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Havana Club brings cuban flavours to the fore with The Essence of Cuba
Havana Club has linked up with award-winning company The Bitter Truth to createThe Essence of Cuba, a new range of drinks flavourings inspired by Havana Club Añejo 7 Años, providing bartenders and cocktail enthusiasts around the world with a completely new way to serve and enjoy the rum widely regarded to be the epitome of Cuban rum-making excellence.
The Essence of Cuba range includes four flavourings - Island Fruit, Aromatic Leaf, Coffee and Honey - all of which are designed to highlight the natural flavours and aromas of Havana Club Añejo 7 Años, the first Cuban rum crafted specifically to be sipped.
Distributed to key customers and bartenders exclusively by Pernod Ricard's salesforce worldwide, the flavourings have been developed especially for Havana Club by The Bitter Truth, which was founded by accomplished bartenders Stephan Berg and Alexander Hauck in 2006.
Each Essence of Cuba flavouring is crafted using a combination of traditional and modern production techniques to enhance the aromas and tastes naturally found in Havana Club Añejo 7 Años. Made exclusively from natural ingredients through a slow maceration process with Havana Club Añejo 7 Años as the base, aromas of herbs, spices, roots and barks are extracted and used in each of The Essence of Cuba flavours, whilst single flavour extractions are taken from roasted coffee beans, honey, tropical fruits and a selection of fermented leafs respectively to create the four different flavour variants.
The recommended serve involves adding three dashes of The Essence of Cuba to 40ml of Havana Club Añejo 7 Años and ice, to create a drink that is complex in flavour, yet straightforward to make. The Essence of Cuba adds a playful element to the drinking experience of classic super premium spirits, allowing bartenders to experiment with the flavours of Havana Club Añejo 7 Años in their signature serves and cocktails.
Nick Blacknell, Global Marketing Director for Havana Club International comments; "Since its launch, Havana Club Añejo 7 Años has really put Cuban rum on the map.Today, it is seen by bartenders and spirits aficionados as the benchmark for authentic, high quality aged rum and it is the runaway leader of the international super premium rum segment, selling more than three times the volumes of its closest competitors.
So with The Essence of Cuba range, we want to go one step further and give bartenders a whole new opportunity to experiment with the flavours of Havana Club Añejo 7 Años, without losing the intrinsic Cuban character of this now legendary expression.
"The initial response to the range from the bartenders who competed at the Havana Club Grand Prix earlier this year was really encouraging, so we're looking forward to seeing how it is received by Havana Club fans around the world."
As a brand that is well known, respected and highly appreciated within the bartending community, we were really excited to work with Havana Club on this project. Havana Club Añejo 7 Años is blessed with a wide variety of characteristic flavours ranging from honey to cocoa, sweet tobacco to lush tropical fruits, so we have crafted a range of natural intensifiers that would harmoniously bring out the dominant single aromas found in this legendary rum in simple signature serves. "
Stephan Berg, co-founder of the Bitter Truth
The range is available in 24 markets, including Cuba, Germany, France, UK, Greece and Spain since October 2014 in 20 ml and 200ml formats.


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The police of course are claiming that the shooting was justified, because the man made a "threatening" movement and had a history of violence. That very well may be the case, that he had a history of violent charges brought against him, but just imagine if instead of a cop yelling orders at him, some random civilian was yelling orders at him and decided to shoot the man, because the random civilian "felt his life was threatened." He'd likely be charged with murder.
Some people are defending the police, because we all know that cops have to make split-second decisions that sometimes require the taking of other human lives. Yeah, and so do civilians when they're in similar situations. And the law hardly ever gives civilians the benefit of the doubt. Quite the contrary.
And somehow the law is able to bend over backwards for the police. There's nothing magical about being in a cop uniform that all of a sudden gives them all the leeway in the world with morality and the law. We're all equal under the law, right?
The Daily Caller recounted the incident:
Questions abound after the Albuquerque Police Department released video footage of cops shooting and killing a homeless man whose alleged crime was camping in an unauthorized area.
The man, 38-year-old James Boyd, appeared to be complying with police demands to exit the area when they fired a flash grenade at him, beginning a chain of events that culminated in his death, according to The Albuquerque Journal.
Police came upon Boyd while he was sleeping outside in the Sandia Foothills. Camping is not allowed in the area.
He was instructed to accompany police down the mountain and seemed to agree to the demand.
That's when cops shot a flash grenade at him and sicked a dog on him. Boyd turned away, and was holding a knife, according to police reports. He was then shot.
"Please don't hurt me anymore," he said after he was struck and knocked to the ground. "I can't move."
Though bleeding and begging for his life, he was then handcuffed.
Police Chief Gordon Eden said non-lethal rounds were used, though at least one live round hit Boyd as well. It's not yet clear precisely what killed him. He died from his wounds in the hospital a day later.
Eden said police were justified in shooting Boyd, however, because he made a threatening movement and had been arrested previously on violent charges.
"All of his charges have been violent," said Eden in a statement.
Basically, what it looks like is that they executed him for "illegally camping." If you watch the helmet cam video, there doesn't ever appear to be any "threatening" movements from the homeless man. He appears to be reluctant, but compliant.
He was camping out in a place where camping wasn't allowed. Is that a charge warranting a response from an army of cops?

subset: commoncrawl


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Published at Sunday, August 04th, 2019 - 09:03:31 AM. . By Declan Ali.
Excerpt from 50 Rudolph Coloring Pages Picture Inspirations :
Coloring pageslph and hermey pictures of santa book christmas free to print giant. Coloring pages rudolph book free pictures of santa and frosty hermey. Rudolph coloring pages high quality pin the nose on and hermey free for kids.
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WWE: WRESTLING, RAW, SMACKDOWN, THE DIVAS, 25 Februarie 2015
The Bella Twins vs. AJ Lee and Naomi
We go to the ring and out comes WWE Divas Champion Nikki Bella with her sister Brie Bella. We go to commercial.
Back from the break and out comes AJ Lee. She skips to the announce table and Lawler reveals her opponent – Naomi. Naomi makes her way to the ring.
The bell rings and we hear some faint CM Punk chants. Nikki suplexes Naomi for a pin attempt. Brie comes in and takes over. Brie with a big running uppercut in the corner. Nikki tags back in with a clothesline for a 1 count. More CM Punk chants start as Nikki keeps Naomi down. AJ finally gets the tag and unloads on Nikki. AJ with a splash and a neckbreaker. AJ knocks Brie out of the ring. AJ with a tornado DDT on Nikki but Brie breaks the pin. Naomi dropkicks Nikki but Brie tosses her to the floor. AJ tosses Brie to the floor and hits the Shining Wizard on Nikki. AJ applies the Black Widow for the win.
Winners: AJ Lee and Naomi
Related Links:
» Gallery: World Wrestling Entertainment > Live Event Digitals > Monday Night Raw > 2014 > 12-01-14
» Gallery: Screen Captures > World Wrestling Entertainment > Monday Night Raw > 2014 > December 1st
Sursa: www.bella-twins.net


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Excellent investment opportunity to purchase this detached property on Killarney's golden mile only 5 minutes walk to Killarney town centre. Standing on a site of approx 0.25 acres, this property needs complete modernisation and upgrading to modern and current day standards. This property is located on the Muckross Road adjacent to numerous b&b's, hotels and convenience stores. The property has the potential to be redeveloped to a large guest house subject to planning, due to to its prominent location.
Detached garden shed and single storey extension to the rear of the property which is currently not habitable.
Head south on East Ave/N71 toward Scotts St, Turn left onto The Haha/N71, At the roundabout, take the 2nd exit onto Muckross Rd/Ring of Kerry/N71. The property is on your right, see Property Partners Gallivan sign to the front.
GPS: Latitude: 52.052419 | Longitude: -9.507277
By appointment only.


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Carter Conboy Receives Three Law Firm of the Year Awards
By: Carter Conboy
For the third consecutive year, Carter Conboy has been recognized by Corporate INTL Magazine, Global Awards as the 2012 winner of "Law Firm of the Year in New York". Carter Conboy received the "Law Firm of the Year" award in three categories: Appellate Law, Construction Law, and Environmental Law.
Corporate INTL Magazine is a monthly business publication for global business, professional and finance leaders and advisors. Its Global Awards are awarded annually to leading law firms around the world. Recipients are chosen by a panel of judges, which include partners of international law and accounting firms and the Editor in Chief of Corporate INTL Magazine.
Carter Conboy's Chief Operating Officer, Michael J. Catalfimo, said "We are grateful for this independent recognition of our Appellate, Construction, and Environmental Law Practices. Like all Carter Conboy employees, the professionals in these Practice Groups strive to provide our clients with superior legal services in a timely and cost-effective manner. These awards are a tribute to their dedication and hard work."
About Carter Conboy: Founded in 1920, Carter Conboy serves clients in New York, Connecticut, Massachusetts and New Jersey, with offices located in Albany and Saratoga Springs, New York. For additional information about the firm, please visit carterconboy.com or contact the firm's Director of Marketing & Client Relations, Stacy A. Smith, at 518-810-0516 or firstname.lastname@example.com


