text:
A test, and some texts: Are the following sentences the beginnings of essays or of short stories?
When I was twenty years old, I became a kind of apprentice to a man named Andrew Lytle, whom pretty much no one apart from his negligibly less ancient sister, Polly, had addressed except as Mister Lytle in at least a decade. She called him Brother. Or Brutha—I don't suppose either of them had ever voiced a terminal r.
It was maybe an hour before midnight at the Avalon Nightclub in Chapel Hill, and the Miz was feeling nervous. I didn't pick up on this at the time—I mean, I couldn't tell. To me he looked like he's always looked, like he's looked since his debut season, back when I first fell in love with his antics: all bright-eyed and symmetrical-faced, fed on genetically modified corn, with the swollen, hairless torso of the aspiring professional wrestler he happened to be and a smile you could spot as Midwestern American in a blimp shot of a soccer stadium.
Late in 1998 or early in '99—during the winter that straddled the two—I spent a night on and off the telephone with a person named John Fahey.
The first moves with the courteous lento of one of Peter Taylor's stories; the last has the directness of something by Raymond Carver; the second, more placeless and more contemporary, could be by lots of writers—Jennifer Egan, or maybe Sam Lipsyte. Actually, all are the opening sentences of essays by John Jeremiah Sullivan, from his second book, "Pulphead" (Farrar, Straus & Giroux; $16). It is obvious enough that they are by a talented storyteller, who has learned from fiction (as well as from the essayistic tradition) how to structure and ration his narratives. He seems to have in abundance the storyteller's gifts: he is a fierce noticer, is undauntedly curious, is porous to gossip, and has a memory of childlike tenacity. Anecdotes fly off the wheels of his larger narratives. In a touching piece about the near-death of his brother (who electrocuted himself with a microphone while playing with his band, the Moviegoers, in a garage in Lexington, Kentucky), Sullivan mentions, in passing, "Captain Clarence Jones, the fireman and paramedic who brought Worth back to life, strangely with two hundred joules of pure electric shock (and who later responded to my grandmother's effusive thanks by giving all the credit to the Lord)." Any reporter can be specific about the two hundred joules. But the detail about Captain Jones giving all the credit to the Lord, while a small thing, suggests a writer interested in human stories, watching, remembering, and sticking around long enough to be generally hospitable to otherness.
Such moments occur again and again in Sullivan's work. In the same essay, he mentions his father, who is shocked into life by a brief bolt of story: "My father was a great Mark Twain fanatic—he got fired from the only teaching job he ever held for keeping the first graders in at recess, to make them listen to records of an actor reading the master's works." In "Mr. Lytle: An Essay," his memoir of the Tennessean writer Andrew Lytle, he remembers receiving letters from the old man, "their envelopes . . . still faintly curled from having been rolled through the heavy typewriter." He notices that Lytle's equally aged sister has hands whose knuckles are "cubed with arthritis." Lytle himself sags so exaggeratedly into the sofa, "it was as if thieves had crept through and stolen his bones and left him there."Sullivan has a very good eye—he memorably describes the Virgin Group tycoon, Sir Richard Branson, as "that weird and whispery mogul-faun, Sir Richard"—and ears pricked for eventuality. In the book's first essay, "Upon This Rock," which originally appeared in the magazine GQ, Sullivan spends a few days at a Christian rock festival called Creation. It is the nation's biggest Christian-music gathering, and it takes place at a farm by the name of Agape, in rural Pennsylvania. Once at Creation, Sullivan falls in with a group of young guys from West Virginia—Ritter, Darius, Jake, Bub, Josh, and Pee Wee. Ritter ("one of those fat men who don't really have any fat, a corrections officer") describes them as "just a bunch of West Virginia guys on fire for Christ." No decent writer could go wrong with what we imagine to be the heady hideousness of a Christian rock festival, and these West Virginians on fire for Christ are juicy material: Just-So Stories from the unfathomable evangelical jungle, waiting to be written up by the compensated connoisseur once he has returned to civilization. But not only does Sullivan avoid condescension; he admires his new friends, listens to them, and quietly compacts an enormous amount of acquired information into his prose. A wide gulf separates the upper-class Sullivan, born in Kentucky into a family with deep historical roots there, who followed his grandfather to the privileged University of the South, in Sewanee, Tennessee, from Ritter and his crew, but the gulf vanishes when Sullivan writes:
In their lives, they had known terrific violence. Ritter and Darius met, in fact, when each was beating the shit out of the other in middle-school math class. Who won? Ritter looked at Darius, as if to clear his answer, and said, "Nobody." Jake once took a fishing pole that Darius had accidentally stepped on and broken and beat him to the ground with it. "I told him, 'Well, watch where you're stepping,' " Jake said. (This memory made Darius laugh so hard he removed his glasses.) Half of their childhood friends had been murdered—shot or stabbed over drugs or nothing. Others had killed themselves. . . . When Darius was growing up, his father was in and out of jail; at least once, his father had done hard time. In Ohio he stabbed a man in the chest (the man had refused to stop "pounding on" Darius's grandfather). Darius caught a lot of grief—"Your daddy's a jailbird!"—during those years. He'd carried a chip on his shoulder from that. "You came up pretty rough," I said.
"Not really," Darius said. "Some people ain't got hands and feet." He talked about how much he loved his father. "With all my heart—he's the best. He's brought me up the way that I am.
"And anyway," he added, "I gave all that to God—all that anger and stuff He took it away."
God in His wisdom had left him enough to get by on.Sullivan, who is thirty-seven, and whose pieces have appeared in places like Harper's, GQ, The Oxford American, and The Paris Review in the past decade, has been compared to Tom Wolfe and David Foster Wallace. But he is kinder than the former, and less neurotic than the latter (whose own compassionate sensitivity got blocked by obsessive self-consciousness, or, when unblocked, sometimes emerged as outright sentimentality). In the essay about the Christian rock festival, he keeps a clear, unillusioned eye on his new friends, but he also takes their faith seriously, partly because, as he explains, he himself spent a few teen-age years under the evangelical spell. Like many others, he has had his "Jesus phase": "That's always an excellent laugh. Except a phase is supposed to end—or at least give way to other phases—not simply expand into a long preoccupation." That afterlife, that "long preoccupation," can be felt in some of the other pieces in this book. A dense and involving essay about the early-nineteenth-century French explorer and botanist Constantine Samuel Rafinesque, who travelled around the South (and "wound up living with my great-great-great-great-great-grandparents Luke and Ann Usher" in Lexington, Kentucky), ends with an eloquent summary of Rafinesque's original theology, inflected by Sullivan's own clear admiration:
What's true of us is true of nature. If we are conscious, as our species seems to have become, then nature is conscious. Nature became conscious in us, perhaps in order to observe itself. It may be holding us out and turning us around like a crab does its eyeball. Whatever the reason, that thing out there, with the black holes and the nebulae and whatnot, is conscious. One cannot look in the mirror and rationally deny this. It experiences love and desire, or thinks it does. The idea is enough to render the Judeo-Christian cosmos sort of quaint. . . . Rafinesque perfected his variant of this honorable philosophy while botanizing in the literal backyards of my childhood, examining ruderal plants I've known all my life, and so I have appropriated it from him, with minor tweaks. It works perfectly as a religion. Others talk about God, and I feel we can sit together, that God is one of this thing's masks, or that this thing is God.
Notice the way in which Sullivan's prose, bending itself around its subject, has taken on a little nineteenth-century American diction, with hints of Emerson and Thoreau ("I feel we can sit together"). Unlike Tom Wolfe or Joan Didion, who bring their famous styles along with them like well-set, just-done hair, Sullivan lets his subjects muss and alter his prose; he works like a novelist.
The funniest and stylistically most brilliant piece in "Pulphead" is a sustained exercise in such adaptation. In "Getting Down to What Is Really Real," Sullivan spends time with some of the cast members of the MTV reality show "The Real World." The piece opens with Sullivan watching one of those characters, nicknamed the Miz (a.k.a. Michael Gregory Mizanin), work a crowd at the Avalon Nightclub in Chapel Hill. It's a recognizable, crazy, Daytona Beach-at-spring-break kind of world, brutally real and po-mo unreal at the same time, as easy a journalistic assignment, in its way, as the Creation rock festival: the wrestler/MTV star, the idiotically pumped-up fans ("There were loads of the sort of girls who, when dudes ask them to show their breasts and asses, show their breasts and asses"), the girl getting the Miz to sign her right breast, the epileptic music ("There was music that sounded like a rabbit's heartbeat in the core of your brain"). Sullivan goes for some of these vivid journalistic colors—who could avoid them?—and seems at first the flatly uncool, aging outsider, with his notebook and his short hair.
