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Thomaidou E, Katz M, Leibovici V. Two cases of disseminated superfi cial actinic porokeratosis (DSAP) and treatment literature review. Our Dermatol Online. 2018;9(3):241-248.
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Two cases of disseminated superficial actinic porokeratosis (DSAP) and treatment literature review
Elena Thomaidou1, Marian Katz2, Vera Leibovici1
1Department of Dermatology, Hadassah- Hebrew University Medical Center, Jerusalem, Israel, 2Meuhedet Sick Fund, Jerusalem, Israel
Corresponding author: Dr. Vera Leibovici, E-mail: email@example.com
Submission: 16.10.2017; Acceptance: 13.01.2018
Background: Disseminated superficial actinic porokeratosis (DSAP) is characterized by asymptomatic multiple papules with annular keratotic rim distributed symmetrically on the sun-exposed areas. Many approaches have been proposed in the past for treating DSAP, but the therapy is still a challenge for every physician, mostly because of the frequent relapses of the disease and the multiplicity of the skin lesions.
Material and Methods: Two case reports were reported emphasizing the challenges of treatment approach. Therefore, a systemic English literature review was conducted searching Medline database using PubMed Central and Ovid software as search interface to collect evidence based on the various treatment modalities for DSAP.
Results: The initial search yielded 146 articles, but only the relevant case reports, case series and studies relating to the treatment of DSAP have been described and summarized in a table. For each different therapy the efficacy of each treatment, side effects, cost-effectiveness and authors' recommendations were reported.
Conclusion: Several factors need to be considered prior to physicians' decision of the most appropriate treatment for each patient like age, the extent of body surface area involvement, patients' medical history and social situation, the available resources, the side effects and cost- effectiveness of each treatment. However, l the exact value of each treatment is difficult to determine owing to the lack of controlled studies evaluating their efficacy. Due to few incidences of squamous cell carcinoma, patients need to be followed up and monitored closely for any early detection of recurrence or possible onset of malignancies.
Key words: Porokeratosis, Keratinizing disorders, Lasers, Photodynamic therapy
Disseminated superficial actinic porokeratosis (DSAP) was first described by Chernosky and Freeman [1]. Clinically, DSAP is characterized by asymptomatic multiple papules with annular keratotic rim distributed symmetrically on the sun-exposed areas, and facial involvement is a rare presentation1. Malignant degeneration has been described in 7% to 11% of porokeratoses cases, with squamous cell carcinoma being the most common [2–4]. Histological hallmark is the cornoid lamella, which is formed by clonal hyperproliferation of atypical keratinocytes [3]. Underlying the cornoid lamella, the granular layer is thinned or absent and keratinocytes are oedematous with spongiosis, and dermal lymphocytic infiltrate may also be evident [5]. Dermoscopy examination demonstrate single or double "white track" structure at the margin corresponding to the cornoid lamella, and the red dots, globules, and lines are enlarged capillary vessels that can be observed because the epithelium is atrophic [6].
Xia and colleagues using a genomewide search in a large Chinese family, identified a locus at chromosome 12q23.2-24. 1 responsible for disseminated superficial actinic porokeratosis [7]. Therefore, DSAP is an inherited dermatologic disorder with lesions appearing in genetically predisposed individuals after adequate exposure to ultraviolet radiation or immunosuppression in the third and fourth decades of life [8].
A variety of approaches have been proposed to treat DSAP, but the therapy is still a challenge for every physician, mostly because of the multiplicity of the skin lesions and the frequent relapses of the disease [9]. Herein, we present two case reports with a great dilemma in treatment approach, following by an update literature review.
Case 1: An eighteen four-year-old man presented in our clinic with 6-month history of bilateral symmetrical erythematous skin lesions on the lower and upper extremities. The skin eruptions were associated with photosensitivity and moderate pruritus. The patient had a background medical history of hypercholesteremia, hypertension, ischemic heart disease, congestive heart disease, diabetes mellitus type 2, non-alcoholic fatty liver, chronic renal failure and glaucoma.
On examination bilateral erythematous scaly papules with annular configuration, well –demarcated borders and central atrophy were seen on the shins, thighs and forearm (Figs. 1a and 1b). Dermoscopy examination revealed a white like track structures at the periphery of the lesion with a mild hyperpigmentation in the inner side and with some red globules, and lines at the periphery (Fig. 2). On histological examination cornoid lamella was found in the stratum corneum with focal loss of granular layer, prominent lichenoid, superficial perivascular lymphocytic infiltrate and background elastosis (Figs. 3a and 3b).
Case 2: An eighteen one-year-old man with background history of diabetes mellitus type 2, bronchiectasis, asthma, ischemic heart disease, aortic stenosis and mitral insufficiency was examined in our clinic due to 3-year history of annular non-pruritic lesions on the shins. In the past, he was treated with steroid intralesional injections without any improvement.
On examination, there were multiple annular erythematous lesions with central clearing and elevated borders on the shins (Figs. 1c and 1d). Histological examination revealed cornoid lamella with absence of the granular layer. The intervening epidermis between the cornoid lamellae was thin and in the upper dermis there were perivascular mononuclear and lichenoid cells.
According to the clinical and histological presentation, both of our patients were diagnosed with disseminated superficial actinic porokeratosis. Their clinical presentation, risk of malignancy, medical history and their social situation was considered for choosing the most appropriate treatment for the patient.
Prior to the study, patient gave written consent to the examination and biopsy after having been informed about the procedure.
A systemic English literature review was conducted in June 2017 searching Medline database using PubMed Central and Ovid software as search interface to collect evidence based on the various treatment modalities for DSAP. In addition, studies that have been commonly cited in the literature and review articles were included as citation search engine to identify subsequent publications, which were relevant for the literature review. The following medical terms and text world were used: "Disseminated superficial actinic porokeratosis", "porokeratosis", "laser", "photodynamic therapy", "diclofenac", "calcipotriol", "imiquimod", "retinoid", "photodynamic therapy", "lasers". The keywords were combined using multiple combinations. Articles that did not mention treatment approaches, which were not published in English or were not available, have not been included for the purposes of this literature review. Any discrepancies about data evaluation of the selected articles were resolved after discussion between the authors.
The initial search yielded 146 articles, but only the relevant case reports, case series and studies relating to the treatment of DSAP have been described below and summarized in Table 1. For each different therapy the efficacy of each treatment, side effects, cost effectiveness and authors' recommendations were reported.
Traditional topical treatment approaches include topical treatments like diclofenac [10–12], imiquimod [13–14] and calcipotriol [15–19]. Oral retinoids [20–22] and cryotherapy [15] were used in the past with no any satisfied results. Newer treatment of photodynamic therapy (PDT) [2,9,23–25] and lasers [3,26–32] have been introduced in the recent years with some desirables results. A literature review was conducted five years ago assessing the level of evidence for some therapeutic modalities. However, still the exact value of each treatment is difficult to determine owing to the lack of controlled studies evaluating their efficacy [5].
Several factors need to be considered for choosing the most appropriate treatment for each patient, like the age, the extent of body surface area involvement, patients' medical history and their social situation, the available resources in dermatology departments, the side effects and cost effectiveness of each treatment approaches. Systemic treatment might not be an option if patients have complicated medical background and take multiple medications, due to possible interactions of retinoids with their regular medications. Expensive treatment like different types of lasers can be discussed with the patients but usually are not considered due to the high cost and lack of experienced centres. PDT therapy showed poor outcome in several studies (e.g. six out of nine patients had none or minimal response with MAL- PDT, all patients had no response with ALA-PDT and Hypericin-PDT), thus it is not recommended frequently [2,9,23–33].
Following a thorough discussion among physicians in our clinic, both patients started on topical treatment with calcipotriol/betamethasone gel with partial resolution. Patients are under follow up and they will be monitored closely for any possible onset of malignancies. In conclusion, there are several options available for treating DSAP, but always the best approach should be tailored to every patient. There is still a great need for further controlled studies with a greater sample size to draw conclusions on the effects of these novel treatments for DSAP.
Statement of Human and Animal Rights
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.
Statement of Informed Consent
Informed consent was obtained from all patients for being included in the study.
1. Chernosky ME, Freeman RG. Disseminated superficial actinic porokeratosis (DSAP). Arch Dermatol. 1967;96:611–24.
2. Salas T, Hernandez-Gil J, Lopez A, Dorado M, Ruiz J, Garcia E, et al. Two cases of disseminated superficial actinic porokeratosis treated with daylight-mediated photodynamic therapy. Dermatol Ther. 2016;29:484-5.
3. Lolis MS, Marmur ES. Treatment of disseminated superficial actinic porokeratosis (DSAP) with the Q-switched ruby laser. J Cosmet Laser Ther. 2008;10:124-7.
4. Maubec E, Duvillard P, Margulis A, Bachollet B, Degois G, Avril MF. Common skin cancers in porokeratosis. BrJ Dermatol. 2005;152:1389–91.
5. Skupsky H, Skupsky J, Goldenberg G. Disseminated superficial actinic porokeratosis:a treatment review. J Dermatolog Treat. 2012;23:52-6.
6. Zaballos P, Puig S, Malvehy J. Dermoscopy of disseminated superficial actinic porokeratosis. Arch of Dermatol. 2004;140:1410.
7. Xia JH, Yang YF, Deng H, Tang BS, Tang DS, He YG, et al. Identification of a locus for disseminated superficial actinic porokeratosis at chromosome 12q23.2-24.1. J Invest Dermatol. 2000;114:1071-4.
8. Aird GA, Sitenga JL, Nguyen AH, Vaudreuil, A, Huerter, CJ. Light and laser treatment modalities for disseminated superficial actinic porokeratosis:a systematic review. Lasers Med Sci. 2017;32:945-52.
9. Cavicchini S, Tourlaki A. Successful treatment of disseminated superficial actinic porokeratosis with methyl aminolevulinate-photodynamic therapy. J Dermatolog Treat. 2006;17:190-1.
10. Vlachou C, Kanelleas AI, Martin-Clavijo A, Berth-Jones J. Treatment of disseminated superficial actinic porokeratosis with topical diclofenac gel:a case series. J Eur Acad Dermatol Venereol. 2008;22:1343-5.
11. Marks S, Varma R, Cantrell W, Chen SC, Gold M, Muellenhoff M, et al. Diclofenac sodium 3% gel as a potential treatment for disseminated superficial actinic porokeratosis. J Eur Acad Dermatol Venereol. 2009;23:42-5.
12. Otero-Rivas MM, Rodriguez-Lojo R, Castineiras-Mato IM, Lueiro-Vilarino M, Juarez-Casado Y, Fernandez-Diaz ML. Successful management of disseminated superficial actinic porokeratosis with diclofenac sodium 3% gel. Dermatol Ther. 2017;30(3).
13. Arun B, Pearson J, Chalmers R. Disseminated superficial actinic porokeratosis treated effectively with topical imiquimod 5% cream. Clin Exp Dermatol. 2011;36:509-11.
14. Riad H, Mansour K, Sada HA, Shaika SA, Ansari HA, Mohannadi HA. Disseminated superficial actinic porokeratosis on the face treated with imiquimod 5% cream. Case Rep Dermatol. 2013;5:283-9.
15. Harrison PV, Stollery N. Disseminated superficial actinic porokeratosis responding to calcipotriol. Clin Exp Dermatol. 1994;19:95.
16. Bakardzhiev I, Kavaklieva S, Pehlivanov G.Successful treatment of disseminated superficial actinic porokeratosis with calcipotriol. Int J Dermatol. 2012;51:1139-42.
17. Bohm M, Luger TA, Bonsmann G. Disseminated superficial actinic porokeratosis:treatment with topical tacalcitol. J Am Acad Dermatol. 1999;40:479-80.
18. Nakamura Y, Yamaguchi M, Nakamura A, Muto M. Calcipotriol and adapalene therapy for disseminated superficial actinic porokeratosis. Indian J Dermatol Venereol Leprol. 2014;80:373-4.
19. Tchernev G, Chokoeva AA, Ivanova B, Mangarov H, Vidolova NG. Disseminated superficial actinic porokeratosis (DSAP):significant improvement after local administration of calcipotriol/betamethasone gel?". Wien Med Wochenschr. 2017;167:85-8.
20. Kariniemi AL, Stubb S, Lassus A. Treatment of disseminated superficial actinic porokeratosis with a new aromatic retinoid (Ro 10-9359). Br J Dermatol. 1980;102:213-4.
21. Ludera-Zimoch G, Rubisz-Brzezinska J. [A case of superficial disseminated actinic porokeratosis treated with an aromatic retinoid] Przegl Dermatol.1989;76:54-7.
22. Carmichael AJ, Tan CY. Digitate keratoses–a complication of etretinate used in the treatment of disseminated superficial actinic porokeratosis. Clin Exp Dermatol. 1990;15:370-1.
23. Fernandez-Guarino M, Harto A, Perez-Garcia B, Martin-Gonzalez M, Urrutia S, Jaen P. Photodynamic therapy in disseminated superficial actinic porokeratosis. J Eur Acad Dermatol Venereol. 2009;23:176-7.
24. Nayeemuddin FA, Wong M, Yell J, Rhodes LE. Topical photodynamic therapy in disseminated superficial actinic porokeratosis. Clin Exp Dermatol. 2002;27:703-6.
25. Boiy A, de Witte P. A, Roelandts R. Topical treatment of disseminated superficial actinic porokeratosis with hypericin-photodynamic therapy:a case report. Photodiagnosis Photodyn Ther. 2012;7:123-5.
26. Itoh M, Nakagawa H. Successful treatment of disseminated superficial actinic porokeratosis with Q-switched ruby laser. J Dermatol. 2007;34:816-20.
27. Liu HT. Treatment of lichen amyloidosis (LA) and disseminated superficial porokeratosis (DSP) with frequency-doubled Q-switched Nd:YAG laser. Dermatol Surg. 2000:26:958-62.
28. Rosenblum J. Erbium laser for treatment of disseminated superficialactinic porokeratosis. Dermatol Surg. 2013;39:1543-5.
29. Ross NA, Rosenbaum LE, Saedi N, Arndt KA, Dover JS. Disseminated superficial actinic porokeratosis improved with fractional 1927-nm laser treatments. J Cosmet Laser Ther. 2016;18:53-5.
30. Chrastil B, Glaich AS, Goldberg LH, Friedman PM. Fractional photothermolysis:a novel treatment for disseminated superficial actinic porokeratosis. Arch Dermatol. 2007;143:1450-2.
31. Noborio R, Morita A. Split-face trial of CO2 laser-induced ring abrasion and high-dose tacalcitol in the treatment of disseminated superficial actinic porokeratosis. J Dermatol. 2011;39:879–80.
32. Kim HS, Baek JH, Park YM, Kim HO, Lee JY. Photodynamic therapy combined with CO2 laser vaporization on disseminated superficial actinic porokeratosis:a report of 2 cases on the face. Ann Dermatol. 2011;23:211–3.
33. Ricci C, Rosset A, Panizzon RG. Bullous and pruritic variant of disseminated superficial actinic porokeratosis:successful treatment with Grenz rays. Dermatol. 1999;199:328–31.
Source of Support: Nil
Conflict of Interest: None declared.


