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Terraria how to make spectre armor - All the best weapons and armour and items in Terraria 1.2
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6/02/2014В В· drawstring pouch continued.. Use the same method to stitch the other wall in place and you'll end up with a drawstring pouch that's now inside out. When you turn the pouch the correct way out and have laced the top with either string or in this case leather thong this is what you'll have.
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I have been live painting and digital painting for an amazing art installation called "Kinetic Canvas". The Kinetic Canvas is a collaborative project between myself, Chris Hall of "Patchy Projects", Brandyn Zpacely of "8 Cell Visuals" and Alec Rudek of "Art By Alec"
Kinetic Canvas is an interactive art installation that spotlights live artists and allows an audience to interact with the art being created. While a live artist, or digital painter works, a live feed of their work is projection-mapped onto a screen. Viewers are given access to a variety of controllers that allow them to manipulate the image using various visual effects.
Kinetic Canvas has been featured at several live music events & festivals including:
Re:Vision in Chicago feat. Papadosio, Thriftworks, Alex & Allyson Grey
Paradise Music Festival in Kentucky
Hyperion Music Festival in Indiana


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Following a successful grant funding application, a Norfolk preschool and playgroup have made significant improvements to their outside area with Playspec bow top railings.
Based in Tasburgh, Norfolk, Tas Valley Preschool and Playgroup originally only had a small area surrounded by wooden fence. The ground within this fence was of grass and in some circumstances not suitable for the small children, as it was often made unsafe by wet weather. The preschool set about deciding how to approach this issue and enable the children to play outside in safe conditions at all times.
The solution was to pave over the existing area and extend it, so that there was still a grass area for digging and planting, followed by the installation of bow top metal railings to secure the area. This was all going to be made possible by submitting a grant funding application to their local authority, Norfolk County Council. As part of the application process, Tas Valley Preschool had to source three different quotes for the metal railings.
The preschool found Alpha Rail online and was quickly provided with a quotation – speed was a key element in this project as the preschool had a strict deadline to submit their grant application.
In total, Alpha Rail supplied 22 linear metres of Playspec bow top, which was delivered directly to the landscaper on site. The metalwork was galvanised as standard followed by a polyester powder coated finish in RAL 6005 moss green to complement the existing fencing on site. The anti-trap features of the Playspec bow top means that the children will be able to play outside safely with no risk present of becoming trapped between the bars.
Commenting, Hayley Defoe from Tas Valley Preschool and Playgroup said: "The delivery process was super-efficient and Alpha Rail was very responsive throughout the whole project. Their quote was the most competitive and ordering was very straightforward. The fencing is now installed, looks fantastic and the children are enjoying their all-weather outside area. We would highly recommend Alpha Rail, thank you, our children will enjoy this resource for years to come."
To view other bow top railings projects, please visit our bow top railings product page.


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Preventing Ankle and Knee Injuries Coach Craig CSCS, ACSM-CPT, CPTS Like a viral infection, the aerial attack has swept over the surfing nation. From inverted slob grabs to the rodeo flips, air innovation has slowly crept it's way into all facets of surfing. Whether you like it or not, airs are here to stay and probably continue to march into further progression. While surfing, surfers target their launch ramp, compress, extend, launch, and land. Air heights can vary depending on the force produced by the wave and the surfer himself. The higher you fly, the harder you will fall. Landing an air is the tricky part due to the fact that you land on a surface that is constantly changing and is unstable. Quite often our center of gravity during a landing is not centered between our feet which leads to awkward recoveries (especially if inverted or rotating in the air). Knee and ankle injuries are stacking up in numbers because of the critical landing phase of an air. Unfortunately a good sprain or strain can keep you out of the water for a good ten weeks. How can we prevent these knee and ankle injuries from occurring? more at : http://surfkinetics.blogspot.com/2012/09/aerial-surfing-and-injury-prevention.html Disclaimer: Always consult a qualified medical professional before beginning any nutritional program or exercise program. Never disregard professional medical advice or delay in seeking it because of something you have read by Craig Canubida. Any content or information provided by Craig Canubida is for informational and educational purposes only and any use thereof is solely at your own risk. Neither Craig Canubida nor its operators or posters bears any responsibility thereof. The information contained herein is not intended to be a substitute for professional medical advice, diagnosis or treatment in any manner. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding any medical condition. All information contained by Craig Canubida including but not limited to text, graphics, images, information, third party information and/or advice, food, recipes, exercises, diets, psychology, websites, links, including but not limited to any content by employees, consultants or writers and contributors, and or any other material contained herein are for informational and educational purposes only. By reading articles by Craig Canubida, the reader and/or viewer does hereby acknowledge that it is your sole responsibility to review this Disclaimer and any other disclaimer or waiver.
Chevy Chase returns to the screen as the reckless reporter I.M. Fletcher, investigative reporter, in Fletch Lives. This time, the chameleon-like reporter ventures to Belle Isle, a sprawling 80-acre Louisiana plantation which Fletch inherits from his aunt. Trouble begins when a lovely attorney mysteriously turns up dead, a neighborly lawyer (Hal Holbrook) warns him to leave town and a ravishing real estate agent (Julianne Phillips) comes calling with a persistent offer he may not be able to refuse. Fletch must unravel the reason for the mad land scramble with his trademark bag of hilarious disguises in this fast-moving comedy.
The Administration for Children and Families (ACF) is part of a larger initiative to make the U.S. Department of Health and Human Services (HHS) more effective in fulfilling its mission. From becoming more streamlined and efficient to moving to a 21st century workforce, the administration has challenged ACF to evolve and innovate. Reimagining the Temporary Assistance for Needy Families (TANF) program and the human services starts with putting people at the center of everything the agency does. It includes leveraging the power of data and harnessing the free market to increase effectiveness. ACF's Acting Assistant Secretary Steven Wagner provides an overview of the vision for the agency and its programs as well as its goal of improving the lives of children and families. We accept comments in the spirit of our comment policy: https://www.hhs.gov/web/socialmedia/policies/comment-policy.html.
October 2014 Meeting of the Advisory Council on Alzheimer's Research, Care, and Services Learn more about the meeting and National Plan to Address Alzheimer's Disease: http://aspe.hhs.gov/daltcp/napa/. -- U.S. Department of Health and Human Services (HHS) http://www.hhs.gov We accept comments in the spirit of our comment policy: http://www.hhs.gov/web/socialmedia/policies/comment-policy.html HHS Privacy Policy http://www.hhs.gov/Privacy.html


