text: Walter Edwin Clarke Died 7 August 1915 PDF Key details Service numberWWI 4/516 AWMM Also known as Armed force / branchArmy AWMM Last rankWW1 Sapper AWMM New Zealand Engineers, Divisional Signals Company AWMM WarWorld War I, 1914-1918 AWMM Enquire Lay a poppy Portrait, Auckland Weekly News 1915 - No known copyright restrictions View gallery Hide sources Show empty fields Identity About Contribute › Title ForenamesWalter Edwin AWMM SurnameClarke AWMM Ingoa Also known as Service numberWWI 4/516 AWMM GenderMale AWMM Iwi Hapū Waka Rohe Religion Images and documents Images Contribute › Report › Report › Report › Report › Documents Contribute › Civilian life About birth Contribute › Birth Date of birth Place of birth Birth notes Address before enlistmentUnknown AWMM Wolseley Street, Morningside, Auckland, New Zealand AWMM Post war occupation Next of kin on embarkationJohn Clarke, care of H. Lewis, Wolseley Street, Morningside, Auckland, New Zealand AWMM Relationship statusPre 16 October 1914 AWMM Single/WWI AWMM Service Wars and conflicts Contribute › WarWorld War I, 1914-1918 AWMM Campaign1915-1916 Gallipoli AWMM 1915-1916 Gallipoli AWMM Armed force / branchArmy AWMM Service numberWWI 4/516 AWMM Military service Promotions/ Postings/ Transfers Military decorations Contribute › Medals and AwardsBritish War Medal (1914-1920) AWMM Training and Enlistment Contribute › Military training Branch Trade Proficiency EnlistmentWW1 Unknown AWMM AWMM Occupation before enlistment Age on enlistment Embarkations Contribute › Embarkation detailsWW1 16 Oct 1914-3 December 1914 AWMM from AWMM to Suez, Egypt AWMM HMNZT 3 AWMM Vessel was Maunganui AWMM Sapper AWMM New Zealand Field Engineers AWMM Main Body AWMM Prisoner of war Contribute › Capture details Days interned Liberation date Liberation Repatriation POW liberation details POW serial number Medical history Contribute › Medical notesKilled in Action, Cause of Death AWMM Last known rank Contribute › Last rankWW1 Sapper AWMM New Zealand Engineers, Divisional Signals Company AWMM Biographical information Biographical information Contribute › Youngest son of John and Mary Anne Clarke of 257 Balmoral Rd, Edendale, Auckland.Member of the College Rifles Rugby Football Club AWMM Death About death Contribute › Death7 August 1915 AWMM Age 26 AWMM Gallipoli, Turkey AWMM Date of death Age at death Place of death Cause of deathKilled in Action AWMM Death notes CemeteryNo. 2 Outpost Cemetery, Turkey AWMM B. 3. AWMM Cemetery name Grave reference Obituary Memorial name Memorial reference Memorials Memorial Contribute › Memorial nameMemorial roll, St Paul's Church, 25 Symonds Street, Auckland, New Zealand AWMM Roll of Honour, College Rifles, Rugby Union Football & Sports Club, 33 Haast Street, Remuera, Auckland AWMM Mount Albert War Memorial Hall, 773 New North Road, Mount Albert Auckland 1025 AWMM Auckland War Memorial Museum, World War 1 Hall of Memories AWMM Roll of Honour Remember Walter Edwin Clarke by laying a poppy. Victor Alexander Clarke Vincent John Clarke Walter Edwin Clarke Walter John Clarke Walter Roland Clarke Lay a poppy for 2023 Leave a note Leave a tribute or memory of Walter Edwin Clarke Leave a note Contribute › Processing Related objects Roll of Honour, Auckland Province (digital copy) Library / Pictorial › manuscripts and archives MS-2016-2 Sources Sources Contribute › External linksMilitary personnel file https://collections.archives.govt.nz/en-NZ/web/arena/search#/entity/aims-archive/R21894872 Further Reference St Paul's War Memorial Tram Shelter Index, Auckland Council Archives http://www.aucklandcity.govt.nz/dbtw-wpd/CityArchives/FamilyHistory/AUC194/searchstpauls.htm Further Reference A Street Near You record https://astreetnearyou.org/person/606042/- Further Reference Commonwealth War Graves Commission Casualty record https://www.cwgc.org/find-war-dead/casualty/606042 Further Reference ReferencesNew Zealand Army Expeditionary Force. (1914-1919). Nominal Rolls of New Zealand Expeditionary Force, Volume I. Wellington, N.Z.: Govt. Printer. AWMM Page No: 131 AWMM Beattie, P.J. & Pomeroy, M. (2013-2020). Onward : portraits of the New Zealand Expeditionary Force (vols 1-5). Auckland, New Zealand: Fair Dinkum Publications AWMM Vol. 2: Includes portrait AWMM Roll of Honour, Auckland Province (digital copy), 1914 - 1919. Auckland War Memorial Museum Library. MS-2016-2. AWMM Contributors Processing Command item Command item Add new record Refresh DateFirst namesLocationRelationshipContact 02 November 2021Ian Banks Taumarunui New ZealandResearcher The development of the Online Cenotaph is an ongoing process; updates, new images and records are added weekly. In some cases, records have yet to be confirmed by Museum staff, and there could be mistakes or omissions in the information provided.Online Cenotaph Data by Auckland War Memorial Museum is licensed under a Creative Commons Attribution 4.0 International License.


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LivableStreets Hosts Info Session on Western Ave Reconstruction Project
LivableStreets Hosts Information Session on Western Avenue Reconstruction Project
Presentation by Jeff Rosenblum, Community Development Department, City of Cambridge
Monday, June 7, 2010
LivableStreets Office
100 Sidney Street
Cambridge, MA 02139
RSVP to Jeff Rosenblum at [email protected]
LivableStreets Alliance is hosting an informational session on the City of Cambridge's Western Avenue Reconstruction Project. Jeff Rosenblum will be presenting several conceptual designs for the street, and results from our traffic analysis to evaluate the feasibility of reducing the street to 1-lane for part of the street. Please feel free to attend, and share this notification with your neighbors. A copy of the meeting announcement and agenda are below, as well as some other background information on the project. There are many resources on the project website, please feel free to browse.
If you cannot make the Monday meeting, feel free to attend the Riverside Neighborhood Association meeting on Tuesday June 8 from 7-9pm at the Cambridge Community Center, 5 Callender Street (off of Howard Street, off of Western Avenue).
- Project overview, scope, and schedule
- Community goals for the project
- Results of traffic analysis for possible reconfiguration (the Advisory Committee requested that the city conduct some feasibility analysis for the following: Change street to 2-way? Change street to 1-lane for part of the street?)
- Presentation of the 5 conceptual design options
- Discussion
More Information
Project Overview
Western Avenue is scheduled to be fully reconstructed beginning in summer 2011. The underground stormwater system, utilities, the roadway, and the sidewalks will all be replaced. The redesign will consider all street users: walkers, bicyclists, bus riders, and drivers. The redesign process will consider traffic patterns, lighting, trees, and green space. The community design process will run from Jan. through June 2010, followed by engineering design. Construction is expected to begin in summer 2011. There will be advisory committee meetings, community meetings and neighborhood walks to discuss the project. This is an opportunity for the community to discuss changes that would make Western Avenue more neighborhood-friendly.
Project Schedule
Dec. 2009 .......... Initial survey work complete
Feb. 2010 .......... Begin community process
Jun. 2010 .......... Complete conceptual design
Apr. 2011 .......... 100% design complete
Jul. 2011 ............ Construction begins
Nov. 2012 ......... Construction is completed
Surface Design: Project Goals
- Ensure corridor is safe for all users
- Maintain adequate traffic flow
- Reinforce residential character
- Appropriate traffic speed
- Improve conditions for walking, bicycling, and transit riders
- Provide disability access
- Improve access to businesses
- Help meet stormwater environmental goals through "low impact designs"
- Provide adequate parking
- Environmental sustainability
- Improve landscaping

subset: commoncrawl


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Home Administration & Business FIND's 12 Member Counties
Florida Inland Navigation District1314 Marcinski RdJupiter, Florida 33477561-627-3386
Under Florida Law, e-mail address are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing. © 2016
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Bangalore's green heart, Lalbagh, forms the inspiration for these canvas high top sneakers. Especially for those with a love for wandering away from the bustle of a city day.
Digital Print on Canvas, Padded for maximum comfort, these shoes are handmade in India and can take up to 6 weeks to ship.


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Time to end preventable maternal deaths in Nigeria
It is often said that 'pregnancy is not a disease', but this maxim doesn't chime with the reality in Nigeria. While pregnancy in itself may not be a disease in Nigeria, the health system that should take care of our expectant mothers is afflicted with a chronic, debilitating disease. Yes, a lethal pestilence that has been killing expectant mothers with stealth, stubborn consistency and in staggering numbers.
The labour room should not be a theatre of fear; sadly in Nigeria, the approach of the EDD (Estimated Date of Delivery) often triggers a disconcerting spectre. Would she return? Would mother and child be fine in the end? Often times the family Pastor (or other religious leader) is engaged to ramp up his intercession. Friends and family are also enlisted to join in supplication. Celestial forces are implored to supervise proceedings in the labour room.
When an expectant mother is set to put to bed in Nigeria, heaven gets a comprehensive memo. And when she does –successfully-the first feeling is usually one of 'relief' before 'joy'.
Attend 'child dedication services' in Nigerian churches and you would hear effusive words of gratitude to God for a safe delivery. Brethren take turns to congratulate the "sister", ostensibly for emerging from the lion's den unscathed. The sense of relief and survival is palpable. This reaction is wholly understandable given that the road to a labour room in Nigeria is strewn with manifold (man-made) thorns.
But should childbirth be an enormously dangerous undertaking (in 2017) given the advances in medical science?
Well, the answer depends on the country where the question is posed. In developed nations like the United Kingdom (that records an average of 9 deaths in 100,000 live births), the answer, of course, would be a resounding "NO"! But according to the World Bank's 2015 maternal mortality records, perhaps the answer should be "YES" in Nigeria (as at 2015, Nigeria's maternal mortality ratio stood at 814 per 100,000 live births. Afghanistan fared better – 396 per 100,000 live births. South Africa's number is 138).
Death is inevitable, but death from childbirth-related causes is not. This is why the outrage that follows the loss of an expectant mother is wholly justified. But it appears that our collective outrage never translates to positive action. Rather, our outrage is of the fatalistic stripe. You can predict the cycle:
The tragic news breaks, there is an outpouring of condolences. Prayers are offered (in various tongues) for the soul of the departed, and wellbeing of the infant (if he or she survives). We remind the grieving family that "our thoughts are with them" and conclude with the famous Nigerian mantra: "it is well". We may also quote some verses from the book of Job, reminding the grieving spouse that God sometimes allows calamities to befall good men "for it is in adversity that strength is born".
Then we move on. Well, until another mother becomes a statistic. We rinse and repeat same 'pity routine'.
But for bereaved families, there is no respite. The pain never goes away. The vacuum remains unfilled forever. For the infant who lost his or her mother, the joys of a mother's cuddle is something they will never experience. The sweetness of a mother's love will never be savoured.
No child should begin life this way.
The cost of an absent mother also transcends the emotional. The absence of a mother may alter the trajectory of a child's life for ill. This is especially likely in cases where no "mother figure" steps in to groom, counsel and guide.
Read autobiographies of Barack Obama and Dr Ben Carson, and you'll glean the potency of a mother's influence. Who knows the number of Nigerians who ended up in prison or failed to get an education because their mother died from childbirth-related causes. Without a doubt, our society becomes poorer every time we lose an expectant mother.
It's about time we stopped this spreading cancer that has broken many hearts and shattered many homes.
It's about time we conducted a far-reaching assessment to determine the drivers of maternal mortality in Nigeria. I'm not proposing the creation of a committee whose report would recommend that another committee be set up.
Read more at https://www.thecable.ng/time-end-preventable-maternal-deaths-nigeria


