virginia Tech, but will once again see another impressive unit tonight.
Flint's Brandon Carr agrees to four-year deal with Baltimore RavensThe news of Carr's signing comes after a report earlier in the day that the Ravens were interested in Claiborne. Carr holds the longest active streak of consecutive starts among National Football League cornerbacks with 144.
Top Stories
New Xbox One Wireless 'Recon Tech' Controller Coming in Late April
There are plenty of Xbox One controllers out there, but Microsoft isn't done rolling out options. A new line of Xbox wireless controllers is being introduced today, branded the Tech Series.
Mladenovic reaches Indian Wells semis and top 20 in rankings
No. 14-seeded Elena Vesnina will face No. 8 seed Svetlana Kuznetsova in an all-Russian final at Indian Wells on Sunday. Mladenovic wasted a slew of opportunities, squandering nine break points as she fell behind 1-5 in the opening set.
Former President Barack Obama picks UW women to go to Final Four
My prediction is UCLA comes out of the bottom half and Lonzo Ball's dad loses his mind when the Bruins advance to the Final Four. The great equalizer in basketball is the 3-pointer, and teams that knock down shots from range do well in the tournament.
Everything you need to know about 'Iron Fist'
But Iron Fist is on a different level than Daredevil's dimly lit tedium, or Jessica Jones's repetitive plot mechanics. His parents' private jet crashed over the Himalayas, killing them and leaving him stranded in the snowy wilderness.
Asian stocks drift as investors await Fed meeting
The benchmark Nikkei 225 index edged up 0.15 per cent, or 29.14 points, to close at 19,633.75 - the highest since December 2015. The Hang Seng in Hong Kong slid 0.4 percent to 23,724.91 and the Shanghai Composite Index dipped 0.1 percent to 3,235.82.
U.S. denies targeting Syrian mosque in deadly air strike
The photo, which the military said was taken less than five minutes after the strike, showed extensive damage to the building. Turkey and the United States support the main opposition forces, while Russian Federation and Iran back Assad's government.
Vikings make the hard decision, move forward with Latavius Murray
Peterson is still a free agent, and a reunion with the Vikings has always been considered a possibility for the running back. During a conference call on Thursday, Vikings general manager Rick Spielman confirmed the team will not bring back Peterson.
One dead, four injured as Somali pirates clash with Puntland force
Specifically, they should register with the Maritime Security Centre - Horn of Africa (MSCHOA), report to the U.K. The development came after negotiations between local elders and the gang that had seized the vessel on Monday.
Injustice 2: Newly revealed microtransactions "won't affect gameplay or game progression"
These are used for skins and can also be used to level a character to 20, but only if another has already reached level 20. Like many other games, NetherRealm's fighting game Injustice 2 will have a microtransaction system.
Month-old dies after sittter can't reach 911
He died at the hospital. "It's not acceptable that this happened and we're going to make sure that it never happens again". The city confirmed that so-called "ghost calls" from T-Mobile phones were overwhelming emergency lines at the time.
Latest Stories
Mar 18 2017
Scotland leader ready for independence vote


text:
Hi there!
Elaine was playing with some of the new Bo Bunny glitter paste recently and I roped her into sending me some photos to share with you all!
This product is so pretty, and comes in a variety of colours.
Elaine pulled out a few of her favourite masks to show you a variety of looks.
It shows up great on both light and dark papers - you have to love that versatility!
Here are a few close up shots....
I know it can be a little hard to tell in the photos, but this glitter paste is just so shimmery!
Below are a couple of winter pages, Elaine created using the silver glitter paste.
Beautfiul, right? Just the perfect accent to these pages!
Thanks so much for joining us today!


text:
Hugo Hat by Kerin Dimeler-Laurence
Welcome! You are browsing as a guestCreate a free account to see 71 projects made from this pattern and more... What am I missing?
© Knit Picks
© Knit Picks
Hugo Hat
This pattern is available from knitpicks.com for $4.99.
Errata available: knitpicks.com
The Hugo hat was inspired by a cadet's cap, and is the perfect thing to ward off the fall chill. Four colors of City Tweed DK are knit in a textured slip stitch pattern designed to resemble wool suiting fabric. The hat is knit in pieces and the brim is stabilized with interfacing to ensure that it keeps its shape. The solid blue band above the brim is secured with buttons. The finished hat has a 22" circumference, but there is an option to add elastic to adjust the size.
For more information, see: http://www.knitpicks.com/cfpatterns/pattern_display....
About this pattern
average rating of 3.7 from 27 votes
average difficulty from 34 ratings
71 projects, in 41 queues
About this yarn
by Knit Picks
55% Merino, 25% Alpaca, 20% Acrylic, Rayon
123 yards / 50 grams
rating of 4.5 from 2078 votes
9080 projects
stashed 7954 times
More from Kerin Dimeler-Laurence
848 ratings
3588 projects
67 ratings
240 projects
162 ratings
727 projects
- Page created: September 16, 2009
- Last updated: October 21, 2015 …
- visits in the last 24 hours
- visitors right now