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Understanding communication from Oprah to Twitter
There's a story about the ancient Greek statesman named Demosthenes who learned the art of public speaking by practicing with pebbles in his mouth. Learning how to effectively communicate has come a long way since 300 BC. Today, we need to know the best ways to communicate - not with pebbles in our mouths - but through a variety of technologically advanced mediums and involving various individuals, groups, contexts and audiences.
Eric "Duff" Wrobbel, an associate professor in the department of applied communication studies at Southern Illinois University Edwardsville, explores how today's communication can be made most effective.
"My roots are in rhetoric, the study of speaking and writing," Wrobbel explained. "But the idea of applied communication reflects how the field has expanded and specialized." He said that there are many different branches of communication that can be studied. For example, there are areas that focus only on health communication, political communication, or organizational communication.
Applied communication also examines how to communicate with different audiences and in different contexts.
"There is a difference in talking with one person instead of two," Wrobbel said. "The dynamics and the rules are different. When you add a third person, then the rules change again." Who is talking also makes a difference in how one communicates and the rules for communication.
"For example, a doctor talking to a patient has different rules than two friends talking while having coffee," he said. Context also makes a difference. For example, the context will determine the inflection one might use when talking.
"The tone and inflection a person would use in saying 'How are you doing?' is different when greeting a friend in a hospital than when seeing the same person at a restaurant," Wrobbel explained.
Wrobbel is particularly interested in how social media impacts communication. Social media, he said, has dramatically altered all of the normal factors and rules about communication.
"Just think. There are no non-verbal cues, like a smile or some other facial expression, no change in tone or inflection and no cues like breathing or speed of talking that help the listener interpret the meaning of the communication," Wrobbel said about social media. "Instead, the communication is compressed and without all of those visual and sound factors that help us understand what is being said to us." This is an important reason why people use emoticons (like smiley or frowny faces) with their social media communication, he added. And an obvious danger with social media, Wrobbel explained, is that you can't edit your remarks.
"How many times have you sent an email that someone misunderstood because they couldn't tell you were being sarcastic?" Wrobbel asked. Another example might be how one communicates through Facebook. "Someone might post a comment that their dog died, and someone else responds by saying they are sad. How do you respond? Do you click on the 'Like' button? Social Media changes the rules of communication. It makes communication faster, but one needs to be aware of the rules."
If rules for communication vary by audience, medium, and context, then where does Oprah Winfrey, the well-known TV talk show host, fit? And how has she been so successful in reaching a large and varied audience?
"Rhetoric is the study of public discourse," Wrobbel explained. This branch of applied communication looks at what makes a speech great, like Abraham Lincoln's Gettysburg Address, and what makes for a "great communicator," like Ronald Reagan. For Wrobbel, people like Barbara Walters and Oprah Winfrey don't get enough credit for being good communicators.
"Oprah is famous for getting guests to cry, but Barbara Walters is exceptional in listening to people and then asking them the probing questions to reveal information that they might not otherwise," Wrobbel said. This kind of communication skill is exceptional, he added, in that it illustrates a number of important aspects of applied communication - audience, context and verbal and non-verbal cues.
Wrobbel came to SIUE in 1993 after earning a master's degree from San Diego State and a Ph.D. from The University of Texas at Austin.
"I thought I might go into consulting," he said, "but I fell in love with teaching." And, he is good at it. Wrobbel has won nearly every teaching award SIUE has to offer.
"I believe in the teacher/scholar model for SIUE," he said. "It is what makes SIUE's education special for our students. I teach what I teach because I believe it is among the most supremely practical material any student can learn. It permeates everything, and yet it is often like the water to the fish. People don't really give it any thought."
Stephen Hansen is the Interim Dean, College of Arts & Sciences, at SIUE.


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Bashkir Theater staged parable performance about great conqueror Genghis Khan
UFA, 22 February 2019. /Bashinform News Agency, Leila Aralbaeva/ translated by Tatiana Aksyutina/.
The premiere of the play "The White Cloud of Genghis Khan" was held at the Bashkir Academic Drama Theater named after Mazhit Gafuri. The production was based on the story of the Kyrgyz writer Chingiz Aitmatov, which is part of the novel "The Day Lasts for More Than A Hundred Years".
The stage version of the story was created by Elena Baranchikova, who arrived at the premiere. The performance was staged by Musalim Kulbaev, director of the National Youth Theater of the Republic. Artist — Albert Nesterov, choreographer — Irina Filippova (Moscow), composer — Ural Idelbaev, light designer — Ilshat Sayakhov.
The performance was also visited by the First Secretary of the Embassy of Mongolia in Russia J. Bayarkhuu.
The performance-parable tells about Genghis Khan's Western campaign, who failed to reach the European lands. The eternal themes are raised in a brief, one-act setting: life and death, man and power, love, childbirth, and war. In the center of the performance is a majestic figure of Genghis Khan masterfully performed by one of the most charismatic actors of Bashkir Drama Theatre, People's Artist of Russia and Bashkortostan Khurmatulla Utyashev.