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2018 Investment Industry Hall of Fame Gala Dinner and Induction Ceremony
Date: Thursday, 25 October 2018
Place: Delta Toronto Hotel – 75 Lower Simcoe Street, 3rd Floor (SoCo Ballroom), Toronto
The Investment Industry Hall of Fame honours excellence, integrity and leadership in Canada's investment industry. The 2018 Inductees will be enshrined at a Gala Dinner on Thursday, October 25, 2018 at the Delta Toronto hotel.
Broadcaster and author Rex Murphy will serve as the Master of Ceremonies for the Induction Ceremony.
The 2018 Inductees will be announced in late June 2018.
Purchase your Gala Dinner table(s)/ seat(s) here.
Thank you to Our Sponsors
Platinum Sponsor
Gold Sponsors
Silver Sponsor


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"I am unable to come to terms with the news."
On Friday, January 24, 2020, television actress Sejal Sharma was found dead, having committed suicide.
The 25-year-old's body was discovered at her home in the district of Thane, Maharashtra by a friend.
It was reported that Sejal hung herself from the ceiling fan in her bedroom and was found that way in the early hours on January 24, 2020.
Sejal was rushed to a hospital, however, she was declared dead on arrival.
Meanwhile, the police were informed about the suicide and an investigation was launched. Officers from Kashimira Police Station searched Sejal's rented apartment on Mira Road.
During their search, they found a suicide note, which stated that the actress decided to end her life due to a number of personal reasons. The note also said that nobody should be blamed for her death.
According to police, Sejal's body was found in her bedroom at around 5 am.
The body was sent to Pandit Bhimsen Joshi government hospital in Bhayander for an autopsy. Following the autopsy, Sejal's body was handed over to her family for the last rites.
A case of accidental death was subsequently registered by the police.
Officers are questioning two of her friends, including a roommate who was reportedly in the flat at the time of her death.
Sejal Sharma was originally from Udaipur in Rajasthan but moved to Mumbai in 2017 to pursue an acting career.
The actress had been living on the second floor of Royal Nest housing society in Shivar Garden.
She landed her first television role in the series Dil Toh Happy Hai Ji, which began in January 2019. She played the role of Simmi Khosla, the adoptive sister of the lead actor.
However, the show abruptly came to an end in August 2019. Sejal's co-star Aru K Verma said: "Yes, this is true. I am shocked to hear the news.
"It's very difficult for me to believe since I met her just 10 days ago and we even chatted on WhatsApp on Sunday.
"I am unable to come to terms with the news. When I met her 10 days back, she was absolutely fine."
One of her friends told police that Sejal had become depressed after the show came to an end.
She was looking for other acting roles but nothing had come her way.
While police have been informed about the show's cancellation contributing to Sejal's depression, they believe her personal issues were also a factor.
Officers are also investigating potential relationship issues as some of her friends implied that a failed relationship added to her depression.
Times of India reported that prior to her TV role, Sejal acted in several adverts. This includes collaborations with actor Aamir Khan and cricketers Rohit Sharma and Hardik Pandya.


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This story is part of Junk Food, Redefined, our new collection of snack recommendations, recipes, and perspectives that celebrate an undervalued food group. Read all the stories here.
In Pakistan, in the '90s, I ate only two types of prepackaged potato treats: Slims, which were these thin matchsticks smothered with spices, or Kolson Potato Sticks, an airier, flaky snack flavored with salt and a lot of pepper. In Karachi, where I grew up, I found freshly made potato chips in bakeries, along with cumin-flavored shortbread, chocolate thumbprints, and sugared puff pastry straws—all packed up in brown paper bags and sold by weight.
When I was 11, I moved to Texas and discovered the cornucopia of packaged options in the chips aisle. I quickly grew fond of Salt and Vinegar in particular, but I missed the sharp flavors of the snacks I'd eaten in Karachi, where even french fries, sold in street carts, came with a generous sprinkling of chaat masala—made with dried pomegranate seeds and green mango powder for a hefty dose of tang along with the lingering heat of red chili powder.
Then, in 2007, Lay's landed on Pakistani grocery shelves. By the time I moved back to Pakistan a few years later, in my mid-20s, the snack aisles of my childhood had completely transformed. I saw small bags of potato chips with the familiar yellow and red logo everywhere. But these local chips boasted none of the flavors I'd seen in U.S. grocery stores, no Sour Cream and Onion or Salt and Vinegar. Instead, there was Masala, a flavor with a mild hint of red chili. Slightly sweet, slightly sour, and very salty. In my absence, the tastes of my upbringing in Karachi and Texas had merged into something entirely new.
There's something about the humble potato chip that makes it the perfect blank canvas for any type of flavor. And Lay's in particular has done an effective job of customizing its chips for taste buds around the world, offering around 200 flavors—like Crab in Greece, Shrimp and Garlic in Spain, Honey Butter in Indonesia, and Gusto Bacon in Italy. As such, Lay's has a loyal global following—multiple YouTube channels are devoted to trying and reviewing as many flavors as possible. A website called Lay's Around the World documents all the flavors and imagines facetious origin stories for some of the more unique ones out there. ("It was a close call with iceberg lettuce flavor, but ultimately, cucumber won out.") But novelty itself isn't enough to make a chip successful: understanding how people snack matters too.
"It's interesting to me because you really have to think—what would the people in this country find enjoyable on a potato chip," Josh, the guy behind Lay's Around the World, told me. (He's asked us not to share his last name.) Over the years, Josh has eaten more than 60 flavors of Lay's from over a dozen countries. "I find it interesting that an international brand would do the work, trying to make flavors that resonate in the local market, experimenting like that."
There's a thrill in the discovery, in seeing just how far the potato chip can go as a vessel for flavor.
In India, Frito-Lay developed its flavors after months of in-house testing. "For Indian food, a flavor curve has many, many notes, whereas for Western food, it often gets monotonous," Sudhir Nema, then head of food technology at Frito-Lay in India, told the Indian publication Mint in 2009. At its facility in India, an assistant manager for seasonings (another enviable title) was allegedly once put through an entire month of just smelling and tasting spice essences diluted with water in the Frito-Lay's mission to get the right flavors. Around that time, in the mid-to-late 2000s, PepsiCo also aired a series of TV commercials featuring cricketers and Bollywood actors promoting its new Lay's varieties—and adapting the U.S. catchphrase, "Bet you can't eat just one."