text: No sales information. Summer from $12,250 /week The Holidays from $11,550 - $24,500 /week Winter from $15,050 /week Prices are based on # of Bedrooms rented [?] View all rates Enjoy a larger house at 1- or 2- BEDROOM rate. Many villas allow renting a fewer number of bedrooms at lower prices Villa Amarone, also known as GCM AMA is a spectacular home situated on a sandy beach just minutes from George Town and Seven Mile Beach. Privacy and great amenities can be found throughout Villa Amarone, named for the owner's favorite Italian wine. South Sound is a quiet residential neighborhood just 10 minutes from the airport, grocery stores, restaurants and bars. Excellent water-sports are also within a 10-15 minute drive. Sliding glass doors lead to a lovely large beach front deck, with a pool and heated spa adjacent to green lawns overlooking stairs to sandy beaches and Caribbean waters. The two-story beach front veranda offers many seating options to enjoy the glorious views. Enjoy a private, luxurious getaway in Villa Amarone's gorgeous interiors and wonderful location!The villa enjoys a sandy beach area with amazing views. Sea grass entry from the shore into shallow waters but swimmable once the water is deep enough. Perfect for kayaking and paddle boarding. Guests need to be mindful that this is a marine habitat and should wear pool shoes or fins for foot protection. You can walk in either direction on the beach and barely see a soul. This is a residential area, not a tourist hot spot. The south of the island usually enjoys a pleasant breeze that keeps any insects at bay and minimizes the need for a screened porch. Driving west from the house will take you towards George Town where there is a nice spot called Smith Cove with barefoot swimming and excellent snorkeling. Dart Beach is nearby and open for your use. For more barefoot swimming on Seven Mile Beach, you can swim at Royal Palms, Governor's Beach, the "Public" Beach (all beaches are technically public) and Tiki Beach near the Kimpton...as well as snorkel at Cemetery Reef. * 2 Silver Thatch tandem kayaks located on property for discounted guest rental. 5 day minimum required with 6th and 7th day free: US$39 per day per kayak, $195 per week. Small tourist weddings permitted (25 max guests). Fees and deposits may apply.The 10% service charge provides Silver Thatch Guest Membership:• Centralized on-island guest services & welcome center • Unlimited use of Silver Thatch fitness center (18+ yrs.) • Business Center Access: computers, printer & Fedex/DHL supplies • Proprietary Silver Thatch Guest Discount Card • Jacques Scott Wine & Spirits pre-order and hold for check-in • Referral to preferred vendors and reservation assistance • Complimentary snorkel gear, pack-n-plays, booster seats and baby gates for check out


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I was wondering, will it be possible to promote free ebook from your site? It's is the only one advanced guide on paid surveys. There is a lot of advanced information on that topic.
You can download it for free here:
EliteSurveySites - Best Online Surveys for Money in 2017
If you find a way to promote it, let me know.
It is very advanced guide.


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Youngsville Life
The Rouse Estate Presents Magician: Rick Smith Jr.
Most of you who know him, have seen Rick Smith Jr. demonstrate his amazing abilities in front of a national television audience while appearing on many television shows including "ABC's Shark Tank", "America's Got Talent" "The Ellen DeGeneres Show", "Last Call with Carson Daly", "Steve Harvey's Big Time", "The Wayne Brady Show", "Ripley's Believe it or Not!", "Master of Champions", "Time Warp", "The Tonight Show" with Jay Leno and many more. This coming January The Rouse Estate is bringing Rick Smith Jr. to Warren County on Sunday, January 22nd, 2017 for their annual fundraiser to perform right here on the Struthers Library Theatre stage.
Rick travels nationally performing more than 600 shows every year. For the past 20 years, Rick has been amazing audiences with trademark card throwing, close up magic, sleight of hand, and stage shows with unbelievable feats of mentalism. Grand Illusions include appearances, disappearances, levitations, cutting his assistants in half and Harry Houdini's famous metamorphosis.
All proceeds from this event, sponsored by ERIEBank, will directly benefit the residents, clients and children served by each of the Rouse Estate's five facilities. The Rouse Estate Presents Magician: Rick Smith Jr. on Sunday, January 22, 2017. Shows will be at 2:00 PM – 4:00 PM presented at Struthers Library Theatre, 302 W 3rd Ave. Warren, PA Tickets are $10 – $20 and may be purchased at the Struthers Library Theatre box office.
If you're looking for the perfect evening out with friends, or fun for the entire family, be sure to pick up your tickets today! They're sure to sell out fast!
YHS Class of 1962 to Gather
YHS classmates of 1962 will meet for lunch at Lawson's All American Diner on Saturday, January 14th at noon. Please join us for good food and lively conversation.
Events at Youngsville Free Methodist Church
The JoyFull Cafe will be serving Soup & Salad Bar on Wednesday, January 18. PowerHouse Kids will is back in full swing on Wednesday evenings from 6:00 pm to 7:00 pm. PowerHouse is for kids ages 4 through 6th grade and is a fun, interactive way to learn lessons from the Bible. Fuel Youth Group is held on Thursday evenings from 6:30 pm to 8:30 pm. Fuel is for kids in 6th Grade through Post-High. New for the teens is a Small Group Study being held on Wednesday evenings at 6:00 pm. They will be studying the Truth Project for Teens. This is available for those in 9th Grade through Post-High.
There will be a Craft Show & Christian Concert held at the church on Saturday, Jan 28. Performances by Still Waiting & The Flock. The craft show is from 11:00 am until 5:00 pm and the music will start at 6:00 pm. There will be food served all day. For more information on this event, please contact Alexandria Morris at (814) 706-2055 or email@example.com.
Youngsville Be Fit
Spin would be Monday and Wednesday evenings from 5 to 5:45.with Kim Kirby. Cardio and Toning Classes will continue to be Monday and Wednesday from 6 to 7pm. Classes at the Island Park Community Building, Youngsville, PA. For information contact the
Love INC. Event
Sign-up, donate or challenge you Pastor to Leap or Not Leap! 5th Annual Leap for Love takes place on Saturday, February 4 at 10:30a.m. Let encourage or support a person from each church to participate to join this event. Come cheer the Leapers, let's line the Brokenstraw Creek with support of this fundraiser. Persons under 18 must have parent sign wavier. For more information contact Love INC at 814-563-3394
Youngsville High School Boys' Varsity Basketball Schedule for January
January13- Eagles vs Iroquois Away-7:30;-January17- Eagles vs Maplewood Home-7:30;
January20- Eagles vs Eisenhower Home-7:30 January24- Eagles vs Saegertown; Home-7:30;
January 27-Eagles vs Cambridge Springs; Away-7:30January 31- Eagles vs Union City; Home-7:30;
Youngsville High School Girls 'Varsity Basketball Schedule for January
January 12- Eagles vs Eisenhower- Home-7:30; January16- Eagles vs Cochranton Away-7:30;-
January 19- Eagles vs Union City Away-7:30; – January23- Eagles vs Iroquois Away-7:30;-
January 26- Eagles vs Maplewood Home-7:30 January30- Eagles vs Saegertown Away-7:30
Youngsville High School Varsity Wrestling Schedule
January 18-Harbor Creek; Away 7:00;
January 25-Seneca, Home 7:00;
February 2-Sheffield Area, Away 7:00;