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|Brent Redeker <brede...@cc.edu>
|Re: [all] Project consistency (was Re: [math] Re: Getting started questions)
|Tue, 03 Feb 2004 17:32:39 GMT
On Feb 3, 2004, at 9:43 AM, Mark R. Diggory wrote: > Brent Redeker wrote: >> On Feb 3, 2004, at 6:54 AM, Mark R. Diggory wrote: >>> >>> Here,here! I recommend using the maven generated, ant build.xml over >>> the maven project.xml for developer building and testing. This then >>> requires no dependencies on parent project.xml and it runs >>> independently in just about any IDE. I reserve my own usage of Maven >>> more for building site/releases, in which case you do need the >>> dependency on the parent project.xml. >> I think this is a good suggestion. While I was setting myself up to >> be able to read/compile the sources, I really had little need to use >> Maven - build.xml is enough to compile and test the math project (and >> I assume Maven uses this as part of the process in creating a jar). >> Still, from what I can see, Maven might have uses for things other >> than just creating the web site and release builds. It downloads >> correct versions of all dependency jars, saving a little bit of work. >> Also, I imagine that if somebody makes documentation changes, they >> would need to do a 'maven site:generate' to see what the changes >> actually will look like. > > Yes, this is correct, But, at least in the math xdocs, I've provided > an xsl stylesheet that mimics the xdoc transform so that you can > loosely see what the contents will look like when generated (or at > least verify that the xml file is valid. Try looking at any of the > math/xdocs in Mozilla or I.E. you should see what I mean then. Hmmm... learn something new every day, I guess. I hadn't tried looking at the xdocs in a browser yet. > The build.xml file in math is actually generated by calling "maven > ant" which creates the build.xml (with the same dependencies as would > ahve been resolved by maven itself. Maven doesn't actually use this > build.xml file after this point though. So Mavne and build.xml will > both generate approvximately the same jar contents, but any > customization to the maven jar goals (via pre/postGoals in the > maven.xml) will result in contents being different in the long run. In light of this, would it be useful for developers to be using Maven as well - in case an updated project.xml generates a changed build.xml? Or is the build.xml file always updated in CVS if the project.xml file is? (In other words, would a developer ever _need_ to run Maven to have the latest Ant build file, or is the latest build.xml in CVS always current with project.xml?) >> But for people who want to use Maven (for some reason or other), >> there could be instructions that say exactly which files/directories >> need to be checked out from jakarta-commons in addition to the >> jakarta-commons/math module. > > Yes, sensible. Ultimately I wish that the gloabal project contents > were not housed in the jakarta-commons root directory, but in another > "subproject" directory, then the two projects could be checked out in > the same directory (eclipse workspace for instance) and easily built > without having to get all the other commons projects. This would be > something to bring up to everyone on the developers list. Then all > project.xml would do something like > > <extend>../site/project.xml</extend> > > All that wold be required to checkout and build any project would be: > > cvs checkout site > > cvs checkout math > > This would also keep all the site dependencies well organized would it > not? That's a great idea; it makes complete sense to me. This would still preserve consistency among Commons projects, while making the necessary steps to check out a single sub-project a little more concise. Probably a much better idea in the long run than just maintaining a special project.xml file without the parent directory dependencies. Brent Redeker --------------------------------------------------------------------- To unsubscribe, e-mail: email@example.com For additional commands, e-mail: email@example.com
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On-demand ride services such as Uber and Lyft make transportation easier both at home and abroad. To help you maximize your spending with these two companies, TPG Senior Points & Miles Contributor Nick Ewen walks you through the top-five cards to use.
Whether you're a fan of it or not, there's no denying that the sharing economy has created additional options for travelers. Airbnb is a prime example, allowing you to enjoy a more local experience at your destination – even in new, fast-growing markets like Cuba. The sharing economy has also transformed transportation in many cities around the world, with ride-sharing services Uber and Lyft that provide a convenient alternative to traditional methods.
Today, I'll share my list of the top credit cards to use with these services to ensure that you're maximizing your point and mileage accrual on every purchase.
1. Citi Premier Card
My top pick for Uber and Lyft rides may surprise you: the Citi Premier Card. This card changed its bonus categories back in April by moving travel purchases to 3x ThankYou points per dollar spent and expanding its classification of travel. Both Uber and Lyft qualify for this bonus category. TPG pegs ThankYou points at 1.6 cents apiece in his most recent valuations, so you'll get a return of 4.8% on these purchases.
The Citi ThankYou program became a major player in the transferable points arena when it added eight airline transfer partners back in July 2014 (that number now stands at 12 with the addition of Virgin America in September). Though it still lacks a major domestic player like American Airlines, you can still get a ton of value out of the program.
Current sign-up bonus: Earn 50,000 bonus points after $4,000 in purchases within the first three months of account opening.
The Sapphire Preferred is a great option for Uber and Lyft purchases.
2. Chase Sapphire Preferred
Another great card option for Uber and Lyft rides is the Chase Sapphire Preferred, a TPG favorite and my number one recommendation to those getting started in the points and miles hobby. Both of these services are categorized as travel with the Chase Sapphire Preferred, allowing you to earn 2 Ultimate Rewards points per dollar spent. TPG pegs these points at 2.1 cents apiece in his most recent valuations, giving you a solid return of 4.2% on these purchases. Remember that the card doesn't charge foreign transaction fees, so this is also a terrific option when traveling outside the country.
There are many ways to maximize the Ultimate Rewards program with both this card and others (like the Ink Plus Business Card and Chase Freedom). You can transfer points to partners like Hyatt Gold Passport and United MileagePlus, allowing you to redeem points for luxurious travel experiences like the Park Hyatt Tokyo or Lufthansa A380 first class. For more information, be sure to check out Richard Kerr's post on redeeming Ultimate Rewards points for maximum value.
Current sign-up bonus: 40,000 bonus points after you spend $4,000 on purchases in the first three months from account opening. You'll also earn 5,000 bonus points after you add an authorized user and make a purchase in the first three months from account opening.
3. Capital One Quicksilver Card
Another great option comes from Capital One. We've written about other Capital One cards with some over-hyped advertising, but the Quicksilver card is actually a solid cash-back card, offering you a 1.5% return on all purchases. However, if you're looking to ride with Uber, the card actually offers you a 20% discount on all rides through April 30, 2016, bringing your overall return to 21.5%. This card also waives foreign transaction fees, a terrific benefit given the fact that there's no annual fee.
A return of 21.5% sounds pretty great, but there are a couple of reasons why this card fell to third place:
- The 20% discount is only available for another six months. If this were a benefit without an expiration date, I would naturally place this card at the top of my list.
- The discount is only applicable to Uber. If you're interested in taking Lyft but still want to earn cash-back, I would recommend using a different card that offers a higher return.
Current sign-up bonus: Earn a one-time $100 cash bonus after you spend $500 on purchases within the first three months.
Note that this 20% discount also applies to the Capital One QuicksilverOne Cash Rewards Credit Card. However, that card does carry a $39 annual fee, yet provides the same 1.5% cash-back and offers no sign-up bonus, so you're better off with the Quicksilver versions.
4. Any card that earns Membership Rewards points
The fourth spot on the list doesn't go to a specific card, but instead belongs to a category of cards. If you have a credit card that accrues Membership Rewards points (like the Premier Rewards Gold Card from American Express or the Amex EveryDay Preferred Credit Card from American Express), you can earn 2 points per dollar spent whenever you travel with Uber. With Membership Rewards points pegged at 1.9 cents apiece, you're getting a return of 3.8% on these purchases. In addition, if you use the EveryDay Preferred Card and can manage to make 30 or more purchases in a billing cycle, you'll actually earn 50% more points, bumping your return to 5.7%!
The new partnership also allows you to redeem Membership Rewards points for Uber trips at a rate of 1 cent per point, though you can get much better value redeeming your points in other ways.
5. Starwood Preferred Guest® Credit Card from American Express
The final card that's a great option for Uber and Lyft purchases is the SPG Credit Card from American Express. A lot of this is due to the fact that Starpoints regularly top TPG's valuations, pegged at 2.5 cents apiece in his latest version. This value is a main reason that TPG recommends the card for non-category bonus spending, though it can also be quite lucrative when used as your primary card for an entire year. It also just added several new benefits as of August 11, including no foreign transaction fees and Boingo Wi-Fi access.
However, using this card for Uber in particular is a great complement to its new partnership with SPG, which was launched in February. All SPG members can earn 1 Starpoint for every dollar spent with Uber after linking their two accounts and completing a qualifying stay each calendar year. You can also earn additional points when the ride happens in conjunction with an SPG stay, and elite members earn even more points. I took Uber twice last weekend while staying at Le Meridien Dallas, The Stoneleigh, and here's how they posted to my account as a Platinum member:
Remember too that the card grants you two stay and five night credits toward SPG elite status every calendar year, and if you spend $30,000 in a calendar year, you'll enjoy an automatic upgrade to Gold status. There are some terrific award redemptions in the program, but you can also transfer points to 34 airline partners (Korean was the most recent addition). For more information, be sure to check out Richard Kerr's post on redeeming Starpoints for maximum value.
Bottom Line
Uber and Lyft have opened up a myriad of transportation options in cities around the world, but you want to make sure you're maximizing your earnings on these purchases when traveling. Hopefully this post has given you some suggestions for which credit cards offer the best return on these purchases.
What cards do you use for Uber and Lyft purchases?
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text: Three years ago, I released a very potent protein digestive enzyme called Depo-Nitrolase 250. It was backed by some of the best science and research I have ever seen. Then as inventories quickly sold out, so did the raw material that we were getting to make it. But now, we were able to get our hands on the original raw materials and re-release the ORIGINAL formula of Depo Nitrolase 250.