But this essay has a nice way of tripping up the complacent reader. Sullivan describes himself as a "hard-core fan" of the MTV show, and as the piece progresses his language oscillates between a high (or high-ish) journalistic style and the kind of excitable, slangier language a fan might use. He tells us about Julie, "from the New Orleans cast," and "hands-down one of my all-time fave cast members": "Julie has rediscovered her Mormon faith. Watching her now on the Challenge is wild. She's always praying to herself while she's scaling the rock wall or whatever." In the same breathless tone, he fills us in on some of the tropes of the MTV show:
It is a truism by now that every Real World cast features some combination of recurring types—the slutty one, the sweet one, the racially ambiguous one, the gay one, the slutty-sweet Southern one, and so on. MJ and Landon were two new versions of the Miz, if you savvy. They were super-ripped white guys from tiny towns who didn't know poop from peanuts, multiculturally speaking, but who were soon to learn, and in learning, they'd grow. Yeah, well, the Miz invented that shit. Not only is this kind of free indirect discourse (it's the type of thing fiction writers do the whole time) extremely funny, it ironizes everything, so that one can't be entirely sure whether Sullivan is excitedly expressing his love for the show or is amusedly mocking his own fandom. And this lost-in-the-fun-house feel is appropriate, because the essay is all about "what is really real." It proceeds like a piece of fiction (by David Foster Wallace, actually—the one moment in the book where the comparison seems fair). Sullivan argues, wittily and with his tongue only slightly inserted into his cheek, that in a Baudrillardian way reality TV is not fake but very real. Not because—and here is the comic twist—it captures real life but because when you watch such a show "you're watching people caught in the act of being on a reality show. This is now the plot of all reality shows, no matter their cooked-up themes." Indeed, Sullivan can't make up his mind, and seems to think that a certain amount of real life—real real life—is captured on TV:
People hate these shows, but their hatred smacks of denial. It's all there, all the old American grotesques, the test-tube babies of Whitman and Poe, a great gauntlet of doubtless eyes, big mouths spewing fantastic catchphrase fountains of impenetrable self-justification, muttering dark prayers, calling on God to strike down those who would fuck with their money, their cash, and always knowing, always preaching. Using weird phrases that nobody uses, except everybody uses them now. Constantly talking about "goals." Throwing carbonic acid on our castmates because they used our special cup and then calling our mom to say, in a baby voice, "People don't get me here." Walking around half-naked with a butcher knife behind our backs. . . . My God, there have been more tears shed on reality TV than by all the war-widows of the world. Are we so raw? It must be so. There are simply too many of them—too many shows and too many people on the shows—for them not to be revealing something endemic. This is us, a people of savage sentimentality, weeping and lifting weights.
The final line of Sullivan's peroration has a great comic lilt, and rings a cynical change on Robert Lowell's famous phrase in "For the Union Dead." ("A savage servility / slides by on grease.")
At present, the American magazine essay, both the long feature piece and the critical essay, is flourishing, in unlikely circumstances. Despite the slightly tedious nostalgia for the world of the New York intellectuals and the patient outlets of nineteen-fifties high journalism, I doubt that Edmund Wilson or Alfred Kazin would rightfully find much to complain about. New and new-ish journals such as McSweeney's, n+1, The Point, and The Common have found their way; older magazines have been optimistically refurbished, or just optimistically survive anyway.
There are plenty of reasons for this. One is that magazines, big and small, are taking over some of the cultural and literary ground vacated by newspapers in their seemingly unstoppable evaporation. Another is that the contemporary essay has for some time now been gaining energy as an escape from, or rival to, the perceived conservatism of much mainstream fiction. Geoff Dyer puts this adversarial relationship well in "Out of Sheer Rage," his book about, around, and through D. H. Lawrence, in which he makes an argument against general cirrhosis of the novel, and in favor of the healthy freedom of the essay:
Increasingly, the process of novelisation goes hand in hand with a strait-jacketing of the material's expressive potential. One gets so weary watching authors' sensations and thoughts get novelized, set into the concrete of fiction, that perhaps it is best to avoid the novel as a medium of expression.
Dyer goes on to say that he likes Milan Kundera's advocacy of the "novelistic essay," that what he enjoys in Kundera's work is the idea of fiction "composed entirely of essays, stripped of the last rind of novelisation." The "novelists I like best are, with the exception of the last-named, not novelists at all: Nietzsche, the Goncourt brothers, Barthes, Fernando Pessoa, Ryszard Kapuscinski, Thomas Bernhard."
One knows exactly what Dyer means by novelization—it's the clanking train of novelistic grammar (the plots, the formulas, the scenes, the "conflict," the dialogue, the so-called "telling details"). Roland Barthes spent a lifetime subtly exposing the artifice of this artifice; sometimes he just called it "Fiction," as if indicting the entire monstrous novelizing urge. I would be more inclined than Dyer to salvage "the novel as a medium of expression," and indeed to reserve a special place for the fictionality of fiction. And this kind of plea can sometimes sound as if novelists themselves were not aware of the burdensome machinery of novelization (whereas, in my experience, they chafe at it daily). But it is hard not to be in sympathy with Dyer's restlessness; his own work is evidence of such genre-busting freedom.
So the contemporary essay is often to be seen engaged in acts of apparent anti-novelization: in place of plot, there is drift, or the fracture of numbered paragraphs; in place of a frozen verisimilitude, there may be a sly and knowing movement between reality and fictionality; in place of the impersonal author of standard-issue third-person realism, the authorial self pops in and out of the picture, with a liberty hard to pull off in fiction. That these anti-novelistic tricks are all, in fact, novelistic tricks, often borrowed from the history of the novel, does not muffle the pleasure of watching this literary freedom in action.
Still, it's worth remembering that the essay has its own inescapable conventions, its own formulas, too. The attempt to evade convention eventually becomes conventional. If there is "novelization" and its clanking machinery, then there will also be "essayism" and its clanking machinery. The current liberties of the essay will doubtless look mannered in thirty years' time; its vaunted self-consciousness will look naïve, the fractured forms quaint rather than radical. Sullivan's essay on the MTV reality show is huge fun, but it is also—unlike most of the essays in this book—a familiar foray into American zaniness and insanity, and it obeys certain laws, right down to its unwillingness to make any judgment about reality TV itself. One feels that Sullivan shouldn't be allowed to have it both ways: if reality TV is "really real" because it catches people in the act of being on reality TV, it has only a limited, or possibly null, reality, and Sullivan is just being cynical and jokey. On the other hand, if reality TV is really real because it connects us with Poe and Whitman, and displays America for us as we really are, then large claims are being made for reality TV's (perhaps inadvertent and unwitting) powers of mimesis. It can't quite be both, and the ambivalence perhaps alerts us to the fact that essays like this one have their own unexamined unreality, too.
For instance, the contemporary essay likes to display its postmodernity by showing us its workings. Sullivan does this, too—fairly half-heartedly, I'm pleased to report. The essay on the Christian rock festival starts with an assessment of the kind of easy piece that Sullivan was looking forward to writing, before Ritter and company got hold of him: "Later that night I might sneak some hooch in my rental car and invite myself to lie with a prayer group by their fire, for the fellowship of it. Fly home, stir in statistics. Paycheck." Elsewhere, while visiting the Jamaican home of Bunny Wailer, the last of Bob Marley's Wailers, he admits to using "that exaggerated surprise it's somehow impossible not to affect when you're interviewing people: 'Really?!' " One essay, "Violence of the Lambs," introduces an academic zoologist named Professor Marcus Livengood, only to announce at its end that Sullivan invented him.
But this is the weakest essay in the book—Sullivan's heart is not really in this kind of fantastication. On the Geoff Dyer-scale, he is a fairly old-fashioned essayist. And, anyway, his talent is beautifully for the real; or, rather, for the real fictions that people make of the real, and which they live by. (The really real.) It is why he is drawn to people like Ritter and Darius on the Agape farm; or the Miz; or Constantine Samuel Rafinesque, who ended up teaching at the fabulously named Transylvania University, in Lexington, Kentucky, in the eighteen-twenties; or Andrew Lytle, the last of the Southern Agrarians, who lived a strangely posthumous existence throughout most of the twentieth century, hardly moving from his house in Monteagle, Tennessee; or John Fahey, the subject of one of the most moving essays here, about the country-blues songs of people like Skip James and Geeshie Wiley. "Fahey was someone whose destiny followed the track of a deep inner flaw, like a twisted apple." Fahey had had a career as a musician and as a scholar and collector of rare blues recordings from the nineteen-twenties and thirties. But when the young Sullivan got him on the phone, at some point of the winter between 1998 and 1999, Fahey was "almost sixty and living in room 5 of a welfare motel outside Portland, Oregon. . . . I pictured him prone on the bed, gray bearded and possibly naked, his overabundant corpus spread out like something that got up only to eat." So begins another of Sullivan's captivations. And note that careful, exact, poignant "room 5." ♦


