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Biotecnología Aplicada
versión On-line ISSN 1027-2852
Biotecnol Apl v.27 n.2 La Habana abr.-jun. 2010
Experiences in the nationwide program for the integral care of the patient with diabetic foot ulcer using Heberprot-P
Experiencias en la extensión nacional del Programa de atención integral al paciente con úlcera del pie diabético y el empleo del Heberprot-P
Miriela R Gil1, Ernesto López-Mola1, Héctor Álvarez2, Ariadna Hernández1, Caridad Pérez3, Isis Yera4, Leoncio Padrón5, José A Llanes2, Ricardo Silva1, María del Carmen Abrahantes1, Julio Baldomero1, Amaurys del Río1, Rafael Ibargollín6, Luis Herrera1
1 Centro de Ingeniería Genética y Biotecnología, CIGB Ave. 31 entre 158 y 190, Cubanacán, Playa, AP 6162, CP 10 600, Ciudad de La Habana, Cuba
2 Instituto Nacional de Angiología y Cirugía Vascular, Ciudad de La Habana, Cuba
3 Ministerio de Salud Pública de Cuba, Atención Primaria Nacional, Ciudad de La Habana, Cuba
4 Centro para el Control de la Farmacoepidemiología, Ciudad de La Habana, Cuba
5 Ministerio de Salud Pública de Cuba. Dirección Nacional de Hospitales, Ciudad de La Habana, Cuba
6 Centro de Ingeniería y Biotecnología, Sancti Spíritus, Cuba
Experiences in the nationwide program for the integral care of the patient with diabetic foot ulcer using Heberprot-P. The Cuban product Heberprot-P is indicated for the treatment of complex diabetic foot ulcers (DFU). After its registration in 2006, the product was included into the Cuban List of Medicines and a nationwide program for the integral care of the DFU patient began. To date Heberprot-P is available in more than 85 Cuban health institutions and more than 3 800 diabetic patients with ulcers in their feet have received the benefits of this unique product. An integral program has been established for the attention of the patient with DFU, including the advanced technology of Heberprot-P. This program relies on the closely linked and coordinated interaction between the primary and secondary levels of health, in which prevention and therapy merge each other. The Ministry of Public Health of Cuba has established impact indicators in order to control and assess the performance of the program.
Keywords: Heberprot-P, Diabetic foot ulcer, Primary Health Care
El novedoso producto cubano Heberprot-P está indicado para el tratamiento de las úlceras complicadas del pie diabético (UPD). Una vez aprobado su registro sanitario, pasó a formar parte del Cuadro Básico de Medicamentos de Cuba, y se inició el proceso de extensión nacional. Más de 3800 pacientes diabéticos con úlceras en sus pies en Cuba han recibido las bondades de este medicamento, que se administra en más de 85 instituciones de salud del país. Se ha establecido un Programa de atención integral al paciente con úlcera del pie diabético que incluye el uso del Heberprot-P. Este programa está organizado sobre la base del trabajo coordinado del nivel primario y secundario de salud, en el que se funden el papel preventivo y terapéutico de la atención al paciente diabético. El Ministerio e Salud Pública cubano ha establecido indicadores de impacto para medir y controlar el desarrollo de este programa.
Palabras clave: Heberprot-P, úlcera de pie diabético, Atención Primaria de Salud
At present diabetes mellitus is a serious health problem and within it, the diabetic foot ulcer (DFU) is one of its major complications. Global prevalence is estimated in 285 million people and this number will increase in the incoming years (1). In Cuba, the average rate of dispensed patients having diabetes mellitus is 40.4 per 1 000 inhabitants, representing an estimate of 450 000 diabetics (2).
Heberprot-P was registered in Cuba in June 2006, and was included into the Cuban List of Medicines in April, 2007. It is a worldwide unique product of its kind, a result of the Cuban biotechnology, developed by the Center for Genetic Engineering and Biotechnology, together with the National Institute of Angiology and Vascular Surgery (NIAVS) and other institutions from the Cuban Ministry of Public Health (MINSAP). Heberprot-P is indicated, as well as other conventional therapies, for the treatment of neuropathic and ischemic ulcers from the diabetic foot, to stimulate a useful granulation tissue formation, so as to allow the closure by second intention or by skin graft, as it has been demonstrated in various clinical trials (3-5).
Among its properties and advantages it stimulates granulation and accelerates re-epithelization in DFU and reduces the time for healing of these lesions, contributing thereby to reduce the number and extension of surgical debridements and the risk of amputation.
From June 30th 2007, a nationwide program for the integral care of the DFU patient began at the secondary and tertiary levels of health, in particular in the Angiology Services of hospitals and the NIAVS. In 2009 the program was extended also, as a pilot trial, to the primary level of health (PLH) in selected Cuban polyclinics.
The safety and efficacy of Heberprot-P have been demonstrated in more than 15 000 treated patients in Cuba and in other countries such as Venezuela, Algeria, Argentina, Libya, and the Dominican Republic among others.
The experience of its use in the Cuban health system is supported by the implementation of nationwide program for the integral care of the DFU patient with the use of Heberprot-P, through a methodological protocol agreed by consensus.
The extension process of Heberprot-P in the Cuban public health system is developed under a post-marketing phase IV study (intensive pharmaco-surveillance), conducted by the Center for the Development of Pharmaco-epidemiology (6-8).
This Cuban drug is applied in more than 85 health institutions (hospitals and polyclinics), distributed all over the provinces of the country. At present, all Cuban hospitals having the service of Angiology apply the therapy for the treatment of the DFU with this novel product.
To date, 3 853 patients with DFU have been included within the nationwide Program of Heberprot-P in Cuba. This number is having a steady increase and all the Cuban DFU patients should continuous receiving the benefits of the product. Figure 1 shows the patient inclusion per year to the intensive pharmaco-surveillance system from June 2007 to July 2010.
Heberprot-P has been indicated to patients with neuro-infectious and ischemic ulcers. Most of them having lesions with grades 3, 4 and 5 within the Wagner's classification (9, 10). Results upon product administration have demonstrated its efficacy and safety (see results of Dr. Isis Year in this number).
The process of Heberprot-P's spread as part of the Program for the integral care of the DFU patient has increased since June 2007, but results yet do not correspond to the amount of patients that potentially could be treated.
The diabetic patient must be treated in an integral manner considering the possible complications, characteristic of this kind of disease; for instance, the diabetic foot ulcer.
How the Program for the integral care of the DFU patient is structured, in particular, those requiring treatment with Heberprot-P in Cuba.
Objectives of the Program for integral care of the DFU patient with the use of Heberprot-P
- Increase accessibility to the treatment with Heberprot- P; that is, to the majority of patients with DFU that require the treatment in Cuba.
- Supply of the product in all health services where DFU patients may arrive. A practical behavior agreed by consensus by the NIAVS has been established to treat the patient with DFU in all Angiology services from hospitals, polyclinics and in all diabetic care centers (National Health System, MINSAP; Figure 2).
- Control of diabetic patients and with DFU throughout medical offices, identification through surveillance in the communities and the existence of a documented register in the medical offices of all health areas.
- Implement the integral care of the DFU patient. The patient must be treated in an integral manner and be remitted to other specialties, according to the type of complication. These specialties can be Ophthalmology, Nephrology, Cardiology, and Angiology, which have specialized care in the treatment of complex and advanced ulcers of the diabetic foot with the use of Heberprot-P.
- Implement the flow of patients with DFU to be assisted and/or remitted from the primary health care to the secondary health care (hospitals), according to the type of complication of the lesion.
- Systematic training of health personnel in charge of the integral care of the DFU patient, in diabetes and treatment with Heberprot-P (angiologists, integral general physicians, nurses, podiatrists, nutritionists, educators and others).