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This is from their reunion tour a couple of years ago.
Here's the original 1971 version:
And here's an interview with the boys from back in 1970:
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It's time to share our current foodie obsession: broccolini. We love how this broccoli doppelgänger pairs so nicely with a variety of dishes like beef roasts, lamb, fish, turkey, chicken and lasagna. With less time to cook than traditional broccoli, broccolini might be the new go-to veggie for you and your family!
Don't Call Me Baby
Referred to a "baby broccoli," broccolini is a cross between broccoli and gai-lan, a Chinese broccoli. Surprisingly, this hybrid vegetable tastes nothing like broccoli but rather is sweeter and nuttier. Rather than growing into large heads with thick stalks, broccolini grows in long, slender stalks and is topped with a small floret.
Whole Wheat Pasta with Mushrooms and Broccoli Rabe
Impress your dinner guests will one of our favorite broccolini recipes is our Whole Wheat Pasta with Mushrooms and Broccoli Rabe. The sautéed broccolini add a nice crunch to balance out this creamy dish. Bonus points if you swap out your fork for chopsticks!
My Happy Plates makes it easier to grocery shop and cook each week. If you're interested in learning more about an account, click here to explore a free trial.
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SOUTH PHILADELPHIA -- For the Philadelphia Eagles, Saturday's divisional playoff game against hometown boy Matt Ryan at the Atlanta Falcons is once again an opportunity to silence the naysayers.
Eagles fans have been patiently waiting weeks for this game, and throughout the city, businesses and fans are preparing for the playoff.
Billy Jess is the store manager at Primo Hoagies on Ritner Street and advises fans to place orders Friday to avoid waiting on Saturday.
The general manager of the Philadelphia Courtyard South in the Navy Yard says all 212 rooms are currently booked for Saturday night.
Fritz's Bakery in Bensalem and Langhorne is customizing Eagles cakes and other baked goods for Eagles fans ahead of the game.
The Collegeville Bakery offers an Eagles-themed tomato pie.


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Two homes that each have two units (4 units total) on a oversized lot of 9,900 sf. The corner home is 1,977 sf (Unit 1555 L is appx. 1,477 sf and unit 555 15th Street is appx. 500 sf) and was built in 1907. Unit 1555 L St is currently vacant and rented for $875/month. The second home inset on 15th Street was built in 1935 and is 1,184 sf (Units 547 & 541 15th Street are appx. 592 sf each). Rare find that each unit is separately metered with PG&E and water/sewer. The two buildings have different character and its hard to believe they are on the same parcel. Each unit is in good condition. Two small detached two car garages. Large backyard that is shared among the tenants with alley access. Please allow 48 hour notice for showings and listing agent prefers to be present.
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"Bear Market returns – Hold on for a Huge Market Drop."
What's been happening in August
The recent events on the Global financial markets are enough to make anyone cautious, however with fear, for some there also comes excitement. I have to say I am excited about the opportunities it gives us as traders.
It is clear to see that there is more bad news than good news out there, but we can turn bad news into good news by using it as an opportunity to create profits. The writing is on the wall – at least you guys have been made aware of it ahead of time and can be prepared.
Europe's manufacturing produced a reading below the boom/bust level of 50, it came in at 49.0 which shows a contraction in their manufacturing.
The U.S. manufacturing data came out too, it barely escaped running into negative territory with a reading of 50.6, which is lower than the last reading of 50.9.
Give it one or two more months and they will join Europe with their negative manufacturing readings. This is just one more sign that they are heading into a recession and that Europe is "leading the charge".
When GDP is slowing down consistently and manufacturing is slowing down consistently, how can you get an outcome other than a shrinking job market? That's exactly what was confirmed last Friday with zero job creation in August. Unemployment is at 9.1% but that's about to change too.
It takes a good 150,000 to 200,000 jobs created each month to start to bring the unemployment rate down. Well, if they are not hiring people, it won't take long for that to start skyrocketing up quite quickly. Now that more people are realizing that gold acts like a currency, as a true store of value, the uptrend in gold has accelerated since the financial crisis of 2008.
Gold is benefiting from the crisis in the two most important fiat currencies in the world: the dollar and the euro. There's an ugly contest going on between those two major currencies, and nobody can tell which country's problems are worse.
In Europe, the sovereign debt crisis is now spreading further, to countries such as Italy and Spain. Meanwhile, the U.S. seems to be heading to another recession, which will give the Federal Reserve reasons to do what they do best- print more money.
It is no surprise that gold keeps marching higher. Gold is the alternative currency that rises when the two most traded currencies in the world suffer.
The Euro and the US Dollar make up 87.3% of global Forex reserves, which means central banks around the globe hold most of their assets in those two currencies.
Check out what the chart is showing us. The long term trend on the Dow Jones has been broken at what is called the "Dead cross" where the 50 Day Moving Average has crossed below the 200 Day Moving Average.


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Spanish Government decides to intervene in the accounts of the Generalitat and the Spanish Treasury will pay the basic services and civil servants directly. "Now we can't trust" the Catalan executive, says Montoro while Rajoy says "They're going to oblige us to go where we don't want to". Puigdemont and Colau ally to condemn the "repression" of the Government and send a letter to Rajoy, with a copy to the King, calling him to agree on a referendum.
The front page headlines in La Vanguardia read:
If you think there's been an oversight or you can provide more more detail about a particular event, I'd be delighted to hear from you.
Please complete the form below. You can also upload photos and images, by the way.
Do you have a great information to add or an opinion to express about on this topic? Share it!