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Revision as of 16:59, 25 March 2011
For manufacturers of the following appliances, which are NOT under the jurisdiction of the California Department of Consumer Affairs, Bureau of Electronic and Appliance Repair, refer to the association listed below.
Compactors, Dehumidifiers, water heaters, Sewing machines, Gas Incinerators, Vacuum cleaners, Disposals, Hair dryers, Curling irons, Bread makers, Air conditioners (re: installation, refer to Contractors State License Board)
Electronic Industries Association (EIA)
2500 Wilson Boulevard
Arlington, Virginia 22201
(703) 907-7500
(703) 907-7501 (fax)
EIA is not a resolution source. They will provide listings of manufacturers and contacts for consumers if there's no resolution at retail level.
Consumer Resource & Referral Guide
Directory of State Agencies
Directory of Federal Agencies
Return to DCA Home Page

subset: commoncrawl


text:
Wood-burning fireplaces, Juliet balconies, terraces, pools and spas--these are a few of the things that make house hunters salivate.
But in New York City, according to the New York Times, an unsung hero is appearing on listings, and for some, it's definitely bragworthy. I'm talking about a garbage disposal.
Residential garbage disposals were illegal in New York City until 1997. In the '70s, it was because garbage disposals weren't good for the aged sewer system. (That's the real reason, but there was a rumor going around that police had feared that the bodies of murder victims might be disposed down the drain, and in Joan Didion's essay in The New York Review of Books in 1991, she wrote that a city employee had worried that people might "put their babies down them."
Before lifting the ban, the city tested the sewers by distributing more than 200 disposals throughout.
The laws have changed, but many buildings still ban them, still worried about the aging pipes.
So now, on upscale listings for penthouses and townhouses for $5 million, we're seeing the amenities listed: Gym! Stunning views! A garbage disposal!
Still, if a building's board wants to ban disposals, they are allowed to do so. (Not that everyone has to listen. But for many people in New York City, where space is rare and kitchens are the size of most people's pantries, there just isn't room for a garbage disposal, legal or not.
And chances are, if you've been living in New York City for awhile, you're used to not having one. But, just add one more thing to the list of things that make people say, "only in New York."


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Mycophenolate Mofetil in Antiretroviral Naïve Patients 2 (MAN2 Study)
|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: NCT00120419
Recruitment Status : Unknown
Verified January 2006 by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA).
Recruitment status was: Recruiting
First Posted : July 18, 2005
Last Update Posted : July 22, 2009
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
|Condition or disease
|HIV Infection
|Drug: mycophenol mofetil (MMF, Cellcept®) 500 mg BID
|Phase 4
*Background: During chronic HIV-1 infection the immune system is chronically hyperactivated. This hyperactivation is considered as the main cause of CD4+ T-cell loss. Furthermore, HIV replicates most efficiently in activated CD4+ T-cells. In this study we try to inhibit the activation of the immune system with mycophenolate mofetil (MMF). Previous studies in which HIV-1 infected patients have been treated with MMF in addition to antiretroviral treatment (ART) have not shown any additional effect, compared to ART alone. In this study MMF will be used without antiretroviral medication.
*Objectives: Primary objective of the study is the evaluation of the effect of MMF on the chronic hyperactivation of the immune system and the decrease of the CD4+ T-cell count in chronically HIV-1 infected patients who are not treated with antiretroviral therapy (ART). Secondary objectives include the evaluation of the effect of MMF on plasma HIV-1 RNA; progression of disease/ reaching of indication to start ART; and the safety of treatment with MMF in this patient group.
*Study Design: This is a multi center, randomized, open-label study, in which patients will be randomized to treatment with mycophenolate mofetil (MMF) 500 mg BID during 48 weeks versus no treatment. In a subgroup of 20 patients ("immunology group", the first 20 patients in the AMC hospital, Amsterdam, the Netherlands) a number of additional immunological measurements will be performed.
The study duration is 60 weeks (48 weeks of treatments with 1 additional visit 12 weeks after cessation of treatment).
*Study Population: Potential participants are adult chronically HIV-1 infected patients, who have never been treated with ART and who according to the present criteria do not need to be treated. CD4+ T lymphocyte count has to be > 250 and <= 450 * 106/L, plasma HIV-1 RNA (viral load) < 10.000 copies/ mL.
*Intervention: Patients will be randomized (1:1) to mycofenolate mofetil (MMF) 500 mg BID versus no treatment.
*Endpoints: Primary endpoints are change over time (baseline - week 48) in CD4+ T cell count and peripheral blood lymphocyte (PBMC) activation markers.
Secondary endpoints are changes over time (baseline - week 48) in plasma HIV-1 RNA, time to reach indication to start ART (separated in three groups: 1. two consecutive measurements of CD4+ T cell count below 250 * 106 cells/ L with at least 4 weeks interval; 2. the occurrence of a CDC class B or C event; 3. any other reason); safety data.
|Study Type :
|Interventional (Clinical Trial)
|Estimated Enrollment :
|90 participants
|Intervention Model:
|Parallel Assignment
|None (Open Label)
|Primary Purpose:
|Study Start Date :
|April 2005
- Change over time (baseline - week 48) in CD4+ cell counts in peripheral blood and peripheral blood lymphocyte activation markers.
- * Change over time (baseline - week 48) in plasma HIV-1 RNA, time to reach an indication to start antiretroviral treatment and safety parameters.
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 and older (Adult, Older Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Patient is ≥ 18 years of age;
- Patient has a proven HIV-1 infection (with antibodies against HIV-1 and a detectable plasma HIV-1 RNA measured for the first time at least 6 months prior to inclusion);
- Patient is HIV-1 treatment naïve;
- CD4+ T lymphocyte count > 250 and <= 450 * 106/L;
- No signs or history of AIDS defining events;
- No use of other medications that might possibly influence the effects of MMF;
- Male; or female sex and willingness to practice effective contraception during the study.
Exclusion Criteria:
- Plasma HIV-1 RNA < 10.000 copies/ mL;
- Autoimmune disease;
- Active hepatitis B or C virus infection;
- Other chronic diseases;
- Recent infectious disease other than HIV-1;
- Treatment with immunomodulatory or anti-inflammatory medication in the past 6 months;
- For female patients: pregnancy and lactation;
- Any other condition, illness or use of medication which according to the investigator is not compatible with the use of the study medication or which could interfere with the evaluations required by the study.
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): NCT00120419
|Contact: Joost N Vermeulen, MD
|+31 20 5668992
|Contact: Jan M Prins, MD PhD
|+31 20 5669111
|Not yet recruiting
|Amsterdam, NH, Netherlands, 1091AC
|Contact: Lucie Schrijnders-Gudde +31 20 5999111 ext 4626 firstname.lastname@example.com
|Principal Investigator: Kees Brinkman, MD PhD
|Sub-Investigator: H. M. Weigel, MD
|Sub-Investigator: P. H. Frissen, MD PhD
|Sub-Investigator: W. E. Schouten, MD PhD
|Academic Medical Center
|Amsterdam, NH, Netherlands, 1105 AZ
|Contact: Joost N Vermeulen, MD +31 20 5668992 email@example.com
|Contact: Jan M Prins, MD PhD +31 20 566 9111 email@example.com
|Principal Investigator: Jan M Prins, MD PhD
|Sub-Investigator: Joost N Vermeulen, MD
|Kennemer Gasthuis, location EG
|Not yet recruiting
|Haarlem, NH, Netherlands, 2035RC
|Contact: Robin Soetekouw, MD +31 23 5453545 email@example.com
|Principal Investigator: Robin Soetekouw, MD
|Erasmus Medical Center
|Rotterdam, ZH, Netherlands, 3015GD
|Contact: Iman Padmos +31 (0)10-4635737 email@example.com
|Principal Investigator: Ineke van der Ende, MD PhD
|HAGA hospital, location Leyenburg Hospital
|Not yet recruiting
|The Hague, ZH, Netherlands, 2545 CH
|Contact: Robert H Kauffmann, MD PhD +31 70-3592007 email@example.com
|Contact: Anneke van IJperen +31 70-3592414 email@example.com
|Principal Investigator: Robert H Kauffman, MD PhD
|Principal Investigator:
|Jan M Prins, MD PhD
|Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, University of Amsterdam, the Netherlands
|Principal Investigator:
|Kees Brinkman, MD PhD
|department of internal medicine, OLVG hospital, Amsterdam, the Netherlands
|Principal Investigator:
|Robin Soetekouw, MD
|department of internal medicine, Kennemer Gasthuis, Haarlem, the Netherlands
|Principal Investigator:
|Robert Kauffmann, MD PhD
|Department of Internal Medicine, HAGA hospital, location Leyenburg Hospital, The Hague, The Netherlands
|ClinicalTrials.gov Identifier:
|NCT00120419 History of Changes
|Other Study ID Numbers:
|First Posted:
|July 18, 2005 Key Record Dates
|Last Update Posted:
|July 22, 2009
|Last Verified:
|January 2006
HIV-1 infection
immunomodulatory therapy
Treatment Naive
HIV Infections
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
Mycophenolic Acid
Antibiotics, Antineoplastic
Antineoplastic Agents
Antibiotics, Antitubercular
Antitubercular Agents
Anti-Bacterial Agents
Anti-Infective Agents
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action