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Second and Third Episodes in One
The famous universal Law of Attration reminds us that 'like attracts like', and I think I'm starting to get what that means; not a head understanding, but a real life one. Let me explain:
In my previous post I wrote about my powerful experiences at the Women are Medicine retreat, where great gifts were deposited into me as I stepped out the way, allowing for Soul and Spirit to express through me.
A lot more happened internally for me at the retreat, and much as wanted to, I just didn't have the necessary inner space to dedicate towards any form of conscious integration of it all when I got back home from my time away. I was in a muted daze all day most days.
I think the reason I hadn't been allowed any time to digest the retreat was that there was one or two more shifting experiences I had to go through.
I had been invited to join an Expressive Arts Therapies one day workshop on the Saturday following the WaM retreat. My friend Eleen was hosting it, and had very generously offered me free space on the workshop. This was a second interaction I'd been invited to participate in, fully sponsored. When you're called, and the route is cleared for your journey, well, how do you say no? I didn't. I went to the workshop happily, scheduled on Diwali, a day dedicated to the celebration of the Hindu Festival of Light.
My introvert self gets very nervous in intimate gatherings with strangers, and this was no different. I had arrived late to the workshop due to some uncharacteristic traffic for a Saturday morning on the M3. Fortunately though I had arrived just in time to have to wait a few more minutes for other late comers to arrive.
I walked in to the sunny, shiny wooden-floored hall, found an empty chair in the circle of maybe 12 or 17 women who were chatting with each other, and fiddled with my bag trying to decide where to leave it. Before deciding to drop it next to me, I took out a pen and my journal from it.
For no reason at all I picked the bag up from next to me, put it under my chair, changed my mind about this location, and nervously rummaged through it as if looking for something. Decoy. I took a second pen out of it, and relocated the bag to against the wall behind me.
Seeing this, a more sane part of me very gently sat me back down in my chair, and had me close my eye in meditation.
Fortunately though, Eleen joined the circle before long, and welcomed us to the session.
As part of the check-in, she asked each one to state our intention for being there, and took us through a basic meditation to ground us into the day. We then went around the circle, checking in and stating our intention.
"I am here to reignite a passion that's long been lying dormant. I am here to reclaim myself".
I watch these words leave my mouth, circle the room and land in everyone's ears, including my own, noticing how everyone receives them with encouraging smiles directed at me, conspiratorial though, to my mind, as if they were privy to a me I wasn't yet aware of. I had not planned on saying that, so where did it come from? My plan had been to say something non-commital, with zero higher intention except something like 'I'm just here'. Frankly I didn't think there'd be any more room in me for one more big experience after WaM.
But a deep calm had settled over me once these words had left my mouth, and I had watched myself drop into an inner stillness, a knowing that I'm here not only because I had said yes, but primarily because it had been decided. It had been long decided, and confirmed once I had said yes to being here.
Pay attention Makgathi, this is important.
The workshop itself is filled with play and dance, creativity and lightness. I had expected some heaviness, but soon realized that things don't have to be heavy to be weighty. Pleasure can also be meaningful.
To continue with my story, I need give you some background information that will help you understand what had transpired during the day: when my Canadian friend Shirry was here a few months ago, I had noticed that she was ambidextrous. She had promptly corrected me though, telling me that she was in fact right-handed, but was in the process of teaching herself to write with her left hand. That had inspired me to do the same and reclaim my left hand, since one of the things my mother had told me before she died, was that I had been left handed as a child, but had been "trained" into right handedness by the school system.
It is easy of course to cast blame, of course, but in truth I myself had dedicated most of my life to going against myself. I have perfected the art of self-sabotage, self -betrayal, self-negation. So right now there's no time for blame, only forgiveness and the reclamation of what was lost.
And so it is that I decide to use my left hand for most activities at this workshop. One particular exercise has us dialoging with an image we'd created. To facilitate the dialogue, my right hand picks up one of the pens and writes down questions, essentially emanating from my conscious mind. At the end of the questioning, my left hand picks the pen up and responds from the space of my unconscious, or Higher Self, if you will. I am totally unperturbed by this, as if it is common-place for one's mind to be split up like this, and engage in a perfectly meaningful dialogue with itself.
This continues until a complete conversation has taken place, with the two different consciousnesses having interacted with each other within me. The conversion is comprehensive enough to elucidate some things which I hadn't been able to comprehend before.
Here is a brief extract from the conversation. This one refers specifically to an image I had created which had unsettled me deeply:
Me, Right Hand: "You look quite scary to me. Who are you?"
Higher Self, Left Hand: "I am you. I am all your lifetimes come to transport you to your Real Reality. That's all".
Me, RH: "Who?! What?! All my lifetimes? What do you mean?"
HS, LH: "You have done a lot of work, and that has helped us come through you, to you, to help you come to yourself. You are often afraid. But fear not. All your fear is being burnt away" (the image that had unsettled me depicted a big black charcoal border around it, which I had interpreted as a firebreak, for no apparent reason). "That is why we had to create that firebreak- to burn away, in a controlled space, that which does not serve you any longer. And to protect you. You are safe. We love you and are here to help you. You are ready for your sacred transformation…"
At the end of the workshop we created Pantoums, a form of poetry with repeated verses:
A Path of Passion
sacred transformation:
i am all your lifetimes come to transport you to your Real Reality
opening and joining, mostly playful
soft and hard
opening and joining, playful.
i am here to initiate you into your Sacred Transformation
End of Episode 2
Episode 3 Blood Ties
I leave this workshop feeling inspired, as if the dragon above had ignited some fire in me. I get home to welcome friends to the Diwali party I'd organised, and gorge on an excuisite Indian potluck spread which my fabulous guests had contributed to. My palate is awakened and happy.
The peals of laughter of the many children attending the party explode through every corner of the house, and light, a lot of candle and fairie light creates magical images on walls, in trees, on people's animated faces. Some are cuddling in furry blanketed conversation, whilst others are keeping warm around the wood burning brazier. There is also serious dancing happening in the lounge-come dance floor.
Sunday is a lazy day spent with Michael Franks and beloved friends who stayed over, and we devour left-overs and drink way too much vodka in the sun. The girls are chasing home-made kites in the wind along the lake. Hmmmmm…Love is here.
On Monday morning I defy one hell of a hangover, my craniosacral therapist as well as Plantar Fasciitis and go for a run, and love it so much I keep going for over an hour. I'm sick of being tired all the time, and know that this level of unfitness is just not on. I have to expend energy in order to expand energy.
When I get back from my run I sit at my desk and haul out my big file and books and continue my long neglected research on African Goddesses.
A few days later my soul companion friend Aja introduces me to the Goddess conference conveners in the UK, and secures us an invitation to present at next year's conference. They'd like me to present something on the African Goddess…
Whilst I'm on a roll I go back to gym to have my muscles punished at Pilates, but get my revenge in the gansta ass shaking Groove Dance class. The instructor is so badass that she has us twerking to Rehane and hip hop! I am loving feeling my body ache in the middle of the night, and feel slightly smug as I rub my aching hot thighs down with Tiger Balm. Oh yeah, they're gonna be hot soon! Just to help them along, I do random two hour long runs on the dry sand along Long Beach. I am alive, people! Life is flowing through me. Welcome back, prana. I am so sorry for having neglected you this long…
The Saturday following the arts therapy workshop has me driving to a milkwood forested retreat venue in Noordhoek for an Ancestral Healing session. Claire my psychic friend is running it, and like Eleen and the women at WaM, also tells me I that don't have to pay to participate. Hmmm! I must find a way to give back.
I am ashamed to admit that I'm a little late to the gathering of about 8 women. I don't know why I kept getting lost. But never mind, for Mphepho forgives me and welcomes me at the door, and immediately puts a smile on my face as I walk in. I apologise for my tardiness, and proceed to create a nest for myself in one corner. It's cold, in spite of the fact that it's the beginning of November, technically the second month of spring. But Cape Town couldn't care less. I think that the season change email got deleted before it was even delivered, leaving cold fearing people like me seriously unhappy. Thank heavens for the comfort of thick socks and jerseys and woolen winter hats.
I'm not as nervous here. In fact when I see a little altar laid out on the floor, I get my own sacred items out my bag and arrange them there. I then get my snuff, and call my ancestors in an envocation which I say quietly, on my knees. When I finish I make myself a cup of green tea and return to my nest.
My intention for the session is to be open to receiving the gifts that my ancestors have for me, and to play my part in helping heal my lineage.
The half-day session is filled with shamanic drumming and meditation, and we spend some time on Shamanic Journeying, a process of Travelling within. The first journey is to meet one's totem or power animal. The Native American belief is that we all have a totem animal that can be likened to a guardian angel. The animal is a spirit being, and acts as a guide or protector. Native Americans believe that this spirit guide stays with you for life, and is available to guide you through real life as well as through spiritual challenges.
My belief that we are all One, connected in every single way, points out to me that we too, in African belief system have family spirit animals which are revered and honored as important for the wellbeing of the family or tribe. We share this with many indigenous first peoples around the world.
Also, my grand nephew, at the age of 8, had had an experience which had him tell us "you know, Angels are everywhere. They help people all the time, but people don't even realize it. D'you know that everyone has their own Angel"? I suppose the guardian Angels will appear in whatever form that makes sense to one.
Back at the session, having encountered and or met our individual spirit animal in the first shamanic journey, Claire takes us on a second one, where we are to have a meeting with our ancestors. She starts beating her drum as I make myself comfortable on my makeshift bed. My thick blanket covers my entire body, whilst my eyes are shielded under a thick scarf which I'm using as a blindfold. I shift and shift until I'm comfortable, let out a loud exhale, and beckon my spirit animal, which allows me to mount it, and away we go on our journey.
The spirit animal takes me to my mother, and her mother, and her mother, and so on and on. The fathers also step forward. I'm not always made aware of their stories, except perhaps that their task is to be there for me. They all follow me as I travel on the spirit animal, till we get to an old ancestor who welcomes me. He is an aged great many times grandfather, and his wife is there also. I've met him before in psychic readings. In his lifetime he was a king and respected healer. He tells me to not be afraid of hunger and deprivation; that my fear makes me hoard, which doesn't make space for real abundance.
We find ourselves by a huge roaring fire, with all the ancestors that had joined along the way standing in a circle around it. I am stripped naked, and burnt in the fire. Every part of me is burnt away, until there's not even a shadow of me left. Then I'm rebuilt, slowly, carefully, with the ancestors singing and clapping. I dance along their music in the fire, and the females come forward and wrap a red cloth around my waist, with a leopard skin covering my shoulders. I'm then placed back on the spirit animal, and am ushered back. At the gates, great times many times grandfather tells me: "wait, I have something for you". He gives me fire, and tells me to never let it go out. "Keep it burning. This is your abundance. Your healing. Your medicine".
As I get off the spirit animal, it too gives me a gift…
It's all a lot to metabolise, I know, even for me.
After the session, when I get back to my physical home, I decide to have a fire ceremony on my balcony. I take pictures of the fire (I got this idea from Claire), and incredible creatures and beings emerge in the photographs. Since then I try to have a fire ceremony at least three times a month. The last one I performed was on the recent New Moon. Mama, and Mme, my grandmother, were both there. I'd dreamt of the both of them the night before.
The journey continues, and to say my inner life is changing in remarkable ways would be an understatement. Now I await for my outer reality to match the richness of my inner reality.
Ka lerato


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|8041 S. 180th St
Kent, WA 98032
Showroom Hours
Monday - Friday 9am-3pm
If dyeing is your thing, this project bag is for you!
The logo is from our official dye lab here at Makers' Mercantile and is printed on what looks to be a knitted bag.
Bags are white on the inside.
These bags are machine wash and tumble dry.
Measures approximately 13.5 x 14.5 inches