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Aircraft For Sale Quick Search
First Light Sport Repairmen Add General Aviation A & P Rating
It has been over 30 months since the first Light Sport Repairman Maintenance (LSRM) course was held and the first two LSRMs have received their FAA letters of approval to take the Airframe and Powerplant Mechanic (A & P) written exam and several other LSRMs are in the process of applying. "With so many owners of amateur built aircraft with Rotax engines having difficultly finding an A &P to perform the required condition inspection, the opportunity is too great to pass up," says Brian McCallen of Light Sport Repair.
Brian took the first LSRM course back in March of 2006 and has submitted an application and was given the approval to take the A & P written exam. An FAA inspector validated the date of his certificate, looked over his paperwork and a record of the work he has performed over the last 30 months.
"The application process was simple and in short order I had my letter of approval to take the A&P written exam. The whole process was relatively painless except for the studying associated with the written exams," explained Brian. "This is offset by the additional opportunities that an A & P certificate will provide."
The Repairman Maintenance Rating allows you to perform the maintenance, the annual condition inspection, and the 100 hour inspections (required on aircraft used for hire) on Special Light Sport Aircraft and Experimental Light Sport Aircraft and charge for your services. The job opportunities for the repairman with a maintenance rating are wide-ranging. Light sport manufacturers and dealers in the light sport industry will all require a light sport repairman to perform maintenance on their aircraft after they are certificated. Additionally, flight schools will need LSRM for the required 100 hour inspections. Not to mention the opportunities for new light sport maintenance facilities. Then there is the little known option of transitioning to a general aviation Airframe and Powerplant mechanic.
Aldo Sibi, of Indus Aviation, has also received FAA authorization to take the A & P written exam. "The Light Sport Repairman Rating is a great stepping stone," says Aldo. "I did not have the two years to commit to an A & P school, but have always wanted a career in aircraft maintenance. Besides 1900 hours of classroom is a long time, but it's just that! It's a classroom. Nothing beats experience," Aldo comments. "In September, I met with an inspector from the Dallas FSDO who reviewed my previous experience, portfolio, and paperwork. Then, after careful review, I was officially signed off to take the test. The A&P opens the door for more versatility. It adds more credibility to my abilities."
The repairman keeps a portfolio of his work and may apply for authorization to take the A&P written and practical exams for general aviation maintenance technician after working in the field for 30 + months under his own supervision. This 30 month period and work experience substitutes for the traditional requirement to attend a FAA certificated Aviation maintenance technician program.
We recommend that the repairman meet early on with his local FSDO inspector to clarify expectations and create a point of contact at the local FSDO office.
After the thirty month period has past he then makes an appointment with a local FSDO inspector who verifies the work and the date of issuance of the repairman's certificate. Remember the Repairman must show and the FAA must find that the Repairman has been working in the field for the thirty month period.
With the A & P Certification he will then be authorized to work on any U.S. standard category airplanes from a Cessna 2-seater, to the largest of Jumbo Jets and of course any airplane in-between.
The first step for a LSRM should be purchasing a AMT Logbook to record his experience over a thirty month period while working under his own supervision. The repairman should list all maintenance and inspections including the make and model of the aircraft and the engine.
And how easy was the process for Aldo? "If I had to do it again, I would get a log book to record my maintenance experience. I would be more diligent in keeping records. A lot of time was wasted going through old records to put my experience records together," he replied. And don't wait, for a sign off to test to start studying." Tests, in three separate booklets, consist of written, oral (knowledge) and practical (skills) exams, and are overseen by Designated Mechanic Examiners (DME) of the FAA. Proof of passing grade must be given to the FAA within a designated period of time in order for the appropriate certificate to be issued. There are numerous publishers as well as video's are available. Sample tests are included in the study materials as well.
After earning your Light Sport Repairman Certificate with a Maintenance Rating the sky is truly NOT the limit in this ever-expanding, high demand, hands-on, exciting field. Rainbow Aviation Services in the sole provider of this specific training. There are currently more jobs available than graduates to fill them! A career as an Aviation Mechanic is in high demand and can take you on many paths in your life.
For more information visit www. rainbowaviation.com or call Rainbow Aviation Services at 530-824-0644.
Light Aviation Edition October 2008
To view this article in original digital format, click the link below:


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The property is characterised by traditional interiors and stunning high ceilings which add a wonderful sense of grandeur to the property. To the immediate right is an elegant dining room with an adjoining kitchen. The dining room has antique wooden furniture and a large 8-seat table which is perfect for all the family. The kitchen is fairly compact but well set out with plenty of storage space and is equipped with all the appliances you could need which include an electric hob, double sink and a dishwasher. Adjoining the kitchen is a downstairs guest bedroom with a double bed and en-suite bathroom. At the rear of the ground floor is the elegantly-decorated living area with its balcony looking over the garden square. The room has been expertly furnished with stylish chairs and sofas and also has a wide-screen TV for entertainment.
The lovely master bedroom on the upper floor has a double bed and an en-suite shower room with twin basins. The third bedroom has a bunk bed with 2 singles whilst the fourth bedroom has a raised single bed, reached by a ladder. Across the corridor is the family bathroom which is finished in nautical blue and fitted with a bath and overhead shower.
House Rules:
No Pets, Parties or Smoking!
The lead guest must be at least 25 years old.
Veeve reserves the right to refuse a booking if it thinks the property will be used for a party
Home truths:
Please note that there is no lift in the building. When using the bathrooms you will need to run the baths at different times to maintain the pressure for the hot water.\