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73 S.W. 12 Ave. Building 1, Unit #7Dania, Florida 33004
United States
Phone: 954-925-3625
Fax: 954-925-3626
See map: Google Maps
Tiger-Vac manufactures high quality Explosion Proof, Industrial, HEPA/ULPA filtered and Cleanroom Vacuum Cleaner Systems. Clientele include the military, pharmaceutical industries, food processing plants as well as many other industries that have a need for specialized vacuum cleaner systems.
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text:
I'm in a relationship.
And it's not with my husband.
I know, this is kind of frowned upon nowadays but well, it IS the new millennium.
But ya see…
I'm in a relationship with food, and it's complicated.
Okay, that was my lame attempt at a little humor this morning. {Am I even gonna get a pity laugh out of that one?!?! Ha!}
That probably wasn't much of a shocker to anyone reading this though… I mean, it is a diet blog. But really, I'm realizing more than ever that a) it is some kind of weird co-dependency relationship with food, and b) it is just terribly complicated for me.
Recently I went to lunch with my best friend, my very own psychologist Dr. Laura (yeah, that's weird… when did we get old enough to have doctorates!?!?!??) and although she is always wondering how things are going, she is never pushy with advice (even though I know that she has a slew of solutions or suggestions for me). But recently when we met and I lamented a little bit about having gained some weight, but that I wasn't worried about it she said, "Yeah, you are just in the process of discovering what it means to have a healthy and balanced relationship with food."
I thought about that for weeks. You see…
Originally, I didn't really want to find balance.
I wanted to find SKINNINESS.
As I've journeyed along I've realized that balance is really probably… better. And as I thought about it even more after talking with her, a thought came to my mind: what if I'm limiting God by saying I just won't have chocolate ever again. What if what He really wants to do in my life is completely change me, completely renew me, and make me completely strong, resilient, balanced. What if He really does want me to find balance instead of just restriction?
Honestly, I think learning how to find balance with food… learning how to have an uncomplicated relationship with food… that would be even more of a miracle than never eating chocolate again. It would take a whole new level of reliance upon Him.
I think that I'm up for it. This is, after all, a journey from gluttonous to glorious, and I'm starting to see that maybe there is an unexpected turn in the road up ahead. A new direction that will teach me to rely on Him and find balance with food.
Sounds like a pretty good deal to me.


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|Home >> Course Descriptions >> College of Arts and Sciences
|Comparative Criminal Justice Systems
|Three semester hours. (SP)
|A comparative study of criminal justice systems in the United States and selected foreign countries. The comparisons will include countries from some or all of the following areas: Latin America, Europe, Scandinavia, Asia, and the Middle East.
Home - General Information - Student Services -
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Undergraduate Degrees - Academic Graduate Regulations -
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Where to begin, oh where to begin? Right. I sound like a stereotypical fag, and he doesn't sound at all like a stereotypical insecure self-hating resentful homosexual who bases his entire sense of self-worth on how "straight" he thinks he appears. It's so funny, in a tragically sad way, how guys like this fella don't realize that in their desperation to not be "stereotypically gay" they become a neanderthalian caricature of themselves.
Note the specific uses of "feminine" (ignore his spelling errors), "Fag", "stereotypical", "str8". Priding himself on his belief that people can't tell that he's gay. The words, terms, and concepts that only insecure homosexuals cling to, obsess over, find a false sense of security in.
If you're going to send me unsolicited messages with the sole intention of being a trolling idiot, I'm going to blog it. I can't imagine he'd object to this being published, though, as he apparently has been Out since he was 12 and has never, at any moment in his life, been treated badly or with prejudice for being gay. This, by the way, makes him the first gay man I've ever encountered who has not had even one negative experience in his life with regards to anti-gay prejudice. And there's no way he's lying, because people never ever lie.
Even from a psychological standpoint his "arguments" (if they can even be called that) make no intellectual sense: Wow, "a big part" of why you never got treated badly was because you were "not the stereotypical fag?" How wonderful for you. Now, if you as a proud gay man who's been Out since he was 12 (yes, and I'm secretly dating Prince Harry) didn't in turn stand up in solidarity with your *ahem* "stereotypically faggy" brothers, then you're not terribly brave, nor were you actually accepted by anyone. You were tolerated. Conditionally. The condition being that you were not "a stereotypical fag" - instead you were a stereotypical coward who based his identity on Not Being A Stereotypical Fag.
I don't know any confident, Out, masculine gay men who talk like this guy. I don't know any masculine gay men who denigrate and distance themselves from perceived-"femmes" - that's what insecure homosexuals do. Call me crazy, but I don't associate insecurity with masculinity. Insecurity is for boys whose balls haven't dropped. Not men.
For some reason the Anonymous Internet Dwellers like to pretend this is merely an issue of "preference"or "masculinity" - it aint. At no point in my entire life have I ever denigrated "masculinity" - why would I? For me to "have a problem with masculinity" would certainly come as a massive shock to my friends, gay and straight, and a good number of my lovers. Yeah. I said it.
There's nothing inherently wrong with masculinity, or concepts of it. And the same thing goes for femininity. This is something that guys like "ruggedguy" here don't seem to understand - to them, "fem" is inherently bad. It's a negative. Fem. Stereotypical. Fag.
Yeah. You totally sound like a comfortable, confident and well-adjusted homosexual. The problems arise when one puts down the other to attempt to boost their own stock.
"I'm so masculine that I hate femme guys", said no confident and empowered gay man, ever.
As for stereotypes, it seems some people mistakenly believe that "Stereotypically Gay" means one thing, and that one thing is "Sparkly and Glittery Singing Showtunes Over Cosmos". But it's not. I'd know he was a 'mo on the street, and that's a GOOD thing. There are all kinds of stereotypes: I myself am a rather obviously stereotypical Shaved Head and Tattoos Gay Who Also Wears Combat Boots. You can be visibly, identifiably and OBVIOUSLY gay without being "feminine" - something these boys don't seem to want to understand. Gay Jocks. Gay Preps. Gay Bears. Gay Thugs. Gay Geeks. Gay Artists. Gay Gay Gay. And being obviously gay is not a bad thing. In fact, it's a great thing. Diversity in Visibility, brothers and sisters.
Oh, and for full disclosure, as I have nothing to hide - here's my own Scruff profile, so you can see what this guy was attempting to comment on.
I also like his comment that I need to leave more room in myself to change. I agree, in theory. But I don't see how adopting limitations and imposing ceilings on myself is a positive type of change one should aspire to. I'm not going to go through life with one hand tied behind my back, and it's a little bit funny that one would suggest that I'm not being open-minded enough to the possibility that...I should be more closed-minded? It's like when you engage in a discussion with a Subway Preacher, who tells you that you need to be open to the possibility of becoming more closed-minded like they are. "Don't be so closed-minded, my friend in Jesus! You need to be OPEN to the truth that I'm telling that everyone ELSE is wrong!"
Sure thing, sugarpie.
And the comment that guys like him aren't into "chit chat". They are, apparently, into writing rather epic little essays.
Now, online apps are a great big sea of diversity. Some looking for a quick hook-up, some looking for a long term relationship, some looking for buddies. But they exist in a weird universe where a person will make comments on their profile that they'd never have the orbs to say in public.
"No Blacks"? Really? I dare you to put that on a tee-shirt and wear it into a bar one night. See how many friends you make.
If his point was simply that I didn't need to list the things I didn't like (ie, the mascVSfemme divisions, the racial-prejudice-preferences, the HeySupHowzitGoingSupYo? conversation non-starters), then I could simply take it and say "Ok, I'll think about that." That his entire tone, however, is expressed via uses of "Stereotypical Fem Faggot Homo Fag" only proves my point, and is indeed the reason my profile calls that stuff out - people's prejudices on the Online World are continuing to go unchecked. If you want to make a point that a person doesn't need to point out the things that they're against, and want to claim that others should give themselves "room to grow", you might not want to start your conversation with "you stereotypical feminine fag." Just a thought.
You become aware that some guys speak an entirely different language than you.
"Hey. Sup? Hey, wassup? How's it goin? Hi. Hi, sup? U lookin? Got pics? Ur close. Where u at? Hi dude, wassup, you got pics and lookin cuz Ur close?"
To those that speak that particular language, best of luck. Just remember this - rather than asking people questions it might make your own life easier if you're simply clear about who you are, what you're looking for, and what you expect. Don't ask, TELL. And when it comes to stating your preferences, remember that not only your preferences, but the language you use in which you describe them, can also make it very clear what your prejudices are.
And your insecurities.
Here's the reality, if you really wanna pare it all down - there is no Masc, there is no Femme - there is only gay. And brothers that stand alongside one another are stronger than those who work to create distance.
A parting message from this fella, alternately left on another profile:
Thank you for making my point for me.
I kind of want to put that on a tee-shirt.
I kind of want to put that on a tee-shirt.


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DaniLeigh joined La Loca LIVE from HMH Stage 17 talk about her new music, new album, dancing history, and much more! After the interview, DaniLeigh performed "Lil Bebe" and "Blue Chips" for a room full of lucky Radio 103.9 listeners!
Click below to watch DaniLeigh's FULL visit to HMH Stage 17!