text:
Je pense que ... un bon professeur ... doit avoir la capacite d'utiliser un stylo rouge." These tongue-in-cheek thoughts, enjoyed by classmates and teacher alike, were voiced by Carly Bustin, a Year 10 pupil at William Farr CE school in Lincolnshire. She had taken the topic of her French lesson on desirable qualities for certain professions, and used her growing ability to manipulate grammatical concepts, confidently saying precisely what she wanted to say. The 80 modern foreign languages teachers currently participating in the TALK project, a professional development initiative running regionally across the UK, are meeting one of the greatest challenges in language teaching in this country: getting learners to converse spontaneously in the foreign language, during lessons. These teachers are providing a growing body of evidence that their pupils "use and respond to the target language and use English only when necessary" and that they can "understand the grammar of the target language and know how to apply it" (National Curriculum).
Given encouragement and the linguistic tools to chat, teenagers banter and talk about their work, the world and what is going on around them. This "real talk" can add legitimacy and relevance to curriculum topics which, at best, seem based in fantasy ("Verifiez la batterie, s'il vous plat?") and at worst patronising ("A quelle heure tu te brosses les dents?").
"You don't get called bof by your mates when you talk in French, like you do when you answer a question in other lessons, because everyone's doing it," explains a Year 10 boy at Poole High School, Dorset.
With subtle changes to how they interact with pupils, additional planning strategies and raised analytical awareness, most teachers can get conversation and creative sentence-building going very quickly. No extra time is needed. Try these strategies, which will get spontaneous talk going in most classrooms.
Frame the learning
* Spend at least a lesson brainstorming, in English, what learning a foreign language is about.
* Plan what goes into this "springboard talk". For example: Air any preconceived views about language learning.
Which English people do students know who speak a foreign language?
Ask students to visualise "chatting away to their mates" in the foreign language. How will it feel? What will they be talking about?
How did they learn a language when they were young? Did they wait until they could say full sentences perfectly or did they just "have a go"?
How will they understand you when you talk in the foreign language? They will listen with their eyes as well as their ears.
Emphasise instant gratification (it feels cool to talk in a foreign language; it is not really like work) rather than deferred gratification (you might go on holidaybump into David Ginolaget a job abroad).
* Plan how you are going to talk. For example: Use positive assumptions: "And when you are just chatting away in French..."
Use softening rather than direct questions: "Who's going to have a guess at why..."; "I was wondering what you think about..."
Make what you say memorable: "If you don't use it ((French), you'll lose it.") Personalise it: "The head is learning Spanish at night school and he..."
Make it funnyunpredictable: "This is the subject where we want you to chat to your mates" "In this classroom, we're going to celebrate mistakes; if you're making mistakes, you're trying to build your own sentences."
Communicate with meaning, feeling and consistency
* Become aware. What do you chat to your pupils about? How do you come across? Is there any difference between your "language teacher" persona and your "tutor" persona?
* Communicate with meaning: always make yourself understood when you speak in the foreign language. Tell your pupils that this is your responsibility but you can only carry it out if they let you know when they do not understand.
* Add to your repertoire of ways of making yourself understood. Draw more. Rephrase more. Show more. Write what you mean on the board.
* Communicate with feeling: Talk in a way that invites pupils to talk back to you. If you constantly "perform", you automatically put your learners into the role of "audience". Audiences do not talk back to the performer.
* Talk less. Give pupils time to think about what they want to say. Give them credit for thinking. Never answer your own questions.
* Insist on being talked back to. Every learner can use "oui", "non", "merci" (or the equivalent in other languages) from day one.
* Communicate with consistency: Choose your words carefully, using the same constructions and words repeatedly. Do not oscillate between "Est-ce que tu as..?", "Tu as...?" And "As-tu?" unless your learners are proficient. If you stay on linguistic message, your pupils will leave your room with certain constructions "ringing in their ears".
Use English consciously and purposefully
* Banish guilt about using English in your lessons. The quantity of foreign language is less important than how you use it.
* You are the richest source of listening comprehension. Give your learners constant practice at trying to understand you and increase their confidence and attainment in listening.
* Become aware of when you use English: For discipline? Praise? Anecdotal stories? If you often translate what you have just said into English, stop, because it only trains young people to switch off and also undermines their confidence in their own ability to understand.
* Demarcate your use of English. Signal that you are going to take time out from the lesson to say something in English. Signal the end of the English "episode". Choose a signal that can be seen as well as heard. Switching indiscriminately between languages is confusing.
Teach "key power tool" phrases and insist on pupils using them
* Do not confuse these with some of the classroom language phrases found on some classroom walls.
* A "key power tool" phrase can be used often by most of a class in most lessons; it empowers learners and helps them learn; it should have a positive, feel-good factor, not negative connotations (for example "J'ai oublie le motla reponse" comes first, with "J'ai oublie mon cahier", coming later.) * These phrases should not be linguistic cul-de-sacs. They should show a pattern which can be built on rather than be a grammatical exception.
Some of the most frequently taught key power tool phrases in French are: Greetings: oui, non etc
C'est vraifaux.
C'est excellentbizarre!
J'ai une ideeun probleme.
J'ai appris cinq motscinq questions. Je peux parler en anglais? Je suis present. Ilelle est absent.
* Teach your chosen key power tool phrases with a cue (gesture andor symbol). Display, sing, practise, give them as learning homework.
* Consistently and insistently use cues to remind learners that they know and can use the phrases.
Encourage learners to experiment with "hubs"
* Give a clear message, from the first lesson, that language learning is about "playing with language" and building sentences. For example, in French: "je suis..." taught in the first lesson has far more potential for experimentation and self expression than "Je m'appelle...","j'habite..." or "j'ai onze ans", which are exceptions rather than rules.
* Introduce "hub" phrases. These are phrases which can have many different endings ("spokes") attached to them and can be used in thousands of contexts.
* Teach "je suis" and let the pupils play. This enables even beginners to really say something they want you to know, as well as persuading them to use a very useful hub: "Je suis Darren. Je suis de Keswick. Je suis fanatique de Carlisle Utd. Je suis fanatique de Brittany Spears et McDonald's. Je suis cool! Je suis tres intelligent."
* Develop your chosen hub. Display it, adding different spokes from different contextstopics. For example: je suis... leading to il estelle est. Require your learners to ask for additional spokes. Show them how to access spokes from a dictionary. Get them to collectrecord the hub in their books and accumulate spokes.
* Give credit for experimenting as well as for retention and accuracy.
* Once you have added a number of spokes, add other hubs which follow the same pattern: Est-ce que je peux parler en anglaisavec vousavec Madame Smith?
...travailler avec Darren? la bas?
...utiliser du Tippex un dictionnaire?
...distribuer les dictionnaires les livres
Est-ce qu'on peut ...
Est-ce qu'on doit ...
Trip, cajole and manoeuvre learners into talking and then reward them * Talk to learners about risk-taking and reward spontaneous talk and sentence-building in a special way.
* Create situations where pupils feel they have to say something; make deliberate mistakes; ask "why?"; say something controversial; ask them to do something that they have no equipment for.
* Over-react to any pupil who uses English when you know they can "have a go" in the foreign language.
Given a voice, teenagers can give feedback to their teachers, in English or in the language they are learning, about their learning process.
Talking "for real" also requires learners to think deeply about how language fits together, with obvious benefits for all four language skills. Talkers generally have a richer pool of language and grammatical understanding from which to draw on. Most noticeably, boys become more motivated, when they can speak and bring their own humour and personalities to their language learning. As oneYear 10 Boy from Poole High School, Dorset commented: "I feel I have been given a toy and I can't wait to get to France to play with it."
All the quotes on these pages are verbatim, because errors made by learners taking risks provide a potent basis for classroom discussion.
For further information about these strategies and the TALK project contactJaneen Leith, tel: 01623 871684. Fax: 01623 871724.E-mail: firstname.lastname@example.com
Year 7, December,chatting to each other while marking a class test on times Eliza: Tu n'as pas ecrit le 's'(on heures). Non! Apr s heures! (reacting to friend putting 's' in wrong place).
Tom: Erin n'a pas dit neuf heures cinquante, elle a dit dix heures moins dix, ca va?
Tayon: Une autre possibilite c'est neuf heures quarante.
Emily: Pour numero 12, j'ai ecrit dans le cahier bleu 'demi' avec 'e' en brackets.