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Venue: Committee Room 2, Town Hall. View directions
Contact: Jonathan Vali (0161 474 3201)
Note: (moved from 16 October)
Webcast: View the webcast
To approve as a correct record and sign the Minutes of the meeting held on 11 September 2018.
Additional documents:
The Minutes (copies of which had been circulated) of the meeting held on 11 September 2018 were approved as a correct record and signed by the Chair.
Declarations of Interest
Councillors and officers to declare any interests which they have in any of the items on the agenda for the meeting.
Additional documents:
Councillors and officers were invited to declare any interests they had in any of the items on the agenda for the meeting.
No declarations of interest were made.
To consider call-in items (if any).
Additional documents:
There were no call-ins to consider.
Safeguarding Adults Board Annual Report 2017/18 PDF 2 MB
To consider a report of the Stockport Safeguarding Adult Board.
The report summarises the work of the Safeguarding Adults Board in Stockport during 2017/18, highlighting key issues in the borough.
The Scrutiny Committee is invited to consider and comment on the report.
Officer contact: Nuala O'Rourke, Head of Safeguarding and Learning, 0161 474 5659
Additional documents:
Gill Frame, Independent Chair of the Stockport Safeguarding Adult Board, accompanied by Nuala O'Rourke, Head of Safeguarding and Learning, attended the meeting to present the Board's Annual Report for 2017/18 (copies of which had been circulated) and to answer questions from the Scrutiny Committee.
Mark Fitton, Director of Adult Social Care and Dr Donna Sager, Director of Public Health, were also in attendance at the meeting and responded to questions.
The following comments were made/ issues raised:-
· Clarifaction was sought on why the Oldham Safeguarding Board had been chosen as park of a peer programme. In response it was stated this had been at the suggestion of the Association of Directors of Adults Services (ADAS) and that this work had now been completed and had highlighted some areas for learning and improvement.
· The recommendation made by the Board in relation to mandatory reporting on harm levels was welcomed and clarification was sought on whether there were any proposal to introduce this requirement to existing contracts. In response it was stated that the Council could not require a Section 40 investigation as part of existing contractual arrangements but it was an area the Council was seeking to strengthen. The value of learning from 'near misses' in indentifying areas for improvement and training was stressed.
· Clarification was sought on whether the figures in the report relating to prevalance of a mental health condition in Stockport were high or low. In response it was stated that these were broadly in line with national averages, but lower than Greater Manchester average. Stockport had good primary care services for mental health.
· A number of questions were asked in relation to falls prevention both in the community and in hospital. In response it was proposed to submit a report to the next meeting.
· Clarification was sought on whether reviews of medication included efficacy as well as correct administration to assess the benefit to the patient in receiving them. In response it was confirmed that the Quality Care Inspection Team who visited care homes assessed the safety and efficacy of medication and would alert GPs if there was a concern.
· Further information was requested in relation to circumstances where medication specified in a care plan was not administered. In response it was stated that there were instances when the administering of medication could be more distressing for the patients than the harm they would suffer from not taking it. In such circumstances a risk assessment would be undertaken.
· Confirmation was sought on the number of care homes requiring improvement. In response it was stated that there were no inadequate care homes in Stockport, and performance was on an upward trajectory.
· Assurance was sought on the implications of the decline in the number of Deprivation of Liberty Safeguards (DoLS) assessors. In response it was stated that social workers were undertaking best interest assessments but that many were doing this in their own time. Agreement had now been given to recruit two more assessors for one year before moving toward new safeguarding system.
· Further information was sought on suggestions that care home managers would be undertaking DoLS assessments in the future. In response it was stated that the legislation before Parliament would allow for more assessment in such settings, although the Council and other had concerns that the best interest test no longer needed to be met and the onus was placed on care homes. It was also likely to have cost implications for residents.
· Concern was expressed at the increase in the number of mental health referrals and whether there was too great a focus on older people to the detriment of younger adults who were more at risk of suicide. In response assurance was given that the Board was engaged in multi-disciplinary work to address issues relating to adults at risk of harm. It was also commented that there were young adults in care home ... view the full minutes text for item 4.
Portfolio Performance and Resources - Mid-Year Reports PDF 85 KB
To consider reports of the Directors of Adult Social Care and of Public Health.
The Mid-Year Portfolio Performance and Resource Reports (PPRRs) for the Adult Social Care and Health Portfolios are presented for consideration by the Committee. These provide a summary of progress in delivering the portfolio priorities, reform programme and other key projects in the first half of the year, with a particular focus on the second quarter (July to September). They include forecast performance and financial data (where this is available) for the Portfolios, along with an update on the portfolio savings programmes.
The Scrutiny Committee is asked to:
· Consider the Mid-Year Portfolio Performance and Resource Reports;
· Review the progress against delivering key projects, priority outcomes, targets and budgets for 2018/19;
· Highlight key areas of and responsibility for taking forward corrective action to address any performance or resource issues;
· Highlight any significant issues or changes to be fed back to the Cabinet alongside the Corporate Performance and Resource Report;
· Identify how areas of strong performance and good practice can be shared in other services.
Officer contact: Peter Owston / Paul Graham, 0161 474 3274 / 4674, firstname.lastname@example.com / email@example.com
Additional documents:
The Cabinet Members for Adult Social Care and for Health submitted the Portfolio Performance and Resources Reports (copies of which had been circulated) summarising progress in delivering priorities, reform programme and other key projects for the Adult Social Care and Health portfolios during the first half of 2018/19, with particular emphasis on the second quarter. The reports also included forecast performance and financial data for the portfolios, along with an update on the portfolio savings programmes.
Health Portfolio
The following comments were made / issues raised:-
· Concern was expressed about the number of new cases of AIDS/ HIV in Greater Manchester and clarification sought on what the impact for Stockport of the £1.3m Fast Track Cities network programme, and whether this would also include the roll-out of PREP. In response it was commented that further details were available in a recent report to the Health & Wellbeing Board. Support for the roll-out of PREP was also echoed.
· Assurance was sought that contingency plans were being made for a no-deal Brexit. In response it was confirmed that the Council and partners were following NHS England guidelines on preparations. It was further commented that there was anecdotal evidence of concerns amongst staff about the uncertainty over Brexit and local hospitals were under increasing staffing pressures, with wider Greater Manchester efforts to recruit more nurses likely to take some time to realise improvements.
· In relation to the differing rates smoking in pregnancy attributable by deprivation is was asked what more could be done to reduce rates in Stockport's most deprived communities. In response it was stated that it was often difficult to deliver the message as the most persistent cases were due to the very chaotic lives being lived by these expectant mothers. The Family Nursing Partnership was one of the mechanisms through which partners were seeking to address this challenge. A further bid had been made to access Greater Manchester funds to provide additional support workers. It was also commented that it should not be forgotten that nicotine was an extremely addictive substance. A further question was asked about whether the reductions in SureStart provision had had an impact of rates. In response it was stated that no link could be proven although there was evidence that outcomes for women were better if they could access support closer to where they lived.
· Had the devolution of the NHS budget to Greater Manchester been a success, or was it a means to pass on responsibility for cutting resources? In response it was stated that the devolution process was complex, with 38 local bodies involved, although the Council received very little directly from the NHS. Those NHS bodies involved were likely to answer that it had been better than had it not happened, but it may take time for the impact to be felt. The process nevertheless required partners to work differently to address the growing funding gap between available resources and demand.
· Comment was sought on the national shortage of EpiPens. In response it was stated that Public Health had received the circular from manufacturers and had provided appropriate advice to schools and GPs.
· Clarification was sought on the graph showing alcohol related admissions and whether or not young people were drinking less. In response it was stated that Stockport continued to be an outlier for rates of admission, including for young people, although prevalence/consumption was falling. It was further commented that the number of individuals behind these statistics might also be quite small, but were involved in multiple admissions.
· Concerns were expressed about the impact of public spending reductions was having on health and wellbeing of the public, and the ability of public bodies to respond to those needs.
· What would the response be if someone presented to A&E who was drunk but feeling suicidal? In response it was stated at Stepping Hill there was a specialist nurse who supported those ... view the full minutes text for item 5.
MTFP Cabinet Response: Our Budget Choices for 2019/20 PDF 62 KB
To consider a joint report of the Cabinet Members for Adult Social Care and for Health.
The Cabinet have been preparing its medium term strategy in response to its medium term financial plan. The latest update was presented in October. This frames the choices the Council will make about its budget both next year and in future years aligned to five key themes:
· Getting the most out of our spending
· Improving Customer Experience
· Making sure we have the right property in the right places
· Sharing Services with other organisations
· An organisation fit for the future.
This latest update is presented to scrutiny for consideration and is comprised of:
· An overview report summarising the strategy and budget choices;
· Appendix for each theme which outlines the strategic direction and ambition for each theme as well as a suite of proposals for 2019/20.
The Scrutiny Committee is invited to:-
· comment upon the strategic direction of travel outlined in the overall report and across the five themes; and
· comment on the report and the proposals presented within the report relevant to the remit of the Scrutiny Committee
Officer contact: Holly Rae, 0161 474 3014, firstname.lastname@example.com
Additional documents:
The Cabinet Members for Adult Social Care and for Health submitted a report of the Cabinet (copies of which had been circulated) seeking the views of the Scrutiny Committee in respect to the strategic direction of travel outlined in the overall report and across the five themes and to comment specifically on the proposals presented in the report relevant to the remit of the Scrutiny Committee.
The following comments were made/ issues raised:-
· The introduction of the five broad themes for the budget was welcomed.
· Concerns were expressed about the proposals in respect of the Stockport Local Assistance Scheme. It was commented that the approach in Stockport had been innovative and targeted support where it was needed. Assurance was sought that vulnerable residents would continue to have access to financial support between presenting to services and receiving benefits. In response it was stated that the total projected saving would be £486,000 and that as part of the strategic commissioning proposals work had begun on a review of support and possible alternative funding streams. Commitment was given to providing further detail on the proposals to the next meeting. Members welcomed efforts to mitigate the impact of these changes be restated their concern about the significant impact removal of the scheme could have on the wellbeing of residents and ultimately lead to greater costs elsewhere in the Council.
· Concerned were expressed that reducing Local Transport provision would impact on respite options for carers. Others commented that previous attempts to reduce budgets in this area had proven unsuccessful. It was commented that in so far as was possible, transport provision should move away from bespoke solutions to group or communal options as this had a social benefit for the users. Greater priority needed to be given to transport training.
· Reservations were expressed that increasing the offer of online facilities was hampered by the limitations of the Council's current website and comment was made that allowance needed to be made for people who were not able to use digital communications. Other members stressed the importance of facilitating those who could and wanted to access services digitally.
· In relation to reduced investments in the public realm, it was commented that reductions in service levels must not lead to public health problems and greater costs, such as increased flooding because of less gulley cleansing. Enabling community groups to maintain or develop public open spaces should also be encouraged.
· Concern was expressed about the scope for using procurement to build community wealth given the role of STAR and the Council's current contract procedure rules.
· The appropriateness of reducing spend in schools by £1.1m in view of the increasing birth rates and demand on school places was questioned.
· Concern was expressed that 'services at a premium' would lead to a second class service for those who could not pay.
RESOLVED – That the report be noted.
To consider a report of the Democratic Services Manager.
The report sets out planned agenda items for the Scrutiny Committee's next meeting and Forward Plan items that fall within the remit of the Scrutiny Committee.
The Scrutiny Committee is invited to consider the information in the report and put forward any agenda items for future meetings of the Committee.
Officer contact: Jonathan Vali, 0161 474 3201, firstname.lastname@example.com
Additional documents:
A representative of the Democratic Services Manager submitted a report (copies of which had been circulated) setting out planned agenda items for the Scrutiny Committee's next meeting and any relevant Forward Plan items.
RESOLVED – That the report be noted.