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A Night Of Philosophy And Ideas 2 Favorite
"A Night of Philosophy and Ideas is a thinker's lollapalooza. The free, 12-hour weekend lyceum at the Brooklyn Public Library includes spirited debate, live music, theater, performance art pieces, and film screenings. At any given hour, five or six different events will be taking place simultaneously. Visitors are encouraged to come and go as the spirit moves them.
With more than 75 participating artists and scholars, merely listing the lineup would take you half the day. Here are a few high points:
New York Times–acclaimed jazz harpist Brandee Younger will kick the night off with a concert in the library's Grand Lobby at 7 p.m.
Starting at 8 p.m. and continuing throughout the night, artist Sherrill Roland will share his experience from within the American prison system as part of the Jumpsuit Project.
French circus collective Compagnie XY will begin performing a series of "mini happenings" and acrobatic stunts at 8:30 p.m., continuing intermittently throughout the night.
Director Claude Lanzmann's nearly nine-and-a-half-hour documentary on the Holocaust, Shoah, is considered to be one of the greatest pieces of art to deal with one of modern history's darkest moments. Understandably, the film is usually shown over multiple sittings, but for those intrepid souls willing to tackle it, a continuous and complete screening begins at 9 p.m.
The breadth of vocalist Theo Bleckmann's range and expression is equaled only by his versatility. Bleckmann has worked with Laurie Anderson and Philip Glass, recorded a set of cabaret classics, and orchestrated a full show of Kate Bush covers. He'll be kicking off the National Sawdust Music Salon in the Dweck Auditorium at 10 p.m.
Author Jack Halberstam is one of the country's leading academics in the field of transgender literature and cultural studies. At 10:30 p.m., Halberstam will present a lecture on trans representation that engages the potential and possibility for an ungendered future.
Journalist and Princeton University scholar Robert Wright, in conjunction with The New York Times philosophy and opinion imprint The Stone, will give a talk on "Better Living Through Buddhism" at 11 p.m.
At midnight, the stars of the NYC Women's March, the 60-plus-member Resistance Revival Chorus, will sing songs of protest and pride.
Festivities and lectures will continue into Sunday until 7 a.m.; check the online schedule for more details on the early morning programming. Food and drinks will be available for purchase on-site but, if you can hold out until 5 a.m., Colson Patisserie will offer a complimentary breakfast of much-needed brain food.
Why You Should Go: This free, half-day-long symposium presents fresh ideas for curiosity seekers of all ages and doubles as a great opportunity to meet interesting, similar-minded people."
Written by John Seroff


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Apr 28, 2022
By Christine Ross
The Ford government budget includes just under $200 billion in spending, most of it earmarked for infrastructure this year and over the next decade that will go toward highways, transit and hospitals.
There's tax relief for lower income workers and families who stand to save an additional $300-dollars-this year on average as a result of changes to the Low-Income Individuals and Families Tax Credit.
There's a new personal income tax credit to help offset the cost of some medical expenses for seniors.
Finance Minister Peter Bethlenfalvy repeated a recent announcement that the Conservatives would spend a further 1.5-billion on home care.
There's more for seniors.
"We're proposing a new Ontario Seniors Care home tax credit to help seniors and their families with home care medical expenses which include attendant care, reading devices and hearing aids, walking aids and this tax credit will build on the seniors home safety tax credit which helps cover the cost for stair lifts, handrails, and other renovations to help make homes safe and accessible," said Minister Bethlenfalvy.
What does the Zoomer Advocacy group CARP-A New Vision Of Aging think?
"That's the one thing in the budget that we're pleased and a step in the direction we've been calling for years and it means there'll be a tax credit for people who have to pay for homecare and that's a beginning to our call for a total elimination on all HST on homecare needs,"CARP's Chief Policy Officer Bill Van Gorder.
The credit will refund up to 25% of eligible expenses up to $6,000 for a maximum credit of $1,500. The program would kick in this tax year and be available to those who turned 70 or older in the tax year, or have a spouse that age, and are Ontario residents at the end of the tax year.
The budget will not pass before the official election campaign begins next Wednesday. That's why the finance minister says the people of Ontario will vote on it.
"Ontario's budget is Premier Ford's vision and our plan to cut through the excuses to act right away on the priorities or our plan and our province, this is our plan and we will get it done," said Bethlenfalvy who the party's campaign slogan "Get it Done" several times.
He refuses to say if the Tories would reintroduce the same blueprint if re-elected, prompting NDP Leader Andrea Horwath to warn voters about a Conservative return to power.
"Doug Ford is going to go back to cutting the minute this election is over if we give him the chance and people are telling me they want the services that have been broken for so long to finally get fixed," said Horwath.
Liberal Leader Steven Del Duca says the budget does not address the priorities of Ontarians.
While the deficit was $13.5 billion in the last fiscal year, it's expected to jump to nearly $20 billion this fiscal before climbing out of the red in 2027-2028.
To learn about advertising opportunities with Zoomer Radio use the link below:


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Home :: Worldwide Delivery :: Rakhi To Canada (Free Shipping) :: Traditional Rakhi to Canada (Free Shipping)
Rakhi, on this special occasion is tied to commemorate the unparalleled bond between the brother and the sister. This fragile thread or the dora or the dhaga as it is called, has always been the traditional style of doing it. Nowadays, as the style of rakhi has entered a new domain of fashion and trend, the values attached to it remain the same forever. Want to get hold of these traditional rakhis to send to Canada, why not log into awesomeji.com. Here, you will find simple, traditional rakhis those are convenient for the people wearing it forever. Yes, you get all this at affordably cheap charges and free shipping rates to Canada as well.
Toronto and Montreal, the festive packed cities, offer its visitors in Canada with the best quality vacation anyone has ever had. Though, the rakhi collections have transformed their designs, styles and colors, the value of the traditional ones remains intact for sure. We have a wide range of traditional rakhi in store for you to take the right pick from our website, awesomeji.com. Send these rakhis to Canada as you enjoy reasonably cheap prices and free shipping too. Grab this opportunity, now!


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Mystic Labs™ trifecta products combine the benefits of Kratom, Delta 8 and CBD into flavorful and easy-to-use products. Our trifecta selection includes tasty, bite-sized gummies. We formulate, manufacture and package all our trifecta products in-house at our FDA-registered facility in Tampa, Florida.
Trifecta Products FAQ
What are trifecta products?
Mystic Labs trifecta products feature our specially formulated blend of Kratom, Delta 8 and CBD. Available in tasty, bite-sized edibles, our trifecta products deliver the all-in-one benefits of these three compounds in easy-to-use varieties.
What is Kratom?
Kratom is an herbal extract derived from the leaves of a tropical tree known as Mitragyna speciosa. It is understood that Kratom has distinct effects at different serving sizes. In smaller quantities, Kratom may offer simulating effects and provide energy. In a higher dose, Kratom may make you feel tired and help you fall asleep.
What is Delta 8?
Delta 8 THC is one of the many potent cannabinoids found in cannabis plants. You may be familiar with Delta 9 THC, the cannabinoid commonly found in marijuana that causes a "high." Delta 8 THC is similar but has much milder effects and is federally legal. Delta 8 may improve your relaxation and comfort.
What is CBD?
CBD is a prevalent cannabinoid found in Hemp. This cannabinoid is non-psychoactive and known for the calming and relaxing effects it has to offer.
Are trifecta products safe?
Yes, Mystic Labs trifecta products are safe to use. We complete thorough in-process checks of our trifecta products to ensure they meet our quality and safety standards. To certify our product's potency, purity and safety, we partner with an independent third-party laboratory. We publish the verified results on our website for you to access. Please consult with a physician before using if you are unsure if our trifecta products are right for you.
Are Mystic Labs trifecta products legal?
Yes, our trifecta products are legal to sell, buy and use. Our trifecta gummies are made with high-quality ingredients that are legally extracted.
Will trifecta products get me high?
Taking Mystic Labs trifecta products may cause you to experience feelings related to a "high." Overall, you may feel a greater sense of relaxation when using our trifecta gummies.
How are trifecta products made?
Mystic Labs trifecta products are made in the United States at our state-of-the-art, FDA-registered facility in Tampa, Florida. We implement current Good Manufacturing Practices and standard operating procedures to manufacture our trifecta products. From sourcing raw ingredients to packaging and shipping out your orders, we complete every step of our manufacturing process in-house.
How old do I have to be to purchase Mystic Labs trifecta products?
You must be 21 years or older to purchase or use Mystic Labs trifecta products.


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NORTHERN LIGHTS, UKAHALA—Want to catch up on what happened last week in RFCP? Read on for this week's installment of Sunday Fun-Day, brought to you for his first time ever by Senior Reporter Arne!
Welcome to Sunday Fun-Day, hosted by Gen. Microwaveable Ham—wait, what? She's not available? Oh, well. I guess that means that I, Field Marshal Arne, will taking over this week!
Weekly Recap
The Recon Federation of Club Penguin (RFCP) started out their week by having another fun Minecraft Monday event. Special thanks to Sgt. Bruh/Rose's multiplayer server! Early Wednesday morning, we had a fun time playing some Find Four with RFCP's AUSIA division, the Navy. Friday afternoon, we dressed up as cows and paraded across Club Penguin Rewritten. Hopefully it wasn't the start of another cow takeover!
Puzzles and Riddles
1. Why are penguins such good hotel managers?
2. Why couldn't the penguin catch a break?
Answers revealed after reporter signature
A Very Special Announcement
Saturday night the RFCP finally got to witness the official unveiling of the officer's surprise, spearheaded by yours truly. The surprise was the reveal and confirmation of the official RFCP Trading Cards! Officers teased the unveiling a whole week, so it was a relief and a lot of fun to finally get the news out there. There will be two sets, trading cards designed by Field Marshal Randomplayer10, and an action card set designed by me (Arne). Both sets will be seeing both physical and virtual releases very soon (thanks, Commander Prior, for providing the physical option). We will have a more in-depth blog post covering the trading cards soon as there will be an accompanying game with fun rules to go over!
A Pokemon Takeover, Yellow Lemons, and Josh Fights Josh?!
A lot happened within the server this week. Lemons took over for a bit, thanks to Gen. MicroHam and Gen. Anilia's shenanigans. Everyone changed their nicknames, profile pictures, and role colors to yellow on the 17th after the two kept spamming "LEMON" and lemon emojis in the server.
On Wednesday the 21st, to RandomPlayer10's request, the server got taken over by Pokémon! Roles and nicknames were changed, and we're actually still stuck in it as of now.
Send help.
Lastly, our beloved retired Field Marshal JoshAfter found himself in the middle of a fight for the right to keep his name, as the Joshes of the United States of America had a massive battle in Nebraska. After a years-old meme reached its date, the Joshes battled to see who was the definitive Josh and the one worthy of keeping his name.
A 4 year old kid won in the end, so our poor Joshafter will probably be forced to undergo a name change soon…
Meme of the Week
Thanks for reading this week's installment of Sunday Fun-Day! There will be a meeting to plan events at 8 PM EST, so make sure to be there!
Riddle Answers
1- Because they sure love their Pengu-Inns!
2- Because his flippers were too slippery.
Filed under: Sunday Paper