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Elizabeth Craig Intimates Beauty Session Sneak Peek!
Yesterday you got a teensy weensy sneak peek of the bridal beauty session I photographed with a bunch of AWESOME vendors this week. My ever-so-talented husband filmed the session and plans to put together a lovely little promo-film for me to use on my blog and website. That's coming soon! For now he put together this itty bitty short film to keep me from breathing down his neck till I can see the big debut! So I thought I'd share it with you! [wpvideo C0T4LnRN]
If you happen to see any beautiful flower arrangements and the cutie patootie floral headpieces on Jasmine (my gorgeous client) then you've seen the stupendous work of April and her very talented team at Mocha Rose Floral Designs. If you took a peek at the room and thought WOW I want to stay in THAT room!! Then you'll want to contact Jen at the Mansions on Fifth. Some things you may not have been able to take in yet was the theme and room set up, which was developed and designed by Alexis over at Shayla Hawkins Events. Also what you'll see later is some pretty amazing and crazy pretty stationary designs by Anne Lehman. Also to come are the tasty treats that were almost to good to eat (holy cow did we MUNCH on those treats after the shoot!!) made by the delectable team over at Bella Christie. And of course, you know you saw my muse and partner in crime, Miss Justine Lynn of Beauty Justified. You'll never find us too far apart on a shoot. She likes to keep me in line. ;-)


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Home » Flower Collection » Jester Leucadendron
Jester Leucadendron
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William Short to John Jay, 2 January 1790
William Short to John Jay
Paris Jan. 2. 1790
Dear Sir
I have the honor of inclosing and forwarding to you by a private conveyance the gazettes of France and Leyden together with the journals of the national assembly. I beg leave to refer you to them for the political news of Europe. They will be accompanied by the plan of finance lately adopted here and the instructions given by the assembly explanatory of the manner of forming the municipalities decreed under the new constitution. I have added also the paper mentioned in my last to have been communicated by the minister of Wirtemberg. It has been impossible as yet to obtain the consular convention. The minister always apologizes for the delay, throws the blame on the present derangement of his office and assures me I shall have it in a few days. The delay certainly cannot be continued much longer, but I will not trouble you again on the subject until I send the convention.
No decisive measure has as yet been taken by the Minister with respect to our debt. There are before him still the two propositions mentioned in a former letter with some slight alterations. The Amsterdam bankers to which are joined those of the United States there, wish to purchase for the present only the loan of six millions. The nature of their proposal is to furnish [funds] for it to such an amount that it is a loan to the minister at an interest of eleven and two thirds per cent, all the charges of negotiation included. Mr. Hubbard of the house of Van Staphorst has been sent here for the purpose of concluding this affair and is now in negotiation on the subject. The other plan proposed first by Mr. Parker of Boston, and afterwards by Mr. G. Morris in conjunction with him and others was to pay the full amount of the American debt (with the interest and installments accrued) in French stocks due in Amsterdam. The first proposition made by this company was to pay only the amount of the principal of our debt. They afterwards offered to pay the full amount of the principal and interest. The profit which they count on is to arise from the present depreciation of the French funds. Mr. Van Staphorst one of the house of that name at Amsterdam and who resides here at present is a zealous supporter of the latter proposition. The other partners are in favor of the former. They will all however join probably in whichever of the plans the minister prefers. I have thought it proper Sir to give you this account of the present state of these negotiations, which I beg the favor of you to communicate to the Secretary of the Treasury. It has appeared to me that I ought not to interfere further than as mentioned in my letter to him of the 30th. of Novr., the more so, as the United States, not appearing at all in the negotiation, will be left at liberty respecting it. Still if a plan like that which was first proposed and which would have been injurious to the credit of the United States was again to be set on foot I should think it my duty to take the same measure which I then did.
The affair of the colonies is at present separated into two questions, the one respecting the continuation of the slave trade, the other concerning the manner of supplying provisions. Had these questions been decided in the first moments of enthusiasm there is no doubt it would have been in favor of liberty in both cases. At present I think the decision less certain. The merchants of France alarm the assembly by shewing the loss of their islands if the slave trade is abolished, and the destruction of their marine if the islands are allowed to recieve their provisions from foreign countries and in foreign ships. The subject of provisions will be the first discussed. It has been for some time adjourned from day to day. It stands fixed at present for the day after to morrow.
I shall lose no time in communicating to you the result. I beg you to be always persuaded of the sentiments of profound respect & attachment with which I have the honor to be Sir your most obedient and very humble servant,
W: Short
PrC (DLC: Short Papers); at head of text: "No. 15" at foot of first page: "The Honble. Mr. Jay." Tr (DNA: RG 59, DD).


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A Place to Relax
If you're taking a large group on a vacation to New Smyrna Beach it can be daunting to try and find a space big enough for all of you. That's where we come in! Our 5 bedroom condo rentals are perfect for many people to share.
Renting a 5 bedroom condo will add a unique twist on your vacation that will make it memorable. The beautiful sandy beach of New Smyrna Beach is just steps from your front door. Plus, all the other fun activities will be right at your fingertips as well.
With a lot of people along for the ride, you'll want enough space to have some privacy and also to be able to hang out together throughout your getaway. Our beautiful and spacious vacation homes are located in some of the best spots throughout New Smyrna Beach.
Spacious Luxury
Our 5 bedroom condo rentals can typically sleep anywhere from 8 to 14 people, so invite all your friends along! Many of the spots have a porch or a balcony so you can take in the beautiful water views and the cool ocean breeze in the comfort of your own space.
Many of these rentals come with top of the line amenities on site. This may include pools, televisions, Internet access, and more. Plus, a 5 bedroom condo rental will make you feel like you are living large. The spaces have a modern feel with their design and décor, are fully furnished, and will feel like you're right at home—only better!
Something For Everyone
Renting a large space isn't just about the specs and the optics; it's about what surrounds you too! You won't have to worry about any of that when it comes to our 5 bedroom condo rentals. Each option is close to some of New Smyrna Beach's most talked about attractions.
Golf, outdoor activities, yoga, biking, and more are available nearby. You can walk, take a quick drive, or even take the local bus for a small fee! The ways to explore this gorgeous vacation destination are endless.
The laidback community is filled with hidden gems. The vast history, art scene, and charming culture are what make New Smyrna Beach so great to visit. The food options are great and plentiful, and you're sure to find things to do to fill your entire vacation.
Bring your large group on an adventure all together or split off into smaller groups when heading out for the day and go shopping, hit up the beach, or search for the perfect souvenir!
Prime Locations
What's New Smyrna Beach without, of course, the beach! Make sure you check out the drivable beach—plus the parts that can only be seen on foot. You won't want to miss seeing the beautiful white sand and the waves of the ocean.
The great part is, much of this view will be just a stone's throw away from where you're staying in your beautiful 5 bedroom condo rental. With our various options when it comes to locations, sizes, and styles we're sure to find you the perfect 5-bedroom rental to make your vacation the best you've ever had!


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Understanding the possible side effects
Important information about the safety of Rubraca
Rubraca may cause serious side effects including bone marrow problems called Myelodysplastic Syndrome (MDS) or a type of cancer of the blood called Acute Myeloid Leukemia (AML). Some people who have ovarian cancer and who have received previous treatment with chemotherapy or certain other medicines for their cancer have developed MDS or AML during or after treatment with Rubraca. MDS or AML may lead to death. If you develop MDS or AML, your healthcare provider will stop treatment with Rubraca.
Symptoms of low blood cell counts are common during treatment with Rubraca but can be a sign of serious problems, including MDS or AML. Tell your healthcare provider if you have any of the following symptoms during treatment with Rubraca:
- Weakness
- Weight loss
- Fever
- Frequent infections
- Blood in urine or stool
- Shortness of breath
- Feeling very tired
- Bruising or bleeding more easily
The most common side effects of Rubraca include:
- Nausea
- Tiredness or weakness
- Vomiting
- Decrease in hemoglobin (anemia)
- Changes in how food tastes
- Constipation
- Decrease in appetite
- Diarrhea
- Low blood cell counts
- Mouth sores
- Upper respiratory tract infection
- Shortness of breath
- Rash
- Changes in liver or kidney function blood tests
- Stomach (abdomen) pain
- Increased cholesterol levels
These are not all of the possible side effects of Rubraca. For more information, ask your healthcare provider or pharmacist. Call your healthcare provider for medical advice about side effects.
You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. You may also report side effects to Clovis Oncology, Inc. at 1-844-258-7662.


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Retinal Nerve Fiber Layer Thickness Changes in Migraine: A Meta-Analysis of Case-control Studies
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
|ClinicalTrials.gov Identifier: NCT02196532
Recruitment Status : Unknown
Verified July 2014 by Yifan Feng, Wenzhou Medical University.
Recruitment status was: Recruiting
First Posted : July 22, 2014
Last Update Posted : July 22, 2014
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
|Condition or disease
|Device: Device: Optical coherence tomography
|Study Type :
|Estimated Enrollment :
|500 participants
|Observational Model:
|Case Control
|Time Perspective:
|Official Title:
|Retinal Nerve Fiber Layer Thickness Changes in Migraine: A Meta-Analysis of Case-control Studies
|Study Start Date :
|July 2014
|Estimated Primary Completion Date :
|July 2015
|Estimated Study Completion Date :
|July 2015
migraine group
Patients with migraine
Device: Device: Optical coherence tomography
healthy control
Sex- and agematched healthy subjects
Device: Device: Optical coherence tomography
- Retinal Nerve Fiber Layer Thickness [ Time Frame: Baseline ]Retinal nerve fiber layer thickness included average thickness (360° measurement), temporal quadrant thickness (316-45°), superior quadrant thickness (46-135°), nasal quadrant thickness (136-225°) and inferior quadrant thickness (226-315°)was measured by OCT.
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
|Ages Eligible for Study:
|18 Years to 80 Years (Adult, Older Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Probability Sample
Inclusion Criteria:
- case-control studies;
- patients with Migraine were compared with healthy controls;
- all subjects underwent RNFL thickness measurement by OCT;
- studies should provide the data of peripapillary RNFL thickness;
- sample size ≥10 in each group.
Exclusion Criteria:
- authors did not make RNFL measurements;
- study without healthy control group;
- the outcome values can not be used for meta-analysis;
- duplicated articles.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02196532
|Contact: Yifan Feng, PhD
|China, Shanghai
|Zhongshan hospital, Fudan University
|Shanghai, Shanghai, China, 200032
|Contact: Yifan Feng, PhD 862164041990 email@example.com
|Principal Investigator: Yifan Feng, PhD
|Principal Investigator:
|Yifan Feng, PhD
|Fudan University
|Responsible Party:
|Yifan Feng, Zhongshan hospital, Fudan University, Wenzhou Medical University
|ClinicalTrials.gov Identifier:
|NCT02196532 History of Changes
|Other Study ID Numbers:
|First Posted:
|July 22, 2014 Key Record Dates
|Last Update Posted:
|July 22, 2014
|Last Verified:
|July 2014
Keywords provided by Yifan Feng, Wenzhou Medical University:
retinal nerve fiber layer thickness
optical coherence tomography
Additional relevant MeSH terms:
Migraine Disorders
Headache Disorders, Primary
Headache Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases