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Brunswick County residents running low on provisions have a new place to stop on the drive home with the opening of Walker Farms Produce at 50 River Rd. in Belville.
The market, tucked into the space that formerly hosted Half Time Sports Bar & Grill, is stocked with an interesting array of items including what is likely the area's best selection (at least in terms of
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variety) of eggplants, peppers and squash grown by Matthew and Heather Walker on their 120-acre farm located near Asheboro, NC. They already operate stands at the Piedmont Triad and State Farmer's Markets in Greensboro and Raleigh, respectively, and decided to add a location at the coast thanks to extended family members living in Bolivia.
With 30 acres dedicated to vegetable production, much of their remaining space is used for hog, cattle and bison husbandry, which Heather Walker said are all raised free of vaccines, hormones and steroids. The beef they sell comes from bulls purchased from neighboring dairy farming operations, and are raised from an age of about two days to slaughter on their property, she added.
The store, which has managed to convincingly repurpose the former bar except for a few dark corners that would benefit from additional lighting, boasts several types of heirloom tomatoes, potatoes and sweet corn, all grown on their farm as well. They do stock a few non-local items like lemons, limes and avocados. Look for canned goods produced from their harvest lining shelves and counters, including scuppernong cider and muscadine syrup, pepper relish and chow chow.
Walker said the decision to open in Brunswick County was her husbands, but that they're both eager to find a niche in the area's local food scene, hopefully forging future relationships with home cooks and professional chefs alike. "We want to promote a healthy lifestyle to everyone," Walker said. "And we try to keep it at or below grocery store cost."
Walker Farms Produce is open Mon. – Sat. from 9 a.m. to 7 p.m.and from noon to 6 p.m. on Sundays. As the business gets settled in, expect the inventory to expand with herb and vegetable plants, flowers and hanging baskets. For a gallery of photos featuring a few of the more than a dozen varieties each of eggplants, peppers and squash they carry, click any of the pictures on this post.


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Heiko Bunny Lamp
Our famous Bunny night light as used by Dale and Sophie in 2012. Everyone loves a bunny, she is very enchanting and looks like she is just about to hop away. Made in Germany. 26cm tall. Comes complete and ready for Australian specifications. The bunny lamp lights up Dale and Sophie's guest bedroom in The Block 2012 (pictured).
Please login to leave a review
Shipping Costs: $15.00 (Australia Wide)
Delivery: Orders are normally dispatched within 2 business days and shipping times are estimated at between 3-7 business days depending on your location within Australia.
Heiko Bunny Lamp


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On April 25, The Citizen and South African media as a whole lost one of their shining stars when news editor Yadhana Jadoo died in Cairo, Egypt, in puzzling circumstances while on a three-week fellowship programme as a guest of the Egyptian government and the African Journalist Union. Jadoo was just 34 and had recently been promoted from senior reporter to news editor.
Yesterday was seven months since her passing, yet her family only received her postmortem autopsy report 10 days ago.
It has been a frustrating seven months for the family, who are still trying to piece together what happened. The report said "the prime cause of death is attributed to methyl alcohol ingestion poisoning which led to multiple vital organs' collapse".
However, the report does not state the concentration of the methyl alcohol ingested or which ingested substance contained the poison.
The report ruled out all criminal suspicions. There are inaccuracies in the report, which says her Ugandan roommate Gertrude Ankah Nyavi, who was with Jadoo until her death, was in Alexandria City on April 25.
The report is not thorough at all. The South African department of international relations and cooperation and the Egyptian powers that be need to shed more light on what happened seven months ago.
Up to now, their involvement has been patchy, at best. Yadhana Jadoo, and her family, deserve better.
For more news your way, download The Citizen's app for iOS and Android.


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Many moms to be think they can't slay while pregnant. This is so not true. Many fashionistas even slay harder when pregnant. They adjust to their new body size and find clothes that would fit them.
Pregnancy does not mean you lose your fashion touch, rather it should strengthen it. You embrace the temporarily new you and rock the hell out of it.
Check out these moms to be in all their pregnant glory.


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Evan Dorries
Scotia Glenville High
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"Here we go again."
Let's stop pill shaming.
The couple both spoke out in support of reproductive rights.
They said "#MeToo." Much of Tennessee said, "so what?"
And that's just the financial cost.
"We're just tired of it, we've grown up with this. It needs to stop!"
"Men should not make women's choices — that's all I have to say."
But will it develop to something more?
From where to donate to how to volunteer.
"We see your comments and we appreciate them."