The integral care of the DFU patient with the use of Heberprot-P forms part of the objectives of the National Health System in all levels of medical care to the population, including from the primary level (medical offices, polyclinics and diabetic care centers) to the secondary level (Angiology services of all hospitals), and the tertiary level of health (NIAVS).
The health management of the provinces and municipalities establish an effective interaction among all levels of health, so that the patient with DFU can reach specialized care through any level. To avoid limitations in the proper care of this type of patient, all Cuban health personnel involved in the activity must know where to assist and/or remit the patients, according to the severity of their lesions or the level of metabolic decompensation.
The success of this Program depends on the coordinated interaction between the primary (medical offices, polyclinics and diabetic care centers) and secondary levels of health (Angiology services of all hospitals).
Secondary health care in Angiology services from hospitals
Inclusion criteria of patients to be assisted in the Angiology services from hospitals
End-stages diabetic foot patients will be assisted in these highly specialized clinical sites:
- Patients to high risk of suffering an amputation.
They usually have more complicated ulcers, grades 3, 4 and 5 of the Wagner's classification.
- Patients with acute local infections.
- Decompensate patients with additional risk factors.
According to the evaluation of the specialist the treatment to this kind of patient might or might not include hospitalization.
Behavior to evaluate this kind of patient
- It is mandatory that the patient be evaluated by the endocrinologist or the diabetes specialist in the hospital or the polyclinic, respectively.
- The patient must be evaluated and assisted in an integral manner, not only his foot or lesion, but also considering other complications and risk factors to be sent to other specialties.
- As result of the proper care a rapid and positive evolution in the majority of patients is expected between the first 48 and 72 hours.
- The metabolic control and the control of local infection are key elements contributing to reduce the level of complication of the lesion.
Duties of the angiologist
1. Perform the general medical examination to the patient together with the endocrinologist.
2. Treat in an integral manner the patient, taking into account all possible complications of this kind of patient (related areas: cardiology, nephrology, stomatology, etc.).
3. Define those cases for hospital admission and those for hospital ambulatory care and ambulatory primary health care.
4. Define the surgical procedure to each patient with the use of Heberprot-P.
5. Conduct the treatment with Heberprot-P following strictly the established practical behavior for the care of patients with this complication.
6. Define the fulfillment of treatment and when to discharge each patient.
7. Coordinate the remission of patient once discharged from hospital to be treated in ambulatory regime, or to be directly treated in the polyclinic, the medical office and/or the diabetic care center.
8. Attend as teaching institution in the training of specialists in general integral medicine, nursing, podiatry and/or nurses and podiatrists.
9. Coordinate and attend in the teaching of diabetic patients and relatives on the treatment of people with diabetes.
10. Keep a close interaction with all the primary health care.
Duties of endocrinologist
1. Establish metabolic control of patient as part of the integral care.
2. Integral care of patient taking into account all possible complications.
3. Diagnose all additional complications in the patient and send him to the required specialties (cardiology, nephrology, stomatology, among others).
Once the general condition of the patient improves, with a clear positive evolution of his lesion, with previous evaluation by the specialist and in coordination with the primary health care, the patient could be sent to his community's care area and treated in ambulatory regime.
Primary health care (medical offices, polyclinics and diabetic care centers)
In this level, the physician of the consultation area for the diabetic integral care (qualified in diabetes and in diabetic foot), together with his team, formed by a nurse, a dietitian and a health educator, fulfill a rectorship function. The main objective in the primary health care is to prevent by protecting diabetic patients from developing foot ulcers through the control and the educational action. Despite the preventive action, within the Program it has been established that patients having less complicated ulcers can be assisted in this level of health.
Inclusion criteria of patients to be assisted in the primary health care
1. Patients with ulcers grades 1 and 2 of the Wagner's classification with the previous evaluation of the angiologist.
2. Patients coming from the Angiology service that can be assisted in the primary health care and continuous the follow-up at this level of health care.
Duties in the integral care of the patient with DFU in the primary health care
1. Carry out the control of the diabetic patients' database in their health care area and the systematic follow-up.
2. Organize and perform the active surveillance in the communities and medical offices for early detection of diabetic patients and with DFU, who must be remitted to the consultations for the integral care of the diabetic patient and/or specialized services.
3. Perform the physical and medical examination of patients arriving to the polyclinic or medical office to diagnose the type of diabetes and/or DFU.
4. Send decompensate patients and/or with complex DFU, requiring hospitalization and/or surgical procedures, to the Angiology service or specialized consultation at the hospital level.
5. Perform ambulatory treatment to patients with DFU arriving to consultation or remitted from the hospital Angiology services.
6. Send the patient to the specialist if any suspicion of complication during treatment arises.
7. Perform an educational action with the diabetic patient and his relatives in the diabetic integral care consultations and medical offices, in terms of proper diet, care of his feet, correct shoes wear and/or suitable insoles.
8. Maintain the training of health personnel in contact with patients requiring treatment in coordination with the Angiology services.
Impact indicators of the Program for the integral care of the patient with DFU with the use of Heberprot-P
In order to quantify the suitable functioning of the Program for the integral care of the patient with DFU with the use of Heberprot-P, the Cuban Ministry of Health proposed an assessment system measured through impact indicators. Figures will correspond to the period 2010-2011. They are shown below:
1. Proportion of cases with DFU treated with Heberprot- P. Measure criterion: 80% of the cases.
2. Correct register, file elaboration and follow-up by angiologists of all treated cases with Heberprot- P.
3. Incorporation of the Heberprot-P use into the surgical procedure usually followed by angiologists.
4. Proportion of consultations for the integral care of diabetic (health areas) where conditions for the treatment with Heberprot-P were created for those patients requiring such treatment. Measure criterion: 50%.
5. Amputation index per complications of the DFU. Measure criterion: 5%.
6. Control with insulin 100% of DFU patients treated with Heberprot-P.
The introduction of Heberprot-P into the Cuban health system has contributed to solve an unmet medical need as the healing of advanced diabetic foot ulcers. This Cuban product has become a novel technology for the treatment of this severe disorder that in many patients ends in amputation of their low-extremities.
The use of this drug is part of the Program for the integral care of the patient with DFU, established by the Ministry of Public Health of Cuba. The success of this Program relies on the closely linked and coordinated interaction between the primary and secondary levels of health.
1. International Diabetes Federation (IDF Diabetes Atlas). Disponible en: http://www.diabetesatlas.org/es/content (Consultado, 27 de agosto del 2010).
2. Ministerio de Salud Pública. Anuario estadístico de salud de Cuba 2009.
3. Berlanga J, Savigne W, Valdéz C, Franco N, Alba JS, del Río A, et al. Epidermal Growth Factor intra-lesional infiltrations can prevent amputation in diabetic patients with advanced foot wounds. Int Wound J 2006;3(3):232-9.
4. Fernández-Montequín JI, Infante-Cristiá E, Valenzuela-Silva C, Franco-Pérez N, Savigne-Gutiérrez W, Artaza-Sanz H, et al. Intralesional injections of Citoprot P® (Recombinant Human Epidermal Growth Factor) in advanced diabetic foot ulcers with risk of amputation. Int Wound J 2007;4(4):333-43.
5. Fernández-Montequín JI, Valenzuela-Silva CM, Díaz OG, Savigne W, Sancho-Soutelo N, Rivero-Fernández F, et al. Intralesional injections of recombinant human epidermal growth factor promote granulation and healing in advanced diabetic foot ulcers: multicenter, randomised, placebo-controlled. double-blind study. Int Wound J 2009;6(6):432-43.
6. Arnau de Bolós JM, Brotons Cuixart C. La continuidad entre investigación clínica y práctica en atención primaria. En: Diogéne E. Guía de investigación clínica para atención primaria. Madrid. Ediciones Mayo, 2005:57-9.