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Mrs Jordan is our class teacher throughout the week except for Tuesday mornings when we have Miss Barnes for MFL and Mr Robinson for PE. We are a mixed class of Y4 and Y5 pupils and are supported by members of our Teaching Assistant team throughout the week.
In our class, we follow both the Y4 and Y5 National Curriculum in addition to the Nottinghamshire syllabus for RE and the Nottinghamshire Computing Framework. From Y3- Y5, we follow a 3-year topic cycle with Maple Class. You can find out more information about our learning activities in our learning blog.
We have daily Maths lessons using the Mastery of Maths approach. This means that we are developing the use of resources and vocabulary to support us as we solve mathematical problems and explain our thinking. We are becoming more fluent and confident mathematicians, willing to apply our knowledge and skills to problem solving situations. Y4 pupils master the Y4 curriculum objectives and Y5 pupils master the Y5 curriculum objectives. Mrs Jordan is leading our in-school research project into the teaching of mastery in mixed year groups, supported by the NCETM (National College for Excellence in the Teaching of Maths). She leads Maths across school.
You can find out lots about our learning activities by visiting our class blog, found in the news section of this website.
What have we been learning?
This year (2018-19) we are following Topic Cycle B.
As Beech and Maple classes follow a 3-year topic cycle, our learning focuses on a different topic each term over a three year cycle. Science is taught as a discrete subject. Our long term overview for Science can be found here:
Autumn Term 2017- Water
Spring Term 2018- Roman Britain
Summer Term 2018- Volcanoes & Love Where You Live
Autumn Term 2018- Anglo Saxon Britain
Spring Term 2019- Vikings: What's that coming over the hill?
Summer Term 2019- How Would You Survive as a Stone-Age Child?


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Harper's Mom contacted me to do her session and magically I had an immediate opening I could fit her in for, which is one of the biggest perks of having a studio space! Ms Harper gave us a lot of excitement, peeing on Daddy (!!) and more, which is of course what we expect at a newborn session but her Daddy's face was priceless!
One of my favorite parts of a newborn session is when you come back to view and order your images, especially with first time parents. Because it's wonderful to see how much more comfortable you are with your new baby and how great you're doing learning about your sweet new baby in such a short time.
Aren't Shalana, Jacob and Harper a beautiful family?! Congrats guys, she's adorable!


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These are the Autoimmune Protocol (AIP) friendly resources I use and recommend on a regular basis. The authors of these blogs are individuals using AIP to reverse the symptoms of autoimmune disease, some are also healthcare practitioners. They all follow the AIP as set out by Sarah Ballantyne, AKA The Paleo Mom, but be vigilant, as most have reintroduced quite a few foods so not all recipes / posts will be elimination phase AIP.
Joanna Frankham Coaching – Jo Frankham, hidradenitis suppurativa
Emotional Autoimmunity – Kerry Jeffery, Hashimoto's, coeliac, antiphospholipid syndrome
Australia / US
Conscious Autoimmunity – Jo Frankham, HS and Emma King, chronic Lyme disease, rheumatoid arthritis, chronic fatigue, hypothyrodism
A Clean Plate – Christina Feindel, Hashimoto's, coeliac, interstitial cystitis, lupus
A Squirrel in the Kitchen – Sophie Van Tiggelen, Hashimoto's
Autoimmune Wellness – Angie Alt, lichen sclerosis, endometriosis, coeliac disease and Mickey Trescott, Hashimoto's and coeliac disease
Backcountry Paleo – Susan Vennerholm, Hashimoto's
Beyond the Bite 4 Life – Gabriella Schneider, chronic Lyme disease, primary immunodeficiency
Biohack U – Petra Chambers Sinclair, husband diagnosed with psoriasis and psoriatic arthritis
Don't Eat the Spatula – Alexandra Raver, PCOS
Empowered Sustenance – Laura Geertsen, ulcerative colitis
Fresh Tart – Stephanie Meyer, Hashimoto's
Grazed and Enthused – Alaena Haber, Hashimoto's
Gutsy By Nature – Jaime Hartman, Crohn's disease
He Won't Know It's Paleo – Bre'anna Brooks Emmitt, coeliac disease and Hashimoto's
Meatified – Rachel Bryant, Hashimoto's
The Paleo PI – Rory Linehan, undiagnosed autoimmune type symptoms
Phoenix Helix – Eileen Laird, rheumatoid arthritis
Real Food and Love – Erin, psoriasis, psoriatic arthritis, Raynaud's
Simple and Merry – Mary Blount, rosacea
Slightly Lost Girl – Mikaela Guimaraes, Crohn's and ulcerative colitis
Sweet Potatoes and Social Change – Samantha McClellan, ulcerative colitis
Sweet Treats – Laura Vein, interstitial cystitis, fibromyalgia, suspected coeliac
Whole Life, Full Soul – Kari Owens, ankylosing spondylitis
Comfort Bites Blog – Jo Romero, psoriasis, IBS, Raynaud's
Healing Family Eats – Kate Jay, hypothyroidism, rheumatoid arthritis, suspected Raynaud's
Provincial Paleo – Dora Siah, Grave's diseases
Heal me in the kitchen – Astrid Fox, ulcerative colitis
True North AIP – Vanessa Colleran, psoriasis, Raynaud's disease, Lyme disease
Mexico – Spanish Language
La Chica Paleo – Mikaela Guimaraes, Crohn's and ulcerative colitis
The Netherlands
Paleo Feest – Catharina Delmarcel, Hashimoto's and chronic adrenal fatigue
United Arab Emirates
Adventures in Partaking – Bethany Darwin, spondylarthritis, uveitis and endometriosis


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About Us
About Us
About MS Digital Solutions
MS Digital Solutions was founded with the intent of helping helping small and mid-sized businesses make the most of their limited time and resources when it comes to digital marketing.
As a business owner, you have a passion for your business, the products you make, and the services you provide. That is why you do what you do. But do you have that same passion for the online marketing that is becoming an integral step of today's business climate? Let us handle your digital marketing. It is what we have a passion for.
We work on a "Do It With You" and "Do It For You" basis. Which ever makes the most sense for your business. We have the tools and experience necessary to help you manage every aspect of your digital footprint. Our services cover anything from small one-time email campaigns to long term relationships managing or developing your website, social media accounts, and even emerging areas such as reputation management campaigns.
About Matt
Located in Mooresville, NC. MS Digital Solutions is operated by Matt Swanson. I have over 19 years of experience in marketing, sales, and management of businesses of all shapes and sizes. 12 of which have exclusively been on the digital side. I've worked in economic development, with an ad agency, and even with media companies. Let me put this experience to work, helping you tackle the challenges your business faces online. To find out what MS Digital Solutions can do for your business, contact us today.


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Kick off the holiday season in style on the biggest shopping day of the year and enjoy fabulous steals and deals on a variety of gifts for everyone on your list!
Here's who's going to be there:
Turned Treasures Woodworking
Noir 23 - $15 off in-stock wreaths and off the rack t-shirts
Wires, Pliers & Stones - Box of Rocks book for $20
Tastefully Simple - Stuff your own Christmas stocking- 3/$25, 3/$30, and 3/$35
Jamberry - Spend $50 get a Free exclusive nail wrap
Usborne Books - Buy 4 books and get one free!
Rodan and Fields
Twisted Sisters Tye Dye - SAVE 25%!
NTFcreative and SHAKLEE - $169 Shaklee package drawing
Origami Owl
Howl at the Moon - FREE decorative gift boxes topped with a bow with any jewelry purchase
Ribbon Gifts
Click Here to RSVP to the event on Facebook.
Currently accepting applications to participate as a vendor at this show. Looking for businesses who will be offering excellent Black Friday Deals.


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Four BRG Artists Unveil Their Latest
Join us on Wednesday, May 2 (7 - 9 p.m.) for May's 'First Wednesday' Opening Reception at Baton Rouge Gallery. We'll proudly be unveiling the latest works from artists Leslie Friedman (making her BRG debut), Kelli Scott Kelley, David Scott Smith, and Michaelene Walsh.
As with all 'First Wednesday' Openings, this evening of art will also include live music and refreshments and you are invited to be a part of it at absolutely no cost to you!
Stay tuned for more details on each of the four bodies of works to be presented at BRG during the month of May, but mark your calendars now to be among the first in Baton Rouge to see them!