text:
Escape From Monster is a free Escape Games.
Escape from monster is a mysterious point and click type new escape game developed by ENA games for free. Dream up a situation that you are on a trekking over the hill lonely. Unfortunately you slipped and fell into a hole on that hill and fainted. When you woke up, you saw an exit and was about to get out. Meanwhile, a monster blocked the entrance and was about to kill you. The only happiness is that it cannot be able to enter into it due to huge in size than the exit path. Now it is your responsibility to kill that monster and escape from the place. As a player, you need to find the necessary objects to solve the puzzles. As you are the person of problem solving nature, surely you will achieve it. Have greater Excitement and Fun by playing new escape games daily. Good Luck and Best Wishes from escape Games.
We hope you had fun with this great Puzzle Games.
Escape From Monster is an online Escape Games which you can play for free. It has been played 247 times. Escape From Monster is one of the many Puzzle Games that we feature. If you want to play more games, check out Grand Police Escape game or Monster Craft game or Monster Castle game. To play even more games, head over to the Escape Games page, the Thinking Games page, the Puzzle Games page, the Point and Click Games page or just check out the all time Best games page.
How to play?
Use the mouse to play this game.


text:
I say, I will not give into the dumming down of America!
Some black Americans seem to think I am referring specifically to their "language " often associated with black people" although in reality any language Americans speak today was or is a compilation of language from foreigners, some slavers, which one must recall came to this country from across the oceans. ." So in reality what one thinks is black language is a misnomer. I was not referring to language at all, you overly sensitive ,violent and violence promoting oafs. I referr to federal funded curriculums
that were once called the common core standards and to which is known if one is interested in reading, this programs and variations on the theme is actually causing mental illness, dis lexis and cognitive problems in children. But you know when I say anything all people want to think is I am dissing black people. Everything Is not about You Folks.
when I say "when you accept my freedom , I will accept your culture" now, I am referring to my freedom from the practice of oppressing mixed race people.
You know, movies like, Pinky, back in the 40's depicting a white looking woman living in a town that knows she is related to the whites in town but was forced to live among blacks. She denies herself the chance to marry a man who loves her and she denies herself to continue her education, live in a really lovely two bedroom home probably around white people. But! She turns it all down because they, the whites in town make her feel guilty, and ungrateful, and as if she is turning her back on " her" people. She lets the man, the education, an opportunity for her chosen happiness and for what, to fill their need to feel they have made the right choice for her. Stay with them, the black people, her people and Help them, forget her own needs, it is a matter of pride, etc., etc., bullshit,bullshit. It was racism then and is racism now.
I understand some of you out there use any opportunity to create hatred against me while they sound benevolent and kind and for the good cause but believe me all that written is not an honest portrayal of ant situation. You have to be there.
and we all know it. The whites wanted every lie to have its place. And blacks well, I think they were just angry if anyone could get away from what they were experiencing. But no one ever mentions the race mixing so much and including European ancestry that the children of the mixed children's mixed children cross the grading of color into no color. We get away. But the blacks do not want To let go of their slaves . The whites grow fearful that all will learn that the idea of caste and class and slave is an ideology, not reality. Something they picked up from their slave masters I suppose? But humans all over the earth experience enslaving others and or being enslaved. Even now most Americans do not agree that they are being systematically manipulated into killing humanity off. It is for the the best, some thinkers believe. Read that?
I have never meant anything to any of you. I am not accepted by either group but now you want my vote. No! I vote No , for any of you . I don't want any of you. Nor am I going to let you make me your chattel.
I will stick to my choice of choosing for myself how I want to express myself in the world. I choose me. Oh you may get a real snarling tone of voice out once or twice but that won't last. I have a new weapon for you.
It has nothing to do with anyone if at this date and time in my life I am determined to speak as well and as clearly as possible. Just luck, I guess. All of You are just not that important to me. Attention getting children is how I see most of you. The World is just one long hum of protests, for one thing or another, no peace, no one seems to really want peace and love, just arguing.
It seems it is more fun for those practicing arguing. The narcissistic is not why I protest or resist your energy, it is frustration of years of never ever being acknowledged in the first place. We, I have been invisible. But now you want me, now you want to make very personal choices for me. Well, no. Well, you go to hell.
I will not go quietly into the dieing of the light. And like the warrior women that I am, bring it! You do not frighten me. All the little babies that are born today not looking like any ethnicity in particular, I say live your own way, your own life.


text:
For all you Nostalgia lovers out there.. Have you been missing the Gameboy?
Perhaps, you want to give that classic Pokemon Red another go. Or maybe some Metroid, Tetris even? But your old Gameboy, is amongst all your old games and toys in the attic somewhere. Or maybe its no longer working or you made the decision (which you regret now) to sell your unwanted Gameboy?
Okay get to the point already!
Well..A company called Hyperkin have built the Smartboy Development Kit. Which turns your android phone, into a Gameboy.
You simply insert your Android phone, which is compatible with screens between 5-6 inches. Into the Smartboy, insert your old Gameboy cartridges in the back, like you would in the original Gameboy. Then boom, start playing your classic games, like you did when you were a kid.
The kit will also work with any emulators that are currently on the market too, all you need to do is make sure you have the relevant roms to play the games. So now, you don't need to play your Gameboy games on those cumbersome touch screens, and you also get the privilege to play these games on your high end smartphone screens. Lets not also forget, you don't need to worry about stocking up on them double A batteries either.
Also as this is the development kit, Hyperkin have made the serial app and firmware open source. So any of you developers out there, who can improve the kit will have the opportunity do so. Hyperkin, will reward you for any improvements you can make on the system.
The Smartboy Development Kit, is being sold for $59.99 and is due to be released in December this year.