7. Rodríguez D, Pujol J, Vallano A. Describir los resultados de las intervenciones en la práctica clínica. En: Diogéne E. Guía de investigación clínica para atención primaria. Madrid. Ediciones Mayo, 2005:83-5.
8. Pérez Peña J. Logros de la farmacoepidemiología en el Sistema Nacional de Salud. En: Modelo cubano de la red nacional de farmacoepidemiología. La Habana. Editorial Academia, 2008:170-1.
9. Wagner FW. A classification and treatment program for diabetic, neuropathic, and disvacular foot problems. Am Acad Orthop Surg Instrutional Course Lect 1979; 28:143-65.
10. Pittet D, Wyssa B, Herter-Clavel C, Kursteiner K, Vaucher J, Lew PD. Outcome of diabetic foot infections treated conservatively. A retrospective cohort study with long-term follow-up. Arch Int Med 1999;159:851-6.
Received in August, 2010.
Accepted for publication in September, 2010.
Miriela R Gil, Centro de Ingeniería Genética y Biotecnología, CIGB Ave. 31 entre 158 y 190, Cubanacán, Playa, AP 6162, CP 10 600, Ciudad de La Habana, Cuba E-mail: email@example.com


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Ninety years of living reduced to this: the slow counting of breaths followed by the Himalayan trek from bed to bidet to dimly observe the color of pee, the lethargic, sometimes movement of bowels, the hasty swipe with a baby wipe. And here we go again.
She does not know night from day and fears the dark. Abruptly she rises, "I need a bath. Now!" I know that tone. I give in. She unclothes herself somehow. Suddenly she is afraid. The hand shower is a snake. The soapbox is a rodent. She begins to shake. I wash off her humiliations and dress her like a child. The skin unpeeling like paint from a wall baring the chipped china of bones; the toothless gums; the sagging memory of her female parts; her tired smells. Please God, take her away.
Now In bed she needs her son. "Where is he?" She is anxious. "He is watching TV. Do you need another blanket? Do you want the nightlight? Do you want some milk?" I exhaust her with options. Let her believe she has a choice. She sighs and nods off. I leave the room.
The next day she has another mini stroke, her third this year. It's known as TIA (Transient ischemic attack).
Her words come out like toys out of a toy box. Jumbled, disjointed. "Where is my other tomato?" She holds up an old t-shirt. "I need some detergent." She points to the tea. Objects are solid shapes with no rhyme or reason. She wants to drink out of a lunch box. Eat out of an ashtray. The News Anchor is a visitor – entering through the doorway of her television. She greets him with aplomb. Asks the new maid (me) peremptorily to bring him a tray.
One day in a moment of clarity and high excitement, she asks for pen and paper. "I know my words don't make sense. Let me write for you what I mean." She holds up her memo for all to read. Squiggles, like ants, run across the page – I nod and nod. She sighs with satisfaction. She wants a cookie for her trouble.
Later she inspects her handiwork again. Where are the words? She weeps. Enraged she grabs every bit of paper she can find. Tissues, paper towels, napkins, notepads. Every surface is covered with her failed effort.
The alphabet she learnt when she was four is now a foreign language. Surrounded by the fragments of her unruly mind she takes on the look of an animal trapped in the wilderness. She beats her chest and simulates a sob. She can no longer make tears. Her bottomless anguish has nowhere to go. If only we could re-invent ourselves.
A few good days. During Christmas my children come and go. I see her smile and feel reassured. Perhaps she needs more people around her? We invite more family and friends. But when the house empties itself, her mind rebels. She lashes out at her primary care giver. That would be me – the good wife. The upholder of family values. Married to tradition.
I know what you are thinking dear reader. And you may be right. Perhaps we should consider a visiting nurse at $25.00 an hour. Perhaps we should consider a nursing home where she will be looked after by a professional, caring staff. And you may be right. But it is my hand she grasps when the night terrors strike. How can I abandon her?
Today she no longer recognizes me – in her eyes there is suspicion, a hint of paranoia. I'm a woman brought in to entrap her (dear departed) husband. Tomorrow, who knows, her mind will reshape itself like mirrors changing the patterns in a kaleidoscope and all will be well again. I want to be in Paris flirting with croissants. For now I have to cook dinner and breakfast oatmeal – in case she is confused about the hour.
P.S. Thanks to the good doctors at Jersey Shore Hospital and a spanking new pacemaker her heart rate is strong. She can lower herself on the toilet. She still loves pizza and wants a completely new wardrobe.
- Family in Sepia — by Poonam Chawla - September 5, 2014
- World Trade 9/11 Memorial Site – by Poonam Chawla - August 16, 2014
- Footprints in Paris – by Poonam A. Chawla - July 27, 2014

subset: commoncrawl


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Recent events in Buffalo, New York, brought to light just how valuable snowmobilers can be in the face of disaster.
On Tuesday, November 18 the snow began to fall, a jaw-dropping four feet that day, and by Thursday, November 20 there were nearly eight feet of snow on the ground —stranding residents and crippling the city of Buffalo and surrounding areas.
Gary Broderick had exactly the network needed to reach out and lend a hand in the face of disaster. This volunteer is past president of the New York State Snowmobile Association, vice president of the Shawnee Sno-Chiefs snowmobile club, Niagara County district director to the New York State Snowmobile Association, chair of the northeast chapter of the International Snowmobile Congress and snowmobile trail coordinator for Niagara County. After receiving a call from an emergency response manager, Broderick posted a message on Facebook and got a quick response.
"Snowmobilers were responsible for evacuating residents and in one situation elderly residents of a nursing home just before the roof collapsed," Broderick said. "This is our community, our people and our neighbours. We knew we could help, so that is exactly what we did."
With such an enormous amount of snow, the city was essentially shut down. Crews were trying to keep major roadways open and were unable to clear secondary roadways and side streets. These unplowed roads were reduced to a narrow walking path, which meant the only access to many homes was by snow machine or ATV. Snowmobilers delivered medication, medical services, food and other aid. The Shawnee Sno-Chiefs BR 180 grooming machine busted through drifts and snow banks so medical personnel and firemen could get in. Snowmobilers were able to assist everyone from nurses to an animal rescue society.
"The essential medical service providers had to prioritize efforts," Broderick said. "We were able to not only facilitate essential services, but other calls for help that may not have been deemed an emergency."
This was the case for a woman who got word that her mother was soon to pass away in a nursing home. She desperately wanted to reach her and was transported by snowmobile to the home.
"I am proud to be a snowmobiler," Broderick said after the storm. "This is who we are."


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What do you call an all encompassing fog, that covers everything, as far as the eye can see?? You call him Karl… at least that's what San Franciscans call theirs! Most days until noon or later there is a thick dense fog that makes it near impossible to see anything on the horizon, much less the Golden Gate or Bay Bridge. Apparently a weather team decided to name the fog Karl & gave him his own Twitter account. You can follow him @KarlTheFog for a chuckle & some weather tips if you're heading to San Francisco any time soon.
It's a funny city in a way, full of microclimates, where it's cloudy, chilly & windy in one area and then 2 blocks away – off comes your coat as it's hot & sunny. Dress in layers & you'll be just fine. There are 2 major airlines here – Oakland Airport & San Francisco Airport. San Francisco Airport is further out of town where Oakland is much closer to Fisherman's Wharf and the downtown core.
Whenever we visit a new city, the first thing we try to do is go on the Hop On Hop Off bus. It's usually one of the cheapest ways to get around if a city is fairly large (& not everything is walkable). This is one of the best ways of learning the quick rundown of the history of a community and the lay of the land, so that you can decide where you want to begin really discovering where you're at. You can purchase 1, 2 or 3 day passes and there are usually extra discounts that come along with your passes for restaurants & museums etc.