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Increased Subclinical Atherosclerosis in Young Adults With Metabolic SyndromeThe Bogalusa Heart Study
Author + information
- Received February 9, 2005
- Revision received March 30, 2005
- Accepted April 13, 2005
- Published online August 2, 2005.
Author Information
- Wendy S. Tzou, MD⁎,
- Pamela S. Douglas, MD, FACC†,
- Sathanur R. Srinivasan, PhD‡,
- M. Gene Bond, PhD§,
- Rong Tang, MD, MS§,
- Wei Chen, MD, PhD‡,
- Gerald S. Berenson, MD, FACC‡ and
- James H. Stein, MD, FACC⁎,⁎ (jhs{at}medicine.wisc.edu)
- ↵⁎Reprint requests and correspondence:
Dr. James H. Stein, Department of Medicine, Section of Cardiovascular Medicine, University of Wisconsin Medical School, 600 Highland Avenue, G7/341 CSC (MC 3248), Madison, Wisconsin 53792.
Objectives The purpose of this study was to investigate the association of metabolic syndrome (MetS) with subclinical atherosclerosis, determined by ultrasound carotid intima-media thickness (CIMT) measurements, in young adults.
Background Metabolic syndrome is associated with subclinical atherosclerosis and increased cardiovascular risk in older and middle-aged adults; however, these associations have not been studied among young adults.
Methods Non-diabetic subjects from Bogalusa Heart Study, a longitudinal study of atherosclerosis in young adults, underwent B-mode ultrasonography of the carotid arteries. Metabolic syndrome was defined with the National Cholesterol Education Program Adult Treatment Panel III (MetSNCEP) and World Health Organization (MetSWHO) definitions. CIMT and MetS associations were evaluated with multivariable regression and area under receiver-operator characteristic curve (AUC) analyses.
Results Of 507 subjects (29% black, 39% male, mean [SD] age 32 [3] years), 67 (13%) had MetSNCEPand 65 (13%) had MetSWHO. Common (mean = 0.70 [0.11] mm vs. 0.66 [0.08] mm, p = 0.002) and internal CIMT (0.72 [0.21] mm vs. 0.68 [0.12] mm, p = 0.020) were higher among those with MetSNCEPthan those without MetSNCEP. Common (0.69 [0.11] mm vs. 0.66 [0.08] mm, p = 0.020) and internal CIMT (0.73 [0.23] mm vs. 0.68 [0.12] mm, p = 0.012) also were higher among those with MetSWHOthan those without MetSWHO. Composite CIMT increased with the number of MetS components present (MetSNCEPr = 0.997, p < 0.001; MetSWHOr = 0.946, p = 0.053). Metabolic syndromeNCEP(AUC = 0.557, 95% confidence interval [CI] 0.513 to 0.601) and MetSWHO(AUC = 0.539, 95% CI 0.495 to 0.584) both predicted composite CIMT ≥75th percentile.
Conclusions In young adults, MetS is associated with increased atherosclerotic burden, and therefore, increased cardiovascular risk. These results support the importance of screening and early intervention in this population.
The Third National Health and Nutrition Examination Survey recently reported a 24% prevalence of metabolic syndrome (MetS) in the U.S., accounting for an estimated 47 million affected individuals in 2000 (1). Those affected have insulin resistance with metabolic abnormalities that place them at increased risk for cardiovascular disease and increased mortality (2–5). In asymptomatic middle-aged adults, MetS also is associated with accelerated atherosclerosis (6).
Although several studies have associated the presence of atherosclerosis risk factors with subclinical atherosclerosis in younger adults, no study has specifically evaluated MetS and atherosclerosis in young adults, a population that increasingly is becoming more overweight (7–12). Finding evidence of an increased burden of subclinical and potentially reversible vascular disease in young adults would emphasize the need for heightened awareness and early treatment of MetS. Additionally, comparing available definitions from the World Health Organization (MetSWHO) and the National Cholesterol Education Program Adult Treatment Panel III (MetSNCEP) (13,14) might help determine the relative utility of diagnostic criteria in this age group.
Carotid intima-media thickness (CIMT), a validated method for detecting subclinical atherosclerosis and predicting cardiovascular risk, was used to investigate the relationships between MetS and subclinical atherosclerosis in asymptomatic young adults from the Bogalusa Heart Study, applying and comparing both MetSNCEPand MetSWHOdefinitions (13–15).
Subjects and study design
The institutional review boards of the Tulane University Health Sciences Center and the University of Wisconsin approved this study. Participants provided written informed consent. The Bogalusa Heart Study is a longitudinal epidemiological study of the natural history of atherosclerosis in children and young adults in Bogalusa, Louisiana (7,11). Detailed study methods and descriptions have been described previously (7,11,16). Briefly, a subgroup of 519 subjects who were 20 to 38 years old (mean age 32 years; 29% black, 71% white; 39% men) underwent B-mode ultrasonography of the carotid arteries during the 1995 to 1996 survey (7,11). These subjects were similar to the total population (N = 1,420) in regard to race (p = 0.92), gender (p = 0.72), body mass index (BMI, p = 0.92), systolic blood pressure (SBP, p = 0.20), high-density lipoprotein cholesterol (HDL-C, p = 0.80), low-density lipoprotein cholesterol (LDL-C, p = 0.52), and triglycerides (p = 0.26), but, on average, were approximately four years older (p < 0.001) (7,11,16). In this study, subjects with diabetes mellitus (screening glucose ≥126 mg/dl or taking antiglycemic medications) or missing data necessary to determine diabetes status were excluded from further analysis (n = 12). All of the remaining 507 subjects were analyzed for the presence of MetSNCEPand then, in separate analysis, for MetSWHO.
Study procedures
Study procedure protocols have been described previously (11). Subjects fasted for at least 12 h before assessments. Height and weight were measured in duplicate and averaged to calculate BMI. Waist circumference was measured midway between the rib cage and superior border of the iliac crest. Blood pressure (BP) was measured in triplicate in the right arm in a seated, relaxed position. Serum lipids were measured with a Technicon Auto Analyzer II (Technicon Instrument, Tarrytown, New York) with the standardized procedures of the Lipid Research Clinics Program (17). Plasma insulin levels were measured by radioimmunoassay (Phaadebas Insulin Kit, Pharmacia Diagnostics AB, Portage, Michigan). Plasma glucose was measured on a Beckman glucose analyzer by the glucose oxidase method.
Carotid ultrasonography
Images of common carotid, carotid bulb, and internal carotid artery (ICA) segments were recorded with a Toshiba Sonolayer SSH 160A (Toshiba Medical, Tustin, California) and a 7.5-MHz linear array transducer (11). Carotid artery segments were interrogated and measured with previously developed protocols for the Atherosclerosis Risk in Communities study (18). Certified readers conducted measurements with a semi-automated measurement program, as previously described (7). Mean values of three right and three left far-wall measurements were calculated separately for each of the three bilateral carotid segments. Right and left measurements for common carotid, carotid bulb, and ICA segments were averaged to create segmental and overall composite values.
Definition of MetS
Metabolic syndromeNCEPwas identified when three of the following five criteria were present: 1) waist circumference >102 cm in men or >88 cm in women; 2) triglycerides ≥150 mg/dl; 3) HDL-C <40 mg/dl in men or <50 mg/dl in women; 4) BP ≥130/≥85 mm Hg or on antihypertensive medication; 5) fasting glucose ≥110 mg/dl (14). Metabolic syndromeWHOwas identified if: 1) the insulin level was greater than the upper quartile of the study population or fasting plasma glucose ≥110 mg/dl; and 2) at least two of the following were present: a) BMI >30 kg/m2; b) serum triglycerides ≥150 mg/dl or HDL-C <35 mg/dl for men or <40 mg/dl for women; and c) BP ≥140/90 mm Hg or on BP medication (5,13). The latter criteria were modified from the original 1999 MetSWHOdefinition and recently were shown to accurately predict incident diabetes mellitus (19,20).
Statistical analysis
Statistical analyses were performed with the SAS system (SAS Institute, Cary, North Carolina). Two-tailed Student ttests were performed to compare continuously distributed variables (age, glucose, insulin, lipids, waist girth, BMI, weight, SBP, diastolic BP, and CIMT) between genders and races and to compare CIMT measurements between individuals with and without MetS. Exact binomial analysis was used to compare binomial variables (presence of MetS, hypertension, hyperlipidemia, smoking, family history) (21). To correct for potentially increased type I error rates with multiple testing, the Benjamini and Hochberg (22) false discovery rate adjustment was performed.
Unadjusted odds ratios (ORs) with 95% confidence intervals (CIs) and p values for trends of increasing MetS prevalence among increasing CIMT quintiles were formulated from Cochran-Armitage trend test models, in which CIMT quintiles were the independent variables. Subsequent adjustments for age and gender and then age, gender, race, and smoking were made to formulate adjusted OR and p values. Linear regression was used to assess the relationship between number of MetS components and increasing CIMT. Multiple regression analyses with the general linear model were used to ascertain the relative impact of each component of MetS on increased CIMT. Finally, two area under receiver-operator characteristic curves (AUC) were generated, with composite CIMT ≥75th percentile as the dependent variable, and the presence of MetSNCEPand MetSWHOas independent variables in respective models. Models were then compared after deriving 95% CIs (23).
Baseline characteristics
Characteristics of the 507 non-diabetic subjects who underwent carotid ultrasonography are summarized in Table 1.Men had significantly higher serum glucose, LDL-C, SBP, and diastolic BP, greater waist circumference, and lower HDL-C than women. Men had a lower rate of reporting a family history of coronary artery disease. All CIMT measurements were significantly higher in men than in women, except for the ICA, which only tended to be higher (Table 1). Black subjects had higher HDL-C, SBP, diastolic BP, and composite and common carotid artery CIMT measurements, and lower total cholesterol and LDL-C than white subjects. Black subjects also were more likely to be current cigarette smokers. No significant differences between genders or races were seen in regard to age or BMI. Only 26 subjects used antihypertensive medications; black men were most likely to use these medications (p < 0.001).
MetSNCEPwas present in 67 (13%) subjects, and MetSWHOwas present in 65 (13%) subjects. There were no significant differences in the prevalence of MetS by either definition among genders or races (Table 1). Ninety-five subjects were classified as having either MetSNCEPor MetSWHO; however only 37 (39%) met criteria for both. Of the 95, 28 (29%) only met criteria for MetSWHOand 30 (32%) only met criteria for MetSNCEP. Subjects with MetSWHOand MetSNCEPdid not differ significantly in anthropometric, hemodynamic, or metabolic characteristics (Table 2),although those with MetSNCEPtended to have smaller waist circumference, lower BMI, and a higher proportion of smokers and treated hypertensives than those with MetSWHO.
Carotid wall thickness and MetS
Composite and all segmental CIMT values were significantly higher among those with MetSNCEPthan those without (Table 3).Common and ICA CIMT also were significantly higher among those with MetSWHO, but composite and bulb CIMT values were not.
The prevalence of MetSNCEPincreased significantly over quintiles of composite, common carotid artery, and bulb CIMT (Table 4).These relationships remained significant even after adjusting for age, gender, race, and current smoking. For MetSWHO, increasing common carotid artery CIMT also was associated with increasing odds of having MetS (adjusted OR 2.5, 95% CI 1.1 to 5.6, p = 0.025). Similar trends were observed for the ICA (adjusted OR 1.8, 95% CI 0.8 to 4.2, p = 0.151), but not for the bulb, so the association between prevalence of MetSWHOand increasing composite CIMT was not statistically significant. Nevertheless, the ability of MetSNCEPand MetSWHOto predict composite CIMT ≥75th percentile did not differ significantly (MetSNCEPAUC = 0.557 [95% CI 0.513 to 0.601] vs. 0.539 [95% CI 0.495 to 0.584] for MetSWHO).
As shown in Figure 1,there was a direct relationship between the number of MetSNCEPcomponents and increasing composite CIMT (r = 0.997, p < 0.001). A similar trend was observed between number of MetSWHOcomponents and composite CIMT (r = 0.946, p = 0.053). The results of the multiple regression analyses that evaluated the independent and related effects of components of MetSNCEPon composite CIMT are shown in Table 5(F = 5.385, p < 0.001). Increased BP was most predictive of increased composite CIMT, followed by low HDL-C. Elevated triglycerides, serum glucose, and abdominal adiposity did not independently significantly predict increased composite CIMT. Similarly, with WHO criteria, presence of elevated triglycerides or low HDL-C most strongly predicted increased composite CIMT (F = 4.550, p = 0.001). Very similar results were obtained after excluding the 26 subjects receiving antihypertensive medication (data not shown).
In this population of asymptomatic young adults, MetS, defined by either NCEP ATP III or WHO guidelines, was associated with increased common and internal CIMT; MetSNCEPalso was associated with increased bulb and composite CIMT. These findings indicate an increased burden of subclinical atherosclerosis and suggest an increased risk of future cardiovascular events in young adults with MetS. As CIMT increased, the prevalence of MetS also increased, culminating in nearly a 2.5-fold increased likelihood of MetS in the highest quintile of common CIMT and a 3.4-fold increased likelihood of MetSNCEPin the highest composite CIMT quintile. The strengths of these relationships were maintained even after adjusting for age, gender, race, and current smoking. Regression analysis corroborated the strength of these associations by showing that increasing numbers of MetS components were directly associated with higher composite CIMT. Of the MetSNCEPcomponents, increased BP and low HDL-C independently predicted increased CIMT; of MetSWHOcomponents, high triglycerides or low HDL-C were most predictive. Both NCEP and WHO definitions identified those with more advanced subclinical atherosclerosis equally well.
Studies in middle-aged and older adults have demonstrated that MetS predicts cardiovascular disease and mortality. The Botnia Study, for instance, demonstrated that middle-aged adults with MetS have an approximately three-fold increased risk of incident coronary heart disease and more than a two-fold increased risk of stroke (4). A compelling finding was that the risk of coronary heart disease morbidity associated with MetS exceeded that associated with its individual components, suggesting that individuals with the constellation of metabolic abnormalities that characterize MetS should be targeted for aggressive primary prevention. Additionally, increased BP and dyslipidemia were the strongest predictors of vascular events (4). The present study demonstrated that the risk associations identified with MetS in middle-aged adults also are operant in young, asymptomatic adults.
To date, no studies have been published that specifically addressed the relationship between MetS and subclinical atherosclerosis in young adults, although associations between CIMT and atherosclerosis risk factors, some of which are MetS components, have been described (7–9,11,12,16,24,25). Recent reports indicated that the presence of such components in childhood are associated with increased adult CIMT (11,12). In the Bogalusa Heart Study, childhood BMI was one of the strongest predictors of increased adult CIMT (11), whereas in the Young Finns study, BMI and SBP predicted increased adult CIMT (12). In the Atherosclerosis Risk in Young Adults study of white 27- to 30-year-olds, BMI predicted common carotid artery CIMT; however, after adjustment for age, gender, and BMI, components of the MetS such as BP, triglycerides, and waist/hip ratio, did not predict CIMT (9). This study was limited because CIMT was measured only in the common carotid artery, a segment that usually lags the bulb and ICA in the development of atherosclerosis (9,26).
In the Atherosclerosis Risk Factors in Male Youngsters study of 17- to 18-year-old white men, MetS components of elevated diastolic BP and low HDL-C predicted increased CIMT (10). Body mass index was not higher in individuals with increased CIMT; however, this study was small and included few overweight individuals (mean body mass index 22.5 kg/m2) (10). In the Muscatine Study, multivariate analysis showed that CIMT was associated with SBP, increasing age, and LDL-C in women and with smoking in men (27). Significant univariate correlations included BMI in men only, waist/hip ratio and triglycerides in women, but not HDL-C, glucose, or fasting insulin (27). These subjects, almost exclusively, were white; more than one-half were men >38 years old, and nearly one-half smoked cigarettes, limiting the generalizability of these data. On the basis of these previous studies, the relationships between MetS, MetS components, and CIMT could not be ascertained. Finally, MetS by modified NCEP criteria (using BMI instead of waist circumference) predicted the presence of coronary artery calcium among a population that included individuals as young as 20 years (adjusted OR 1.40, 95% CI 1.05 to 1.87, p = 0.02).(28). The mean age (52.7 [9.9] years) of the cohort, however, was notably older than in our study. Our study is the first to analyze the relationship between MetS as a diagnostic entity and subclinical atherosclerosis in young, asymptomatic adults.
Carotid intima-media thickness values were similar among those with MetSNCEPor MetSWHO. The lack of a significant difference in composite CIMT between those with and without MetSWHOappears to have been due to the lack of a significant difference between bulb CIMT values, because common and internal carotid CIMT measurements did differ significantly. It is unclear why bulb CIMT was higher among those with MetSNCEPbut not those in the MetSWHOgroup. One reason might be that bulb CIMT images anatomically are more difficult to obtain and measurements are more variable than in the common carotid artery; however, these issues should not have differentially affected the MetS definitions. Another consideration is that more than one-half of those meeting criteria for either MetSNCEPor MetSWHO(61%) were different subjects and those with MetSNCEPtended to include more smokers and subjects on therapy for hypertension, qualities that have been shown to differentially increase bulb CIMT thickness (29). Despite these differences, trends for increasing composite CIMT were associated with increasing numbers of either MetSNCEPor MetSWHOcomponents. Additionally, both NCEP and WHO criteria identified subjects with composite CIMT ≥75th percentile equally well, thus confirming their clinical value in primary cardiovascular disease prevention and intervention.
Direct comparisons with previous studies are difficult because of differing definitions of MetS. The WHO was the first to specify diagnostic criteria in 1999; however, the practical difficulties in meeting some of the criteria, such as using the insulin clamp method to measure insulin resistance or assessing impaired glucose tolerance with oral glucose tolerance testing, have limited the use of the strict definition (13). Additionally, inclusion of microalbuminuria among the diagnostic criteria has been controversial (19,20). Subsequent groups have employed modified MetSWHOdefinitions (3–6). The NCEP definition, which was presented more recently, is based on more easily measurable components; however, it has been criticized for being less sensitive for detecting insulin resistance, which is associated with cardiovascular risk factors in the absence of MetS (30,31). Nevertheless, despite differences in criteria used between studies, associations of MetS and increased CIMT in middle-aged adults have been fairly consistent. For example, the Atherosclerosis and Insulin Resistance study showed that middle-aged white men with MetSWHOhad increased CIMT, and the Brunek Study of middle-aged and elderly adults demonstrated that carotid atherosclerosis was significantly higher in individuals with MetSWHO(using a modified WHO definition) and MetSNCEP(3,6). Our study provides the first analysis of the impact of MetS on the anatomic burden of subclinical atherosclerosis in young, asymptomatic adults. Furthermore, it provides a comparison of the established definitions of MetS and suggests that both sets of criteria are useful for detecting subclinical atherosclerosis in this age group. This is an important area of interest, especially given the increasing prevalence of childhood obesity, insulin resistance, and predicted cardiovascular risk (32).
Identification of MetS in young, otherwise healthy adults is an important marker of increased subclinical atherosclerosis and, therefore, increased cardiovascular risk. The burden of subclinical atherosclerosis in young adults increases with an increasing burden of components of MetS, and increased BP and low HDL-C are especially powerful predictors of increased CIMT. Both NCEP and WHO definitions identify those with more advanced subclinical atherosclerosis equally well. Because MetS characteristics and the magnitude of subclinical atherosclerosis are modifiable, they might be appropriate targets for intervention in young adults.
This study was funded in part by the National Center for Research Resources (RR-1617601), the National Heart, Lung, and Blood Institute (HL-38844 and HL-07936), the National Institute on Aging (AG-16592), the National Institute of Child Health and Human Development (HD-043820), and the American Heart Association (0160261B). Dr. Stein has received research grants from Siemens Medical Solutions, Camtronics Medical Systems, and Sonosite, all ultrasound equipment vendors. He previously served as a consultant to Sonosite.
- Abbreviations and Acronyms
- area under receiver-operator characteristic curve
- body mass index
- blood pressure
- confidence interval
- carotid intima-media thickness
- high-density lipoprotein cholesterol
- internal carotid artery
- low-density lipoprotein cholesterol
- MetS
- metabolic syndrome
- National Cholesterol Education Program
- odds ratio
- systolic blood pressure
- World Health Organization
- Received February 9, 2005.
- Revision received March 30, 2005.
- Accepted April 13, 2005.
- American College of Cardiology Foundation
- ↵
- ↵
- Reaven G.
- ↵
- Bonora E.,
- Kiechl S.,
- Willeit J.,
- et al.
- ↵
- Isomaa B.,
- Almgren P.,
- Tuomi T.,
- et al.
- ↵
- ↵
- Hulthe J.,
- Bokemark L.,
- Wikstrand J.,
- Fagerberg B.
- ↵
- Davis P.H.,
- Dawson J.D.,
- Riley W.A.,
- Lauer R.M.
- ↵
- ↵
- Knoflach M.,
- Kiechl S.,
- Kind M.,
- et al.
- ↵
- ↵
- ↵
- World Health Organization
- ↵
- National Cholesterol Education Program (NCEP) Expert Panel (ATP III)
- ↵Manual of Laboratory Operations, Lipid Research Clinics Program. Volume 1: Lipid and Lipoprotein Analysis. National Heart, Lung, and Blood Institute, National Institutes of Health. 1974. Revised 1982. DHEW publication no. (NIH) 75-628. Bethesda, MD.
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- ↵
- Laaksonen D.E.,
- Lakka H.M.,
- Niskanen L.K.,
- Kaplan G.A.,
- Salonen J.T.,
- Lakka T.A.
- Lorenzo C.,
- Okoloise M.,
- Williams K.,
- Stern M.P.,
- Haffner S.M.
- ↵
- ↵
- Benjamini Y.,
- Hochberg Y.
- ↵
- Pannacciulli N.,
- De Pergola G.,
- Ciccone M.,
- Rizzon P.,
- Giorgino F.,
- Giorgino R.
- Sass C.,
- Herbeth B.,
- Chapet O.,
- Siest G.,
- Visvikis S.,
- Zannad F.
- Howard G.,
- Sharrett A.,
- Heiss G.,
- et al.
- ↵
- Davis P.H.,
- Dawson J.D.,
- Mahoney L.T.,
- Lauer R.M.
- ↵
- Wong N.D.,
- Sciammarella M.G.,
- Polk D.,
- et al.
- ↵
- Schott L.L.,
- Wildman R.P.,
- Brockwell S.,
- Simkin-Silverman L.R.,
- Kuller L.H.,
- Sutton-Tyrrell K.
- ↵
- Liao Y.,
- Kwon S.,
- Shaughnessy S.,
- et al.
- Reaven G.M.
- ↵