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- Location: Ride Headquarters in Sherborn, MA
- Event Type: Road Tandem Ride & Social Gathering
- Date & Time: Saturday, May 6, rollout at 9:15am
- Reason for Gathering: Ride your tandem bike with other tandem bike riders. Enjoy time together on the bike and off!
- Price: Free for the ride + $40 per person for social afterward - RSVP (below) is required
Details: We are offering a Tandem ride of 40 miles. After returning from the ride, enjoy social time together over brunch with your tandeming friends! There is a lot of room for parking, bike parking, and mingling here. The social gathering/brunch will be hosted at a local establishment near Ride HQ.
Routes: Ride Headquarters and Ride Studio Cafe are collaborating on this event. The route will be shared with all who register prior to May 6.
Estimated Time: Arrive as early as you like on Saturday, May 6. We open at 8am. Riders will rollout at 9:15am. Once riders return, feel free to get changed here, then convene at brunch around 1pm for relaxation, food, and lots of social time.
Ride Notes: All of the details of the rides will be shared with those who register.
Last Minute Information: Ride Headquarters will email all registered attendees with any last-minute information.
Contact Information: Email firstname.lastname@example.com; Phone 413-461-7433
Riding Rules, What to Bring, How Our Rides are Different: All riders are required to read and are expected to abide by These Rules.
Waiver: RHQ requires a signed waiver before your first ride. Please fill it out online prior to your first ride.
Proper Bike for This Ride: Tandem road bike. This is a ride for tandems only.
Tell us of your interest in participating in the Massachusetts Tandem Rally at Ride Headquarters!
We will email all who RSVP here with full details of the day's logistics, details of food, and payment information for the social component of the day. Please be sure to RSVP by Thursday, May 4.


text: By WARREN LOCAL, MUSIC March 15, 2017 "IT'S A MOVIE" (FREESTYLE) – STILO MAGOLIDE The latest from The Tropics… It's a movie. BOYZ N BUCKSit's a movieStilomagolide Share on: Facebook Twitter Pinterest Google + Previous article"SAWCE | CHRISTENE'S INTERLUDE" – FRANK CASINO (MUSIC VIDEO) Next article"10 FINGERS" – AKA x ANATII You may also like December 15, 2017 "STAY SHINING" – RIKY RICK FT CASSPER NYOVEST, PROFESSOR, MAJOR LEAGUE AND ALI KEYS September 8, 2017 UNBXD – EPISODE 1: NEW BALANCE X STANCE 247 July 11, 2017 "ISUKILE" – UNO JULY FT. SIMMY SIMMYNYA (OFFICIAL MUSIC VIDEO) July 10, 2017 "4 ways" – DJ SWITCH FT. YANGA & DA LES (OFFICIAL VIDEO) July 7, 2017 STAFF ONLY LOOKBOOK BY DOCC July 6, 2017 "FAMILY"- RIKY RICK x FRANK CASINO (OFFICIAL MUSIC VIDEO) Be first to comment Click here to cancel reply. Cancel reply Name Email Website Comment


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All Souls Day
From the "Handbook on Indulgences", English edition:
Grant number 67
Visiting a Church or an Oratory on All Souls Day
A plenary indulgence which is applicable only to the souls in purgatory is granted the Christian faithful who devoutly visit a church or an oratory on All Souls Day.
This indulgence can be obtained either on the day mentioned above or, with the consent of the ordinary, on the preceding or following Sunday or on the solemnity of All Saints.
This indulgence is already contained in the apostolic constitution, Indulgentiarum doctrina, norm 15. it is included here in light of the Sacred Penitentiary's deliberations since the constitution was issued.
According to norm 16 of the apostolic constitution, this visit is to include the "recitation of the Lord's Prayer and the Creed, (Pater and Credo).
The rather odd use of italics is in the original.
Grant number 13
Visiting a Cemetery
An indulgence is granted the Christian faithful who devoutly visit a cemetery and pray, if only mentally, for the dead. This indulgence is applicable only to the souls in purgatory. This indulgence is a plenary one from November 1 through November 8 and can be gained on each one of these days. On the other days of the year this indulgence is a partial one.
Almighty and eternal God, grant unto the souls of they servants and handmaidens departed the remission of all their sins, that through pious supplications they may obtain that pardon which they have always desired. Through our Lord Jesus Christ. Amen.


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What if a seemingly harmless choice had the power to take away everything you love the most?
When Matthew Morrissey takes an innocent stroll to his local convenience store to buy batteries for his daughter's Christmas present, he doesn't know it will change his life forever…
But for every choice we make, the alternative is lived out in a parallel reality. When the choice is small, the realities quickly merge, like split ends in a shampoo commercial.
More weighty decisions can result in a whole new life existing at an entirely different frequency.
When life on one frequency is at a peak whilst in another it's in a trough, they can converge for a fleeting moment with unpredictable consequences.
This is destructive interference.
Matthew Morrissey is about to discover just how destructive.
Can he save himself and his family before it's too late?
If you like a twist in your tale, this latest voyage into the paranormal world of Wales's premier writer of supernatural fiction is the most remarkable yet!
Buy it today. You can be sure it won't be like anything you've read before.


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Pure color wall tile/kitchen tile /kitchen floor tiles/kitchen floor tiles manufacturer
Ceramic Wall Tile features a striking, glossy sheen accentuating the neutral pure color for an easy complement to any decor. The tile is suitable for use primarily on interior walls, such as kitchen backslashes or on counters. You can easily incorporate accent pieces and decorative border tiles into the design for a customized look to suit your space. To help maintain a clean, beautiful surface, clean with a low-alkaline detergent diluted with warm water; waxes and sealers are not recommended.
Glazed Ceramic Tiles
Available Size:
Water Absorption:10%-15%
Available Surface:Polished
Available Color:
Black, Brown , Gray, White, beige,Bone
Carton box with wooden pallet
Place of Origin:China
Waterproof, Acid-Resistant, Antibacterial, Firebrick, Heat Insulation, Non-Slip, Wear-Resistant
house building, Interior Tiles ,Kitchen,Bathroom
1. Are you a manufacturer or trading company?
Yes, we're a proffessional manufacturer.
2. How many workers in your factory?
We have more than 200 workers for wall tiles & floor tile & rustic tile, 5QC and 5persons for R&D 10sales for export market.
3. Why choose us?
A. We have many years manufacture & export experience of wall tiles & porcelain tiles & rustic tiles.
B. High quatily
C. unbeatable prices
D. good service
E. very strong carton box and plywood pallet
4.What's special about your product?
(1) Scratch resistant
(2) Durable
(3) Non-porous
(4) Stain resistant
(5) Can be made both high gloss and matt, and other surface finish for marble are available.
(6) Easy to clean and maintenance
Pure colour wall tiles
kitchen floor tiles manufacturer
Packaging Details:
600x600- 40carton/pallet
regular export black and white package
Our Advantages:
1.All of our goods will pass THREE QUALITY INSPECTIONS before shipment.
2.Best after sale service, customer can follow their order situation any time, no matter on
product line, warehouse or shipment.
3.More than 13 years experience in exporting to make your order more smooth.
4.Less than one container loading is accepted.
5.On time delivery, in general 15~25 days.
6.Multimode payment:T/T,L/C,Western Union,D/P,Escrow,Cash..
7.Special dimensions available according to request.
8.We have many certificates of our tiles
Welcome to wholesale the pure color wall kitchen tile floor tiles manufacturer which is high in quality and low in price with our professional suppliers in China. Perfect cutting, quality materials and excellent design are its main characteristics. Welcome to enjoy our cheap price and good service.


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Michael Nash is a Irish/American film and television director and producer. MovieMaker Magazine named Nash one of the "Top 10 MovieMakers Of The Planet". Nash founded Beverly Hills Production a decade ago and was recently an honored recipient of the Social Change Global Institute Filmmaker of the Year Award, the California Conservation Champion Filmmaker Award and the Neiman Marcus Global Humanitarian Visions Filmmaker Award. Nash's previous films include Climate Refugees, Fuel, HomeBase, Nebraska and the soon to be released Life Is A Movie. Currently he is in post on a film about a Muslim filmmaker titled, Not Without Nerve. Nash's multi-award winning Climate Refugees screened at White House, DAVOS, the United Nations, The Vatican, Harvard, Yale, Oxford along with winning domestic and international awards. Climate Refugees had its world premiere at the Sundance Film Festival in Park City, Utah, and was noted by Robert Redford in the NY Times "as an agent for social change."
Nash is a global keynote speaker on issues of humanity, climate stress, food security and migration. He consults with several leaders of the world, governments and organization internationally. A partial list includes DAVOS, Harvard University, MIT, The Pentagon, US House and Senate, American Security Project, UN, UNEP, UNHCR, UNU.
Friday, November 17


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Adult Group Therapy
This is an open, rolling enrollment group for adults in early recovery (less than one year of continuous sobriety). Intermodal treatment includes a trauma-informed perspective, strengths-based approach, motivational interviewing, psycho-education, and cognitive behavioral techniques. Creative art therapy techniques are integrated into group therapy to provide an additional method to reflect upon experiences and express thoughts and feelings.
Our Recovery Group will focus on the following aspects:
- recognize and manage thoughts, cravings, and other post-acute withdrawal symptoms
- encourage healthy personal relationships and communication
- skills to build a consistent, balanced daily routine
- support with attending other recovery meetings (AA/NA/etc.) and community activities
- develop creative coping strategies
- avoid reminders of using and feelings of boredom or loneliness by exploring new activities and returning to hobbies you once enjoyed
- celebrate your accomplishments with a group of peers
- build self-esteem, resiliency, and confidence to pursue your goals
- experience relaxation, reduce feelings of stress and anxiety
Seeking Safety provides evidenced-based treatment for individuals with Post-traumatic Stress Disorder and substance use disorders. This group utilizes a set curriculum. Many recovery centers utilize some of the sessions from this manual in their programming. This group allows you to be exposed to all 16 of the session topics.
From the manual: "When a person has both active substance abuse and PTSD, the most urgent clinical need is to establish safety. 'Safety' is an umbrella term that signifies various elements… 'Seeking safety' refers to helping patients free themselves from negative behaviors and, in so doing, to move toward freeing themselves from trauma at a deep emotional level."
Seeking Safety does not require an individual to delve into past trauma. The focus is on the present moment and developing skills to increase your ability to cope with life after a traumatic event without substances.
A sampling of topics includes:
Education about PTSD
Education about Substance Use Disorders
Coping techniques
Asking for Help
Identifying high risk situations


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Irwin Keller
Camp Director
Reb Irwin Keller is the spiritual leader of Congregation Ner Shalom in Sonoma County, California since 2008. His past work included LGBT and HIV advocacy, having authored Chicago's first LGBT rights law and directing an AIDS legal services organization in San Francisco. He was also a founder and, for 21 years, a writer and performer in The Kinsey Sicks, known as "America's Favorite Dragapella Beautyshop Quartet," a career which included an Off-Broadway show, thousands of appearances in 42 states and abroad, 8 albums and 2 films.
Reb Irwin is currently continuing his rabbinical studies through the Aleph Ordination Program. His sermons and essays, speaking to issues of Torah, Israel, God, community, queerness, disillusionment and finding inspiration on the fringe, can be found on his Itzik's Well blog, at irwinkeller.com.