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I have several currently unsupported pieces hardware that connect a function fine as-is,
which I intend and have minimal skeleton work done in writing drivers for...
Is it possible to report working hardware or is there a specific Email for bucketing such reports?
I have 1x PCI->PCIx1 Bridged USB3 Renasis Controller (PCI only not PCI-Express) card installed and
only needing a functional XHCI driver (which I understand to be a larger buffered variant of the OHCI? drivers elsewhere)
Additionally I also have a Broadcom Wireless Ethernet PCI card (firmware module required in linux) that may become functional once the firmware is applied to the card in an o029AS compatible manner if Wireless Extensions in S2r3 or later become more standardized as part SANA specifications?
As for additional (other) devices, mostly USB items such as BlueTooth and Wireless modules (also RealTek as manufacturer)
Maybe I can discuss more specific details with an OS Dev Team member or given some basic skeleton work I can hand over to an OS Developer Team member for more specific OS internal materials that are non-publish sources?


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Atlanta Golf At The St. Andrews Golf and Country Club
St. Andrews Golf and Country Club is an Atlanta golf facility that features 6,629 yards of fairways, sandtraps, water hazards and greens just outside of Atlanta in Winston, Georgia. The course gives the golfer a feeling that can't be found anywhere else in the the area.
Rated one of the Top Ten golf courses in Georgia, our professional staff is dedicated to creating an enjoyable experience for every guest. Whether you are enjoying the pace of play on our beautifully maintained, tree-lined Atlanta golf course or networking with other professionals, you will surely find that St. Andrews Golf and Country Club offers an experience like no other in the Atlanta golf area.
St. Andrews has an eager staff that is committed to providing you with customer service that will make your golf visit memorable. Enjoy our facilities secure in the knowledge that you will always be greeted with a smile and have an enjoyable experience out on the course.
In combination with the simple beauty of St. Andrews, guests at your next golf outing are sure to remark on how much they enjoyed their time. Beyond great golf, we also offer excellent dining options through various providers in the area. Make your best impression year after year as you entertain family, friends, or clients in style and comfort at St. Andrews.
The par 72 course features Bermuda fairways and Bentgrass greens which are maintained under the direct supervision of Heath Hammond, one of Georgia's most talented superintendents. The terrain and layout of St. Andrews, along with its 5-tee box selection, can challenge the skill of the beginner or the accomplished golfer. The front nine challenges a golfer's ability to control their shots as it weaves through the neighborhood, while the wide open spaces and natural setting of the back nine provides a relaxing atmosphere where you can open up your game and go for your best drive. The difference between the front and back will make you believe you played on two different Atlanta golf courses.
The course is supported by an excellent practice area that includes a chipping and sand trap green, Bentgrass putting green, and a two-tiered practice range. With outstanding natural resources and diverse topography available, the course at St. Andrews is a preferred golf venue for corporate, civic, and charitable outings.


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This report was written by the Associated Press.
George P. Bush, who caused a stir when he made a Texas campaign filing last week, will guest-host CNBC's "Squawk Box" on Thursday.
The grandson of one former president and nephew of another, Bush is a rising star among Hispanic Republicans.
He's son of ex-Florida Gov. Jeb Bush and his mother is originally from Mexico.
Bush political strategist Trey Newton said Monday that the appearance was scheduled before Bush filed campaign papers Nov. 7 with the Texas Ethics Commission.
Bush has guest-hosted Squawk Box before, and appeared on the program with his father on Father's Day.
Newton said Bush will likely run for Texas attorney general, land commissioner or comptroller in 2014.
All posts are held by Republicans likely to seek higher offices, clearing the way for a Bush candidacy.


text: France's President Francois Hollande. His predecessor, Nicolas Sarkozy, reportedly thinks he's "a ridiculous little fat man." Pool/AFP/Getty Images hide caption toggle caption Pool/AFP/Getty Images The Two-Way If You Think The French President Is 'Stupide,' Just Say So July 26, 2013 France's parliament has bowed to European Union pressure and removed a 130-year-old ban on "offending the head of state."


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BOY color Sample red
Choosing the right finish is a key factor for getting the perfect new shelf to suit your living space. We are happy to send you a free colour and style sample to give you a better idea of what your wall shelves will look like.
TIP: You can choose up to 5 free samples to help you decide.
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Customers also bought


text: Find this wine Find this wine Sebastiani Pinot Noir 2007 Recommended Sebastiani 2007 pinot Great balanced flavor and nose! Pin It Tweet 9 years ago by Greenah More posts Sebastiani 2011 Pinot Noir Garland 6 years ago by Whitneygossett Sebastiani Russian River Valley Pinot Noir 2009 Great afternoon grilling wine. And Cat APPROVES ;) 6 years ago by Mike Z. Sebastiani Pinot Noir 2011 12.98 at Gary's 8/10. Pretty good Not light 6 years ago by Cathy S Miller Sebastian Pinot Noir 2010 Sebastiani pinot noir 2010. Really good trusty option! 6 years ago by Butlerka Sebastiani 2006 Pinot Noir From Total Beverage. 7 years ago by Blue37909


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The Army's Medical Communications for Combat Casualty Care system integrates existing military software applications into several different rugged devices, including handhelds, laptop PCs, servers, printers and peripherals, MC4 program officials said.
Army's MC4 comprehensive electronic medical records help improve care for the wounded
Project at a glance
See the full list of agency winners
See the GCN Executives of the Year
All the pieces together enable the digitization of inpatient and outpatient care, patient tracking and reporting, and medical logistics automation.
Users can access MC4 in several ways. On the battlefield, at the point of injury, medical staff use a Motorola MC70 handheld rugged mobile computer or a Hewlett-Packard iPaq 4700 PDA.
Battalion aid station users can access the system using Dell Latitude E6400 and Panasonic Toughbook CF 51 laptop PCs. In some instances, the Toughbook can function as a server, accessed by other computers.
And at the combat support hospital level, MC4 runs on Dell G4 servers, which would connect to 100-150 laptop clients in a typical hospital, said MC4 product manager Lt. Col. William Geesey.
About the Author
Trudy Walsh is a senior writer for GCN.
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Featured Amenities
Featured Amenities
Featured Amenities
Make Your Stay Super
Enjoy free breakfast, WiFi, and more
When you need a spot to rest and refuel, come to our hotel. We offer convenient amenities that help to keep you on track, and refrigerators are available upon request. Begin your day with a free 8-item SuperStart breakfast and enjoy fresh-brewed coffee any time of day. Go online with free WiFi in your room or relax with an HBO movie.
While You're Here
See a historic Civil War site and hike in nearby state parks
Drive along Blue Ridge Parkway, just 25 miles from our hotel. Hike, bike, horseback ride, and boat at New River Trail State Park, only 10 miles away. While there, stop at Shot Tower Historic State Park and see where ammunition was made more than 200 years ago. Cast a line into 21-mile-long Claytor Lake, hike through miles of trails at Jefferson National Forest, or swing by Draper Valley Golf Course for 18 holes of fun.
Hotel Amenities
Accessible Amenities
- The Following Features Are Not Available/Not Fully Accessible:
Plan Your Group Travel With Us
Book your wedding party, sports team, or other group travel at our hotel. Submit your request for information about special rates on blocks of rooms.