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Deadline: 22 March 2019
The Arts Council Malta has announced a "Cultural Export Fund (CEF) Presentation and Touring Grants Program" to support the export of artistic work and/or international tours of Maltese or Malta-based artists working in the sector.
The aims of the fund are:
- To share creative excellence with international audiences
- To foster transnational cultural cooperation with international programmers and presenters
- To increase the potential of sustainable activity in the cultural and creative sectors through export
- To support a geographic spread of artistic and/or cultural work from Malta
- To sustain and develop professional work.
Funding Information
Each project may be allocated a maximum of EUR 8,000.
The fund will support 80% of the costs to implement the mobility project. Costs may include any of the following:
- Travel (Economy class)
- Standard accomodation
- Production fees (rental of venue/s and/or equipment)
- Insurance and Visa
- Freight
Eligibility Criteria
- Individuals and/or organisations are eligible to apply for the fund. One-off presentations and tours are eligible to apply.
- The work proposed needs to have already been presented at least once.
- Priority will be given to:
- Presentation & touring at significant festivals and venues
- Work developed in collaboration or in co-production with national or international partners
- Work that forms part of the applicant's long-term plan for international engagement.
Selection Criteria
- The artistic merit of the project
- International engagement and collaboration
- The professional and financial management of the mobility project
How to Apply
Applicants can apply via given website.
Eligible Country: Malta
For more information, please visit https://www.artscouncilmalta.org/funds/cultural-export-fund/presentation-and-touring#fund-title


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text:
Love u.'Sorvino lauded Annable for his 'amazing positive spirit,' having one herself as she wished The Code cast and crew 'the best as they move forward.'She said, 'I am sorry we won't be able to work with each other on this one but I thought you rocked, had such strength and charisma, almost old Hollywood-like.'Annable said in response to the well-wishers, 'I want to thank you guys from the bottom of my heart because you have helped turn this negative into a positive for me.'Annable wrote in his original post that he was at Disneyland with his family when he was told he would not be coming back to the show.He said he remained focused on moving forward despite the disappointing setback.'What is the lesson here? 'What can I learn from this experience moving forward? It is my choice and my choice only on how I choose to deal with it.'He said he also wrote the post acknowledging the bad news in an effort to face and conquer his fears of embarrassment and failure.'It's growth. It's where all the good s*** happens that makes you a better person when you are open to seeing the right perspective,' he wrote.Last week, Odette and Dave Annable announced that they are expecting their first child together later this year. I've been craving cucumber with lemon and salt which is so bizarre.
I've yet to be given a reason but when I do you bet your a** that I will try and learn from it.'He stressed that he was avoiding being angry or upset over the situation, as it would be a fruitless endeavor.'If I choose anger then I'm taking on the perspective of a victim,' he said. In a classy move, Annable wrote, 'Watch my friends crush it on 'The Code' on CBS.
Dave Annable is a popular American actor born on September 15, 1979.
The star was also joined at the hospital by four little leukemia warriors.
They are pieces that were inspired by things she had or that we had in our home.
Right after the graduation, Dave attended State University of New York situated at Plattsburgh.
While attending the college, he was involved with the student-run TV station, Plattsburgh State Television where he worked on both productions on the air and behind the scenes as well.
Odette's new series will be premiering this summer on ABC.
"We're actually done shooting, so I was pregnant for the last little bit of the show so I'm just chilling out right now," the brunette beauty explained.
My father in law does wood turning and he taught Kyle, so I brought some pieces in that he made and asked them to recreate those.
David Annable was praised by a number of contemporaries, including Octavia Spencer and Mira Sorvino, after he delivered a strong statement following his firing from The Code, an upcoming series on CBS. I want to quit.' The Brothers & Sisters star continued: 'The TOUGHER thing to do is face it. Learning to deal with failure is one of the most important lessons you'll deal with in your life. Failure is mandatory.'Spencer and Sorvino had encouraging words for the actor in the comments section of the Instagram thread, according to ABC News.
The 44-year-old actress represented her foundation Uno entre cien mil while making an important visit to La paz hospital in Madrid, Spain on Friday, May 25.