Our Hop On Hop Off hosts were Naughty(our driver) & BB Hayes(our commentator – follow him on Twitter @DJBBHAYES) BB was hysterical yet full of really interesting information. Our favourite saying he had was "San Francisco has 2 seasons – rain & construction!" Luckily for us, we only experienced FOG & construction… BB also told us why Van Ness is the only road in the area that is so wide… it's due to the 1906 earthquake. On the morning of April 18, at 5:12 am, a 7.8 quake lasted about 45 seconds but had an impact that was disastrous. There were 22 aftershocks. Several fires were ignited around the city that burned for 3 days & destroyed nearly 500 city blocks. The only way to stop the fires from spreading further was to have firebreaks that were created by ruthlessly dynamiting buildings that were in the fire's path. It worked. There was nowhere for all of the mess & rubble to be taken, so eventually it was pushed down to the waterfront where it was compacted and then built upon. (One quick note – don't bother ordering your Hop On Hop Off tickets online. We did, thinking we were so organized & that it would save time when in fact, you still have to line up at the office to pick up your tickets anyway.) There are stops close to where the TV show Full House home is and also the home used in the movie Mrs. Doubtfire. We also saw: Fisherman's Wharf & Pier 39 (a massive naval ship was docked as was a submarine); Ghirardelli Square (yes, the CHOCOLATE! best smelling street EVER!); Lombard Street (the most crooked street in the world); Palace of Fine Arts, the Golden Gate Bridge (which was in fog the day of our tour BUT we happened to go over it the day before & captured amazing shots without Karl blocking our view);
Golden Gate Park; Haight-Ashbury (the birthplace of hippie culture & Summer of Love); Alamo Square (beautiful Victorian homes – some of which are known as the Painted Ladies – Victorian homes painted in four of the heritage colours); City Hall/Civic Center – stunning photo ops of City Hall, the Opera House, Symphony Hall & Bill Graham Civic Auditorium; Union Square (San Francisco's nicest shopping area & best night life); Chinatown (the largest outside of Asia); North Beach (Little Italy – Italian neighbourhood full of cafes & authentic Italian restaurants); The Presidio (National park, historic & architectural treasures); Bay Bridge (another massive bridge but actually longer than the Golden Gate); Sausalito (picturesque little town across the Golden Gate, with galleries, bay views & restaurants galore); Financial District (what WAS the largest building – Transamerica Pyramid is now in the shadow of THE largest building – owned by SalesForce; Embarcadero (eastern waterfront, restaurants, shopping & the Ferry Building) & Nob Hill (some of the best evening views of San Francisco).
There are always things to be on the lookout for, we parked in an area downtown just off of Pier 39, called Anchorage Square, the day before our Hop On Hop Off tour to figure out where we needed to be the next day for our Wine Country & Alcatraz Tour. There was plenty to see & do, tons of shopping, & restaurants. What we didn't realize was that we could have gotten our parking validated dollar for dollar just for shopping in the Anchorage Square stores… we had spent about $100 between 2 days of parking so could have spent that on gifts instead… sighhhh.
We decided we couldn't come so close to Napa Valley & Sonoma & not do a wine tour… we're hardly connoisseurs but do enjoy a nice glass of wine. We prearranged a trip with Green Dream Tours (contact them at http://www.greendreamtours.com) & our tour guide was Chris. He was fantastic! Funny, knowledgeable & an excellent driver in the crazy San Francisco traffic. We learned a lot through him like: What was the Otis Redding song that was inspired by renting a houseboat in Sausalito, California? Sittin on the Dock of the Bay! San Francisco is known for being the birthplace of mountain biking… huh, who knew?! Interestingly, the Agricultural Reserve has designated any land that is already farmland be sold or operated on only as farmland & cannot be redeveloped or subdivided. We stopped to get pictures of the most used building in San Francisco for wedding photos, the Palace of Fine Arts. We then passed through the Robin Williams Tunnel(coincidentally it was the 3rd anniversary of his death the same day). Sonoma has been known as a place with hoity toity wineries but that is so not true. The majority of the vineyards have been family run for many years. We visited 2 – Cline Cellars which was beautifully run by the Cline Family. There are wine tastings, a gift shop, exotic birds, gorgeous grounds & of course the vineyards themselves to see.
Our host was named Mark, an architect by day, who was quite charming & knowledgeable about the wines he was serving & also about the family's vineyard that has been around since 1989. This property was originally a horse farm but went into receivership, and the Cline's snapped it up. We then travelled down the road a ways to Homewood Winery. This was a much smaller vineyard, run by one man who just… loves… wine. Mostly red wine, but he does create some whites as well. Our host this time was Robert. The wine tasting was done with suggestions of food pairings so was pretty cool as well. We did purchase a 2014 Roussanne to take home with us WHICH I stupidly packed it in our CARRY ON, not thinking… I saw the perfect spot where it wouldn't get broken, popped it in there… of course we had to give it up at security…


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Tiny Grasses Can Create Big Problems For Your Dog's Ears
It's springtime in the U.S., and soon veterinarians across the country will be seeing an increase in ear infections. The warm wet weather can be one cause, but another common culprit is the increasing prevalence of tall grasses such as foxtails, arrow grass, and grass awns. These sharp grasses can lodge in your dog's fur as he or she runs through the grassy fields and can get into your pup's ears where they can work their way deep into the ear canal and become difficult to remove. These grasses irritate the ear, which causes your furry friend to scratch them. The constant scratching causes breaks in the skin that can allow bacteria and yeast to grow, leading to an ear infection. Here's what you need to know to reduce the risks these pesky grasses pose.
Symptoms of an Ear Infection
If you see your furry friend shaking her head or continually scratching her ears, take a look inside the ears. Are they red, hot, bleeding, or inflamed? Is there a bad odor? Are they showing balance or coordination problems? Do you see a discharge or dark, crusty scabs? If so, it's important to consult your veterinarian promptly. An infection or foreign body can penetrate or spread to the middle and inner ear causing damage to the ear canal and ear drum, which can lead to hearing and equilibrium problems
Your veterinarian will use an otoscope to look deep into your dog's ears to find the source of the problem. If it's an embedded foxtail or grass awn, your veterinarian will need to remove it—which may or may not require sedation. He or she may also take a swab of the infected ear to determine the microorganism causing the infection. Once identified, the infection can be treated appropriately. The doctor will likely thoroughly clean the ear and send you home with cleaning materials and antibiotics.
If you and your pup live near areas with lots of weeds and tall grasses or you often visit them while out walking with your dog, it'll be hard to prevent contact with foxtails and other sharp grasses. But you lessen the likelihood that the grass will cause an infection. After these field trips, check your pup for foxtails and other sharp grasses. If they are in the outer ear canal or ear flap and easily removed without getting into the ear, carefully remove it. If it is deep within the ear, don't try to remove it yourself, because you might push it deeper into the ear canal and perhaps rupture the ear drum. Also check the rest of your dog's body, tail, belly and between her toes, as foxtails will embed themselves most anywhere and cause problems.
For additional information, you will want to contact Murrells Inlet Veterinary Hospital.


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Mindful Meditation
Meditation is one of the first things you should turn to when seeking to develop your spirituality, calm or mind or just shift your energy.
Meditation has been practiced for centuries all over the world by various cultures both ancient and modern. The human brain is an amazing organ and being able to tune our thoughts inwards helps to stabilize our spirits on multiple levels.
Meditation is not as hard as some would think. While to achieve a deeper level of meditation does require some practice, simple daily meditations will help you along your way!
There are many ways to meditate that include visual cues, sound waves, yoga and simple silence. Any web search will turn up countless ways to help you meditate or even guide you step by step. Find what works for you and try to meditate at least 15 minutes a day.