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Agricultural Education Continuing Student Scholarship due March 3
KATELYN ASFELD: Agricultural Education, Sophomore
The Ag Ed Continuing Student Scholarship application as well as the CFANS scholarship is due Monday, March 3. Students are strongly encouraged to apply. Scholarships are extremely beneficial to students that need a little help in paying for college.
According to the National Center for Education Statistics, for a 4 year public institution, tuition, room and board costs average out $15,918 annually. For all undergraduates at the University of Minnesota, who are Minnesota residents, students pay $6,030 per semester for 13+ credits. Doesn't seem too bad right? But students also have to pay the general college and program fees, service and usage fees, and the collegiate fee which varies by college. Plus, if the student plans on living in a dorm and has a meal plan the cost of college really adds up. A University of Minnesota Undergraduate CFANS student is looking to pay roughly $11,000-7,000 per semester. * Yowza!
With this intense debt many students face, students (myself included) wonder how they're going to pay for it all. There are many opportunities for students to receive money to support them through their educational career; financial aid, student jobs, work study, loans, and my favorite: scholarships.
You might be thinking, "I don't have time to apply for a scholarship!" Students have busy schedules between class, work, clubs, homework and relationships, how can one find time to apply for scholarships? Just keep in mind… it's free money! People that organize and provide the funds to make these scholarships possible want to support you and help you pay for college so you can worry less about paying off your school debt.
What YOU need to know to apply:
- Scholarship deadline is Monday, March 3
- There will be an Ag Ed SPECIFIC question as a part of the application that you must answer in order to be eligible for the Ag Ed Continuing Student Scholarship. It will be toward the end of the application.
- If you are a recipient of a multi-year CFANS scholarship and are otherwise ineligible to apply again, you will still be allowed to use the online application, provided you answer the Ag Ed question.
- The quality and clarity of your writing impact how you are scored. Applications are evaluated on multiple criteria, including financial need, GPA, and extracurricular/work/research involvement.
Find the application at this website link:
Good luck to all!
*Information on tuition rates was found at the University of Minnesota's One Stop Student Services 2012-2013 Undergraduate Tuition & Fees page. For more information on the University's costs and tuition, please visit http://www.onestop.umn.edu*


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Five Nights Mega Parking
Five Nights Mega Parking
Played 9235 times
How to play Five Nights Mega Parking
Use the arrow keys to drive and press space bar to brake.
Five Nights Mega Parking: Drive through a world based on the famous game Five Nights at Freddy's. Dodge some obstacles and get to park your vehicle without problems in the right place. Follow the indications of light and complete all the levels without difficulty! Enjoy!
If you enjoy the game, make sure to check out our other fnaf games such as FNAF World and Five Nights at Freddy's: Sister Location
Play thousands of free and online games at Five nights at freddy's and discover the best scary games, action games, shooting games and many more! Pick a free game, and have fun!
- Five Nights at Freddy's: Sister Location
- Five Nights at Freddy's 4
- Five Nights at Freddy's 3
- Five Nights at Freddy's 2
- Five Nights At Freddy's
- Happy Wheels
- Ultimate Custom Night
- Five Nights at Trump's
- FNaF Sister Location
- Creepy Granny Scream: Scary Freddy
- Raze
- Whack the Serial Killer
- Turbo Dismounting
- Guns n Glory Heroes
- Monster Ground
- Slenderman VS Freddy The Fazbear
- Knight of Magic
- Diseviled 3: Stolen Kingdom


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Examining food, water and environmental samples: healthcare settings
Guidelines on sampling and result interpretation for microbiologists and infection control nurses working in healthcare environments.
The microbiological examination of food, water and environmental samples from the healthcare environment is necessary for routine monitoring of decontamination procedures and the demonstration of a safe environment for patients, visitors and staff.
This document provides:
- a summary of legislation and guidance for microbiologists and infection control nurses working within healthcare settings
- additional guidance on sampling and result interpretation
General procedures for collecting food, water, air and environmental samples are also described.
Published 27 June 2013


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I love trains. I'm a big fan of public transport when it is planned, financed and executed well. A huge fan, actually. I've commuted to work in and visited places in the world where the trains were so clean you could probably curl up and sleep on the floor/carpet. Building good public transport networks and systems is a real art. When I see one that works– excellent connectivity, optimised networks and arrival times, clean and safe stations and trains, diligent capacity projections and planning– I get a delicious sort of tingle in my spine. To me, it is one of the most telling indicators of a government that has got its shit together and reflects a deep pride in its city.
Trains, in particular, seem to have chugged their way into a happy part of my soul and stayed there. I love train journeys: the scenery flashing by, the sense of having cast off anchor from the departure point but not yet saddled with the newness and responsibilities of the destination, the anticipation of arrival. Everything seems to relax on a train. I have had some interesting conversations in the bistro/restaurant cart of inter-city and international trains; people drinking beer around cocktail tables bolted to the floor, serenely wallowing in that in-between feeling of having nothing to do but pass time. I have seen some of the most beautiful winter landscapes and seascapes and riverscapes from the windows of trains.
I think the romance of trains must have come from a lifetime of reading travel narratives (the Orient Express and Trans-Siberian stand out for some reason), and a childhood dizzy with Enid Blyton's boarding schools (just like in Harry Potter, one starts and ends with a long train journey).
Most of all, I think that trains travel at the precise speed of the soul. I'm grateful for trains!
Picture licence: Some rights reserved by Darkroom Daze. Picture has been cropped.


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Elevated design, grounded pricepoint
Meet Interra, our new frame and tile system designed for modern space planning needs and aesthetic sensibilities. Available in five tile materials – fabric, glass, perforated metal, whiteboard and rail tile — Interra offers infinite design variations to meet any customization needed. Power is available at both beltline and baseline and its sturdy 2.5″ thin profile frames are stackable allowing for ease of assembly and reconfiguration, making it the perfect systems product for today's fast-moving work environments.
A lighter footprint. Designed, manufactured and assembled in Northern California and Virginia, Interra is our system with the lightest environmental footprint: a typical station is made of 47% recycled content and is 75% recyclable at the end of its useful life. Its durability is guaranteed with a lifetime warranty.
Interra is designed to integrate seamlessly with our Dash desking system.
Frame and tile system with slim silhouette Stackable for easy modifications Fabric tiles are acoustical and tackable Optional open base panels, tile to floor, frameless glass, and privacy screens are available Overhead storage can be upmounted with pneumatic lift or sliding doors Limited lifetime warranty to original owner


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Our Reforestation Charity Partner is....
Wow. There are a large number of great reforestation charities doing great work here and abroad. Planting trees is just a great thing to do on a number of levels. If is the most effective form of carbon sequestration and has an enormous number of positive downstream ecological, social and economic benefits. So picking a reforestation charity to partner to plant a tree for every sale at Reclaimed Wood Interiors isn't so easy. Here is a list of some very worthy candidates we are still evaluating.


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"Yurukawaii" Fairies of the Traditional Ancient Capital, Nara!
Run by SSFF&ASIA, TABIMOJA has been sharing local promotion videos since 2012 as part of a project called the "Visual Tourism Award".
Marking its 6th anniversary this year, 10 videos have been nominated as finalists out of 462 works.
We will share some of these works on TABIMOJA.
Directed by Ryo Inoue
At the fairy summit, fairies gather from all over the world.
Naranara, a fairy from Nara City, sings in English about the allure of spring, summer, autumn, and winter in Nara City.
Do you know the Japanese word "Yurukawaii"?
"Yurukawaii" is a mixed word. "Yurui" means relaxing in Japanese and "kawaii" is a symbol for Japanese pop culture. The main idea behind "Yurukawaii" culture is that original characters from all over parts of Japan work together as icons for tourism promotion.
In this film "NARANARA", which features the character of Nara City, it shows the appeal of Nara through animation. Nara City was the capital of Japan between 710~794. There are many traditional landmarks such as "Kasuga-taisha" and "Todai-ji", which are different from bigger cities like Tokyo and Osaka. In Nara, time moves slowly and you can spend relaxing holidays there. Why don't you visit Nara and see where the Japanese "Yurukawaii" characters live?
Wild deer freely roam Nara, and are believed to be messengers of God.
Reference : Nara Travelers Guide http://narashikanko.or.jp/en/


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Meet Liz Galloway.
Liz is the owner of Latitude Thirty Eight, a company that provides urban luxury adventuring through pop-up camps.
Her business is so unique that I knew she needed to be on the show.
You can learn more at www.latitudethirtyeight.com.
Enjoy our conversation.
p.s. I'm actually off the grid this weekend for a Girls Weekend in the Colorado backcountry and while everything is scheduled to automatically publish technology tends to hate me so…just in case you can't listen to the show here I know for sure that it will be published on Libsyn right here at 4 am on Saturday.
Show Notes:
10:00 Providing something unique in the tourism industry
13:00 Giving back to the local economy
16:50 Liz recommends the book Rising Strong by Renee Brown
17:00 Liz's packing list, a selfie stick & a flask
"I'm going to be warm and have plenty of photos," @Latitude38Tours on the @HikeLikeAWoman #podcast
22:01 I would tell my 12-year-old self, "let your weirdness shine through," be true to yourself.
Find Liz here: www.latitudethirtyeight.com
Today's show is sponsored by Audible. If I'm not listening to a podcast, I'm listening to an audiobook.
I devour audiobooks while I drive my car to and from interesting hiking destinations, clean my house, fix dinner, do the dishes, fold laundry and workout. There are so many good books that I want to read and I feel a lot more productive when I can multi-task by listening as I work.
Right now we are offering a free 30-day trial to Audible + a free audiobook download just by clicking this link.
By clicking this link to join Audible you help support the podcast and our Hike Like A Woman team. It's a win/win. So check out Audible and let us know what you're reading.
If you enjoyed today's show and want to listen to more be sure to subscribe on stitcher or iTunes so you never miss an episode.