text:
We all have a hard time staying on track every now and again. We get caught up in our day to day doings, whatever they may be. But we have a need to be productive. That necessity might be paying the bills or buying a new car, but most anything that needs accomplished requires productivity.
The problem with someone considering themselves to be productive is that they define what that means for them. So while Person A might consider that to be getting five hours of nonstop work done, Person B might think just as highly of himself for getting off the couch. In order to be productive one must define a goal. A goal that has both significance and challenge. Because if something is easy and not time consuming, are you actually being efficient by getting it done?
So in order to make a goal that you can reach, you have to value it first. Say to yourself, "How much further ahead will I be when I get this done?" If the answer is something like "not a whole lot" you may need to redefine it to create a more challenging task. I ask you to politely take a look at a goal rating scale I've come up with. Keep in mind this would be most useful for short-term and work related goals.
The scale runs from 1 to 5. A goal with a rating of 1 does not really require you to be that productive, while a goal with a score of 5 is a top-notch "grind it out" kind of task.
1: The task ahead of you requires minimal effort. Perhaps writing a 1 page paper or making dinner tonight. (Unless of course you're one of those moms who makes dinner into an all evening activity- you ladies are excused 🙂
2: This "thing" you need to get done is something you could easily put off until the last minute and still maintain relatively the same level of quality when you're finished. I would give the example of needing to get groceries for the week or picking out a Halloween Costume.
3: A decent goal that requires some productivity- however you could very easily make this one into a 4 or a 5. This would be something like a presentation due for work at the end of the week and you deciding to do a little bit each day.
4: This is a challenging assignment that you have decided to get done way ahead of schedule. It could even be the presentation I mentioned for #3 but instead of doing it in increments you get it all done in a day or two.
5: A true work of art in the goal gallery. Maybe you're writing a book and you set up a plan where you write 10+ pages a day. And even then you tend to get more of it done each day than you planned on. You set up a deadline and beat it by at least a week!
Productivity is all relative to the person who's trying to get something done. There're goal crushers and there're slackers in this world. Which one "you gonna be"?
A goal a day keeps the landlord away 🙂