You can meditate on a specific phrase or intention or you can meditate to find peace and guidance.
Here are a few ways I found that help me. I know meditation works, I've practiced it myself for many years and it has helped calm me down instantly in a few extreme moments of panic that I've had.
Remember that it is natural to have thoughts flow through your head when you first start. Let the thoughts flow but don't dwell on them. Acknowledge them and their underlying mood and let them go. Let them flow and ebb as you focus on your breathing. Eventually the thoughts will stop on their own and your mind will quiet down.
Find a comfortable and quiet place to sit/lay/pose(yoga). Somewhere where you will not be disturbed and a place you find peaceful and calming. Light some candles or incense if you wish to help aid in the positive and calming energy. You can also hold/set out some crystals to help focus the energy.
Upon first getting ready take note of your body. Mentally scan your body and feel yourself connecting to your environment. Feel where you are uncomfortable and where you are comfortable. Don't try to change it, just feel and be aware. Turn your thoughts inward and begin.
Focus on your breathing:
There are many ways to do Focused Breath Meditation – my favorites include:
1. Balloon Breathing (Abdominal breathing)– Imagine your abdomen is a balloon and inhale a deep breath through your nose filling the balloon from the bottom up. This opens up your diaphragm and assures your lungs are filling properly, once your "balloon" is full release the air through your mouth. Repeat
Great for beginner meditation.
2. 4-7-8 Breathing (Relaxation Breathing) – Breath in through your nose for 4 counts, hold the breath for 7 counts and then take 8 counts to release it. Repeat
Great for relaxation and to help get ready to sleep.
3. Free Flow Breathing – Just like it sounds. Let your self breath naturally in through your nose and out through your mouth – but keep your focus on your breaths. Think of positive energy flowing into your body with each inhale and negative energy leaving your body with each exhale.
Visualizations are simply creating a scene in your mind. Close your eyes and imagine a scene in your mind – find every detail you can. Details that occur on their own can have symbolic meaning for your own personal life.
1. Beach – Imagine yourself at the beach – start with the sand – how it looks, the color and texture – then see the sky – what shade of blue? Sunset or no? See the horizon. Then see the water. Hear the waves crashing and look at the foam it creates along the shore line….
Continue in this fashion focusing on the beach scene you are creating and then just sit and enjoy it.
2. Forest Walk – Close your eyes and go on a walk through the forest. Are you following a trail or just making your own? What kind of trees, animals, flowers? Day or night? Try to imagine every detail of your walk and see where you end up.
You can visualize any scene that brings you peace or comfort.
Meditation and Visualization are not quite the same thing but both can be calming, help you focus, shift your energy, and strengthen your spirituality.
Sound Meditation:
Certain frequencies of sound waves can help you to meditate, relax and focus. For centuries cultures have used Gongs, Singing Bowls and other instruments to help aid in meditation and spiritual healing. Everything vibrates and has frequencies, certain sounds will resonate with your spirit on a higher level.
A quick Google or YouTube search will yield you many different sounds and frequencies to help aid in your meditations. I myself will occasionally use this method and find it quite relaxing. Simply combine the sounds and breathing for a pretty simple but powerful way to meditate.
Yoga and other various "alternative" (dancing is great too) exercises help focus your mentality, energy, physical and spiritual bodies. It helps you focus on breathing and your body, allowing you to become more self aware. It allows the release of negative energy and encourages the flow of positive energy. Yoga can be as simple or complex as you choose. There are many beginner as well as expert videos and guides to help you on your way!
So there you have it. Those are the main ways I personally meditate. I started with focused breathing and that is what I find myself doing most often. I sometimes combine it with sound meditation. For me personally, it's hard to focus on my breathing and "look inward" if I am working on "Visualizing" as a meditation. That is why I feel they are two similar yet different things.
What's important is that you try. If you feel like it's not working, just keep trying. Try something new, find what works for you. It is so important to take time everyday to focus yourself and calm your mind. You can use meditation to seek out spiritual guidance or just to find inner peace. It allows you to connect with the universe the the energies around you.
Meditation is one of the most important things you can do on your spiritual journey. If you cannot look within yourself and find peace, you will never find it in the world around you.
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Public has mixed reactions over health care in Quinte
By Tara Henley
BELLEVILLE – Some residents of the Quinte region expressed their frustration with the Ontario health care system at a forum held Monday night at the Fairfield Inn and Suites on North Front Street.
Among the more than 50 people in attendence was family doctor, Julie Bryson. She said she believes that other than the bureaucratic system, the biggest issue when it comes to health care is the Canadian government's use of "band-aid solutions" that aren't designed for long-term results.
"We are burning out our personnel," she said. "(Health care professionals) are all trying to compensate for the flaws in the system because we hate seeing patients suffer. There isn't a day that goes by that I don't have to try and fight to get something for one of my patients."
Prince Edward-Hastings MPP Todd Smith arranged the public discussion in order to raise awareness of the concerns of those living in the Quinte region regarding the current health care system. Progressive Conservative Critic of Health Jeff Yurek was also in attendance at the forum. He spoke to the public about what he believes needs to change within the Ontario health care system.
"The system has too much bureaucracy," Yurek said. "This is the underlying problem that needs to be addressed first and foremost."
Not all those in attendance believed the health care system was flawed however. Cliff Maclean said that he and his late wife of over 50 years, Heather, had had "nothing but good experiences" when it came to the health care Heather received in the Quinte region for her advanced ovarian cancer. She was diagnosed in 2006 and was not expected to live longer than a few years. She surpassed doctor's expectations and lived for almost a decade after her original diagnosis.
"I firmly believe that the reason she survived as long as she did was the quality of health care she received," Maclean said.
The consensus of the forum was that the problems regarding health care in Ontario were not the fault of health care professionals, but the Ontario government. Another attendee, Evelyn Wilson, lost her teenage daughter to cancer five years ago. She said that one of the issues she encountered was that even though there were trial drugs showing promise in treating her daughter's disease, her daughter was ineligible to receive any trial drugs due to her young age.
"It's frustrating because you know it's not the doctors that don't want to give us these drugs, it's the government. It's their regulations and rules that kept her from having a fighting chance," said Wilson.
Yurek said there are serious flaws in the regulations on prescription drugs in Ontario, especially those used for treating cancer.
"If you ever get cancer, my advice is to move to British Columbia," he said.
Todd Smith said that he believes the first step to fixing the health care system was to "get home care in check" so patients won't be returning and to the hospital after a short time home.


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13 Top-Rated Tourist Attractions in Vicenza
About halfway between Verona and Venice, Vicenza lies at the edge of the fertile Po plain, just below the foothills of the Dolomites. Including Vicenza in its World Heritage list, UNESCO cited the work here of Andrea Palladio in the 16th century, "which gives the city its unique appearance."
His work inspired a distinct architectural style known as Palladian, which spread to England and other European countries, and also to North America. Palladian ideals mix freely here with the distinctive Venetian styles, as Vicenza was part of the Venetian empire from 1404 until the late 1700s.
The other name to know in art here is the 15th-century painter Bartolomeo Montagna, whose work you'll see in the Museo Civico and in several churches. Learn more about the city's unique sights with our list of the top tourist attractions and things to do in Vicenza.
1. Teatro Olimpico
Opposite the Museo Civico, the Teatro Olimpico was begun by Palladio in 1580 and completed in 1584 by Vincenzo Scamozzi, after Palladio's death. Built of wood and stucco, this is a Renaissance adaption of ancient theaters. As you enter the building, be sure to notice its size, and be conscious of the distance you walk inside the theater.
You will be surprised by how large the stage seems. This is a grand illusion, achieved by the clever use of sets that diminish in size to create the effect of long streets running off into the distance. The stage is, in fact, quite shallow.