text:
It's a situation thats comes many times in one's life, and we are always backed into a corner, forced to decide. It's easy to take the easier way out. You are bound to survive and not deal with the situation in that moment; but thats the thing. I don't just want to dodge the bullet by a second. I want to come out on the top, and be the person i was always deprived from. I want not to survive, but to live.
I know what it means to take such decisions. I know the consequences that i will be forced to face. But i also know that fear is just a lie and that nothing will get in my way. For far too long i have taken flight, and it is time to stop running away. And so from today i will to that one thing i've never done, the one thing that will make me a Hercules:


text:
Results 1 to 2 of 2
Thread: time to trade Updated tradelist continuing from the other one!!!
- Join Date
- Jun 2003
- Posts
- 3,161
- SCF Rewards
- 200
View my Inventory New
View my store Beta
time to trade Updated tradelist continuing from the other one!!!
Well got a grab bag today from PATick4
got these
2002 private stock corey dillon
2000 skybox skilines (insert) terrell davis
2000 Collectors Edge Master K-Kluib Herman Moore #/3000
2002 UD MVP Team Mvp Jeff Garcia
2002 UD MVP Jerry RIce
2001 Fleer LEgacy Ray Lewis, Shaun Alexander
2002 Donruss Marvin Harison
2000 Fleer Tradition (it has an auto... dont knkow if all cards dol ike the print ones lol... or in person..)
2001 BOwan 2002 Julius Peppers RC
99 Collectors Edge Advantage Rahiim Abdullah AUTO!!!
I got the auto in his grab bags which was pretty cool...all cards are for trade..
2001 Leaf Rookies and STars
David Terrel
2001 UD Vintage
Michael Bennent
David Gerrard
David Carr (BV 25!!!)
Ricky Williams (sunday stars)
Jerome Bettis
curtis martin
2002 Topps
Levi Jones
Ed Reed
2002 Score
Antonio Bryant
2001 Titanium Retial
James Jackson
2002 Leaf Rookies and STars
Tracey Widstrom
2003 Fleer Tradition
Rooke Sensation Kelly Washington #ed/1250
Andre Johnson
2003 Topps All-American
Fabrics of America Brett Williams (gu JSY)
2003 Topps Finest
Ty Warren rc
Teyo Johnson RC
2003 UD Patch COllection
Rookie Inovations Patches Carson Palmer (if u are familiar with the baseball then you'll know this is a nice looking product)
- Join Date
- Jun 2003
- Posts
- 3,161
- SCF Rewards
- 200
View my Inventory New
View my store Beta
can someone givem e some hints on way no oen wants any fo these lol... are theyt really that bad lol


text:
title: The Incorrigible Optimists Club
author: Jean-Michel Guenassia
translator: Euan Cameron
publisher: Atlantic Books
date of publication: English version in 2014 – original version in 2009
my bookreview: In the 60's, Michel is a 12-year-old-boy, keen on books and an expert in table football. With his older brother's friends he discovers politics and rock & roll. But what really changes his life is what he finds behind a curtain in the bistro: The Incorrigible Optimists Club. A group of refugees, mostly from Eastern Europe, playing chess, drinking wine, laughing and sometimes arguing loudly. All of them have fled their countries, leaving behind wives and children but each of them has his own story…
Rich in detail and cultural references, this European best-seller offers us a delicious foretaste of a French-Parisian lifestyle. You will discover Paris, its bistros and parks through Michel's young eyes and his older friends' foreign gaze on politics and philosophy. The Algerian War of Independence and Cold War background of the novel as well as the historical and fictional characters give a revolutionary atmosphere to this book. But Jean-Michel Guenassia also illustrates the tender feelings of a teenager discovering who he is, which is even more complicated when growing up in a family that is falling apart…
I highly recommend this delightful-amazing-moving novel to everyone!
mark: 5/5
recommended age: from 16 yo


text:
So anyone have big plans for Spring break?! I would love to go on another cruise, I seriously keep "stumbling" onto Carnival.com and wishing I could be on a tropical island with a pina colada in my hand and listening to the sound of the waves crashing onto shore :) ahhh bliss. Unfortunately that dream is going to have to be put on hold a little while longer seeing that we have a pretty big trip coming up in September. I guess for now I'll settle for the 75 degree temperature, a light cool breeze, and an occasional patio dinner :) life is good.
|Top: Forever21
Necklace: Forever21
Skinny Black jeans: Forever21
Shoes: Steve Madden


text:
This qualification reflects the role of individuals who apply knowledge, practical skills and experience in leadership and management across a range of enterprise and industry contexts.
Individuals at this level display initiative and judgement in planning, organising, implementing and monitoring their own workload and the workload of others. They use communication skills to support individuals and teams to meet organisational or enterprise requirements.
They plan, design, apply and evaluate solutions to unpredictable problems, and identify, analyse and synthesise information from a variety of sources.
Clients for this qualification will generally be people within the industry wishing to upgrade their skills and knowledge.
This program has been designed to be delivered either on or off the job to Participants. However individuals regardless of chosen mode should be employed in a suitable workplace which can be utilised for project based activities that develop a participant's skills and knowledge.
Participants may include:
* Supervisors and leaders, or individuals looking to move into a leadership position.
You have a total of 2 years to complete the Diploma, however, based on a study commitment of 15 to 20 hours a week, candidates are able to complete this in 12 months.
There are no entry requirements for this qualification.
A possible training pathway for a student completing this qualification could be the following:
* BSB61015 Advanced Diploma of Leadership and Management
* BSB580315 Graduate Certificate in Leadership Diversity
* BSB80215 Graduate Diploma of Strategic Leadership
These qualifications represent a logical pathway regardless of whether the RTO offers the qualifications.
After achieving the BSB51915 Diploma of Leadership and Management, candidates may pathway into a Graduate Diploma within the BSB Training Package and/or other industry area.
'Course Credits' may be gained for further study on completion of this qualification.
Job roles associated with this qualification relate to the delivery of training and assessment of competence within the VET sector.
Employment outcomes may include the following role/s:
* Manager within any Industry area.
12 units are required for award of this qualification including:
* Four (4) are core units
* Eight (8) are elective units
The Nominal Hours for the Qualification as per the Victorian Implementation / Purchasing Guide are 385-490 Hours.
On successful completion of the following 12 units you will have attained the BSB51915 Diploma of Leadership and Management.
The following tables outline the Units of Competencies and FMedge subjects available for this Qualification.
|Unit Code
|Unit Title
|Core /Elective
|Develop and use emotional intelligence
|Lead and manage effective workplace relationships
|Lead and manage team effectiveness
|Manage operational plan
|Develop and manage performance-management processes
|Manage Meetings
|Manage personal work priorities and professional development
|Manage recruitment selection and induction processes
|Manage Risk
|Manage workforce planning
|Support the recruitment, selection and induction of staff
|Undertake project work
Please Note: The elective units of competency have been selected by FMedge following industry consultation and are offered in the standard delivery of this course by FMedge. Candidates who have attained competency in alternate units may be eligible to substitute those units for Credit transfer/RPL or RCC in accordance with the training package rules for the BSB51915 Diploma of Leadership and Management. Where this course is offered for our corporate clients and subject to the training packaging rules alternate electives may be substituted to provide customisation to their specific requirements.
Upon successful completion of the required 12 units, you will be awarded BSB51915 Diploma of Leadership and Management.
Programs can also be designed to meet your timeframe and the specific needs of your personal circumstances, your organisation and market sector.
Please contact us to discuss your organisation's specific training needs and preferred delivery method (Online, classroom based or a blended approach).