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Westside Costa Mesa
The Westside of Costa Mesa was one of the first areas in Costa Mesa to see development. With convenient access to Fairview Park and Canyon Park as well as beaches and trails, this area is made up of a diverse population as well as living space.
The area encompasses 2.8 sq miles with Fairview Park bordering the north, the Santa Ana river to the west, Harbor Boulevard and Superior to the east, and the City of Newport Beach to the south.
The Westside Implementation Plan was adopted by the city in 2005 in order to revitalize the area and stimulate improvement.
It encourages the building of mixed-use urban villages as well as the integration of multiple land use designations, such as, commercial, light industrial, high density residential, etc. This allows for the area to continue to grow with it's industrial roots and become a thriving hub of what is considered to be an artistic and economic growth community.
Today you can find some of the areas most unique restaurants, art studios and small businesses. It is a great place to invest as the community goes through gentrification.
Westside Costa Mesa Properties
Find a Home in Westside Costa Mesa
More Neighborhoods
- Balboa Peninsula Point
- Costa Mesa
- Eastside Costa Mesa
- Huntington Beach
- Mesa Del Mar, Costa Mesa
- Westside Costa Mesa
- Corona del Mar
- Newport Beach
- Aliso Viejo
- Anaheim
- Anaheim Hills
- Fountain Valley
- Garden Grove
- Irvine
- Laguna Beach
- Lake Forest
- Mission Viejo
- Orange
- Rancho Santa Margarita
- Santa Ana
- Tustin
- Westminster


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Spirit Week 2021 is in the books! This is our fourth year celebrating our culture at Freeosk.
It started with a group of Freeoskers that wanted to bring the magic of what they remembered from high school pep rallies to life at Freeosk. Over the years it has evolved into a great way to celebrate our culture and all of our Freeoskers!
This week is great opportunity to talk about how we work – how our culture values really guide us and contribute to our High Performance Culture.
We kicked off the week with a Sample Box and had some fun brainstorming new Freeosk programs. We gave away some great prizes – hello Ember Mugs, Atoms and PTO Days! We recognized Freeoskers who bring our values to life. And had a virtual lunch to catch up with our fellow Freeoskers and wrapped up the week with a super fun Virtual Summer Party (see more here).
It was a wonderful week bringing our values to life: Enduring Partner, Builder, Problem Solver, Optimistic, Fearless, and Authenticity!


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Building culture education begins with children
German psychologist and education expert Rikelf Rambow states: "Architecture is never just a house; it is the built expression of the cultural values of a society. In the best of cases, it can have tremendous impacts on the shaping of identity and stimulate an active interest in the fundamental questions of molding how we live." Architecture is a reflection of society. It shows us how much value we attribute to living, to work space and educational buildings, to public space, and to traffic routes. And exactly these values and the malleability of our living environment are what young people need to learn about.
Architectural evaluation is not always dependent upon a knowledge base, it often happens subconsciously. This is why ORTE not only takes the education of young people to heart, but also aims to heighten their awareness. The ORTE association strives to use unmistakable language in its educational work, language that approaches the actual building culture experience. ORTE would like to be an echo space for children and youths, a space in which they can make their living environments – whether this be the city, school, their own room, etc. – visible and learn to help shape them. They can research about a place of their choice or "let it tell its story", paint it in a picture, ascribe an atmosphere to it, or design for a new future – and then can reflect upon all of this together with architecture educators.
But it is not always necessary to have special events just for young people. Many events in the ORTE program are suitable for children and youths, for example, the WALKtalks (GEHspräche). Bring your children with you to any ORTE event marked with the family-friendly symbol!
The nationwide ">technology moves< week allows students to take a closer look at technical and planning careers each year in November. Teachers in Lower Austrian schools can book 100-minute workshops with ORTE for the 8th and 9th grades on the following career areas:
This game helps children learn about the framework conditions and regulations of urban planning and lets them find solutions to a concrete planning task while playing different roles. Not only are urban development processes simulated, the intensions of the responsible parties are also made transparent and empathy for the impacted parties is awakened.


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Tiny Furniture
Scott Hardie: "It ruled."
This slice-of-life portrait of today's lollygagging whippersnappers is as witty and perceptive as its reputation. I haven't seen Girls but I can imagine how Lena Dunham's style would translate well to a television series. I liked its shapelessness and dullness, but I can see why other people didn't.
− January 18, 2013 more by Scott log in or create an account to reply
Want to join the discussion? Log in or create an account to reply.
write your own review of Tiny Furniture


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Proposition 13 Property Tax Issues
Proposition 13 Property Tax Issues: Property tax issues often arise in California due to (i) comparatively high real estate values, and (ii) the complexities of the 1978 Proposition 13 property tax law. Increased real estate valuations and property tax increases, often arise because of changes-in-ownership ("CIO"). Palm Desert property tax lawyers Sanger & Molever can help avoid a CIO. CIO's and increased property taxes often arise where a death occurs and estates/trusts are involved, and (a) where the ownership of interests in entities (like partnerships, LLC's, corporations) that own real estate, transfer.
To hopefully avoid a possible CIO and increased property taxes, you need to consult Sanger & Molever to make a careful analysis of how you hold legal title to your real property. The firm's pre-death and post-death trust/probate administration planning, and careful analysis of transfers of interests in entities, can possibly help you avoid a CIO, and make the difference between a huge property tax increase, and no tax increase.
Example: Legal title to Blackacre stands in the name of "X and Y, as 50-50 tenants-in-common". Blackacre's assessed value for property tax purposes is $200, and the annual property tax is $2. Blackacre's current FMV is $2,000,000. If you purchase X's 50% TIC interest, instead of you paying $1 (i.e. 50% of the current $200 appraised value) of annual property tax, you will have to pay 1% of $1,000,000 (i.e. half of the $2,000,000 FMV), or a $10,000 annual property tax. With Sanger & Molever's guidance, were you to convert X&Y's TIC title to a partnership title, and then you purchased X's 50% partnership interest, your property tax would remain unchanged at $1 annually. Revenue &Taxation Code §64.
To further complicate the analysis, when the real estate is owned in an entity such as a corporation, partnership, or limited liability company, the Palm Desert property tax lawyers Sanger & Molever firm must educate you about the issue of control of the entity. In addition, often the entity itself is held within a trust, and that fact can require even more Sanger & Molever firm analysis of the facts and the law. If you own real estate in a partnership, in an LLC, or in a corporation, to hopefully avoid a CIO and a huge increase in property taxes, call Sanger & Molever, to discuss the entity CIO rules.
An improper analysis or an incorrect filing with the Board of Equalization can cause severe consequences for the taxpayer. Traps for the unwary abound in the area of property taxes and CIO's, often with significant amounts of tax at stake. Look for experience. Contact either Howard Sanger or Jeff Molever, who have had direct experience with complex property tax issues.


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NOTE: The following giveaway is open to Canadians only.
What can I say about President's Choice that I haven't already said? Yes, I love the brand, yada, yada, yada. No, you'll never catch me shopping at a grocery store that doesn't carry PC products, yada, yada, yada.
I know and you know – and I know that you know – I am obsessed with President's Choice.
But what is it that keeps me coming back for more? Simply put, I am constantly amazed by their innovative products, delicious recipes and affordable luxuries. Frequently, I find myself shunning popular brand-name items in favour of PC's offerings, and, coming from someone who was raised to only buy the highest quality, that says a lot about my confidence in the company.
PC ketchup. PC chicken wings. Even PC lawn chairs! If they make it, I'll buy it.
(Though I may draw the line at PC condoms. Dear Mr. Weston: Please do not make PC condoms; I don't want to be confronted with having to make that choice.)
Anyhoo, if you've got a serious snacking addiction like moi, you may want to stop reading here. Because I'm absolutely certain of one thing: You will LOVE all of the following products in a mildly obsessive manner. Even though I received the goodies as part of a press drop two weeks ago, I've already replaced most of them at our last grocery run. (The Honey Chipotle Almonds I've replaced twice. My hips just sighed in defeat.)
Snack on, friends, snack on! And… read on for an amazing giveaway!
Decadent Chocolate Chip Bars: All the goodness of your fave PC cookie – in bar form – and peanut free! Plus, they're perfectly portioned for little hands and tummies. I must admit I didn't bother reading the package and just tore into these, thinking they were granola bars and hence, acceptable for breakfast. It was on the third morning that I realized I was actually eating a dessert bar. #oops #mybad
On the bright side: Best "granola" bar ever!
PC Pita Crackers (Black Olive and Feta): This one will take serious snackers over the edge. But don't trust me – trust my very picky two-year-old! It's true: Reid pretty much polished off a package himself. Savory pita bites that are perfect for dipping, topping or enjoying on their own.
PC Kettle Cooked Almonds (Honey Chipotle): If the pita crackers take serious snackers over the edge, these kettle cooked almonds will make you combust. Exceptionally crunchy almonds irresistibly flavoured with honey and chipotle? Heck ya.
PC Black Label Porcini Mushroom Glaze: Three quick instructions:
1. Boil new potatoes in salted water until they are fork-tender; drain and cut in half.
2. Fire up a large skillet with a thin layer of light olive oil; fry potatoes cut-side down until they are brown and crispy.
3. Remove from pan, transfer to large bowl, and toss with about 1 tablespoon (or to taste) of PC Black Label Porcini Mushroom Glaze. Et voila – the perfect accompaniment for roasted chicken or steak. YUM.
PC White Cheddar and Jalapeno Dipping Sauce: Tangy and cheesy with a hint of heat.
Tons of more delicious snacking options can be found at www.presidentschoice.ca.
But be forewarned: Once you start, you may need an intervention to stop. (Typed as I dust Honey Chipotle dust from my fingers. Send help. And maybe refreshments.)
WIN IT! <<– One lucky Listen to Lena reader will win a $100 President's Choice gift card! To enter, simply fill the form below with your qualifying entries. Good luck!


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Listings in Springfield, MA
Personals listings for singles, couples and groups looking for casual sex within 60 miles of Springfield, MA.
Sample searches: w4m w4w m4w m4m mw4m mw4w mw4mw w4mw m4mw m4ww w4ww mm4w ww4m ww4w mm4m ww4m
Currently active filters:
Local Area: Springfield, MAX
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A few alternate sites some of us recommend...
- SwingLifestyle - Probably the largest/most widely populated and active swinger community.
- Kasidie - Large swinger community. A younger crowd (in most areas) - relatively well populated in major metro areas and the west coast.
- SDC - Most popular swinger community outside the United States
Those of you who are single guys and paying enough attention to read this... If you haven't looked into/heard of the "hotwife" lifestyle, you probably should. Swinger community sites are a great place to look for people into the hotwife lifestyle. Final tip: Fill out your profile (paid profiles go a long way with this approach), upload decent photos and approach the hotwife/couples in a respectful and well presented manner.