There is a Vicenza tourism office opposite the theater, with tickets to museums and information on places to visit and things to do in Vicenza.
Address: Piazza Matteotti, I-36100 Vicenza
2. Basilica Palladiana and Museo Palladiano
The southeast side of Piazza dei Signori is dominated by the elegant Basilica Palladiana, Palladio's masterpiece, built between 1549 and 1614. Its two stories of open colonnades, the lower part Doric and upper part Ionic, make it impressive but also serve to blend it into the vast square by opening it to the street.
The basilica was not built as a church but as a meeting place for the Grand Council. The lower level was filled with luxury shops for nobles of Palladio's day and still houses goldsmith shops, reflecting Vicenza's early fame as a center for gold work.
On the upper floor is a hall 52 meters long, with a wooden vaulted roof, used for exhibitions. In front of the west end of the basilica stands a marble statue of Palladio. Inside the building is the Museo Palladiano, with models, designs, and other work by the architect. There is a café on the upper terrace. Behind the Basilica is Piazza delle Erbe, which is filled by Vicenza's farmers' market on Thursday mornings.
Address: Piazza dei Signori, Vicenza
3. Walk to La Rotonda
Connected to the nearby Villa Valmarana by a footpath - about a 10-minute walk - is the most recognized of all Palladio's buildings, Villa Almerico Capra, better known as La Rotonda. Commissioned by a priest as his country house upon his retirement from the Vatican, the villa was inspired by the Pantheon in Rome. In turn, it has inspired hundreds of later buildings the world over, including Thomas Jefferson's home, Monticello, in Virginia, USA.
The square structure is completely symmetrical, with a portico on each of the four sides, and crowned by a dome. Although it was designed and begun by Palladio about 1567, at his death in 1580, the building was completed by Vincenzo Scamozzi, who kept to the original plans except for some modifications to the dome.
The interior is decorated in elaborate frescoes, with trompe l'oeil architectural features - columns, niches, and capitals - on the walls. It is possible to visit the grounds and the interior on alternate days. Those with a particular interest in Palladio's work will find other villas easily reached on day trips from Vicenza.
Address: Via della Rotonda 45, Vicenza
4. Basilica di Monte Berico
From the Villa Roi, on the southern outskirts of Vicenza, the Portici di Monte Berico, a series of arcades built in 1746, lead up to the Basilica di Monte Berico. This pilgrimage church was built by the Bologna architect C. Borella in 1668. The basilica's centralized plan is modeled on the Rotonda.
In the chapel to the right of the high altar is Lamentation by Bartolomeo Montagna (1500); in the refectory is his large Banquet of St. Gregory Magnus. There is an almost Byzantine feel to the interior, which is lit by votive candles around the high altar.
Two somewhat surprising collections are worth noticing in the refectory: fossils and the unusual needlework votive offerings in the vestibule. From the square in front of the church, Piazzale della Vittoria, are magnificent views of the city backed by the Pre-Alps, including Monte Pasubio and Monte Grappa.
Address: Viale X Giugno 87, Vicenza
5. Villa Valmarana (Ai Nani)
Behind high walls crowned with a series of stubby statues, the 17th-century Villa Valmarana is locally known as Ai Nani, a reference to the dwarfed statues on the walls. The magnificent frescoes, painted in 1757, adorning the residence and guest house are one of the main attractions for tourists.
Those in the main villa are by Giambattista Tiepolo and cover the entry and four ground-floor rooms with dramatic and heroic scenes from Roman, Greek, and Italian literature. By marked contrast, the frescoes done at the same time by Tiepolo's son Giandomenico, in the adjoining guest house, are light and airy scenes of peasant and town life. Both sets are very well preserved.
Address: Stradelli dei Nani 8, Vicenza
Official site: http://www.villavalmarana.com
6. Palazzo Leoni Montanari
In contrast to the predominantly Palladian Renaissance style elsewhere in Vicenza, Palazzo Leoni Montanari is unabashedly late Baroque, and is appreciated as much for the lavishly decorated interior as for the priceless art it houses.
Cherubs and mythological creatures seem to peer down at visitors from every corner of the hallways and stairs: dragons slither around window arches, giants support door pediments, and grotesques leer beside fat little cherubs.
Amid all this are galleries of ancient Greek ceramics, 20th-century modernist works, and Venetian art of the 1700s, including an entire room of paintings by Pietro Longhi. The top floor is devoted to Russian icons, for its extent and quality perhaps the finest collection outside of Russia.
Address: Contrà Santa Corona, 25, 36100 Vicenza
7. Piazza dei Signori and Loggia del Capitaniato
Piazza dei Signori was the site of the old Roman forum, with two columns from the Venetian period and the slender Torre di Piazza, a defensive tower built in 1174. Facing the Basilica Palladiana, which occupies an entire side of the piazza, is the Loggia del Capitaniato, now part of the Town Hall.
It was the residence of the Venetian governor, begun by Palladio in 1571 and cited as part of the UNESCO World Heritage Site that covers the city and surrounding Palladian villas. As a contrast to the white stone and largely unornamented facade of the basilica opposite, the loggia is richly decorated with carvings and contrasting colors.
8. Palazzo Chiericati (Museo Civico)
At the northeast end of the Corso Andrea Palladio is the Renaissance Palazzo Chiericati, one of Palladio's finest buildings and now home to the Museo Civico, Vicenza's municipal museum. On the ground floor are archeological collections, and on the main floor, a picture gallery displays the city's collection of paintings.
This contains major works by painters of the Vicenza school (such as Bartolomeo Montagna and Giovanni Buonconsiglio) and the best known Venetian masters, including Carpaccio, Veronese, Tintoretto, Tiepolo, and others.
Address: Piazza Matteotti 37-39, Vicenza
Official site: http://www.museicivicivicenza.it/en/
9. Santa Corona
The Gothic church of Santa Corona was built in the 13th century to house a holy relic, a thorn from Christ's Crown of Thorns, and contains several notable paintings. The Baptism of Christ by Giovanni Bellini, from about 1500, is above the fifth altar on the left, and on the third altar on the right is Adoration of the Magi by Veronese.
But what draws most visitors is the church's 1576 Cappella Valmarana, a chapel believed to have been designed by Andrea Palladio, who is buried in the church.
Address: Contra Sant Corona 2, Vicenza
10. Corso Andrea Palladio
A little way northwest of the Piazza dei Signori is the main street of Vicenza, the Corso Andrea Palladio, lined with palaces, several of them designed by Palladio. Halfway along, you'll see the fine Palazzo del Comune, designed by Vincenzo Scamozzi and built in the early 17th century. Northeast of this is the Gothic Palazzo Da Schio, known as the Cà d'Oro, House of Gold. At the southwest end are more palaces, including Palazzo Bonin (No. 13) and Palazzo Zileri Dal Verme (No. 36).
The Corso ends in the Piazza Castello, location of the Porta Castello. To the left, on the shorter side of the square, the unfinished Palazzo Porto-Breganze was probably designed by Palladio and built by Vincenzo Scamozzi about 1600. Contra Porti, which intersects with Corso Andrea Palladio not far from Piazza dei Signori, is also lined by 14th-century Venetian mansions and several more of Palladio's.
Corso Andrea Palladio isn't just for lovers of Renaissance architecture; it's also the place to go shopping in Vicenza. You'll find stores of Italian designers and international brands, boutiques and gourmet food shops, as well as plenty of busy cafes and restaurants.
11. San Lorenzo
From Palazzo Valmarana, about midway along Corso Andrea Palladio, Via Fogazzaro runs northwest to the brick church of San Lorenzo. The Romanesque and Gothic church, built from 1280 to 1344, has a slender campanile and a beautiful main doorway.