text:
Dr. Florian Michahelles
Project Manager and Associate Director, Auto-ID Labs, ETH Zurich
Florian Michahelles is the project manager and associate director of the Auto-ID Labs at ETH Zurich. He has worked as a freelance trainer for RFID technology, and received his Ph.D. from ETH Zurich. Dr. Michahelles' research interests comprise RFID and sensor technologies in anti-counterfeiting, HCI aspects of consumer RFID systems, and other applications tailored to consumers' needs.


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Please help us! Donate
Key Votes
HR 6691 - Community Safety and Security Act of 2018 - National Key Vote
Barry Loudermilk voted Yea (Passage) on this Legislation.
Read statements Barry Loudermilk made in this general time period.
Issues Related to HR 6691
Stage Details
Legislation -
Bill Passed
(247-152) -
Sept. 7, 2018(Key vote)
See How Your Politicians Voted
Title: Community Safety and Security Act of 2018
Vote Result
Yea Votes
Nay Votes
Vote to pass a bill that amends the definition of "crime of violence".
Defines 'crime of violence' as an offense that is as follows (Sec. 2):
Murder, voluntary manslaughter, assault, sexual abuse or aggravated sexual abuse, abusive sexual contact, child abuse, kidnapping, robbery, carjacking, firearms use, burglary, arson, extortion, communication of threats, coercion, fleeing, interference with flight crew members and attendants, domestic violence, hostage taking, stalking, human trafficking, piracy, or a terrorism offense;
Unlawful possession or use of a weapon of mass destruction;
Involves the use or unlawful possession of explosives or destructive devices;
Has an element the use, attempted use, or threatened use of physical force against the person or property of another;
Attempts to commit, conspiracy to commit, solicitation to commit, or aiding and abetting any of the offenses previously mentioned.
Defines 'communication of threats' as the transmission of any communications containing any threat of the use of violence to demand or request for ransom or reward for the release of any kidnapped person or threaten to kidnap or injure the person of another (Sec. 2).
Defines 'fleeing' as failing or refusing to comply with a law enforcement officer's signal to bring a motor vehicle to a stop or fleeing or attempting to elude a law enforcement officer (Sec. 2).
Defines 'force' as the level of force capable of causing physical pain or injury or needed to overcome resistance (Sec. 2).
Legislation - Introduced (House) - Aug. 31, 2018
Title: Community Safety and Security Act of 2018
- Karen Handel (GA - R) (Out Of Office)


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November 2005
When my landlord found out I quilted he asked (as people always do) if I would make something for him, for his wife.
On their vacation the previous year they had seen a wall hanging she had truly admired and wanted. But, it had not been for sale and she did not sew at all, much less quilt.
{Honestly, for the most part, when people ask me to make them things, I usually say no. It's one thing to make a quilt that you plan to gift, using your own patterns, ideas and choices. It's a whole other thing to try to follow someone else's ideals.}
My landlord gave me a picture of the wall hanging and asked me to recreate it. I WANTED to say no… but, he was so sweet. Plus, he was my landlord. I didn't want to upset him. SO…with only a picture to go by… I made this wall hanging. I was terrified! However, I loved it. She loved it. He loved it. I did good. *SIGH OF RELIEF!"


text:
What do you think? They retail for £3.99 each and are available directly from Barry M, ASOS and of course 'drugstores'.
Much Love,
Oooh this is nice :) I hope they have them in my superdrug and boots! xoxReplyDelete
I haven't looked yet to see if they're in, but if they're anything like the crackles when they came out, you may have to hunt them out in some obscure store!
Much Love,
Really nice pictures xx I tried the silver one here http://www.blogger.com/comment.g?blogID=2404294821965728882&postID=9068844566833089284 and the gold one here http://www.blogger.com/comment.g?blogID=2404294821965728882&postID=2865833243880577556ReplyDelete
I love to hear your thoughts on my posts and the things I've written about, so please leave me a comment and I'll be sure to reply. Alternatively, you can email me at email@example.com.
Much Love,


text:
- BFI identifier748958
- Date2010 (Copyright)
- Production countryUSA
- Production company
- SynopsisFantasy. Alice, now aged 19, is mourning the loss of her recently deceased father. His company is in jeopardy and Alice is being pressured to marry the son of her father's business partner. At Lord Ascot's garden party, Alice chases after a rabbit in a waistcoat, and accidentally falls down a rabbit hole. She returns to Wonderland where she is reunited with all the strange characters she met on her first visit and becomes embroiled in the violent rivalry between sisters the Red Queen and the White Queen. She also has to face the fearsome Jabberwocky. (Synopsis)
- Genre
- CreditsDirected by: Tim Burton
©: Inc. Disney Enterprises
Presents: Walt Disney Pictures
view all
- CastJohnny Depp (Mad Hatter)
Anne Hathaway (White Queen)
Helena Bonham Carter (Red Queen)
view full cast
Alice in Wonderland (Original)
- Collections
- StillsPhotograph: digital - Portrait - Colour - bfi-00o-49b
Photograph: digital - Portrait - Colour - bfi-00o-49a
Photograph: digital - Portrait - Colour - bfi-00o-499
Photograph: digital - Portrait - Colour - bfi-00o-498
Photograph: publicity - Portrait - Colour - bfi-00o-75p
view all
- ArticlesSight and Sound v20 n4 April 2010 - ArticleThe Hollywood Reporter v413 n28 26 Feb 2010 - Credits, Review, SynopsisScreen International n1721 March 2010 - ArticleScreen International n1720 26 Feb 2010 - Short Articleview all
- Books
- Alice in Wonderland
Work - 748958 - 2010 (Copyright)
USA - Film - Fiction
No film or video materials are
held by the BFI National Archive
Hierarchy Display


text:
Janesville Office, 2021 Holiday Dr, Ste 200, Janesville, WI 53545
Email: email@example.com
Website: DebraOlson.FirstWeber.com
I am married with 2 grown children. I have 3 grandchildren whom I love to spend time with. I am very energetic and love to decorate and do remodeling. I just obtained my license within the last 2 years. I am very honest and will be honest with what I feel you need to do to get your home ready to sell. I will give it my all to make your selling and buying as stress free as possible. I enjoy and spend lots of my free time shopping and looking for ways to keep my home up to date. I love to travel, but spending time with family is most important to me.


text:
Ovarian Cancer Channel
Topics & Medications
Related Channels
How Should Topotecan Be Stored?Topotecan capsules must be stored in the refrigerator. Topotecan vials (for IV use) should be stored at room temperature before mixing. Once mixed, they are good (at room temperature) for 24 hours only.
Is There a Generic Version?
Currently, the IV (but not the oral) form of this medication is available in generic form.
(Click Generic Hycamtin for more information.)
Who Makes Topotecan?
Brand-name topotecan (Hycamtin) is made by GlaxoSmithKline. Generic versions are made by various manufacturers.
- Topotecan 0.25 mg capsules
- Topotecan 1 mg capsules
- Topotecan 4 mg single-dose vials (to be mixed with sterile water for injection).
Topotecan Chemotherapy Information
List of references (click here)
Hycamtin for Injection [package insert]. Research Triangle Park, NC: GlaxoSmithKline;2010 March.
Hycamtin Capsules [package insert]. Research Triangle Park, NC: GlaxoSmithKline;2009 November.
Food and Drug Administration, Center for Drug Evaluation and Research. Electronic orange book: approved drug products with therapeutic equivalence evaluations. FDA Web site. Available at: http://www.fda.gov/cder/ob/. Accessed December 10, 2010.
Briggs GG, Freeman RK, Yaffe SJ. Drugs in Pregnancy and Lactation. 8th ed. Philadelphia (PA): Lippincott Williams & Wilkins;2008.
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD


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Leo Stan Ekeh, Chairman of Zinox Group, has been selected to chair this year's Beacon of ICT (BoICT) Distinguished Lecture/Awards Series slated for Saturday, April 25, 2015, at the prestigious Eko Hotels and Suites, Lagos.
The event with the theme: "What Next for Nigerian Telecommunications will have Ekeh, a serial entrepreneur as the chairman, while Managing Director/CEO, VDT Communications, Biodun Omoniyi delivers a keynote and insights at the event.
Chief Executive Officer, Communication Week Media, organisers of the event, Ken Nwogbo, said "the choice of Mr. Ekeh is apt. He has a record of incisive entrepreneurship and he believes that one of his legacies is to alter positively the destiny of many poor Nigerians through his knowledge democracy platforms.
"We are excited to have him at this year's lecture and awards which is set to be one of the most anticipated annual events on the ICT industry's calendar."
The lecture which is now in its sixth year is also the largest gathering of ICT practitioners; regulators; politicians and government functionaries and financial institutions under one roof.
High point of this year's award is that of Governor Willie Obiano of Anambra State who has been listed to be honoured as the Most Outstanding Governor in usage of ICT '4' Development, especially for using Drone Technology for Mapping Purposes; Crime Fighting; and use of ICT in education; for making Anambra State first choice investment destination and a hub for industrialisation and commercial activities.
Nwogbo said that the governor was adjudged the best after polling 50,327 votes out of the 109,000 votes cast in Most Outstanding Governor in usage of ICT '4' Development, category.
"We are very happy that Nigerians have recognized Governor Obiano's hard work, sincerity and dedication towards the development of Anambra state" ,Nwogbo said.


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Cardinals baseball returns Saturday to FOX Sports Midwest
FOX Sports Midwest
Fans get their first look at the 2017 Cardinals this weekend when FOX Sports Midwest televises the Cards' first two spring training games, Saturday and Sunday at noon vs. Miami. Dan McLaughlin (play-by-play) and Rick Horton (analyst) call the action.
FOX Sports Midwest will televise 15 Cardinals spring training games, which will also be streamed on FOX Sports GO.
Click HERE for the full schedule of Cardinals spring games on FOX Sports Midwest.


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More on the Oklahoma Suicide Bomber
Gateway Pundit has some new news regarding the incident in Oklahoma on Saturday. He is reporting that the suspect tried to enter the game several times and was turned away when security asked to check his backpack. He theorizes, as I do, that the student was waiting for the game to end and his bomb detonated prematurely. The explosive that was used is extremely unstable and prone to detonation from agitation or high temperature. I think that there are some awfully lucky Sooner fans.
Talk show host Rick Roberts on 760 KFMB also reported on this earlier but did not have any sources. He is expected to have more on this on his show tomorrow.
More: The Jawa report has more information about this troubling story. (h/t Gateway Pundit)


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Cloudy through mid morning, then becoming mostly sunny, with a high near 82. Northeast wind 3 to 5 mph.
Creeks have mostly cleared after the rains a couple nights ago. Only the larger creeks (West Fork, North Fork etc) still have a stain as of this morning. Overall fishing is good for mid summer!
Tricos have been spotty, but when you find a cloud first thing in the morning, the fishing has been fantastic. We've started tos ee some micro olives in the mornings and evenings too. Most of the action right now is on ants and beetles on the calm days, and hoppers when the winds are up a bit blowing them into the creeks.
Subsurface fishing has been quite good, but be patient as it seems to have to hit fish on the nose to get them to eat right now.
Creeks are clear to stained with water temperatures in the low 60s. Remember your thermometer as temps over 65 mean slow fishing and much higher than that can be harmful to trout.


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City Style
Posted by Chic Aeon in freebies, new releases on Wednesday, December 14, 2011
A quick post -- after 24 hours of computer repair, there are a dozen more to go. Thank goodness for my RL friend "EE" who did way more than he should have! Not complaining.
This new release from Sassy seemed to fit that city lifestyle of the Advent gift from Yasum Designs.
The complete living room set / pose prop is a current gift (#14 or #15) at the shop. Two bits of good news there. The items shown are separate for the most part so you can use the decor items that fit your space. AND all the group Advent gifts at Yasum are up for the duration. So no hurrying.
See the Advent List post for how to get there.
Poses by: Vista Animations, aDORKable (upcoming advent gift)
This entry was posted on Wednesday, December 14, 2011 at 8:08 PM and is filed under freebies, new releases. You can follow any responses to this entry through the RSS 2.0. You can leave a response.