text:
Financial prosecutor Grigoris Peponis has apparently ordered another investigation this time its into the foreign ministry secret funds for the period after 2009 when George Papandreou and Dimitris Droutsas served as foreign ministers.
The new order issued by prosecutor Peponis constitutes an expansion of the investigation already underway that concerns the period between 2004 and 2007 based on evidence presented by Radical Left Coalition (SYRIZA) Parliamentary group leader Alexis Tsipras when called to testify at the end of January.
The relevant investigation, according to a report from the state news agency, was launched by the prosecutor last September after press reports claimed that "secret funds" allocated to various government ministries in the period 2004-2007 had gone more than 200 pct over budget, in certain cases exceeding 1,000 pct.
A revealing article that was published in mid December in the "Pontiki" newspaper, and which was featured here on hellasfrappe, claimed that Papandreou's effort to remain in the leadership of PASOK is associated with his own personal fear of being accused for totally destroying the Greek economy, (No… really???) The article we had featured in December said that not this fear is not only related to civil punishment, which he and his party are already experiencing and suffering from but it is mostly related to the possibility of a formal judicial investigation into the legitimacy of his political activities while in office (including his time at the foreign ministry). Click here for more information


text:
Dating innacurate beyonce and jay z began dating
Many female lawyers attest to double standards and discrimination. Men still dominate the airwaves, music industry, film industry, etc, and are most decisionmakers and critics (often with a silent or not so silent male perspective.) Women make up only 11% of the national experts on Sunday morning political talk shows, and only 6% to 7% of the repeat guests. Most major film studios are headed by men, and nine out of ten music videos are produced by men. It's a societal thing more than a legal thing.For the most part, women need to be sex objects and to be young to be successful in music and to some extent, films, TV. I just feel like it would be nicer if what a guy should look and behave like and what a girl should look and behave like were less strict.Now comes the recycling this month of another Clinton tall tale: that shortly before her 1975 marriage to Bill Clinton, she decided in a fit of patriotic fervor and dedication to "public service" to stroll into a recruiter's office in Arkansas and join the Marine Corps.It's an anecdote she trots out to charm military audiences, whether it's a group on Capitol Hill in 1994, or, most recently, to veterans in Derry, NH. I will be 27.' And he goes, 'Well, that is kind of old for us.' And then he says to me, and this is what gets me, 'Maybe the dogs will take you,' meaning the Army," she added. Never mind that the term is "dogface," used to refer to the Army infantry.An extraordinary insight into the secretive world of the Old Order Amish of Lancaster County, Pennsylvania.When two radical Amish men, Ephraim and Jesse Stoltzfus, start to question some of the most fundamental aspects of their Amish culture, they face excommunication from their church and total rejection by their friends and family.Like so many carefully parsed Clintonian statements, Hillary's Leatherneck fantasy is either unverifiable or dependent upon how it's phrased.
They are ultimately excommunicated for not following strict Amish law, but that's not the end of the story."He looks at me and goes, 'Um, how old are you,' " Clinton recalled at the New Hampshire event on Nov. And never mind as well that, given the tenor of the times, the Marines or any other service would have taken young Ms.Rodham in a heartbeat, especially given their need for lawyers.The Amish arrived in America 300 years ago and settled in Lancaster County, Pennsylvania, today home to around 30 000 hardworking Amish whose lives revolve around their church, families and land.As well as a strictly plain dress code, they don't use cars, electricity and eschew modern technology.


text:
Ordinance Violations
Attention Cullom Residents
Ordinance violations will be given out later this week.
They will be enforced.
If your lawn needs mowed… mow it.
If you have clutter in your yard… store it.
If you have an unlicensed or non-running vehicle… license or remove it.
Common sense and consideration of your neighbors is greatly appreciated.
The Village Ordinances can be found above.


text:
19th Annual Rock Around the Clock Festival scheduled for October 2 & 3 has been rescheduled to Oct 30 & 31 due to weather forecast. All events and activities orginially scheduled will be the same.
The main stage will be located in front of the Town Clock, 100 Congress St, Winnsboro. The evening of October 2 starts with a parade at 7 PM. The Street Dance featuring begins about 8:00. There's a shag contest at 9:30 PM. Food and some Arts & Crafts vendors will be there Friday night.
Saturday the Classic Car & Truck show registration begins at 8 AM. Judging begins at 11 AM. Awards beginning at 3 PM. Prizes given all day. Car Show DJ Doug Paulingl will entertain the car show folks. 50/50 drawing. Polker Walk with $50 cash prize for best hand. Early registration $22. Day of registration $27. Nationl winner.
Saturday 10 AM - 3 PM. Main Stage music all day. Local groups and schools preform early. Lots of Food, Arts & Crafts Vendors & Exhibitors. Childrens' amusements 10:30 - 2:30 $5 per child for all day. Petting Zoo,free face painting, inflatable slide, thomas the Train choo choo and much more for kids. ,
For information contact the Fairfield County Chamber of Commerce 803 635-4242 or firstname.lastname@example.com