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About IkazrimaZainalAlam
Storing level data in grids
IkazrimaZainalAlam replied to IkazrimaZainalAlam's topic in For Beginners's ForumI'm using C#, and figure out it would be neat if I integrate the editor directly into the game. At first I was thinking of making the grid like a cartesian plane [having the centre to be (0,0) instead of the top-left corner to be (0,0)]. This was what driving me nuts a bit, which comes back to my original question on what to store. My thoughts were going like this:- if I make the grid in 2d array, how do I move the centre grid (0,0) to the new index in the array should the player change the grid size? (I'm killing this question on my mind right very now.) Reading your post, it all make sense now. I'm ditching my old thoughts, and will try to go with suggestion number 1, but may be using list instead of array since I still want to maintain the dynamic structure of the level grids. Thanks very much for your post. I will get back to you once I've made progress and stumble on another bump.
Storing level data in grids
IkazrimaZainalAlam replied to IkazrimaZainalAlam's topic in For Beginners's ForumThe original game uses regular structures, and I've successfully replicated it. I've no problem in placing and constructing each levels using the old level data, which stores tiles indices. Let's just say that I'm stuck on this part, [--][O][O] [O][O][O] I want to place a new room I've created on the [--] grid, and I can't for the love of God figure out how the heck do I automate the process of linking the new room to the rooms below and right side. If I don't use a grid-style editor, I can insert a new room based on an existing one, where I would just need to have an option to place the room on up,down,left and right of a selected room. It solves the linking to one room (lets say the room below of it), but not the rooms on its other sides. I can eliminate the problem above just by doing manual linking, but I prefer if the player puts a room somewhere it will initially links with all the other rooms surrounding it. I have tried using raycast, but the problem is that in a room there are certain parts where the tiles are empty, so the raycast might not hit anything even if there's a room next to it. This seems like such a silly matter that I've been stuck on for quite a while. :( Now about the feature that I want to preserve, it is that I want the user to have the option of navigating the rooms like the old game if they wish so. Based on your explanation, I think it is best for me to keep the linking structure. This is because the old game have many user created levels that have this 'magic links' for maze purposes. I'm trying to make the game as much compatible with previously created custom levels. Again, thanks for your informative response.
Storing level data in grids
IkazrimaZainalAlam replied to IkazrimaZainalAlam's topic in For Beginners's ForumNo love? :( I'll give a cookie *an imaginary one* :)
Storing level data in grids
IkazrimaZainalAlam replied to IkazrimaZainalAlam's topic in For Beginners's ForumHi haegarr, thanks for your reply. I've updated my first post to give you an idea of what I'm trying to do. Regarding your points, I can see why explicitly modelled exits is good. Thank you. :) Actually I wanted to make an editor similar to this, that's why I thought of storing the level structure in grids. If you could suggest a way on doing this without changing how the old level works, I'd appreciate it.
Storing level data in grids
IkazrimaZainalAlam posted a topic in For Beginners's ForumHi all, I am using an old game level data, and have managed to extract the relevant information. The way the game stores the level is each has about 24 rooms in it , with every room made up of 3x10 tiles. The rooms are linked by having each room stores the link data of what room is on it's left, right, up and down. Now, I'm thinking of storing all the rooms into a grid-based map (eg 10x10 rooms), without the need the store each links in each room. What is the best way to store all of this grid data? I'm making this game to be mod friendly, so the player can change how big the level is by changing the grid size. Storing it in an array will make it static? I thought of using list, but I'm not sure what information should I store in it (whether I should store the x and y axis, etc.) [Edit] This is a 2d game, by the way. :) The reason I'm trying to ditch this sort of linking because of in the old game, only one room is drawn at a time. I want to make my remake to have some sort of a continuous feeling sort of? I want to be able for the camera to follow the movement of the player instead of staying static (which is what I have right now. It follows the classic game feel in navigating the levels, one room at a time) The other reason is I've never actually made a level editor before, and I was thinking of instead of only seeing and only able to modify one room at a time, why not made it one whole giant canvas so that I could implement some sort of a paint function to modify the tiles between different rooms. [/Edit] Thanks for your thoughts.
Dekat sebulan Streamyx beberapa jam sekali baru dapat guna maximum 1-2 minit. Selepas hujan talian akan terputus selama berhari-hari. Bukak pintu depan siap sedia untuk disimbah dengan air yang bertakung dekat siling tak kira waktu. Siling yang tunggu masa dan mangsa untuk jatuh. Mandi/beristinjak dengan menadah air yang menitik-nitik dari paip utama akibat bekalan air yang terputus. Agreement tak nak bagi walaupun dah berkali-kali mintak. Call service/maintenance kata small matter, +percuma...
Allahu Akbar, Allahu Akbar, la ilaaha ill-Allah, Allahu Akbar, Allahu Akbar, wa Lillah il-hamd
Game research project
IkazrimaZainalAlam replied to IkazrimaZainalAlam's topic in For Beginners's ForumI had considered this before, sadly I don't have the money to buy one. But in case I do manage to save up, have you any experience on developing with it that you can share?
Game research project
IkazrimaZainalAlam posted a topic in For Beginners's ForumHello guys. I'm starting my final year research (Degree level) soon and I'm looking for an area of interest to work on. It is a requirement for the research that we have to solve a problem or improve upon current ideas. This is where I'm stuck at, I have a few areas that I'm interested to work on but I couldn't think of a problem to solve. This is basically the areas that I have in mind. 1) lighting techniques 2) collision detection (can be 2d or 3d) So if you guys could give me some pointers, or even give some new ideas different from mine I would be really appreciate it. I have some basic knowledge in XNA and OpenGL, so please reply accordingly to my level. Thanks
Last update for a long, long time. -final status of 2011
9 kepala babi. Tak jumpa tong sampah ke apa?
Somebody should tell Bruno Mars that a sky full of lighters will make the Earth very hot.
New years resolution? HD.
"If you add me and your profile picture is a car, I'm gonna think you're a transformer" -anon. guy on the Net Soooooo true. hahaha
Sad ending for a drama/story? Excuse me for laughing.


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Morning Meditation Sit 2018-07-12
We sit this week looking toward Tisha B'Av—the fast day on the 9th of Av, which we observe next Saturday evening and Sunday. This season calls to be aware of the hatred that grows in your heart.
Hatred can so easily take root—it finds justification and energy—and it only leads to destruction and ruin. This is a time to practice radical empathy and to make a commitment to see the humanity in all, even in those with whom we deeply disagree.
Together we will sit calling forth the wells of compassion.
—Rabbi Yael Levy
Listen to the recording.


text: BC Tripper 0 Posted November 26, 2005 (edited) If you are close to this coordinate line (N, S, E or W) , would you help me with the "Where's in a name?" cache? We can both log it as a find, all you have to do is take a picture at the line with your GPS! Cities close to this line are : Havana, Cuba Athens, Greece Ahmenabad, India Contact me through geocaching.com, my profile name is.... BC Tripper Edited November 26, 2005 by BC Tripper Share this post Link to post


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Welcome to r/cryevertim! This is a place for the saddest, most heart wrenching stories ever told on the internet. Post existing stories or make your own!
|Mar 3, 2013
|/r/cryevertim is born
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Hangzhou Housing security and Management Bureau is the government department competent for the whole city housing management work.
Main responsibilities: (1) Implement the national, provincial and municipal laws, regulations, rules and policies about housing security, housing system reform and property management. Entrusted to draft the local regulations and rules of the draft about housing security, housing system reform and property management, and supervise the implementation. Guidance and to carry out the administrative law enforcement work about housing security and property management.
(2) According to the national economy and social development overall planning, organize the formulation and implementation of housing security, property management, housing industry development planning and annual plans.
(3) Make overall plans of the city's indemnificatory housing management, and draw up indemnificatory housing annual demand plan with the Development and Reform Commission, Planning Bureau, Land and Resources Bureau, Construction Bureau and the relevant administrative departments. Responsible for determination the demand of all kinds of indemnificatory housing (including building number, apartment layout proportion, decorate benchmark cost, etc.), examination and determination of qualifications, housing allocation management, housing delivery acceptance, the use of housing management, allowance fund management and exit management. Make overall plans of assets operation of the indemnificatory housing, and other comprehensive management work.
(4) Responsible for the reform of the whole city housing system, formulate and implement the sale of public housing, the monetization of housing distribution and other housing system reform policies. Responsible for the management of housing funds, public housing after-sale maintenance fund.
(5) Responsible for supervision of the real estate market regulation and real estate business, formulate and organize the implementation of the market regulation policy of the real estate. Involved in the management of the transfer of state-owned land use rights. Responsible for the management of the rental housing. Responsible for the management of real estate intermediary services. Responsible for the management of commercial housing advance (sales) sales, the management of contract, the supervision of real estate transaction funds.
(6) Responsible for the management of housing property right and housing cadastral. Responsible for all kinds of house property transaction and registration management, real estate surveying and mapping management and house property archives management work. Responsible for the construction of housing information system, and the management of real estate information.
(7) Responsible for the management and supervision of city's property, and for the management of qualification and supervision of standardize business of property services enterprise. Responsible for the collection, management and use of the property maintenance fund and property guarantee fund. Responsible for the supervision and management of property services bidding. Organization and implementation of the improvement project of property management. Responsible for the guidance and supervision of the owners' congress and owners' committee.
(8)Responsible for the levy and compensation management of urban houses on state-owned land, the guidance and supervision and management of the housing collection and compensation. Responsible for the management of the dismantling company and the qualification examination and verification of the dismantling company. According to the regulation authority to manage the qualifications of urban house demolition and construction enterprise. Responsible for the supervision and management of the construction safety of the housing demolition which on the state-owned land.
(9) Responsible for the management of various housing, for the management of the public housing. Responsible for the implementation of private housing policy, entrusted housing and religious housing policy. Responsible for the receiving and treatment of the confiscated building.
(10) Responsible for the use safety management of the housing, and for the management of the building security appraisal industry, termite control culling. Participate in the work of flood and typhoon prevention ( snow ). Guidance and supervision the management of the residential indoor decoration.
(11) Responsible for the organization, coordination and supervision of the historical and cultural blocks protection and historical building protection. Responsible for the repair management and utilization of the urban house.
(12) Undertake other tasks assigned by the municipal government.