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A comprehensive listing of all my published research may be found on PubMed or at my Google Scholar profile. Below I list key papers by scientific area to summarize the major themes of my research portfolio.
Mathematical Modeling of HIV and STI Transmission Dynamics
Mathematical modeling has been used extensively within HIV prevention science to study relationships between individual-level inputs (e.g., behavioral and biology) and population-level outcomes (e.g., HIV prevalence and incidence). Through this framework, models may provide insight into the historical etiology and potential future directions of HIV at the population level, as well as possible mechanisms to reduce HIV incidence over time. Models may be used to test novel hypotheses where empirical research may be infeasible, unethical, or costly.
In addition to the methodological work described on the Software page, my substantive interests in modeling focus on estimating the epidemiological impact and efficiency of HIV prevention approaches such as preexposure prophylaxis (PrEP) among MSM and medical male circumcision in heterosexual men in Sub-Saharan Africa. This work has involved synthesizing secondary research and conducting primary data analysis for model parameters, building computational epidemic models of these interventions, and analyzing the data from models outputs. Through this applied modeling, I have interests in linking field data collection efforts to modeling activities and in building models with realistic sexual network representations that are critical for prevention intervention targeting.
Representative Publications
Jenness SM, Goodreau SM, Morris M, Cassels S. Effectiveness of Combination Packages for HIV-1 Prevention in Sub-Saharan Africa Depends on Partnership Network Structure. Sexually Transmitted Infections. 2016; 92(8): 619-624.
Objectives. Combination packages for HIV prevention can leverage the effectiveness of biomedical and behavioral elements to lower disease incidence with realistic targets for individual and population risk reduction. We investigated how sexual network structures can maximize the effectiveness of a package targeting sexually active adults in Sub-Saharan Africa (SSA) with intervention components for medical male circumcision (MMC) and sexual partnership concurrency (having >1 ongoing partner).
Methods. Network-based mathematical models of HIV-1 transmission dynamics among heterosexual couples were used to explore how changes to MMC alone and in combination with changes to concurrency impacted endemic HIV-1 prevalence and incidence. Starting from a base model parameterized from empirical data from West Africa, we simulated the prevalence of circumcision from 10% to 90% and concurrency was modeled at four discrete levels corresponding to values observed across SSA.
Results. MMC and concurrency could contribute to the empirical variation in HIV-1 disease prevalence across SSA. Small reductions in concurrency resulted in large declines in HIV-1 prevalence. Scaling-up circumcision in low-concurrency settings yields a greater relative benefit, but the absolute number of infections averted depends on both the circumcision coverage and baseline incidence. Epidemic extinction with this package will require substantial scale-up of MMC in low-concurrency settings.
Conclusions. Dynamic sexual network structure should be considered in the design and targeting of MMC within combination HIV-1 prevention packages. Realistic levels of coverage for these packages within southern Africa could lead to a reduction of incidence to the low levels observed in western Africa, and possibly, epidemic extinction.
Jenness SM, Goodreau SM, Rosenberg E, Beylerian EN, Hoover KW, Smith DK, Sullivan PS. Impact of CDC's HIV Pre-Exposure Prophylaxis Guidelines among MSM in the United States. Journal of Infectious Diseases. 2016; 214(12): 1800-1807.
Background. Pre-exposure prophylaxis (PrEP) is effective for preventing HIV infection among men who have sex with men (MSM) within trial settings. Population impact will depend on clinical indications for PrEP initiation, coverage levels, and drug adherence. No studies have estimated the impact of CDC's clinical practice guidelines for PrEP.
Methods. Mathematical models of HIV transmission among MSM were used to estimate the proportion of infections averted (PIA) and the number needed to treat (NNT) under behavioral indications of the CDC's PrEP guidelines. We modeled the contribution of these indications while varying treatment coverage and adherence.
Results. At 40% coverage of indicated MSM over the next decade, application of CDC guidelines would avert 1162 infections per 100,000 person-years, 33.0% of expected infections. The predicted NNT for the guidelines would be 25. Increasing coverage and adherence jointly raise the PIA, but reductions to the NNT were associated with better adherence only.
Conclusions. Implementation of CDC PrEP guidelines would result in strong and sustained reductions in HIV incidence among MSM in the US. The guidelines strike a good balance between epidemiological impact (PIA) and efficiency (NNT) at plausible scale-up levels. Adherence counseling could maximize public health investment in PrEP by decreasing the NNT.
Multi-Level Risk Factors for HIV and STI Acquisition
Understanding the etiology of infection for sexual transmitted infections is necessary to target disease prevention interventions towards at-risk persons. Transmission and acquisition risk have been particularly challenging to define within concentrated HIV epidemics where individual risk factors like recent multiple partnerships may be insufficient to fully characterize excesses in infection probability. My research in this domain has investigated the social, structural, and network-level factors for HIV/STI infection among key high-risk groups, including MSM in the United States and heterosexuals in both the US and Sub-Saharan Africa.
Representative Publications
Jenness SM, Begier E, Neaigus A, Murrill CS, Wendel T, Hagan H. Unprotected Anal Intercourse and Sexually Transmitted Diseases in High-Risk Heterosexual Women. American Journal of Public Health. 2011; 101(4): 745-750.
Objectives. We examined the association between unprotected anal intercourse and sexually transmitted diseases (STDs) among heterosexual women.
Methods. In 2006 through 2007, women were recruited from high-risk areas in New York City through respondent-driven sampling as part of the National HIV Behavioral Surveillance study. We used multiple logistic regression to determine the relationship between unprotected anal intercourse and HIV infection and past-year STD diagnosis.
Results. Of the 436 women studied, 38% had unprotected anal intercourse in the past year. Unprotected anal intercourse was more likely among those who were aged 30 to 39 years, were homeless, were frequent drug or binge alcohol users, had an incarcerated sexual partner, had sexual partners with whom they exchanged sex for money or drugs, or had more than 5 sexual partners in the past year. In the logistic regression, women who had unprotected anal intercourse were 2.6 times as likely as women who had only unprotected vaginal intercourse and 4.2 times as likely as women who had neither unprotected anal nor unprotected vaginal intercourse to report an STD diagnosis. We found no significant association between unprotected anal intercourse and HIV infection.
Conclusions. Increased screening for history of unprotected anal intercourse and, for those who report recent unprotected anal intercourse, counseling and testing for HIV and STDs would likely reduce STD infections.
Jenness SM, Hagan H, Wendel T, Murrill CS, Neaigus A, Gelpi-Acosta C. Reconsidering the Internet as an HIV/STD Risk for Men Who Have Sex with Men. AIDS & Behavior. 2010; 14(6): 1353-1361.
Previous studies linking online sexual partnerships to behavioral risks among men who have sex with men (MSM) may be subject to confounding and imprecise measurement of partnership-specific risks. We examined behavioral risks associated with having only online, only offline, or both online and offline partners in the past year, the confounding effects of multiple partnerships, and partnership-specific risks among a sample of MSM from New York City recruited offline in 2008. Overall, 28% of 479 participants had an online partner in the past year, but most of those (82%) also had an offline partner. Having an online partner was associated with past-year unprotected anal intercourse (UAI) and other risks, but not after controlling for multiple partnerships. There were slightly higher levels of risk within offline partnerships, but differences were largely attributable to MSM who had both offline and online partners. Last sex partners met offline were more likely to be HIV-serodiscordant and engage in concurrent substance use with the participant. This suggests that online partnerships may not be an independent cause of behavioral risks, but a marker for risks occurring independent of Internet use.
Jenness SM, Neaigus A, Hagan H, Murrill CS, Wendel T. HIV Infection and Sexual Partnerships between Injection Drug Users and Non-Injectors. AIDS Patient Care & STDS. 2010; 24(3): 175-181.
Sex partnerships with injection drug users (IDU) are an understudied network-level risk factor for heterosexual HIV infection. Heterosexuals with no history of injection were recruited from high-risk areas in New York City through respondent-driven sampling. We examined the prevalence of IDU sex partnerships among these non-IDU, the factors associated with having a past year IDU partner, and the independent association of HIV infection and IDU sex partnerships in multiple logistic regression. Of the 601 non-IDU in this analysis, 13.8% had a sex partner in the past year with a history of injection. IDU partnerships were significantly more common among women and those with higher levels of unprotected sex and drug and alcohol use. Overall, 7.0% tested positive for HIV. HIV prevalence was higher (p = 0.07) for participants with IDU partners (9.6%) compared to those with no IDU partners (4.6%). In multiple logistic regression, participants with IDU partners were over twice as likely to be HIV-infected (p = 0.08). Sex partnerships with IDU were common and may play an important role in heterosexual HIV transmission in areas with large IDU populations. Prevention interventions to encourage the disclosure of injection history and risk reduction specifically for those with IDU partners are indicated.
Network Science for Infectious Disease Epidemiology
The configuration of sexual networks within a population plays a critical role in the spread of HIV and other sexually transmitted infections, yet characterizing the structure of dynamic networks in which epidemiologically relevant partnerships form and dissolve over time is challenging. Recent developments in statistics (temporal exponential random graph models), however, have yielded important new methods to allow for the recontruction and simulation of dynamic contact networks from easily collected data. These methods allow for testing hypotheses about the relationship between network configurations and transmission risk in innovative ways.
One example of a network hypothesis is sexual partner concurrency, which occurs when sexual acts with one partner temporally occur between acts with another. Small changes in the average number of partners (momentary mean degree) can have a substantial impact on population-level disease prevalence. Network-based risks like concurrency often have counterintuitive effects: an increase in momentary mean degree among men has the effect of increasing HIV incidence among women within heterosexual transmission networks.
My research in this area has focused on estimating key parameters relevant to HIV transmission dynamics, including rates of concurrency and the relationship between network degree and coital frequency. These estimates are useful by me and others in mathematical models of HIV to explore the implications of network structure in ways that are impossible with traditional epidemiological study designs.
Representative Publications
Jenness SM, Biney AA, Ampofo WK, Nii-Amoo Dodoo F, Cassels S. Minimal Coital Dilution in Accra, Ghana. Journal of Acquired Immune Deficiency Syndrome. 2015; 69: 85–91.
Background. Coital dilution, the reduction in the coital frequency per partner when an additional ongoing partner is added, may reduce the transmission potential of partnership concurrency for HIV and other sexually transmitted infections. Empirical estimates of dilution, especially dilution of sexual acts unprotected by condoms, are needed to inform prevention research.
Methods. Sexually active adults in Accra, Ghana were recruited in a multistage household probability sample. Degree (number of ongoing partners), total acts, and unprotected acts were measured retrospectively for each month in the past year through an event history calendar. Random-effects negative binomial models estimated the association between degree and coital frequency.
Results. Compared with person-months with a single partner (monogamy), 2.06 times as many total acts and 1.94 times as many unprotected acts occurred in months with 2 partners. In months with 3 partners, 2.90 times as many total acts and 2.39 times as many unprotected acts occurred compared with monogamous months. Total acts but not unprotected acts also declined with partnership duration.
Conclusions. No dilution was observed for total acts with up to 3 concurrent partners, but a small amount of dilution was observed for unprotected acts for months with multiple concurrencies. This suggests moderate selective condom use in months with multiple concurrencies. The implications of the observed dilution for future HIV transmission must be investigated with mathematical models.
Cassels S, Manhart L, Jenness SM, Morris M. Short-term Mobility and Increased Partnership Concurrency among Men in Zimbabwe. PloS One. 2013; 8(6): e66342.
Background. Migration has long been understood as an underlying factor for HIV transmission, and sexual partner concurrency has been increasingly studied as an important component of HIV transmission dynamics. However, less work has examined the role of short-term mobility in sexual partner concurrency using a network approach. Short-term mobility may be a risk for HIV for the migrant's partner as well either through the partner's risk behaviors while the migrant is away, such as the partner having additional partners, or via exposure to the return migrant.
Methods. Using data from the 2010-11 Zimbabwe Demographic and Health Survey, weighted generalized linear regression models were used to investigate the associations between short-term mobility and partnership concurrency at the individual and partnership levels.
Results. At the individual level, we find strong evidence of an association between short-term mobility and concurrency. Men who traveled were more likely to have concurrent partnerships compared to men who did not travel and the relationship was non-linear: each trip was associated with a 2% higher probability of concurrency, with a diminishing risk at 60 trips (p < 0.001). At the partnership level, short-term mobility by the male only or both partners was associated with male concurrency. Couples in which the female only traveled exhibited less male concurrency.
Conclusions. Short-term mobility has the ability to impact population-level transmission dynamics by facilitating partnership concurrency and thus onward HIV transmission. Short-term migrants may be an important population to target for HIV testing, treatment, or social and behavioral interventions to prevent the spread of HIV.
Methods for Unbiased Estimation in Survey Research
I have also been interested in the statistical and epidemiological methods for the estimation of characteristics of "hidden" populations, those who are difficult or impossible to sample with traditional probabilistic survey methods (e.g., random digit dialing and household-based recruitment). Two methods, respondent-driven sampling and venue-based sampling, have become increasingly popular both in the U.S. and internationally, but recent research suggests some systematic biases that impact statistical inference.
My research has investigated these biases among a large-scale venue-based study of men who have sex with men, and also the potential spatial bias within a respondent-driven sampling study of high-risk heterosexual adults in New York City. This work also involves using cross-sectional techniques to estimate HIV incidence, which may be only typically measured in expensive longitudinal cohorts.
Representative Publications
Jenness SM, Neaigus A, Murrill CS, Gelpi-Acosta C, Wendel T, Hagan H. Recruitment-Adjusted Estimates of HIV Prevalence and Risk Among Men Who Have Sex with Men: Effects of Weighting Venue-Based Sampling Data. Public Health Reports. 2011; 126(5): 635-642.
Objectives. We investigated the impact of recruitment bias within the venue-based sampling (VBS) method, which is widely used to estimate disease prevalence and risk factors among groups, such as men who have sex with men (MSM), that congregate at social venues.
Methods. In a 2008 VBS study of 479 MSM in New York City, we calculated venue-specific approach rates (MSM approached/MSM counted) and response rates (MSM interviewed/MSM approached), and then compared crude estimates of HIV risk factors and seroprevalence with estimates weighted to address the lower selection probabilities of MSM who attend social venues infrequently or were recruited at high-volume venues.
Results. Our approach rates were lowest at dance clubs, gay pride events, and public sex strolls, where venue volumes were highest; response rates ranged from 39% at gay pride events to 95% at community-based organizations. Sixty-seven percent of respondents attended MSM-oriented social venues at least weekly, and 21% attended such events once a month or less often in the past year. In estimates adjusted for these variations, the prevalence of several past-year risk factors (e.g., unprotected anal intercourse with casual/exchange partners, ≥5 total partners, group sex encounters, at least weekly binge drinking, and hard-drug use) was significantly lower compared with crude estimates. Adjusted HIV prevalence was lower than unadjusted prevalence (15% vs. 18%), but not significantly.
Conclusions. Not adjusting VBS data for recruitment biases could overestimate HIV risk and prevalence when the selection probability is greater for higher-risk MSM. While further examination of recruitment-adjustment methods for VBS data is needed, presentation of both unadjusted and adjusted estimates is currently indicated.
Jenness SM, Neaigus A, Wendel T, Gelpi-Acosta C, Hagan H. Spatial recruitment bias in respondent-driven sampling: Implications for HIV prevalence estimation in urban heterosexuals. AIDS & Behavior. 2014; 18(12): 2366-73.
Respondent-driven sampling (RDS) is a study design used to investigate populations for which a probabilistic sampling frame cannot be efficiently generated. Biases in parameter estimates may result from systematic non-random recruitment within social networks by geography. We investigate the spatial distribution of RDS recruits relative to an inferred social network among heterosexual adults in New York City in 2010. Mean distances between recruitment dyads are compared to those of network dyads to quantify bias. Spatial regression models are then used to assess the impact of spatial structure on risk and prevalence outcomes. In our primary distance metric, network dyads were an average of 1.34 (95 % CI 0.82–1.86) miles farther dispersed than recruitment dyads, suggesting spatial bias. However, there was no evidence that demographic associations with HIV risk or prevalence were spatially confounded. Therefore, while the spatial structure of recruitment may be biased in heterogeneous urban settings, the impact of this bias on estimates of outcome measures appears minimal.
Jenness SM, Neaigus A, Murrill CS, Gelpi-Acosta C, Wendel T, Hagan H. Estimated HIV Incidence among High-Risk Heterosexuals in New York City, 2007. Journal of Acquired Immune Deficiency Syndrome. 2011; 56(2): 193-197.
Estimates of HIV incidence rates among high-risk heterosexuals (HRH) in the United States have been limited to heterosexual subgroups like prison inmates and commercial sex workers. In this analysis, we estimate incidence with detuned assay testing among a group of HRH defined through a multidimensional sampling strategy and recruited through respondent-driven sampling. Incidence was 3.31% per year (95% confidence interval = 1.43 to 6.47) overall and 2.59% per year (95% confidence interval = 0.84 to 6.06) among participants with no lifetime history of drug injection or male-to-male sex. This study design is suggested as an efficient method for recruiting HRH for cohort studies and behavioral interventions.
Demographic Dynamics & Infectious Disease
With Susan Cassels, we are currently investigating the implications of migration and mobility on HIV transmission dynamics within an urban slum neighborhood in Accra, Ghana. This research involved primary data collection during the summer of 2012, in which we conducted a household-based cross-sectional study of sexually active adults. Study procedures included a detailed structured survey and a diagnostic HIV-1/2 test. In addition to the main probability sample, a secondary sample of cohabiting sexual partners were recruited, with data linkages to the main survey.
Our goal is to use traditional statistical analysis and stochastic mathematical modeling to investigate the relationships between migration/mobility, sexual partner concurrency, and HIV transmission in Ghana and other West African countries. We are also interesting in discussing and developing the methods for epidemiological research in populations with high rates of demographic turnover, as measuring disease prevalence and risk factors becomes complicated in highly-mobile or high-mortality areas.
Representative Publications
Cassels S, Jenness SM, Biney AA, Ampofo WK, Dodoo RN. Migration, sexual networks, and HIV in Agbogbloshie, Ghana. Demographic Research. 2014; 31: 861-888.
Background. HIV is spread through structured sexual networks, which are influenced by migration patterns, but network-oriented studies of mobility and HIV risk behavior have been limited.
Objectives. We present a comprehensive description and initial results from our Migration & HIV in Ghana (MHG) study in Agbogbloshie, an urban slum area within Accra, Ghana.
Methods. The MHG study was a population-based cross-sectional study of adults aged 18-49 in Agbogbloshie in 2012. We used a one-year retrospective relationship history calendar to collect egocentric network data on sexual partners as well as migration and short-term mobility, and tested for prevalent HIV-1/2 infection.
Results. HIV prevalence was 5.5%, with prevalence among women (7.2%) over twice that of men (2.8%). Three-quarters of residents were born outside the Greater Accra region, but had lived in Agbogbloshie an average of 10.7 years. Only 7% had moved housing structures within the past year. However, short-term mobility was common. Residents had an average of 7.3 overnight trips in the last year, with women reporting more travel than men. Thirty-seven percent of men and 9% of women reported more than one sexual partner in the last year.
Conclusions. Population-based surveys of migration and sexual risk behavior using relationship history calendars in low-resource settings can produce high quality data. Residents in Agbogbloshie are disproportionately affected by HIV, and have high levels of short-term mobility. HIV prevention interventions targeted to highly mobile populations in high prevalence settings may have far-reaching and long-term implications.
Cassels S, Jenness SM, Khanna AS. Conceptual framework and research methods for migration and HIV transmission dynamics. AIDS & Behavior. 2014; 18(12): 2302-13.
Migration and mobility have had a profound influence on the global HIV epidemic. We propose a network-dyadic conceptual model to interpret previous literature and inform the development of future research with respect to study design, measurement methods, and analytic approach. In this model, HIV transmission is driven by risk behaviors of migrants that emerges and is enabled by mobility, the bridging of sub-epidemics across space and time, and the displacement effects on the primary residential sending community for migrants. To investigate these causal pathways, empirical study designs must measure the relative timing of migratory events, sexual risk behaviors, and incident HIV infections. Network-based mathematical models using empirical data on partnerships help gain insight into the dynamic disease transmission systems. Although the network-dyadic conceptual model and related network methods may not address all questions related to migration and HIV, they provide a unified approach for future research on this important topic.