text:
this kit is nicely well worth the money. the Make contact with screw locking nut is plastic over the machines but aside from that its excellent to go.
It really is startling that you have not nonetheless designed the shift to create the purchase currently. This can be the turnaround step you must make so you are the converse with the town in your fantastic tattoos.
I do think it is not required to reveal that the standard and strength of the fabric from which it's manufactured – is a crucial ingredient of one's package. The better the fabric, the better conductivity from the cord. Don't make use of the cheapest a single.
Wholesale Tattoo Materials: We provide distributor and maker immediate pricing for the most effective brand names and gear. You dont have to choose between affordable and top quality supplies and more.
Using a trustworthy electrical power supply, arrays of inks, several sized tattoo needles, along with other crucial functions; you have a machine you should be proud of due to its incomparable characteristics:
Mainly because of the Grownup nature of this segment on our Internet site, it is only accessible to shoppers that are more than 18 many years of age.
Hildbrandt delivers two variations of its mini starter tattoo kits, a single with regular Hildbrandt machines and 1 with Rotary machines. So for those who planned to start out with fantastic high quality devices which is greater than capable of accomplishing professional get the job done as attested by many professional artists everywhere in the world, heading which has a Hildbrandt mini can be for you personally.
Spaulding machines would be the smoothest working coil machines I've at any time noticed. Spaulding machines Use a 3 degree angle milled on to the back frame publish This enables the spring to rest from the contact screw with significantly less tension - resulting in a clean jogging machine... Gary
Security: All orders taken on this Site are securely encrypted with SSL to avoid payment information slipping to the
the kit is wonderful i got it a handful of weeks in the past and already acquired 3 tats. me along with a buddy messed around with it and we each like it. i obtained several individuals interested in this exact same package. the machines get the job done beautifully it includes lots of needles and materials. the ink is a little bit compact for just how much use you will get from it but thats not really a giant difficulty. The one thing I discovered Erroneous was that as a beginner its somewhat complicated once you 1st open the box. with all of the tubes and the different grips i wasnt completely certain what I used to be thinking about the first time. for those who mess all around with everything you can sooner or later figure it out by yourself. the Device package has some additional grommets in them and tightening screws for in the grips.
PRICE Safety You'll be compensated In the event the products you might be purchasing has cheaper price inside our Web page ahead of shipping Aspects > SAFE Browsing Assure Our safe server software (SSL) corresponds With all the e-commerce marketplace's typical and encrypts all payment details.
Additionally, the kit comes along with stainless-steel recommendations and disposable strategies that match the needles that come in the package. I Individually prefer to use disposable tubes since it requires considerably less cleaning, but the tips are fine to.
In the tattoo package you get 7 different inks (shades + black ink) from Radiant shades. The caliber of the tattoos ink are first rate as it lays well on the several skin regions. The tone of them is crisp and sharp Even though not as in quite possibly the most quality inks (but ultimately it's great for start).
. so long as the guns coils are fantastic Then you definitely are superior. very good ink to utilize that all the retailers in nc use is Star Shiny , Mammas , ( excellent vivid hues with significant pigment ) and Kuro sumi ( for read more good blacks and gray wash ) . very good luck and don't let folks convey you down . if you're keen on artwork then do it like i stated . i workout of the store now but worked from my house the very first three a long time . superior luck Brook · four a long time back 0
- 288 Visitors