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Live Severe Cyclonic Storm 'HUDHUD' over westcentral Bay of Bengal moved northwestwards, intensified into a very severe cyclonic storm and lay centered at 1430 hrs IST of today, the 10th October 2014 near latitude 15.0ºN and longitude 86.8ºE about 470 km east-southeast of Visakhapatnam and 520 km south-southeast of Gopalpur. The system would move west-northwestwards and cross north Andhra Pradesh coast around Visakhapatnam by the forenoon of 12th October 2014.
HUDHUD Cyclone Live Tracker Webcast
Live Hudhud Cyclone Update
Live Hudhud Track and intensity forecasts of the system:
(Lat.0N/ long.0E)
windspeed (kmph)
|Categoryof cyclonic
|120-130gustingto 145
|VerySevereCyclonic Storm
|120-130gustingto 145
|VerySevereCyclonic Storm
|120-130 gustingto 145
|VerySevereCyclonic Storm
|130-140 gustingto 155
|VerySevereCyclonic Storm
|130-140 gustingto 155
|VerySevereCyclonic Storm
|130-140 gustingto 155
|VerySevereCyclonic Storm
|130-140 gustingto 155
|VerySevereCyclonic Storm
|80-90 gustingto 100
|30-40 gustingto50
Live Hudhud Warning for north Andhra Pradesh and south Odisha
(i) Heavy rainfall warning: Under the influence of the system, rainfall at most places with heavy (6.5
– 12.4 cm) to very heavy falls (12.5 – 24.4 cm) at a few places and isolated extremely heavy falls (≥ 24.5 cm) would occur over west and east Godavari, Visakhapatnam, Vijayanagaram and Srikakulam districts of north Andhra Pradesh and Ganjam, Gajapati, Koraput, Rayagada, Nabarangpur, Malkangiri, Kalahandi, Phulbani districts of south Odisha commencing from 11th onwards. Rainfall would occur at most places with heavy to very heavy rainfall at isolated places over Krishna, Guntur and Prakasham districts of Andhra Pradesh and north coastal Odisha during the same period.
(ii) Wind warning: Squally wind speed reaching 50-60 kmph gusting to 70 kmph would commence along and off north Andhra Pradesh and south Odisha coasts from 11th morning onwards. The wind speed would gradually increase to 130-140 kmph gusting to 155 kmph from 12th morning
along and off north Andhra Pradesh (East Godavari, Visakhapatnam, Vizianagaram and Srikakulam districts) and 80-90 kmph along and off adjoining districts of south Andhra Pradesh (West Godavari, Krishna districts) and south Odisha (Ganjam, Gajapati, Koraput and Malkangiri districts).
(iii) Sea condition along and off north Andhra Pradesh and south Odisha coasts: Sea condition
would be rough to very rough from 11th morning. It would gradually become phenomenal from 12th morning onwards along and off north Andhra Pradesh coast and very rough to high along and off south Odisha coast.
(iv) Storm surge warning: Storm surge of about 1-2 meters above astronomical tide would inundate
low lying areas of Visakhapatnam, Vijayanagaram and Srikakulam districts of north coastal
Andhra Pradesh at the time of landfall.
(v) Damage expected:
A) North Andhra Pradesh (East Godavari, Visakhapatnam, Vizianagaram and Srikakulam districts): Under the influence of system, extensive damage to kutcha houses. Uprooting of big trees. Partial disruption of power and communication lines. Minor disruption of rail and road traffic. Potential threat from flying debris. Flooding of escape routes. Damage to agricultural crops.
B) South Andhra Pradesh (West Godavari, Krishna districts) and south Odisha coasts
(Ganjam, Gajapati, Koraput and Malkangiri districts): Damage to thatched huts. Breaking of tree branches causing minor damage to power and communication lines. Uprooting of small trees. Damage to agricultural crops.
(vi) Action suggested:
A) North Andhra Pradesh (East Godavari, Visakhapatnam, Vizianagaram and Srikakulam districts): Suspension of fishing operations in area of influence of cyclone. Judicious regulation of aviation, navigation, rail and road traffic. People in affected areas to remain at safe places around landfall period. Mobilise evacuation from coastal areas.
B) South Andhra Pradesh (West Godavari, Krishna districts) and south Odisha coasts (Ganjam, Gajapati, Koraput and Malkangiri districts): Total suspension of fishing operations.
Cyclone Hudhud: Do's and Don'ts
- Check houses, secure loose tiles by cementing wherever necessary, repair doors and windows.
- Check the area around the house. Remove dead or dying trees, anchor removable objects like lumber piles, loose bricks, garbage cans, sign-boards, loose zinc sheets etc.
- Keep some wooden boards ready so that glass windows can be boarded.
- If you do not have wooden boards handy, paste paper strips on glasses to prevent splinters flying into the house.
- Keep a hurricane Lantern filled with kerosene, flash light and enough dry cells and keep them handy.
- Promptly demolish condemned buildings.
- Those who have radio sets should ensure that the radio is fully serviceable. In the case of transistors an extra set of batteries should be kept handy.
- Keep your radio on and listen to latest weather warnings and advisories from the nearest AIR station. Pass the information to others.
- Pass only the official information you have got from the radio to others.
- Get away from low lying beaches or other locations which may be swept by high tides or storm waves. Leave sufficiently early before your way to high ground gets flooded. Do not delay and run the risk of being marooned.
- If your house is out of danger from high tides and flooding from the river, and it is well built, it is then probably the best place. However, please act promptly if asked to evacuate.
- Be alert for high water in areas where streams of rivers may flood due to heavy rains.
- Get extra food, especially things which can be eaten without cooking or with very little preparation. Store extra drinking water in suitably covered vessel.
- If you are in one of the evacuation areas, move your valuable articles to upper floors to minimise flood damage
- Check on everything that might blow away or be torn loose. Kerosene tins, cans, agricultural implements, garden tools, road signs and other objects become weapon of destruction in strong winds. Remove them and store them in a covered room.
- Be sure that a window or door can be opened on the lee side of the house i.e. the side opposite the one facing the wind.
- Make provisions for children and adults requiring special diets.
- If the centre of' 'eye' of the storm passes directly over your place, there will be a lull in the wind and rain, lasting for half an hour or more. During this period stay in safe place. Make emergency repairs during the lull period if necessary, but remember that strong wind will return suddenly from the opposite direction, frequently with even greater violence.
- Be calm. Your ability to meet emergency will inspire and help others.
- You should remain in shelters until informed by those in charge that you may return home.
- Any loose and dangling wire from the lamp post should be strictly avoided.
- People should keep away from disaster areas unless you are required to assist.
- Anti-social elements should be prevented from doing mischief and reported to the police.
- Cars, buses, lorries and carts should be driven carefully.
- The houses and dwellings should be cleared of debris
- The losses should be reported to the appropriate authorities.
- Relatives should be promptly informed about the safety of persons in the disaster area.
- Avoid being misled by rumours.
- Don't leave shelters until informed by the rescue personals.
- Don't leave the safer place during lull, however minor repairs can be carried out.
- Don't touch the loose and dangling wire from lamp post, it may have electric current.


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Police: Mom stabbed, tried to kill 7-year-old son | Crime
LAKE WALES, Florida -- A 42-year-old mother sat in jail Tuesday afternoon, accused of trying to kill her 7-year-old son.
Lake Wales police tell 10 News just after 8 a.m. Maisa Alvarez chained her son's hands together. When he woke up, officers say she stabbed him eight to 10 times in the chest.
The boy was airlifted to an Orlando hospital and police say he has non-life threatening injuries.
"It's not supposed to happen," said next door neighbor Owen Campbell.
Campbell says the family next door would leave their phone number when they returned home to Brazil, in case of emergency. He described them as a quiet, church-going family.
"You never know what's going on in people's lives, but it's sad," Campbell said, fighting back tears.
Police describe the crime scene as "horrific."
Officers say Alvarez didn't offer any explanation or motive. Police tell 10 News Alvarez has no criminal history and they've never been called to their house before.
"It's very unusual. It's very scary to think that it could go from nothing to that," said Lake Wales Police Deputy Chief Troy Schulze.
Neighbors were also at a loss.
"It's got to be somebody crazy," said Ileana Rodriguez, "my heart goes out to that little boy."
Police say Alvarez called 911 after stabbing her son. At the scene, officers say she talked with them at length, with her demeanor remaining calm and emotionless throughout.
Alvarez is facing charges of attempted first degree murder and aggravated child abuse.
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|Home >> Course Descriptions >> College of Arts and Sciences
|Senior Seminar
|Three semester hours.
Students in this course will be exposed to general issues in the study of psychology to demonstrate general psychological knowledge. Students in this class are expected to write a major area research paper. Additionally, students will be exposed to specific areas in psychology not covered elsewhere in the curriculum that are consistent with the expertise of the faculty. Specific topics will change each semester, but may include: Ethics, media violence, psychology of war, advanced statistics, etc. Prerequisites: Senior year psychology major and PSYC 2312, PSYC 3302, PSYC 4301, and PSYC 4325.
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The dairy price outlook for the year has improved significantly over the past few weeks. It is about time, since higher feed prices will have a definite impact on profitability.
The milk price potential for 2011 has improved substantially since Christmas. Dairy futures have shown dramatically higher prices as a result of the strength in underlying cash markets and higher international dairy prices. In the past week, July through October Class III futures contracts exceeded $16.00 for the first time in the life of these contracts.
The futures price increases were fueled mainly by the increases in butter and nonfat dry milk prices on the spot market and a jump in international price in the latest Fonterra auction.
Last week alone, the butter price jumped 43 cents to $2.10. Buyers became aggressive and bid higher in the attempt to get the needed supply. It is questionable whether this price can be sustained as exporters and retailers assess the effect of this price increase on demand. Historically, a price increase of this magnitude over a few days' period of time results in a quick retracement of some of the gain. Buyers were attempting to build some inventory as churning activity increased through the end of 2010, but have now put that on hold as they decide how to proceed due to the price increase.
Nonfat dry milk prices were not left behind, with Extra Grade increasing 11.5 cents last week to $1.34 and Grade A increasing 6 cents to $1.33. These are the highest prices since May 18, 2010, and gains seemed to be a direct result of the increase in price on the bi-monthly Fonterra auction.
The latest Fonterra auction held on Jan. 4 resulted in increased prices across the board. The Whole Milk Powder price increased 3.8%, Skim Milk Powder increased 10.9% and Anhydrous Milk Fat increased 10.6% to a new record high. Buttermilk Powder increased a whopping 20.6%. Demand is strong and current supply somewhat limited.
The laggard right now is cheese with the price so far showing only a limited increase. Cheese production increased over the holidays allowing more to be available to the market, with sellers not shy about offering it to the spot market. Over the past few weeks a significant amount of cheese has been traded on the spot market. This is interesting, given the fact that sellers many times step back once buyers become more aggressive, but so far they have not.
Some of this may be due to the large cheese inventory and continued strong production so far. Even with significantly higher grain prices and the milk/feed ratio narrowing substantially, USDA is projecting milk production for 2011 at 195.5 billion lbs. or 2.7% above 2010. How this will all play out as the year progresses is anyone's guess.
Exports will be a big factor this year. The first 10 months of 2010 showed exports of cheese up an average of 62.0% over last year, with butter and butterfat exports up nearly 250.0%. Of course, this is compared to a significant slowdown in 2009, so we cannot expect the same or similar growth in 2011.
In fact, USDA estimates cheese exports this year to be slightly lower than last year, since both the European Union and Oceania are expected to increase cheese production, according to their recently released World Dairy Situation and Outlook report. Butter exports are expected to remain strong, but butterfat exports from the EU are expected to jump 18% as a result of expected production increases.
The dairy price outlook for the year has improved significantly over the past few weeks. It is about time, since higher feed prices will have a definite impact on profitability. The tight milk/feed ratio will keep expansions on hold. Higher Class III futures could potentially keep production strong as farmers push production in order to take advantage of the higher prices, if they materialize. This has been the pattern and not expected to change anytime soon. All in all, milk prices are looking up for the year.
Upcoming reports:
- The World Agricultural Supply and Demand report on Jan. 12
- Quarterly Stocks report on Jan. 12
- Fonterra auction on Jan. 18
- December Milk Production report on Jan. 19
- December Livestock Slaughter on Jan. 21
- February Advanced Class I price on Jan. 21
- December Cold Storage report on Jan. 21
Robin Schmahl is a commodity broker and owner of AgDairy LLC, a full-service commodity brokerage firm located in Elkhart Lake, Wisconsin. He can be reached at 877-256-3253 or through their website at www.agdairy.com.
The thoughts expressed and the data from which they are drawn are believed to be reliable but cannot be guaranteed. Any opinions expressed are subject to change without notice. There is risk of loss in trading and my not be suitable for everyone. Those acting on this information are responsible for their own actions.