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We have corrected an issue within the payslip tool where payslips uploaded from zip file on Mac OS caused duplicate files in the audit logs.
This tool can be found in our Plugins area, as well as a number of other utility programs that allow you to run them directly within the People system.
To give you an overview of what you can do in this area:
...and many more! To learn more on Plugins and to find all help articles on each specific plugin, please see: http://help.peoplehr.com/plugins/plugins


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Thank you for choosing Sarah Kerr! As one of the Knoxville area's premier Real Estate Brokers, we are uniquely qualified to help you find your dream home. On the lake, around town or out on a farm, Sarah Kerr is here to help!
Public Remarks: Hawthorn-Energy efficient with 2635 sqft of smart home technology. Open concept allows you to entertain with ease. Warm up by the fireplace in Great Room or retreat upstairs to Media room. with Beautiful coffer ceilings in great room. Elegant Formal dining room. Kitchen with walk-in pantry, SS appliances and island. Breakfast Area leads to builders 'Signature Game Day Porch'. Owners suite offers double vanity, tiled shower, separate tub and oversize walk in closet. Hardwoods in living areas and tiled wet areas.
I-40W to Campbell station. Right on Campbell Station. Left on Fretz Rd. Right on Woodhollow Lane.
Instructions: Enter numbers and decimal points. No commas or other characters.
This is your Principal & Interest Payment only - you will still have to add HomeOwners Insurance and Taxes for a Total Monthly Payment. The Loan Amount Figure is based on a 20% down payment, Private Mortgage Insurance (PMI) is required with less than a 20% down payment. We can provide you names of Mortgage Loan Officers that will provide you more details on your payment and total down payment.
Buying or Selling real estate should be fun and simple. With Sarah Kerr, that's exactly what you can expect. We will strive to make each and every interaction a professional and pleasant experience!


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The Hornets halted a two-game losing streak by outscoring the Tigers 32-20 in the second half of Saturday's North Central Missouri Conference victory at Roger D. Davis Gymnasium.
Fulton — which swept the season series with Kirksville — is now 9-11 overall and 3-4 in the NCMC. The Hornets broke a 27-all tie by outscoring the Tigers 16-10 in the third quarter to take a 43-37 advantage.
Fulton then took control by outscoring Kirksville 16-10 in the fourth quarter to seal the win.
Senior guard Anthony Paine made 12-of-15 free throws in supplying a game-high 22 points for the Hornets, who shot 40 percent (17-of-43) from the field and 72 percent (21-of-29) at the foul line. Junior forwards Tyler Sayler and John Adams provided 14 and 11 points, respectively.
"(Saturday) was a total team defensive effort," Fulton head coach Justin Gilmore said. "We did a really good job of making them take tough shots with hands in their face and then securing the rebound.
"Kirksville is a really strong and physical team, so to go out there against them and rebound the way our guys did was really good to see. I thought our guys played together and picked each other up when someone made a mistake."
Ryan Ball paced Kirksville with 13 points and Noah Copeland finished with 12.
The Hornets play their final home game of the season against Moberly in an NCMC matchup at 6 tonight. Fulton will be seeking to avenge an 82-74 loss to the Spartans in Moberly on Jan. 25.


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Von Hippel-Lindau Disease is the name of a very rare autosomal genetic condition that affects the body in a significant way, in which cancerous growths and lesions that exist and thrive inside the brain, inside the skull, or at the back of the brain stem. Typically these tumors grow and develop very quickly with little warning or signs, and usually they are extremely serious and require technical and difficult brain surgery to remove completely and live a healthy life after diagnosis and surgery.
Von Hippel-Lindau Disease issues and problems can be very difficult for the medical community to understand, as their causes and reasons for existing are not completely agreed upon, but one can agree that having a brain tumor is a very serious and significant affliction, and it requires very technical and dangerous surgery to have removed so that the patient can recover. Additionally, the tumors and legions brought on by VHL are very rare, and it is relatively rare that the medical community understand the intricacies of the disease itself as they work towards management and a cure.
Causes of Von Hippel-Lindau Disease
Von Hippel-Lindau Disease can be caused by a host of things, both environmental and genetic, as medical professionals and cancer doctors have not definitively concluded any one cause of or presence for Von Hippel-Lindau Disease. Genetic factors may be at play, as people may experience a genetic predisposition to Von Hippel-Lindau Disease and an increase in the likelihood of their presence if others before them experienced similar Von Hippel-Lindau Disease.
Environmental factors are also at play here, as people may experience Von Hippel-Lindau Disease due to the environment they are in, the products they consume, and the things, materials and ingredients to which they are exposed. Environmental factors are very difficult to pin down as a cause of Von Hippel-Lindau Disease, but damaging elements and metals may be a cause here as well as other products and ingredients knowingly and unknowingly consumed that cause the tumors.
Most often, Von Hippel-Lindau Disease is caused by major genetic issues and problems relating to a person's genes. They will affect themselves simply due to their birth and by nature of the genes that are within and surrounding their body in time.
Symptoms of Von Hippel-Lindau Disease
Symptoms of Von Hippel-Lindau Disease can vary wildly between people, though many will experience pretty significant pain within their brain, brain stem, and neck when the tumor is growing due to the pressure it places on various parts of the brain and neck area. Still other Von Hippel-Lindau Disease are in such an area that they show no real symptoms and are only discovered through CatScan and other technology in preemptive cancer screenings and check-ups.
Additional symptoms have traditionally been reflected in where the tumor is located on the brain, as certain tumor spots can cause people to smell unique and non-existent smells due to the presence of a tumor on a certain part of the brain. Brain tumor symptoms can be incredibly noticeable and scary for any patient, and people are well-advised to immediately visit a medical professional if they experience any sort of symptoms regarding Von Hippel-Lindau Disease or other brain-related issues.