In the fine interior are some impressive tombs and a fresco by Bartolomeo Montagna, The Beheading of St. Paul, from about 1500. Be sure to see the cloister adjoining the church, one of Vicenza's loveliest.
Address: Campo San Lorenzo, Vicenza
12. Cathedral
Via Garibaldi runs southwest to the Piazza del Duomo, on the north-side of which stands the cathedral, a Gothic structure of brick with a façade of white and red marble that was built in the 15th century and restored after World War II bombing. Inside is a 14th-century triptych by Lorenzo Veneziano.
Under the cathedral are the foundations of three earlier churches, and beneath the sacristy are the remains of a Roman road. On the southwest side of Piazza del Duomo, the Bishop's Palace has a Neoclassical façade of 1819.
Address: Piazza Duomo, Vicenza
13. Visit Villas around Vicenza
The countryside around Vicenza was a popular place for prominent families to build country villas in the 16th through 18th centuries. Several of these were designed by Andrea Palladio, others attributed to him, still others perhaps inspired by his designs.
Some can only be viewed from the outside, but several are open to tourists, and some of them have beautifully restored grounds and gardens. Several of them are on the UNESCO World Heritage list of Palladian villas.
Villa Godi Malinverni, north of Vicenza in Lonedo di Lugo, was built by Andrea Palladio in 1542, and it was decorated in frescoes by Gianbattista Zelotti, Battista del Moro, and Gualtiero Padovano. After touring the villa, you can stroll in the 17th-century gardens, filled with pools, fountains, and dozens of statues. The former barns have been renovated as a restaurant. Nearby Villa Piovene, also on the UNESCO list, is not open to tourists, but visible through its ornate gates.
Villa Trissino Marzotto sits in a park of lawns and large trees, some over two centuries old, and Italian gardens of hedges, topiary, terraces, flower beds, and avenues. A highlight is the double staircase that descends to a large octagonal fountain. The villa itself is open on summer Saturdays.
Eight kilometers west of Vicenza, in Montecchio Maggiore, the Palladian-style Villa Cordellina Lombardi, was built in the 1750s by architects Francesco Muttoni and Giorgio Massari. Rooms were frescoed by Giovanni Battista Tiepolo, the preeminent fresco artist of the time. The highlight is the magnificent two-story Salone del Tiepolo, with its monumental wall and ceiling frescoes.
The villa is set in formal gardens, with outbuildings surrounding several courtyards.
About 30 kilometers south of Vicenza, Villa Fracanzan Piovene was also built in the 18th-century and not designed by Palladio, but is well worth seeing for its beautiful rooms; its collections; and the formal garden with box hedges, grand avenues, and giant yews. Additional estate gardens are in their original form, with fruit trees, vegetables, and flowers.
The large Barchessa (barn) displays a collection of antique farm equipment and tools illustrating everyday rural life in the 18th century. The highlight of a tour is the villa's magnificent kitchen and its collection of antique copper pots and utensils.
Map of Tourist Attractions & Things to Do in Vicenza
Vicenza, Italy - Climate Chart
|Average minimum and maximum temperatures for Vicenza, Italy in °C
|6 -2
|9 0
|13 3
|18 7
|23 11
|26 15
|29 17
|28 17
|25 14
|19 8
|12 3
|7 -1
|Average monthly precipitation totals for Vicenza, Italy in mm.
|Average minimum and maximum temperatures for Vicenza, Italy in °F
|43 28
|48 32
|55 37
|63 44
|72 52
|79 59
|84 63
|82 61
|76 56
|65 47
|53 37
|44 30
|Average monthly precipitation totals for Vicenza, Italy in inches.
More Related Articles on PlanetWare.com
Places to Visit near Vicenza: The area around Vicenza is filled with some of the best places to visit in Italy, so you are spoiled for choices of nearby things to do. Vicenza is only 45 minutes from romantic Verona, and the multiple attractions of Venice are less than an hour away.
Exploring Northern Italy's Lakes: Vicenza is also a good starting point for discovering Italy's beautiful lake region. Begin with a drive around Lake Garda, surrounded by dramatic mountains, then head west to tour the gardens and villas around Lake Como. For even more ideas, see our article on the Top Tourist Attractions around Lake Maggiore & Easy Day Trips.


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It's hard to believe that 10 days into his term, President Trump has turned the country upside down. America watched in horror as an Iranian 5-year-old boy clung to his mother after being separated for hours while the authorities detained them as part of President Donald Trump's Muslim ban. The ban has been partially halted for the time being.
Social media reacted to the Muslim ban
Donald Trump issued an executive order which barred immigrants from seven predominantly Muslim countries from entering the United States. Social media exploded when a video of a 5-year-old reuniting with his mother surfaced.
The most shocking part of the story was the claim that the boy was separated from his mother for hours while being questioned. They were released after the Federal Court temporarily halted the Muslim ban.
Everything is broken when 5 year olds are being detained for hours. There's no way to rationalize this. https://t.co/KBQQroM36v— Matt Novak (@paleofuture) January 29, 2017
America immediately reacted to the Muslim ban by organizing a series of protests at airports all across the country. Many people supported Trump's ban; however, many Americans felt that it was harsh to include residents and people with visas as part of the Muslim ban.
Is there a reason to separate a child from their mother?
Trump claimed that the reason for the ban was to prevent terrorists from coming into the country.
Many people questioned this idea after seeing the video and pictures of the tyke being kept from his mother while they waited for the courts to halt the ban.
If you feel sick to your stomach about the terror this child felt, you aren't alone. According to Fusion, many people on Twitter voiced their opinions about how morally wrong it was to separate this scared child from his mother.
What's next for the Muslim ban?
President Trump has stated that he has no plans of backing down and will explore ways to ensure his Muslim ban is enforced. it looks like it will be just another issue the American people will be at odds with Trump over.
How do you feel about the Department of Immigration detaining a 5-year-old away from his mother for hours? Do you agree with the controversial ban?


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SYCAMORE TOWNSHIP, Ohio – The Moeller football team held its final walk-through of the season late Friday afternoon at the Gerry Faust Athletic Complex.
And for the first time in school history, the Crusaders will return to the back of the school Saturday for the football program's first-ever varsity game on campus. There's sure to be plenty of emotion from the 37 seniors.
Moeller started varsity football in 1963. The Faust complex opened in 2008.
"For our players it's going to be great," Moeller coach John Rodenberg said. "We want to walk off the field with a win. Our guys are pretty excited about it."
Moeller (3-6) plays host to Royal Imperial Collegiate of Canada (St. Catharines, Ontario) at 1 p.m. Saturday. Approximately 2,000 tickets are expected to be sold, Rodenberg said. This will be the first meeting between the schools.
Royal Imperial Collegiate (0-5) plays an American schedule and have played in four states this year. The Knights lost to Saline (Mich.) 44-6.
Rodenberg admits it hasn't been a great season at Moeller, which has lost five consecutive games. But, Rodenberg expects every player should be able to receive significant minutes of playing time Saturday. It will be extra special for the 37 seniors who began their high school careers as freshmen on the field with a win.
Moeller's freshmen team defeated Louisville St. Xavier 27-19 on Sept. 21, 2013. The senior class is 9-2 at the Faust complex including their sophomore seasons on junior varsity.
"It's a neat thing for people to come by and watch," Rodenberg said. "Whether we are 10-0 or 0-10 people will be excited about playing at home."
Moeller lost to Lakewood St. Edward 24-21 last week at Lockland and the Crusaders were mathematically eliminated from playoff contention.
Still, there were some positives. Sophomore RJ Khayo broke his own school record for the longest kickoff return with a 99-yarder. Senior Hunter Hughes has been running the ball well and senior Chrystian Watkins has played well the past two games, Rodenberg said.