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A study of the scintillation photo-multiplier for nuclear particle counting
AuthorKoerner, Henry, 1926-
Issue Date1952
KeywordsScintillation counters.
MetadataShow full item record
PublisherThe University of Arizona.
RightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Thesis-Reproduction (electronic)


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Who Needs Long-Term Care?
In life, public services and private services are always going to be necessary. There will always be people looking for help – and there will be those who will be there for them at every beck and call. Whether we're talking about professional help or family/friends doing their bit, caring for others will always be a part of life.
There are many different methods of care. Here we're going to go into a little detail regarding long-term care and who will need it.
What Is Long-Term Care?
Long-term care is simple around the caregiving of one to another for an extended period due to one reason or another. It involves a variety of services designed to meet a person's health or personal needs. These services will help a person live as independently as they can and as safely as they can while they can no longer function every day as they once did.
While it's typically done by unpaid family members and friends, it also takes place in nursing homes and care centers. It all depends on the particular individual's needs. See https://catholiccarecenter.org/long-term-care/
for an example of a paid, in-facility long-term care service.
Who Typically Needs Long-Term Care?
Long-term care is not exclusive one a particular kind of person. Anyone can fall into the category as long as they're in need of genuine help for a sustained period. We can narrow down the kinds of individuals, however, based on their lifestyle and other particular facets of their life.
For instance, age comes into play – people will likely be candidates for long-term care as they get older. They'll function differently and will need a lot of help. Statistically, women will acquire long-term care a lot more often due to the fact that they live longer than men.
Single people are more likely to need and receive paid long-term care than married, engaged, or those in an exclusive relationship.
Those who have a pretty poor lifestyle will likely need care. Those with, for example, exercise habits and diet habits will have an increased chance are needing help. You also have to look at the history of one's health and their family tree.
What Assessments Are Necessary Before Long-Term Care Happens?
Mental Capacity Assessment
This is completed by a health or social care professional first, and then by a multidisciplinary team. It's important and needs to be done by someone who is well-versed in the Mental Capacity Act.
The local authority will take a look at this. It is done after it has been clearly shown, through a continuing healthcare assessment, that your relative does not qualify for full NHS funding. It's important as it helps to determine whether the local authority should pick up the bill.
Plenty of different professionals, such as health and social care professionals, hospital teams, mental teams, and lots of others, will go through risk assessments. They are used to build an idea of care needs and risks that they may face.
Social Care Report
Someone from the local authority of social services will take a look at this. They'll ensure that all needs are properly recorded and that suitable care is put in place from start to finish.
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Boonchoo Chawana (Thailand)
Boonchoo Chawana (Thailand): Waterlilies (SLR dated verso 2000),
oil on canvas, 60cm x 76cm
asart unconditionally guarantees that all of our artworks are by the artist as described and 100% genuine
Please note: Prices exclude taxes/duties that may be applicable on purchase/importation and are subject to change without notice
Get in contact now and request more information about Asian artist Boonchoo Chawana's works.
Boonchoo Chawana is an elder statesman of Thai realist art. He originally worked by copying photographs onto canvas and them became more interested in the actual colour, texture and emotion of what he was looking at, that photography just didn't seem to capture.
Chawana's works seldom appear on the market and are characterised by a strong romantic element that pervades his detailed work of Thai flora. There is a movement from within the canvas from hyper-realism of say a lotus flower to the more abstract and hinted at surrounding foliage or landscape.
All of Chawana's works capture the beauty of nature and all are highly competent and original.
More artworks from our Asian art collection
Discover our Western art collection
View our Aboriginal art collection
Receive updates about our artworks in your email
Read our latest art news


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Dana Zzyym Interviewed on Radiolab
Our Associate Director Dana Zzyym shares their incredible journey toward wholeness as a non-binary intersex person and activist on WNYC Studio's Radiolab. Radiolab has won Peabody Awards, a National Academies Communication Award "for their investigative use of radio to make science accessible to broad audiences." Zzyym reveals how harmful the nonconsensual treatments they received as…Read More
New Podcast Intersex Gets Legit, with Sara Kelly Keenan!
It's up! We are so happy to announce our new podcast Intersex Gets Legit, featuring a conversation (39 minutes) between intersex activist and third gender recognition pioneer Sara Kelly Keenan and our founding director Hida Viloria. "At a time when things look dark federally, wonderful flowers are blooming in the progressive states, and the germination…Read More


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Hyunsuk Versus Jihoon: TREASURE's Haruto Had A Sure Answer When Choosing Which Leader To Save If Both Were Drowning
Sometimes the simplest of questions bring out the most interesting answers!
K-Pop news writer Jeff Benjamin recently attended TREASURE's "JIKJIN" online press conference where he shared some key moments with fans. One memorable part was when Haruto was asked whom he'd save if co-leaders Jihoon and Hyunsuk were both drowning.
Though he'd rather save both, he didn't hesitate to choose Hyunsuk when pushed.
I'll go in the water and rescue both [but] if I'm forced to answer, I'll say Hyunsuk because he's right next to me.
— Haruto
Besides being "pressured" by Hyunsuk's close proximity, Haruto also wanted to thank the older member for helping him write lyrics this comeback season. They are credited together in several songs from The Second Step: Chapter One including "U," "Darari," "It's Okay," and the title track "JIKJIN."
Jihoon is very good to me and helpful when writing raps, but Hyunsuk was more helpful to me when writing the raps this time.
— Haruto
Whether it's music or anything in life, he's thankful for Hyunsuk's constant guidance.
When we're doing rap making, he will help. If I'm a bad position, he'll help me out.
— Haruto
Of course, Haruto still loves the other co-leader and he ended with the caveat that "Jihoon will do the same" when it comes to always being supportive.
TREASURE made their comeback on February 15 after a year of hiatus with their song "JIKJIN." Check out the music video below if you haven't yet!
TREASURE To Hold "2023 TREASURE CONCERT [REBOOT] IN SEOUL" Concert In December
The Last Time TREASURE's Asahi Cried? Even His Members Weren't Sure Of The Answer
TREASURE To Drop Japanese Versions Of "BONA BONA" And "MOVE"
5 Times TREASURE's Hyunsuk Was Successfully "Adopted" By One Of The Top Football Teams In Korea