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Ham Enchiladas for Brunch
—Gail Sykora, Menomonee Falls, Wisconsin
Total TimePrep: 15 min. + chilling Bake: 40 min. + standing
Makes10 servings
- 2 cups cubed fully cooked ham
- 1/2 cup chopped green onions
- 10 fat-free flour tortillas (8 inches)
- 2 cups shredded reduced-fat Kerrygold cheddar cheese
- 1 tablespoon all-purpose flour
- 2 cups fat-free milk
- 1-1/2 cups egg substitute
- Combine ham and onions; place about 1/3 cup down the center of each tortilla. Top with 2 tablespoons cheese. Roll up and place seam side down in a greased 13-in. x 9-in. baking dish.
- In a large bowl, whisk the flour, milk and eggs until smooth. Pour over tortillas. Cover and refrigerate for 8 hours or overnight.
- Remove from the refrigerator 30 minutes before baking. Cover and bake at 350° for 25 minutes. Uncover; bake 10 minutes longer. Sprinkle with remaining cheese; bake for 3 minutes or until the cheese is melted. Let stand for 10 minutes before serving.


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Posted: Feb 26, 2013
As part of the Northeast Conference television package, the Central Connecticut men's basketball game vs. Robert Morris on Saturday has been moved to an 11:30 a.m. tip in Detrick Gymnasium. The game will be televised on MSG and Fox College Sports Pacific.
In addition, the women's game has been moved back to a 2 p.m. tip, also vs. Robert Morris.
Both teams will honor their seniors prior to the games on Saturday.
Both games are also available for free on www.NECFrontRow.com.