text:
Aisha M Elbareg*, Mohamed O Elmahashi and Fathi M Essadi
Gynecology Department, Misurata Central Hospital/Misurata University, Libyan Arab Jamahiriya, Libya
Received date: April 03, 2015; Accepted date: April 21, 2015; Published date: April 25, 2015
Citation: Elbareg AM, Elmahashi MO, Essadi FM (2015) Evaluation of Intrauterine Pathology: Efficacy of Diagnostic Hysteroscopy in Comparison to Histopathological Examination. Reprod Syst Sex Disord 4:149. doi: 10.4172/2161-038X.1000149
Copyright: © 2015 Elbareg AM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Visit for more related articles at Reproductive System & Sexual Disorders: Current Research
The aim of this work is to evaluate the diagnostic accuracy of hysteroscopy compared to histopathological findings in cases with intrauterine pathology. This prospective clinical trial was carried out over a period of two years. 280 patients were recruited with an average of 45 years (range: 25-65 years). Two hundred and thirty patients (82.14%) with abnormal findings in ultrasound examinations, the remaining 50 (17.85%) had normal scan, referred mainly because of abnormal uterine bleeding (AUB) and infertility. Hysteroscopic findings divided into; uterine cavity lesions: endometrial or cervical polyps, myomas, cysts, placental derbis, adhesions, congenital malformations and IUCD retention, endometrial characterization including: functional, dysfunctional, atrophic endometrium, hyperplasia, polypoid and carcinoma. Biopsies or removal of pathology were performed and sent for histopathology examinations, results were compared with hysteroscopic findings. Sensitivity, Specificity and predictive value (PV) of hysteroscopy were calculated.
Results: Uterine cavity abnormalities were detected in (71.4%) patients, significantly more at ages of >30 years (58.3%) compared with ages of <30 years (34.6%) (P<0.05). In benign endometrial lesions, the sensitivity of hysteroscopy was (98.9%), specificity was (97.5%), positive predictive value was (98.8%), negative predictive value was (98.5%) with diagnostic accuracy of 98.3%, same parameters for endometrial characterization: (78.9%), (90.7%), (82.8%), (90.9%) with diagnostic accuracy of 87.8%.
Conclusions: Hysteroscopy allows direct visualization of uterine cavity, it is a safe and reliable procedure for evaluating benign endometrial lesion, but in view of poor validity to exclude endometrial hyperplasia and cancer, it is recommended always to perform diagnostic hysteroscopy combined with biopsy procedures, giving it an irreplaceable value in diagnosis and treatment of intrauterine disease.
Hysteroscopy; Abnormal uterine bleeding; Infertility; Endometrial pathology
During the last decade hysteroscopy has become the tool of choice for the evaluation of the endometrial cavity including assessment of abnormal uterine bleeding (AUB), infertility, and recurrent pregnancy loss (RPL) [1-3]. The ever increasing value of diagnostic and operative hysteroscopy for patients with AUB serves as an appropriate tribute to Pantaleoni, who in 1869 described this procedure to look inside the uterus and could visualize an endometrial polyp [4]. AUB is the single most common reason for gynaecological referrals [5]. While there are various benign reasons for AUB, abnormal peri- and post-menopausal bleeding is associated with endometrial cancer in about 10% of cases [6]. Transvaginal sonography (TVS) is a valuable screening method to identify women with endometrial pathology, not only by measuring endometrial thickness but also by accessing focal abnormalities within the endometrial cavity, however, its value is limited in the endometrial characterization because the image of endometrium is given in a gray scale which makes interpretation difficult and less accurate, also because although in post-menopausal women the presence of thick endometrium (>5 mm) may predict some kind of pathology, the exact lesion cannot be discriminated until biopsy is performed [7,8]. Also, despite the diagnostic accuracy and mini-invasiveness of 3D sonohysterography (3D SHG), it was suggest that it cannot be a substitute of hysteroscopy in endometrial disease diagnosis, but it could be considered as a good method of screening to address patients to hysteroscopic confirmation [9]. Dilatation and curettage (D&C) has traditionally been considered as standard for investigation of AUB, however, it is a blind procedure that can miss a focal lesion like a polyp or a localized pathological lesions. In one study, 60% of patients had less than half the uterine cavity curetted and 16% had less a quarter. Negative endometrial biopsy in women with persistent AUB should be further investigated [10,11].
Uterine abnormalities are estimated to play a causal role in a substantial number of couples seeking treatment for infertility and in women with recurrent miscarriages whether of the first or second trimester [12,13]. Their assumed pathophysiologycial mechanism is that they impair proper embryo implantation and growth due to poor vascularization with subsequent infertility or miscarriage [14]. The rate of uterine anomalies is reported to be as 2-5% in women with a good obstetric history or those at low risk for complications [15,16], whereas more than 30% of infertile patients are reported to suffer from abnormal intrauterine findings [17]. A wide discrepancy (from 6.3 to 67%) of the rate of anomalies has been described for patients with recurrent pregnancy losses [16,18]. These findings mirror differences in study designs and the variations of anomalies reported in the respective studies [18].
Hysteroscopy is an accurate and less invasive method for the evaluation of uterine cavity. It is a dynamic test and allows a direct visualization of the endometrium, revealing the nature, location, shape, size and vascular pattern of any uterine cavity abnormalities. The main advantage of hysteroscopy is that biopsies can be taken at the same time with great safety, which improves the diagnostic accuracy. Also, its "see and treat" potential provides higher patient satisfaction. Hysteroscopy is increasingly replacing D&C for the evaluation of AUB [19,20]. The objective of this study is to evaluate the diagnostic accuracy of hysteroscopy in detection of uterine cavity lesions compared with histopathological results of excised biopsy.
A prospective study was carried out from Jan. 2010 to Jan. 2013. Two hundred and eighty patients were referred with abnormal ultrasonographic scanning (USS), AUB, infertility or RPL were admitted into our gynecology departments at Misurata Central Hospital. Patients underwent a preliminary assessment by history, clinical examination and USS of the pelvis. Baseline laboratory investigations included a complete blood count were also done. All hysteroscopies were performed under general anaesthesia using videoassisted diagnostic hysteroscopy with outer sheath 5.2 mm (Storz GmbH, Germany). Pathology in the uterine cavity was treated at the same setting using an operative hysteroscopic 10 mm fibreoptic resectoscope (Storz GmbH, Germany). All procedure were video recorded. The uterine cavity was expanded using distension media (Glycine 1.5%) administrated via electronically controlled irrigation delivery system (Endomate) (Storz GmbH, Germany).
Hysteroscopy was performed with a standard sequence, inspecting ectocervix, endocervical canal, uterine cavity, endometrium and tubal ostia. Hysteroscopic findings were allocated either to "the uterine cavity lesions" or "the endometrial aspect characterization". The uterine cavity lesions that were found including: endometrial polyp, cervical polyp, myoma, endometrial adhesions, congenital malformation, placental rest, lost intrauterine device (IUD). In the endometrial aspect characterization, differentiation between functional, atrophic or thin endometrium, dysfunctional, endometritis, cystic atrophy, hyperplasia, polypoidal, and carcinoma was done. The hysteroscopic observation was documented, and an endometrial biopsy and/or the removal of the pathology was performed. The histopathological results were used as gold standard and compared with the hysteroscopic documented observation. The sensitivity, specificity, and predictive value of hysteroscopy were calculated. Statistical analysis was performed using SPSS software. The P value was calculated by applying student t test, and considered to be significant if (<0.05).
In this study, 280 patients were recruited; the age ranges from 25-65 years with average of 45 years. Two hundred thirty patients (82.14%) with abnormal findings on USS such as endometrial thickness, endometrial irregularity, polyps, myomas, IUD, placental debris. The remaining 50 patients (17.85%) had normal scan but referred because of infertility (10 cases), (20 cases) of menorrhagia, (15 cases) of postmenopausal bleeding, and (5 cases) were of cervical polyp. Uterine cavity abnormalities were detected in 71.4% of patients, significantly more at age of >30 years (58.3%) compared with that of <30 years (34.6%) (P<0.05).
Regarding the uterine cavity lesions diagnosed by hysteroscopy-200 (71.4%) cases showed uterine abnormalities, out of them: 150 (53.6%) cases of endometrial polyps were diagnosed, one of them associated with endometrial carcinoma on histopathology result, some were associated with cervical polyps and myomas. There were 25 cases of Submucous myomas, 10 cases of cervical polyp, 3 of them were associated with endometrial polyp. Septate and subseptate uterus were found in 8 cases, one of them associated with endometrial polyp and the other with cervical polyp. Endometrial adhesions were found in 13 (4.6%) cases, one was associated with myoma, one associated with endometrial polyp and the other associated with cervical polyp. The other diagnosed lesions included 6 cases of IUD (2.1%), 5 (1.7%) cases of placental debris and 3 (1.07%) endometrial cysts. The remaining 80 (28.6%) cases did not have any uterine lesions on hysteroscopy. Compared with histopathology, 105 (37.5%) cases did not show any pathology, with false negative in 25 cases including, 10 cases of isolated intrauterine adhesion, 6 cases of isolated septate uterus, and 5 cases of isolated IUD, 1 case of destroyed cyst, and 3 cases of small myomas were not submitted to biopsy (Figure 1).
Regarding the endometrial aspect characterization- one case (0.36%) of endometrial carcinoma was detected, 27 (9.6%) cases of endometrial hyperplasia, 30 (10.7%) cases of dysfunctional endometrium, 15 (5.3%) cases of polypoidal endometrium, 3 (1%) cases of endometritis, 4 (1.4%) cases of cystic atrophic endometrium, and 34 (12.1%) cases of atrophic endometrium. Functional endometrium was found in 166 (59.2%) cases (Figure 2).
When compared with histopathological examination as gold standard, hysteroscopy failed to diagnose the following uterine lesions: one case of myoma that was really a polyp, two cases considered without endometrial lesions that had polyps on histopathological examination, the 2 polyps that were myomas. The hysteroscopy also failed in the endometrial characterization of the following cases: 2 cases of carcinoma were wrongly diagnosed as hyperplasia, 1 complex hyperplasia, 2 cases of dysfunctional endometrium, and 2 other polypoid endometrium were wrongly classified as atrophic endometrium.
The hysteroscopic evaluation was characterized as functional endometrium, dysfunctional endometrium in 12 cases, polypoid endometrium in 4 cases, simple hyperplasia in 1 case, and complex in another. Considering the 26 false-positive diagnosis, these include 3 cases of focal hyperplasia that were atrophic endometrium, 7 cases of polypoid endometrium, 6 cases of dysfunctional endometrium and 10 cases of hyperplasia that were all functional endometrium (Tables 1 and 2). Considering the diagnostic accuracy of hysteroscopy in the evaluation of intra-cavity lesions, the sensitivity, specificity, positive and negative predictive values were respectively 98.9%, 97.5%, 98.8%, and 98.5%. The values of the same parameters regarding the characterization of endometrium were as follow: 78.9%, 90.7%, 82.8%, 90.9%. The diagnostic accuracy was 98.3% for endometrial cavity lesions and 87.8% for endometrial characterization. The incidence of endometrial adenocarcinoma was 1.1%, the sensitivity and specificity of hysteroscopy were respectively 60% and 99% with a diagnostic accuracy of 99%. The incidence of endometrial hyperplasia was 9.6%, hysteroscopy has sensitivity of 88% and a specificity of 90% with diagnostic accuracy of 62%. The complication rate was 2%, including 2 cases of postoperative hemorrhage that were managed as in-patient for 24-h observation and then discharged, one perforation, 4 cases of false route were managed conservatively. Four cases of endometrial carcinoma (one in a polyp lesion) were submitted for hysterectomy (Figure 3).
|Hysteroscopic exam
|Histopathological exam
|False negative
|Complex hyperplasia
Table 1: Failure of hysteroscopic diagnosis of endometrial characterization (False negative).
|Hysteroscopic exam
|Histopathological exam
|False positive
Table 2: Failure of hysteroscopic diagnosis of endometrial characterization (False positive).
Hysteroscopic inspection of uterine cavity is a simple and well accepted method for investigation of intrauterine pathology. The direct visualization, real-time, real-color, hydrated, well-illuminated, and augmented vision of the uterine cavity make this diagnostic tool very accurate to detect minute focal endometrial pathology and small lesions otherwise not possible, complemented to the ability of performing guided direct biopsies and treatment on the same diagnostic setting. Hysteroscopic examination may predict endometrial lesions with a good accuracy as well as endometrial aspect characterization, adopting a nomenclature similar to that used by the pathologist. This approach makes correlation between hysteroscopic findings and histopathological results easier.
In our study, hysteroscopic abnormalities in the uterine cavity were seen in about 71.4% of cases. The accuracy of hysteroscopy to diagnose uterine cavity lesions is better than that of endometrial characterization (98.3% versus 87.8%). The false diagnosis was lower and include: one case of hysteroscopic diagnosis of myoma that was a polyp, two cases of polyps that were myomas on histopathological examination. The false negative include two focal thicker lesions interpreted as dysfunctional endometrium that were polyps on histopathological examination. The false diagnosis on endometrium characterization is a concern, particularly the false negative; 12 cases of dysfunctional endometrium were misdiagnosed as functional endometrium.
Dysfunctional endometrium means a discordant maturation between endometrium and hormonal cycle, or a focal discordance with focal areas in various phases of endometrial cycle at the same time [21]. The two false negative for carcinoma occurred in postmenopausal women. Both were diagnosed as hyperplasia but their histopathological examination revealed atypical hyperplasia with focus of adenocarcinoma. After hysterectomy, adenocarcinoma was confirmed on histopathological examination. Hysteroscopic guided biopsy permitted the correct histopathological diagnosis. Our study showed that for endometrial cancer, hysteroscopy has sensitivity and specificity of 60% and 99%% with a diagnostic accuracy of 99%. There is continuing debate about the value and accuracy of hysteroscopy in diagnosis of endometrial diseases that is endometrial cancer and its precursor, endometrial hyperplasia. Previous studies showed that hysteroscopy was more accurate in identifying intrauterine pathologies like endometrial polyp, Submucous myoma and misplaced IUD than endometrial biopsy or D&C alone, whereas diagnosis of hyperplasia, its types and carcinoma was only possible after histopathological examination [22-24]. In comparison with our study, some studies showed an overall sensitivity and specificity of hysteroscopy for endometrial cancer was 86.4% and 99.2% respectively [21]. The conclusion of many studies was that hysteroscopy has high accuracy in diagnosing endometrial cancer rather than excluding it, with high accuracy in postmenopausal women rather than in premenopausal [25-27]. Add to that it also demonstrates any possible involvement of the lower uterine segment and cervix. Therefore, since the incidence of focal lesions in patients with AUB is 47-74% [28] (71.4% in our study), and the main purpose is to detect endometrial cancer, combined hysteroscopy and biopsy [29-31] is considered to be the new gold standard which showed an accuracy of almost 100% in diagnosis of carcinoma and its precursors.
Hysteroscopy is a safe and reliable procedure for evaluating benign endometrial lesion, allows direct visualization of uterine cavity and this particularly confer it a high diagnostic accuracy, that associated to the possibility of simultaneous treatment or biopsy procedures gives it an irreplaceable value in diagnosis and treatment of intrauterine disease.