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Media Prima is currently conducting Gegaria Fest 2018, an eSports festival in Malaysia. The festival will be split into three eSports tournaments, and one has already been held.
FIFA Online 3: Shah 'KaiZokuu' Raizan named the Winner!
FIFA Online 3 was the first of three eSports tournaments to be held, and it was conducted at Setia City, Shah Alam on 13th January. Participants were pit against each other in special gaming lorries, for a chance to take a piece of the RM 10,000 prize pool. In the end, the tournament was won by Shah 'KaiZokuu' Raizan, who brought home RM 3,000 in winnings. Meanwhile, the runner up was a 14 year-old who goes by the nickname HGxLetMeYou.
Upcoming eSports Events: Arena of Valor & League of Legends
The next two Gegaria events will feature popular titles such as Arena of Valor, and League of Legends. The Arena of Valor tournament will be held at Plaza Angsana, Johor Bahru on 3rd February. The top 4 teams of the event will battle it out for the RM 10,000 prize pool.
Meanwhile, the last of the three events will be the East Coast Championship (ECC) Season 4, and will feature League of Legends. As it is an event for the East Coast region, teams participating will hail from Pahang, Terengganu, and Kelantan. It's also the first eSports tournament to be held at Stadium Darul Makmur, the home grounds of Pahang Football Association. ECC Season 4 is slated to be held on 24th February, and the prize pool is RM 10,000.
Awareness for eSports
However, Gegaria Fest 2018 isn't all about entertainment, as Media Prima wants to raise awareness for E-Games in Malaysia through the event. This is being achieved via the activation of MyGameOn, an online news portal for gamers. Also, this portal happens to be the result of a partnership between Media Prima and the Malaysian Digital Economy Corporation (MDEC).
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Have you recently decided to become a Christ follower? Baptism is the next step for you! Our Baptism class is designed to teach you the significance of water baptism and the role that it plays in our decision to follow Jesus. If you have never been baptized or have never had a significant baptism experience, join us for our next baptism class. This class lasts approximately 20 minutes and will give you all the information you need to take your next step. Register now for the next class by contacting the church office, writing "Baptism Class" on your connection card, or by signing up at the Next Steps kiosk. COngratulations and welcome to the family!
Back to All Events
Earlier Event: April 10Women's Bible Study Group
Later Event: April 17Women's Bible Study Group
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A little info.
Caitlin has worked in theatre and dance since childhood, and grew up practicing ballet, tap and modern dance in south Manchester at Cardwell Theatre School. She then moved to London to complete her BA degree at Trinity Laban Conservatoire of Music and Dance in Dance Theatre, studying contemporary techniques, classical ballet, choreology, and choreography.
Since 2014, Caitlin has worked extensively in opera, and currently teaches on the vocal faculty at both Guildhall School of Music and Drama and Royal Academy of Music. She is a movement and assistant director as well as performer, and has worked on productions throughout the UK, working with companies such as Royal Opera House, Scottish Opera and Glyndebourne Festival Opera.
Performance credits include: Der Rosenkavalier (Royal Opera House), Rusalka (Scottish Opera), The Rape of Lucretia and Der Rosenkavalier (Glyndebourne Festival Opera, BBC Proms at Royal Albert Hall).


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We had an absolute blast hanging out with Mitch DeLange and Michelle Stuart on their OH SO AMAZING day last week!
Their wedding has to be one of the warmest and most welcoming that we have ever photographed. By the end of the day it felt like we were long-time friends of both the bride and groom's family - a photographer's dream! We had just as much fun capturing the moments in camera as we did celebrating with our new friends!
Enjoy these few glimpses into their day and make sure you let Mitch and Michelle know what you think!
Michelle scheduled a relaxed morning at home surrounded by her family and bridal party. She seemed so calm and cool, it put everyone around her at ease.
The weather cooperated perfectly for Mitch and Michelle. The blue skies were gorgeous and were vividly dramatic when coupled with some bold lighting.
Mitch and Michelle's simply elegant ceremony was held at Northridge church in Northville, MI, and the reception took place at the beautiful Summit on the Park in Canton.
The emotion and the romance were real - it was easy to capture intimate moments and genuine love between bride and groom.
The party really started cranking when the bride's cousin got out onto the dance floor!
Definately a great night with great people. Thanks again, Mitch and Michelle, for allowing us to capture the important moments of your important day!
~ Kevin & Heather


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According to the United States Department of Health and Human Services Office of Minority Health, African Americans are at significantly increased risk to experience serious mental health problems than the general population. As Black History Month wraps up, we'd like to share a couple of resources and articles we've seen this last month specifically focused on mental wellness in the African American community.
The National Alliance on Mental Illness (NAMI) indicates that while "anyone can develop a mental health problem, African Americans sometimes experience more severe forms of mental health conditions due to unmet needs and other barriers."
A few of the more common mental health conditions experienced by the African American community include:
- Major depression
- Attention deficit hyperactivity disorder (ADHD)
- Suicide, particularly among young African American men
- Posttraumatic stress disorder (PTSD), because African Americans are, unfortunately, at increased risk to be victims of violent crime
NAMI devotes this page to how mental health affects the African American community and resources for support.
Each Mind Matters, California's Mental Health Movement, writes that "historically, enslavement, lack of economic opportunity, oppression and cultural bias have led to high poverty in the African American community. These factors can lead to homelessness, incarceration, and substance use problems, which increase the chances of poor mental health." Each Mind Matters provides a comprehensive resource page and list of tools to help individuals reach out for support when needed.
The Alameda County Everyone Counts Campaign highlights how superstar rapper Jay-Z has emerged as a hero to African-American communities as he has spoken out about mental health stigma removing barriers to seeking help for mental health in the African-American community. Read the recap, with links to related articles, here.
While this is just a short list of many resources and articles, we hope this discussion of mental health in the African American community, and across all communities, continues. Together, we can increase awareness of mental health issues and mental wellness, and support those who need help.


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Treatments available are
- Nail trimming and filing - for those who have difficulty with or just don't like doing their own routine nail care.
- Reduction of thickened nails - gently carried out using a drill that reduces the thickness and smooths the surface of the nail.
- Removal corns, calluses and hard skin - corns are treated by carefully removing the dead skin and nucleus of the corn with a scalpel.Calluses and hard skin can either be pared or filed, depending on the severity.Advice on how to prevent or slow down re- occurrences will be given.
- Treatment and management of fungal nail infection, athlete's foot, ingrowing toenails and cracked heels. As these conditions are ongoing a treatment and management plan will be discussed to suit the individuals circumstances.
- Diabetic and High Riskfoot care and assessment - in addition to routine treatment a thorough visual check will be routinely undertaken. A vascular and Diabetic assessment will be carried out during the initial assessment and then by arrangement on a six monthly basis. Patients with Diabetes and high risk foot conditions are offered advice regarding their risk factors and appropriate management.
All treatments include a complimentary foot massage
Initial visit includes a full medical history,foot health check,advice and treatment. Please allow approximately 45 mins.
Initial visit cost : £25.00
Follow up appointments are approximately 30 minutes in duration.
Follow up appointment costs : £21.00


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- Home
- Our Approach
- Practice Areas
- Attorneys
- Zachary G.F. Abrahamson
- Galia Z. Amram
- Benjamin B. Au
- Aaron J. Benmark
- Allyson R. Bennett
- Adam R. Brausa
- Henry H. Cornillie
- Daralyn J. Durie
- Joshua D. Furman
- Joseph Taylor Gooch
- Joseph C. Gratz
- Timothy P. Horgan-Kobelski
- Peter S. Horn
- Eneda Hoxha
- W. Henry Huttinger
- Ryan M. Kent
- Catherine Y. Kim
- Raghav Krishnapriyan
- Mark A. Lemley
- Joshua H. Lerner
- David F. McGowan
- Sonal N. Mehta
- Laura E. Miller
- Tara J. Norris
- Eugene Novikov
- Whitney R. O'Byrne
- Andrew L. Perito
- Michael J. Proctor
- Vera Ranieri
- Matthew W. Samuels
- Tim Saulsbury
- Ragesh K. Tangri
- Kaveri Vaid
- Victoria L. Weatherford
- Eric C. Wiener
- Samuel J. Zeitlin
- Staff
- What's New
- Contact
Joshua H. Lerner
Email Joshua Download vCard 415-362-6666
B.A., Reed College, 1997
J.D., Boalt Hall, University of California, Berkeley, 2001
Josh is proud to serve as lead counsel for the world's leading technology companies. Josh's experience spans from class actions to intellectual property cases, and he litigates in federal court, state court, and arbitral forums.
Since 2016, Josh has consistently been recognized by Benchmark Litigation as a Litigation Star. Josh's diverse practice experience has earned him Litigation Star recognition in Intellectual Property, Employment Law, General Commercial Litigation and Products Liability. From 2011 through 2015, Josh was named a Rising Star in IP Litigation by Super Lawyers Magazine, and a Super Lawyer from 2016 to present.
Josh started his career at Keker & Van Nest LLP. Josh then spent a year practicing mainly criminal law at Clarence & Dyer before spending three years as in-house counsel at Genentech, Inc. as Senior Technology & Litigation Counsel. Josh provided daily counseling across the company and managed a variety of complex civil matters, overseeing everything from a small product liability case to a large complex commercial arbitration with more than twenty witnesses.
His practice continues to be focused on complex civil litigation, including serving as lead counsel in class actions, intellectual property, and contract disputes. In addition, Josh also has significant experience in litigating so-called "founder disputes" involving successful companies.
Josh has taught classes at UC Hastings with a focus on business torts. He also serves as a Vice President for the Federal Bar Association.


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We are Labress. Our every project is filled with passion and love.
We believe that every woman is unique and undoubtedly that is the most important strength of women. The uniqueness, however, needs refinement.
Even a diamond does not show its full value without a proper cut. We believe that this is our underwear. A cut that allows the diamond to shine and bring out its noble inner beauty.
Everything that is most important – you already have within you. We will only help you bring it out.