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CAPS indicates Clinician-Administered PTSD Scale; EMDR, eye movement desensitization and reprocessing; MINI-Plus, Mini-International Neuropsychiatric Interview–Plus; PE, prolonged exposure; PTSD, posttraumatic stress disorder; TSQ, Trauma Screening Questionnaire; and WL, waiting list.
The intent-to-treat sample comprised 155 participants at baseline, 130 participants at posttreatment, and 128 participants at the 6-month follow-up. CAPS indicates Clinician-Administered PTSD Scale; EMDR, eye movement desensitization and reprocessing; PE, prolonged exposure; PSS-SR, Posttraumatic Stress Symptom Scale Self-Report; PTCI, Posttraumatic Cognitions Inventory; and WL, waiting list.
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van den Berg DPG, de Bont PAJM, van der Vleugel BM, et al. Prolonged Exposure vs Eye Movement Desensitization and Reprocessing vs Waiting List for Posttraumatic Stress Disorder in Patients With a Psychotic Disorder: A Randomized Clinical Trial. JAMA Psychiatry. 2015;72(3):259–267. doi:10.1001/jamapsychiatry.2014.2637
© 2023
The efficacy of posttraumatic stress disorder (PTSD) treatments in psychosis has not been examined in a randomized clinical trial to our knowledge. Psychosis is an exclusion criterion in most PTSD trials.
To examine the efficacy and safety of prolonged exposure (PE) therapy and eye movement desensitization and reprocessing (EMDR) therapy in patients with psychotic disorders and comorbid PTSD.
Design, Setting, and Participants
A single-blind randomized clinical trial with 3 arms (N = 155), including PE therapy, EMDR therapy, and waiting list (WL) of 13 outpatient mental health services among patients with a lifetime psychotic disorder and current chronic PTSD. Baseline, posttreatment, and 6-month follow-up assessments were made.
Participants were randomized to receive 8 weekly 90-minute sessions of PE (n = 53), EMDR (n = 55), or WL (n = 47). Standard protocols were used, and treatment was not preceded by stabilizing psychotherapeutic interventions.
Main Outcomes and Measures
Clinician-rated severity of PTSD symptoms, PTSD diagnosis, and full remission (on the Clinician-Administered PTSD Scale) were primary outcomes. Self-reported PTSD symptoms and posttraumatic cognitions were secondary outcomes.
Data were analyzed as intent to treat with linear mixed models and generalized estimating equations. Participants in the PE and EMDR conditions showed a greater reduction of PTSD symptoms than those in the WL condition. Between-group effect sizes were 0.78 (P < .001) in PE and 0.65 (P = .001) in EMDR. Participants in the PE condition (56.6%; odds ratio [OR], 3.41; P = .006) or the EMDR condition (60.0%; OR, 3.92; P < .001) were significantly more likely to achieve loss of diagnosis during treatment than those in the WL condition (27.7%). Participants in the PE condition (28.3%; OR, 5.79; P = .01), but not those in the EMDR condition (16.4%; OR, 2.87; P = .10), were more likely to gain full remission than those in the WL condition (6.4%). Treatment effects were maintained at the 6-month follow-up in PE and EMDR. Similar results were obtained regarding secondary outcomes. There were no differences in severe adverse events between conditions (2 in PE, 1 in EMDR, and 4 in WL). The PE therapy and EMDR therapy showed no difference in any of the outcomes and no difference in participant dropout (24.5% in PE and 20.0% in EMDR, P = .57).
Conclusions and Relevance
Standard PE and EMDR protocols are effective, safe, and feasible in patients with PTSD and severe psychotic disorders, including current symptoms. A priori exclusion of individuals with psychosis from evidence-based PTSD treatments may not be justifiable.
Trial Registration
isrctn.com Identifier: ISRCTN79584912
In a meta-analysis1 with 20 studies, the prevalence of posttraumatic stress disorder (PTSD) in psychosis was estimated to be 12.4% (95% CI, 4.0%-20.8%). The presence of comorbid PTSD is associated with poorer social functioning and more severe psychiatric symptoms.2-4 There is strong empirical support for the efficacy of prolonged exposure (PE) therapy and eye movement desensitization and reprocessing (EMDR) therapy in treating PTSD.5,6 These treatments are recommended as first-choice therapy in PTSD guidelines worldwide.7,8 However, clinicians seem reluctant to treat PTSD in individuals with psychosis.9,10 Patients with psychotic disorders have been excluded from randomized clinical trials,11-13 and psychosis is the most frequently applied exclusion criterion.14 Nevertheless, evidence suggests that trauma-focused treatments can be effective in this patient population. A randomized clinical trial tested an evidence-based intervention for PTSD (cognitive restructuring)15 in patients with severe mental illness and found modest results.16 However, only 16% of the participants had schizophrenia or schizoaffective disorder. Two small open pilot studies (in PE17 and EMDR18) and a controlled case series study19 (PE and EMDR) found large effects on PTSD and no adverse events. Overall, robust evidence for the efficacy and safety of PE and EMDR in patients with psychosis is lacking.
This study aimed to examine the efficacy and safety of PE and EMDR in reducing PTSD compared with a waiting list (WL) condition in individuals with psychotic disorders receiving treatment as usual for psychosis. To enhance clinical relevance, the trial was designed with features that mimic clinical practice.20 A representative sample was acquired by applying a minimum of exclusion criteria. The study was conducted in 13 outpatient mental health services and used basic treatment protocols delivered by therapists with different levels of expertise in the target treatments. During the trial, non–trauma-focused cotherapies were allowed. We hypothesized that PE and EMDR compared with WL would both be effective and safe. In comparing PE and EMDR head-to-head, we expected no statistical differences due to insufficient statistical power to detect small effect sizes.
The trial design was approved by the medical ethics committee of the VU University Medical Center and was registered at isrctn.com (ISRCTN79584912). Participants gave written informed consent before enrollment. Full details of the study methods and selection of participants are published elsewhere.21 This study is a single-blind randomized clinical trial with 3 arms, including PE therapy, EMDR therapy, and WL. With a medium effect size between conditions, a power of 0.80, and an α level of .05, we needed 159 participants.
The participants were recruited in 13 Dutch comparable outpatient services for patients with severe mental illnesses. Inclusion criteria were (1) age 18 to 65 years, (2) a lifetime diagnosis of a psychotic disorder or mood disorder with psychotic features according to the Mini-International Neuropsychiatric Interview–Plus,22,23 and (3) satisfaction of the full DSM-IV-TR24 diagnostic criteria for chronic PTSD on the Clinician-Administered PTSD Scale (CAPS).25,26 The PTSD severity was rated over the last week, and symptoms were considered present when they occurred at least once a week (frequency ≥2).
Exclusion criteria were (1) an extremely high acute suicide risk, operationalized as meeting all 3 of the following criteria (current high suicidality score on the Mini-International Neuropsychiatric Interview–Plus, a serious suicide attempt within the past 6 months, and a depression score of ≥35 on the Beck Depression Inventory–II27,28); (2) changes in antipsychotic or antidepressant medication regimen within 2 months before the assessment (to control for medication effects on PTSD symptoms); (3) insufficient competence in the Dutch language; (4) severe intellectual impairment, defined as an estimated IQ of 70 or less (mental retardation); (5) not being able to travel (or be accompanied) to the outpatient service; and (6) current involuntary admission in a closed ward. The presence of current psychotic symptoms was not an exclusion criterion.
Assessors were blinded to treatment allocation. The 2-way mixed single-measures (consistency) intraclass correlation coefficient for CAPS severity among all assessors over 20 randomly selected cases was 0.81.
Assessors and therapists emphasized the importance of blinding to the participants and repeatedly reminded them not to reveal the randomized treatment condition. Assessors avoided contact with the therapists and other caregivers. With these procedures, 27 incidents of unblinding occurred (11 in PE, 11 in EMDR, and 5 in WL). In case of unblinding, another assessor repeated the entire measurement.
The primary outcome measure was the CAPS,25 which provides a symptom severity score and assesses the presence of a PTSD diagnosis. Full remission (CAPS total score, <20)26 was also evaluated. The CAPS was administered once over a maximum of 3 index traumas that were most strongly related to PTSD symptom severity. Traumatic psychotic experiences (eg, being physically secluded or restrained in a psychiatric hospital) were accepted as criterion A traumas when these events met DSM-IV-TR A1 and A2 criteria.
Secondary outcome measures were the Posttraumatic Stress Symptom Scale Self-Report (PSS-SR),29 which assesses self-reported frequency of PTSD symptoms, and the Posttraumatic Cognitions Inventory (PTCI),30 which measures trauma-related cognitive distortions. All outcome measures were assessed at baseline, posttreatment, and the 6-month follow-up. Demographic characteristics were recorded at baseline.
Recruitment took place from September 2011 through April 2013 and involved a 3-stage process (Figure 1). First, patients were screened for PTSD with the Trauma Screening Questionnaire.21,31 Patients demonstrating a high risk of PTSD (Trauma Screening Questionnaire score ≥6) were invited for an inclusion interview. Second, patients were assessed using the CAPS, Mini-International Neuropsychiatric Interview–Plus, and Beck Depression Inventory–II to determine inclusion criteria. Third, eligible patients signed informed consent and completed the baseline assessment.
Patients could also be referred for an inclusion interview (stage 2). An independent randomization bureau randomized the treatment condition using stratified randomization blocks per therapist with equal strata sizes. Therapists confirmed the treatment assignment in writing. Data were stored at the study coordination center.
Early completion was allowed when the PSS-SR scores were 10 or less on 2 consecutive occasions and the Subjective Units of Distress Scale score of all memories in the treatment plan was zero. To this end, the PSS-SR was administered before every session in the PE and EMDR conditions. After the 6-month follow-up assessment, participants in the WL condition were offered their treatment of choice. All participants received a financial compensation of €25 (US $31) for each assessment.
All participants in the trial received comparable treatment as usual for psychosis delivered by multidisciplinary assertive outreach teams, with care usually consisting of antipsychotic medication and treatment and/or supportive counseling by psychologists, caseworkers, nurses, or psychiatrists. In the WL condition, participants were seen once by a study therapist and informed about the PTSD diagnosis and further course of the study. Also, an appointment was made for the start of their treatment of choice after the 6-month follow-up period.
Both the PE and EMDR therapy were delivered in 8 weekly 90-minute sessions within a 10-week time frame. We did not aim to provide full therapy but rather to test an effective dosage of therapy that falls within the ranges in which PE and EMDR have been found to be effective,32,33 also in this population.18 In both conditions, the therapist and participant developed a standardized case conceptualization in the first session, which consisted of a hierarchy of relevant traumatic experiences. The PE therapy was conducted based on the protocol by Foa et al,34 and imaginal exposure was used in sessions 2 through 8. Each session was audio recorded. Participants listened to these recordings 5 times per week. In sessions 3 through 8, in vivo exposure (based on a list of avoided trauma-related stimuli) was added. The EMDR was conducted according to the standard 8-phase protocol by Shapiro35 using the Dutch translation of the EMDR protocol.36 Eye movements were applied as the dual-attention stimulus. In sessions 2 through 8, memories were processed.35
The therapists were 19 clinical psychologists and 1 psychiatrist. Of these, 2 were already trained (a minimum of 4 days) in PE and 4 in EMDR. All other therapists received 4-day training in both PE and EMDR and treated at least 2 supervised cases per treatment during training. All therapists delivered both treatments.
Non–trauma-focused therapies were allowed. However, participants and caregivers were instructed not to start any other form of trauma-focused treatment (eg, PE, EMDR, cognitive therapy, or imagery rescripting), to keep medications unchanged, and to report any adverse events or deviations from standard care. After treatment and at the 6-month follow-up, patient files were reviewed to check whether trauma-focused treatments had taken place and if there had been any changes in the prescribed medications, as well as for any deviations from standard care.
Four hours of group supervision (group size, 6-8) were provided each month by experts in the target treatments (2 hours by A.Van M. in PE and 2 hours by C.de R. or A.de J. in EMDR). Additional supervision by telephone or e-mail was provided on request. All treatment sessions were videotaped; of these sessions, 10% were randomly selected and rated by trained raters who were blinded to treatment outcome. Raters determined therapist competence and adherence to the treatment protocols. Adherence to protocols was rated as good or excellent in 91.2% of PE sessions and 97.1% of EMDR sessions. In PE, no essential elements of EMDR were detected and vice versa. Almost all (96.9%) of the performances of the therapists were rated as competent. Treatment alliance of therapists to PE and EMDR did not differ (t18 = 0.000, P > .99). In PE, participants completed 84.4% of the imaginal exposure and 85.6% of the in vivo exposure homework assignments.
Analyses were conducted with statistical software (SPSS 20; IBM SPSS). The 2 treatment conditions were compared with WL (PE vs WL and EMDR vs WL) and head-to-head (PE vs EMDR) on all outcomes. Continuous variables were analyzed on an intent-to-treat basis with linear mixed models (LMMs). Baseline scores were included as covariates, time as a categorical variable, and treatment condition as a fixed effect. The intercept was treated as a random effect.
Dichotomous outcomes were analyzed with logistic generalized estimating equation analyses with exchangeable correlation structure. A generalized estimating equation analysis is reported to be a significantly better estimator of effects in dichotomous outcomes than a LMM.37 Effects were computed for posttreatment and 6-month follow-up using interaction effects. Analyses of completers and intent-to-treat analyses with last observation carried forward (with missing data on loss of diagnosis conservatively replaced with a negative value [ie, no loss of diagnosis]) were performed to test the robustness of the findings. Between-group effect sizes (PE vs WL and EMDR vs WL) were computed according to Cohen d38 using estimated data from the LMM procedure. Baseline differences in demographic and clinical characteristics were analyzed using χ2 test, t test, and analysis of variance. The number needed to treat was calculated to determine the number of participants who needed to be treated to make one more patient lose diagnosis or achieve full remission compared with the control condition.39
Figure 1 shows the participant flow through the study. In total, 440 inclusion interviews were conducted, and 155 participants were randomized. Table 1 lists the baseline demographic and clinical characteristics. The participants are characterized by severe posttraumatic, psychotic, and depressive symptoms and represent a group with chronic severe mental illness. Most participants experienced multiple childhood traumas: 38.1% had multiple incidents of childhood sexual abuse (at age, ≤12 years). Only 5.2% experienced a single trauma type in adulthood. At baseline, there were no significant differences between the groups in any of the demographic or clinical characteristics.
Observed mean CAPS total scores are shown in Figure 2. Table 2 lists estimated marginal means produced by the LMM procedure, pre-post effect sizes, and LMM outcomes. There were significant effects on the mean CAPS total scores for both treatments compared with WL at posttreatment and 6-month follow-up. There were no significant differences between PE and EMDR.
Outcomes on loss of PTSD diagnosis and full remission of PTSD are listed in Table 3. According to the logistic generalized estimating equation analyses, participants in both the PE and EMDR conditions were more likely to achieve and maintain loss of PTSD diagnosis than participants in the WL condition. Participants in the PE condition, but not those in the EMDR condition, were more likely to achieve full remission of PTSD than participants in the WL condition. The PE and EMDR did not significantly differ in loss of PTSD diagnosis and full remission.
Self-reported PTSD symptoms (on the PSS-SR) and posttraumatic cognitions (on the PTCI) yielded results that were similar to the CAPS findings (Figure 2 and Table 2). The PSS-SR and PTCI scores were lower for both treatment conditions compared with the WL condition at posttreatment and 6-month follow-up. There were no significant differences between the PE and EMDR.
There was no difference in dropout between the PE (13 participants [24.5%]) and EMDR (11 participants [20.0%]) (P = .57). There were 8 early completers in PE (15.1%) and 2 in EMDR (3.6%); this difference was not statistically significant (P = .09). The mean number of treatment sessions attended by treatment completers was 7.1 in PE and 7.8 in EMDR (P = .007). All severe adverse events were reported to the medical ethics committee. There were 2 severe adverse events in PE, 1 in EMDR, and 4 in WL. However, none of the severe adverse events were judged to have been induced by the study.
There were no differences between groups in additional support provided by caregivers. Groups did not differ in the percentage of participants receiving additional non–trauma-focused psychotherapy during treatment (17.0% in PE, 20.8% in EMDR, and 21.3% in WL) and follow-up (24.5% in PE, 18.9% in EMDR, and 25.5% in WL). No participants received other or additional trauma-focused treatments during the study period. There were no significant group differences in changes in prescribed antipsychotics, sedatives or anxiolytics, antidepressants, or mood stabilizers during treatment or the follow-up period. Most changes concerned antipsychotics. The dosage of prescribed antipsychotic medication was decreased in 7 participants and increased in 12 participants during treatment and was decreased in 10 participants and increased in 15 participants during follow-up.
Completer analyses were performed (n = 113), among which no baseline differences were observed between groups in any of the demographic or clinical characteristics. In addition, intent-to-treat analyses with last observation carried forward were performed (n = 155). All results for the CAPS, PSS-SR, and PTCI were similar to the results from the intent-to-treat analyses, thereby underlining the robustness of the findings (Table 3).
Both PE therapy and EMDR therapy were more effective than the WL condition in reducing trauma symptoms and achieving loss of PTSD diagnosis among participants with severe PTSD and psychotic disorders. Prolonged exposure therapy was more effective than WL in achieving full remission, while EMDR therapy was not. We found no differences in head-to-head comparisons of the 2 active treatments in any of the outcomes.
Similar to most trauma treatment trials, treatment effects were observed directly after treatment and persisted over time.41 Moreover, in the present sample with comorbid psychotic disorder, change rates in the diagnostic status were comparable to those reported in a meta-analysis6 of general samples. The dropout rate was low and comparable to that of other trials.42 Most important, both treatments were found to be safe and did not result in severe adverse events.
Some of the patients in the control condition achieved remission. This might be the result of anticipation of a positive outcome of treatment and setting a date for the first session. Also, exposure to an extensive trauma interview and repeated assessments in the study protocol21 may have functioned as covert exposure.43 Last, trauma symptoms appear to fluctuate over time,44 and long-term remission rates without specific treatment are high in PTSD.45 Therefore, future studies should include an active non–trauma-focused (eg, befriending) control group to control for factors such as therapy time and attention.
The present results can be generalized to routine clinical practice. We used standard protocols of guideline trauma treatments in a sample of patients with psychotic disorders and severe psychopathology (including current paranoia, auditory verbal hallucinations, depression, and high suicide risk). Psychotherapeutic stabilization was not applied and appears unnecessary; it may even needlessly delay treatment.13 The dropout rate was comparable to that in the trial by Mueser and colleagues16 and was lower than that in an open study17 using stabilizing interventions.
Dissemination of effective trauma treatments to clinical practice appears to be problematic,9,46-48 and PTSD is missed in most patients with a psychotic disorder.49,50 These factors decrease the chance that patients with psychosis and PTSD will receive evidence-based trauma treatment. There are multiple reasons for this, but the most important factors seem to be fear of symptom exacerbation, safety issues, and questions about tolerability.13,46 The fact that professionals are particularly reluctant to treat trauma in psychosis9,10 is not based on empirical evidence.47,51 Exclusion of patients with psychotic disorders from effective trauma treatments has been the norm in both clinical practice and research.14 Even researchers stressing the importance of broadening inclusion criteria for trauma treatment studies indicate that schizophrenia is a reasonable exclusion criterion.6 The present results are at odds with these prejudices.
The strengths of this study are the sample size, the generalizability to clinical practice owing to the use of standard protocols with patients in routine long-term care, the correction for unblinding, and the limited loss to follow-up. We believe that this study demonstrates the efficacy and safety of trauma treatment in psychosis.
There are several limitations. The first limitation is that treatment consisted of only 8 sessions. Most participants had experienced multiple childhood traumas, and for some participants 8 sessions were probably too few to significantly affect trauma symptoms. The second limitation is the fact that this study was powered to find medium to large effects. Therefore, small effects between conditions may not have been detected. The third limitation is that experts supervised the therapies, whereas similar supervision may not always be available in clinical practice. The fourth limitation is that treatment as usual for psychosis may vary between countries. Most participants in the present trial were treated in assertive outreach teams.
This study demonstrates that standard PE and EMDR protocols are effective, safe, and feasible in patients with psychosis and comorbid PTSD without using stabilizing psychotherapeutic interventions. One in 8 patients with a psychotic disorder has PTSD.1 There is no need to exclude these patients from effective trauma treatments.
Submitted for Publication: April 17, 2014; final revision received September 3, 2014; accepted September 29, 2014.
Corresponding Author: David P. G. van den Berg, MSc, Parnassia Psychiatric Institute, Zoutkeetsingel 40, 2512 HN Den Haag, the Netherlands (email@example.com).
Published Online: January 21, 2015. doi:10.1001/jamapsychiatry.2014.2637.
Author Contributions: Mr van den Berg had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analyses.
Study concept and design: All authors.
Acquisition, analysis, or interpretation of data: All authors.
Drafting of the manuscript: van den Berg, de Bont, van der Vleugel, Van Minnen, van der Gaag.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: van den Berg, de Bont, Van Minnen, van der Gaag.
Obtained funding: van den Berg, van der Gaag.
Administrative, technical, or material support: All authors.
Study supervision: de Roos, de Jongh, Van Minnen, van der Gaag.
Conflict of Interest Disclosures: Mr van den Berg and Dr van der Gaag reported receiving income for published books or book chapters about psychotic disorders and for training of postdoctoral professionals in the treatment of psychotic disorders. Ms de Roos reported receiving income for training of postdoctoral professionals in eye movement desensitization and reprocessing therapy. Dr de Jongh reported receiving income for published books or book chapters about eye movement desensitization and reprocessing therapy and for training of postdoctoral professionals in this method. Dr Van Minnen reported receiving income for published books or book chapters about posttraumatic stress disorder and for training of postdoctoral professionals in prolonged exposure. No other disclosures were reported.
Funding/Support: This study was funded by the Dutch support foundation Stichting tot Steun Vereniging voor Christelijke Verzorging van Geestes en Zenuwzieken (Dr van der Gaag).
Role of the Funder/Sponsor: The funding source had no role in the design and conduct of the study; collection, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or the decision to submit the manuscript for publication.
Disclaimer: The views expressed in this article are those of the authors and do not necessarily reflect the opinions of the authors' institutions.
Additional Contributions: Jos Twisk, PhD (VU University) reviewed the statistical analyses. Marion Bruns, BSc, and Daniëlle Tilburgs, MSc (Parnassia Psychiatric Institute) assisted in the organization and management of the data collection, the filing, and the fact checking. We thank the following 13 mental health organizations that participated in the trial: Altrecht, Arkin, Bavo-Europoort, GGNet, Mental Health Organization Drenthe, Mental Health Organization Duin en Bollenstreek, Mental Health Organization Eindhoven, Mental Health Organization Noord-Holland Noord, Mental Health Organization Oost Brabant, Lentis, Parnassia, Pro Persona, and Yulius. We thank the Treating Trauma in Psychosis participants, therapists, research assistants, local researchers, independent specialists, advisors, involved mental health workers, and all others who contributed to this study.