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The Aotearoa College of Diabetes Nurses (ACDN) of the New Zealand Nurses Organisation (NZNO) is dedicated to the provision of excellent standards of care and education for people in New Zealand living with diabetes.
The goal of the Accreditation Programme is to provide a framework by which nurses working within the area of diabetes can be recognised for having attained knowledge and skills, as defined by the National Diabetes Nurses Knowledge and Skills Framework (2018) within their area of practice and have demonstrated continued maintenance and development of knowledge and skills through a systematic and regular review process.
Accreditation applications are invited twice yearly from early June (closing date mid August) and early November (closing date mid March). A current Professional Development Recognition Programme (PDRP) certificate is a pre-requisite for accreditation application. It is the responsibility of the applicant to ensure that PDRP has been completed at the relevant level prior to submission of either an initial accreditation application or a maintenance accreditation application.
Please note that applications must be sent via courier and received at NZNO National Office by 12.00pm (midday) on the closing date to:
Diana Geerling
ACDN Accreditation Programme Coordinator
New Zealand Nurses Organisation
Level 3, Findex House
57 Willis Street
Wellington 6011
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Nurses who are eligible to seek recognition as an accredited diabetes nurse must meet the ACDN Accreditation Programme requirements outlined in the ACDN Accreditation Handbook.
To download an application pack for initial accreditation, please click on link below:
Accreditation is granted for a thee year period. To retain accreditation status diabetes nurses must meet the requirements of the ACDN Maintenance Accreditation Programme outlined in the ACDN Accreditation Handbook.
To download an application pack for maintenance accreditation, please click on the link below:
If accreditation status has lapsed, a new initial accreditation application must be submitted following the requirements for the ACDN Accreditation Programme.
Assessments of applications are undertaken by one registered Accreditation Assessor who does not work closely with the candidate. Advice of the outcome is provided within 12 weeks of the closing date.
Review of unsuccessful applications is subject to a written appeal lodged within 30 days of receipt of the notification of outcome.
Please read the Accreditation Handbook (above) for a detailed explanation of each form and what is required.
Please direct any enquiries regarding accreditation to ACDN Committee Member and National Committee Accreditation Coordinator, Amanda de Hoop via email: email@example.com
Accredited Nurses Mentorship


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Associação Bamboo
Associação Bamboo is a small dog and donkey shelter in the Western Algarve. The shelter has 15 donkeys and usually 25-30 dogs.
The shelter was created in 2000 by Nana whose dream was to be the voice for the voiceless. Nana sadly passed away in December 2017 and the people who inherited Bamboo, are dedicated to continue the work. It is ran by volunteers on a daily basis, but in order to continue the work, a lot of support is needed.
Associação Bamboo is an amazing place where the dogs have large pens and they are able to run freely on the daily walks. Bamboo is kept small to be able to give the dogs a lot of attention and love. The donkeys roam freely on the fenced property after the dogs have been on the walk.
Please help so the volunteers can continue the work to take care of the animals and try to find new loving homes. To donate, click here. All donations go to the organisation.
Visit their website: www.bambooalgarve.org
Facebook page: https://www.facebook.com/associacaobamboo/
Instagram: https://www.instagram.com/bambooalgarve/
Canil Municipal de Lagos
Lagos Canil is the public dog and cat kennel in Lagos. The kennel has five employees who is always on site and many volunteers who walk the dogs.
Outside the kennel is a box where people dump dogs and they are usually found there in the morning when people arrive.
They usually have around 60-70 dogs. All dogs at the kennel are sterilized , treated for ticks and get dewormed every three months.
A lot of dogs get adopted here, but there are always the same amount coming in. The rehoming process is constant.
Opening hours
Monday – Friday: 9-12 and 13-16
Address: Rua da Abrótea, Lagos, Portugal
Please visit their Facebook page for more information about dogs for adoption.


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