text:
Events Marketing Executive
A little bit about us.....
InfoPro Digital is a rapidly growing, market leading, B2B publisher with 50+ brands globally and counting. A fantastic role is available within our vibrant and dynamic events marketing team. This is a role that offers structure, whilst encouraging fresh ideas. The successful candidate will have hands-on control of all event marketing activities where our attendees are at the forefront of everything we do.
The ideal candidate will hold some experience in marketing; however, practical experience within the sector is not essential - a passion for marketing and ambition are far more important to us.
The what we'd like you to have's.....
- Previous marketing experience preferential
- Excellent communication skills
- Pride in your work
- Analytical - judge the success of marketing activity and spot potential new marketing opportunities
- Passion to understand more about Digital Marketing & Google Analytics
- Customer centric approach and ensuring our subscribers have a slick user journey via all digital touchpoints
- Creative thinker and proactivity - coming up with innovative marketing solutions and making them become a reality
What's on offer.....
As well as working with the most interesting, talented and fun people, we operate a culture where success is recognised. You will be supported throughout your career tailoring your development through management support, internal and external training courses, and on the job training. Based in a fantastic location at the heart of London's West End, you will also have access to numerous retail discounts!
In addition to a Competitive Salary we offer the following benefits:
- 25 days Annual Leave (rising up to 30 days)
- Group Personal Pension Plan
- Life Assurance
- Interest Free Season Ticket Loan
- Childcare Vouchers
- Private Medical Insurance
- Income Protection
- Employee Assistance Programme
- Bonusly Employee Recognition
- Employee Discount Scheme
- Onsite monthly Chair Massage
- Eye-care Vouchers
- Vodafone Employee Advantage Scheme
- Discounted Gym Membership
- Flexible Working
And many more!
Infopro Digital also runs The Foundation which supports a number of charities. Staff can volunteer to contribute their skills and expertise to make a meaningful difference to the lives of others.
How to apply:
Click on "Apply" to start your journey.
Required skills
- Event Planning
- Events
- Marketing
- Marketing Campaigns
Reference: 34905233
Bank or payment details should not be provided when applying for a job. reed.co.uk is not responsible for any external website content. All applications should be made via the 'Apply now' button.Report this job