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Bird Photographer of the Year is back, and with thousands of entires from over 50 countries, the winning images span borders, seasons and species!
A collaboration between the British Trust for Ornithology (BTO) and Nature Photographers Ltd, the competition not only highlight spectacular avian images, but also aims to bolster bird conservation efforts. This year's entry fees brought in over $7,000, which was used to help support programmes for young birders and naturalists.
"I'm really proud to have BTO involved with this project, which has delivered such a positive conservation message," says CEO Andy Clements.
The grand-prize-winning image, which features pink flamingos feeding their chicks, was shot by Alejandro Prieto Rojas in Rio Lagartos, Mexico. This swathe of the Yucatan is home to Mexico's largest flamingo flock, a population of over 40,000 birds. The rosy roost has been the subject of countless photos over the years, but head judge Chris Packham explains it was the combination of colour, composition and emotion in Rojas's shot that secured him the win.
"It was a tough job for the judging panel to whittle down the entries to a handful from which to choose the winners," he says. "Albeit a very enjoyable tough job. The standard of photography was extremely high and myself and the other judges were treated to some fantastic bird photographs."
For those of you who need more feathered nature zen in your life, a full 256-page competition book is also available online. And if you're a bird enthusiast yourself, the 2018 competition is open for entries!
Top header image: Weber Marc/BPOY