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Plant engineerThe facility or owners engineer who is responsible for reviewing the
concerns and determining if facility modifications should be implemented
Process designerThe individual who is responsible for analyzing the relief device and
overpressure protection system and developing the concerns
ConcernsItems that are listed (prior to being fully reviewed and accepted) as
deviations from industry or company standards.
At the end of the relief systems design basis project, the process designer typically identifies
many concerns. As most facilities want to comply with RAGAGEP, there is a mandate to resolve
these concerns, and their resolution can be costly.
Generally, most facilities seek to comply with regulations for existing facilities and to potentially
build new equipment and facilities to a higher standard. This article includes examples of how to
review existing systems to determine if concerns justify field modifications.
Facility upgrades, not based on minimum compliance, have been thoroughly reviewed.
By reviewing the concerns list with these suggestions, a plant engineer can ensure that costly
changes have a basis in sound engineering and that the expense is justified. Note that no
hierarchical order is implied in this list.
Typically, when a relief systems design basis project is undertaken, the goal is to produce
compliant documentation efficiently and consistently. To do this, process designers must base the
analysis on a framework to minimize effort and ensure consistency. This is a practical method for
performing a large-scale relief systems analysis; however, for any particular concern, the
framework may break down and suggest items that are not actually concerns.
In a recent review project, approximately 40% of the listed concerns were later found to be
acceptable based on a detailed review. The following sections help walk a plant engineer through
a systematic process and give insight into how to review the listing of concerns.
Reviewing relief system study details
When the concerns are reviewed from the perspective of the process designer, the plant engineer
can understand how the framework may have generated potential concerns. Understanding this
process can help the plant engineer identify resolvable concerns by reviewing the design basis.
Understanding the process. When completing large-scale relief systems design basis
documentation and design processes, the process designer is usually quite familiar with relief
systems design but may not be familiar with the particulars of the process or unit. The process
designer, therefore, may make unrealistic judgments about process upsets. The following are
examples of these items:
When process flows can be blocked, or if the normal rate is possible under upset
Use of the normal/design duty from a reboiler for relief rate estimation
To ensure the best possible analysis, each study should be reviewed by personnel familiar with
the process operation to confirm that unique process characteristics are captured in the relief
systems documentation.
Credibility of scenario or relief rate. For each overpressure scenario that generates a concern,
the plant engineer should give particular attention to ensure the credibility of the scenario or
required relief rate. Many times, an overpressure scenario or the estimated rate may not be
credible. The following are some examples:
Pumps that can only pump to relief pressure if the upstream system is also upset
(however, a simultaneous upset would be considered double jeopardy)
Systems where overpressure derives from heat input, such that the relief temperature of
the process fluid exceeds the relief temperature of the utility fluid
Control valve failure calculations that are based on the capacity of a control valve instead
of on another limitation (e.g., a long section of piping or a pump).
To ensure an accurate analysis, each concern should be reviewed to verify that consideration has
been given to the determination of the scenario applicability and that the relief rate estimate is
reasonable for the particular process or unit.
Gathering facility data. The relief systems analysis process typically limits the amount of
places and time that the process designer can search for process and equipment data. This
limitation is usually defined as a project scope item and is used to ensure that the project has
boundaries. When reviewing concerns, the plant engineer must ensure that the process designer
has not identified concerns that can be readily resolved by further searching for process and/or
equipment data. Often, this requires a call to an external supplier or technical body (e.g., the
equipment manufacturer or national board).
Other execution issues. The relief systems process typically uses a consistent basis that is often
documented and referred to as site or project guidelines. These guidelines are beneficial, as they
provide a means for efficient and consistent execution and help ensure that both the process
designer and plant engineer are in agreement on the details of the analysis. When these generic
and prescriptively conservative guidelines generate concerns, it is imperative that the team
generating the documentation reviews the fundamentals of the analysis to confirm that the
concern is a legitimate deviation from RAGAGEP and not just a result of the project execution
Reviewing relief system study assumptions
The typical execution method of a project tends to enforce consistent assumptions. For most of
the project, this ensures that the relief systems design basis is conservative and compliant with
RAGAGEP. To ensure that field modifications are for items that must be addressed, these
assumptions may need to be challenged when concerns are raised.
Standardization assumptions. Standard and generally conservative assumptions are specified to
ensure consistency and efficiency. These assumptions help the relief systems documentation
process run efficiently; however, if generic assumptions result in concerns, they should be
revisited and updated. The following are some examples of these items:
To ensure the best possible analysis, the assumptions associated with each concern should be
reviewed and, if possible, refined to be specific for that system.
Conservative assumptions. The authors of this article have been carrying out relief systems
analysis for multiple decades and believe that conservative assumption is frequently used as a
phrase for a simplifying assumption that the process designer invoked. Furthermore, this phrase
typically has nothing to do with being conservative. The following are examples of conservative
As previously stated, each conservative assumption should be reviewed and refined so that it is
specific for each system.
Other assumptions. The design and analysis of relief systems is an art. Much of the analysis is
based on the assumptions that form the overall basis. Mathematical errors are rarely the cause of
an incorrect analysis; usually, the cause is a problem with the basis. The basis for each system is
stacked on top of a basis for another system. Once the assumptions are flushed out and
determined to be correct, the mathematics are easy.
Fractionator example. In the past, the authors reviewed a fractionator (Fig. 1), where the
normal feed vapor rate was specified as the relief rate for a power failure relief load
(conservatively assumed). When the capacity of the feed furnace was confirmed, the feed furnace
could barely vaporize the normal amount at the normal production rate and fractionator pressure.
This particular power failure scenario specified the loss of the pumparounds, which resulted in
the loss of approximately 80% of the crude preheat train duty.
With the increase in pressure and cooler-than-normal feed temperature to feed furnace, the
maximum vaporization would be around 50% of the normal vapor rate. The argument for
keeping the feed preheat was that it was conservative, as the heat input may not be lost. If this
turned out to be the case, then pumparounds would have continued, leading to a significantly
different outcome. Assumptions need to at least be internally consistent for each scenario. If the
pumparound cooling is lost, then so is the feed preheat, and vice versa.
Distinguishing minimum compliance from best practices
The final items that need to be reviewed by the plant engineer are any deviations from
RAGAGEP (and not just deviations from best practices). Often, when completing relief system
projects, the team responsible for the design will, with the best of intentions, work into
guidelines some requirements that go beyond RAGAGEP.
While extra requirements may be justified based on the increased safety at nominal incremental
costs in new construction, these requirements can be quite expensive for existing facilities. These
additional requirements must be reviewed and possibly excluded from items that need to be
retrofitted. Regulatory requirements may require additional documentation to ensure that not
making modifications presents an acceptable risk.2
Gray areas for modification. Often, items may not be absolutely correct, but they also may not
rise to a level requiring field modification. An example is when current corporate standards
exceed the standards to which a unit was built. This situation is particularly relevant when a
facility is acquired, thus creating a situation where a facility was constructed to one set of
corporate standards but is now operating with a new corporate standard in effect.
In these cases, a process designer should investigate any deviations and document why these
deviations are acceptable. For cases where past designs do not meet the current RAGAGEP
standards, but the deviations are deemed to be minor, management at some facilities may choose
to have more regulatory risks than safety risks.
Consideration of risk to make changes. Fixing issues with equipment design, especially when
the facility is running or even in turnaround, must be carried out with great care. In the past three
or four years of literature searches, the authors have yet to find a single case of a slightly
undersized relief device resulting in an injury or loss of containment. There are, however,
countless records of injuries sustained from refinery modifications that can be found via Internet
To illustrate this point, in a 2009 Chemical Safety Board (CSB) video requesting that the city of
Houston, Texas adopt the American Society of Mechanical Engineers (ASME) Pressure Vessel
Code, the CSB was unable to find instances resulting in loss of containment for pressure vessels
for undersized relief devices.3 The video cites three examples of vessel failures from undersized
relief devices. The first example is a low-pressure tank with an undersized relief device, and the
other two examples have plugged or isolated vent lines.4, 5, 6
For a plant engineer responsible for increasing overall facility safety, it may be possible to defer
modifications for the resolution of minor deviations until other equipment changes are required.
This would be at the discretion of the facility, it would require a reasonable level of risk, and it
could open up the facility to regulatory action.
By reviewing the flare systems design concern list from these three angles, a plant engineer can
ensure that the basis for costly changes is justified.
Does one utility failure lead to another utility failure (e.g., loss of steam resulting in the
loss of the turbine-driven instrument air compressor)?
As previously stated, conservative assumptions for scenarios that are not controlling or that do
not have concerns may be acceptable. A plant engineer should review the scenario basis for any
global scenarios with concerns. Additionally, the conservative assumptions associated with the
sizing of the relief device may not be consistent or even possible, given the specific global
scenario being evaluated.
Credibility of the rates. Global overpressure scenarios are often a compilation of relief rates
specified as closely related individual relief device scenarios. While these scenarios may have
been conservatively estimated and may have generated no concerns, summing multiple systems
with conservative rates may result in problems.
In a presentation to the 6th Global Congress on Process Safety, Dustin Smith reported on a
refinery-wide review that resulted in a 40% reduction in the design relief rate by reviewing the
specified relief loads and eliminating overly conservative assumptions.7 A plant engineer should
ensure that the process designer does not simply create a global scenario on the basis of multiple
conservative calculations; the designer must also review the system to ensure that rates are
reasonable and defensible (and not excessive due to assumptions).
Reasonable and consistent assumptions
As with the individual relief systems analysis, the scenario assumptions and those used to
generate the relief rates make a tremendous impact on the adequacy of the flare system and
associated equipment.
Buried assumptions. When sizing individual relief devices, RAGAGEP require that the
process designer assumes that the worst case occurs and that all related failures, pump lineups
and control valve responses are either neutral or detrimental. For global scenarios, the process
designer must assume that the global failure occurs, but the requirement for neutral or
detrimental effects is more muted. The following are some examples of buried assumptions
typically used:
Heat exchanger duty based on service overall heat transfer coefficient and area (UA)
instead of the clean and new UA
Level control valves hold level in process vessels
Operations personnel do not simultaneously open depressuring valves with utility failures
unless directed to in operational procedures.
The plant engineer and process designer should work with personnel that operate the units, and
they should review scenario basis and loads for any global scenarios with concerns.
Consistent assumptions. In the definition of global overpressure scenarios and associated rates,
the need to ensure consistency is paramount. Many times, the process engineer will assume for
one equipment system that a pump was in operation and has failed, while, in the next equipment
system, the failure pump was spared and the alternative pump was in operation. For these
analyses, consistency across the facility is required, as the goal is to analyze the flare system (vs.
the individual relief devices). Some assumptions can result in system-wide inconsistencies:
When a pump is spared and used for multiple equipment systems, the scenario should
specify which pump has failed for all systems
The effects of the failures must be considered for systems with heat integration
The plant engineer should review the controlling global scenarios to ensure that the assumptions
used are internally consistent.
Advanced flare analysis techniques
API Standard 521 allows for the consideration of positive action of instrumentation, operations
or other favorable items, as long as the failure of these items is considered.8 Prior to making
costly flare system modifications, the plant engineer should review more complex flare system
analysis tools to ensure that modifications are justified.
Flare load probability analysis. In a presentation to the 6th Global Congress on Process Safety,
Dustin Smith reported on a method to estimate the flare loading probability.7 This method
determines the likelihood of loads to the flare system, and it can be used to target instrumented
responses and piping modifications. This method demonstrates that analysis of the effects of
safeguards and the probability of failure on demand (PFD) of these safeguards can be used to
develop the system loading as a function of probability/frequency. Using this information and
given an acceptable time frame (e.g., 1 in 100,000 years), the expected flare load is lower than
the worst-case scenario.
The authors recently reviewed a refinery where the likelihood of a worst-case load, if a total
power failure occurred, was approximately 1 in 100 million years. The design load for 1 in
100,000 years was a fraction of the total load, and it was more consistent with the complexity of
the plant, along with the DCS programming and the safety instrumented functions and interlocks
recently installed.
Flare quantitative risk assessment. Flare quantitative risk assessment is a way to review each
scenario and the perturbations of these scenarios to determine the likelihood of vessel
overpressure as a function of frequency.9 This varies from the flare loading probability in that the
statistical analysis and hydraulic analysis are coupled; whereas, in the flare loading probability,
the flare loading statistical analysis is separate from the hydraulic analysis. In both cases, the
plant engineer must ensure that the scenario initiating event frequencies and the PFD of
safeguards are reasonable and defensible.
Flare load dynamic simulations. Offering and requesting dynamic flare system designs are
becoming increasingly common. Like the other advanced flare analysis techniques, this one
increases the complexity of the analysis, thus requiring the facility to increase its understanding
of the effects of assumptions on the final answer.10 The basic premise of dynamic simulation is
that, by combining the effects of the staged timing of releases and the dynamic pressurization of
the flare system, the peak loads and back pressures on system components are reduced. In this
method, the plant engineer must ensure that the fundamental assumptions affecting the timing of
each system or release are reasonable and defensible, thereby ensuring that the system is
properly modeled.
Other techniques. Other methods to analyze flare systems are proprietary to operating
companies. All of these methods are designed to account for the probability that either operator
intervention or instrumentation will operate, or fail to operate, as desired.
Any method of flare header analysis that is not a worst-case analysis must, therefore, establish
some reasonable means of accounting for the positive action of instrumentation or operator
intervention to mitigate the worst-case load. The delicate balance between realism and
conservativism in flare header design is paramount in creating a safely designed flare header at a
reasonable cost.11
When reviewing concerns generated from the relief system or flare design and documentation
process, the plant engineer must ensure that each concern is valid and that any resolution
requiring physical changes is a justified investment of a facilitys capital. To properly perform
this task, it is recommended that a plant engineer understand how a process designer performs
the study and review the concerns prior to making physical changes to the facility.
When properly reviewed, upgrades to the flare and relief system from a relief systems analysis
can improve the safety of an operating facility. HP


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