Moeller is 46-6-1 all-time in Week 10, according to school statistician Steve Albrinck. Royal Imperial Collegiate is the fifth Canadian school the Crusaders have scheduled in program history. The Crusaders are 5-0 against teams from Canada and have outscored them 284-49.
"I'm excited for our seniors to be on the field they've spent the most time on," Moeller athletic director Mike Asbeck said. "We're looking forward to wrapping things up on a positive note."
Faust, the legendary Moeller football coach, is expected to be at Saturday's game. An Akron resident, Faust is expected to arrive around 12:30 p.m. There is a documentary film being produced about Faust and footage will be shot Saturday and Sunday.
Faust won state titles at Moeller in 1975, '76, '77, '79 and '80. He coached at Notre Dame (1981-85) and Akron (1986-94). A bronze statue of Faust greets visitors at the athletic complex where the varsity football team practices.


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Have you ever noticed a white film on your tongue? However unpleasant it is to think about, everyone has tongue bacteria. There are several kinds, some more harmful than others in certain situations, but most of them can result in poor oral hygiene. From bad breath to a more serious health problem, there are multiple reasons cleaning your tongue properly is important to good oral care. Here's what to look for when it comes to good and bad germs.
Signs of a Healthy Tongue
A good indication of a healthy tongue (and body) is a uniform pink coloring with no deeper red, yellow or white discoloration. But, if you find a white film coating on the topside, it shouldn't be a cause for alarm, and it is usually temporary. This film is a mix of bacteria, dead cells, and food debris, making your tongue appear white as a result. Rest assured proper tooth brushing and flossing can help clear up the problem.
Some Bacteria Is Normal
At any given time, you have about 20 billion bacteria in your mouth. This currently consists of about 1,000 known types, and recent research indicates that no one type of mouth bacteria directly accounts for bad breath or an otherwise unhealthy mouth. Rather, a certain mixture of bacteria on your tongue and in your mouth creates a healthy environment. For the most part, your tongue and mouth are comprised of "gram-positive" and "gram-negative" bacteria. Gram-positive bacteria are found in plaque, whereas gram-negative bacteria – the more "odorous" of the two – are found in what Scientific American calls "pit crevices of the tongue."
Certain Bad Bacteria Can Create Bad Breath
Likewise, some bacteria have a more negative effect on your oral health than others: There are four types of bacteria that contribute to halitosis, or bad breath. These are known as gram-negative "anaerobic bacteria," which form compounds that turn into sulfur byproducts – one of the leading causes of bad breath. These bacteria can live anywhere in your mouth, both on your tongue and in plaque. Brushing twice a day, especially on your tongue, can greatly help to reduce this odorous effect.
When You Should Act
In addition to examining the health of your teeth during a dental checkup, your dentist will normally look for spots of discoloration that could be problematic – and an early warning sign that your tongue bacteria indicates a larger health concern. Leukoplakia, for instance, can develop into oral cancer and appear as a white patch on your tongue. also see your dentist if any discoloration, which can, unfortunately, include hair growth, continues over a period of days.
Cleaning Your Tongue to Remove the Bad
In addition to brushing twice daily, follow these guidelines to ensure you're cleaning your tongue correctly:
- Gently brush the surface of your tongue, starting from the back and working your way to the front.
- Tongue cleaners can help curb bad breath, as well.
- Talk to your dentist about the best oral rinses for your condition. Many mouth-rinses cut almost all bacteria, ridding you of both the good and bad.
- Brush and floss for two minutes twice a day to ensure plaque doesn't harden into tartar, which can't be removed by yourself. Consistently brushing your teeth cuts down on this plaque and bacteria buildup, keeping your whole mouth healthy.
When it comes to proper oral care and cleaning, don't let your focus on teeth come at the cost of the rest of your mouth. For the best care, pay attention to every area of soft tissue, and you won't notice a smell you can't get rid of.
We love our patients and love to help them form healthy dental life that will last them a lifetime. For more information call us today to answer all of your questions so get an appointment today.


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The jet set has come to adore Etro's globetrotter chic – think kaleidoscopic motifs – exemplified by this maxi skirt. Crafted in Italy from a floral silk-blend jacquard, the bias-cut design is covered in a vibrant paisley print that adds dimension. Wear yours with other patterned pieces from the label for a cool clash of colors.
Site by Artimin


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Download and print this profile
Cyrus Larizadeh is commonly called upon to handle very complex and high profile private and public law children cases.
He is a "terrific lawyer who is enthusiastic and knowledgeable". He is "very good, a calm and competent advocate" who is "well respected by judges".
Chambers and Partners 2008-2014
He has also been listed as a leading family barrister in Legal 500 since 2010.
Year of Call: 1992
Year of Silk: 2016
BA (Kent)
Dip Droit Francais (Bordeaux)
Cyrus was educated at Harrow School, the University of Kent and the University of Bordeaux
Rothschild Scholarship (Harrow)
Hallett Prize for Law (Kent)
French, Persian
Cyrus Larizadeh KC specialises in complex private law cases. He is also excellent in relocation cases. He has a great approach with Direct Access clients. He also has a well known expertise in both private and public law family cases where there are allegations of sexual and emotional abuse and non accidental injury. He represents parents, local authorities and children in the most serious and intractable of proceedings. He has appeared in the Supreme Court and in a number of very high profile cases including Baby P. His training on the law and evidence in sexual abuse cases is in demand across the country. His seminars on the law relating to assessments under s.38(6) Children Act 1989 are recognised nationally and have been used by the Judicial Studies Board.
He is a Member of the Magic Circle.
Professional Memberships
Family Law Bar Association
Inner Temple
'Thoroughly charming and a delight to work with.'
The Legal 500 2015
'Brilliant forensic skills; his analysis of evidence is sharp and on point. The Legal 500 2014 Commonly called upon to handle high-profile and complex sexual abuse and non-accidental injury matters. Expertise: "Very good; he is a calm and competent advocate." Chambers & Partners 2014 Recomended as a Leading Junior in the area of Children law The Legal 500 2013 Private and public children law specialist Cyrus Larizadeh is commended for his "excellent courtroom manner." His recent matters have included a number of cases arising from sexual, physical and emotional abuse. Chambers and Partners 2013 The 'meticulous and excellent' Cyrus Larizadeh – has 'in-depth knowledge of all aspects of children law, and specialist knowledge of cases involving sex offences or allegations of sexual abuse'. The Legal 500 2012 Cyrus Larizadeh handles public law children matters. His cases often involve non-accidental injury and sexual abuse. Chambers and Partners 2012 Recommended as a Leading Junior in The Legal 500 2011 Cyrus Larizadeh excels at care cases involving non-accidental injury and complex medical evidence. Chambers & Partners 2011 Cyrus Larizadeh offers a 'meticulous approach' and is 'well respected by judges'. The Legal 500 2010 Cyrus Larizadeh is a good all-rounder who is "conscientious, thorough and knowledgeable." Chambers & Partners 2010 A "terrific lawyer" who is enthusiastic and knowledgable about his work," Cyrus Larizadeh earns the respect of both peers and clients. Complex care proceedings form the mainstay of his practice, with a particular emphasis on matters involving sexual abuse and non-accidental injury. Chambers & Partners 2009 Cyrus Larizadeh makes his debut in the tables this year, having stood out from the crowd in protracted cases concerning care proceedings. "Working at an incredible level of detail and completely on top of the papers," observers report that he is also "very good on his feet." Chambers & Partners 2008


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Congress wins majority of seats in local body by-elections in Rajasthan
Close on the heels of an improved performance in Gujarat, the Congress on Tuesday won all the four zila parishad seats and also 16 of the 27 panchayat samiti seats and six nagar palika seats, for which bypolls were held.
The ruling BJP had to remain content with 10 panchayat samiti seats although it won seven nagar palika wards.
The saffron party could not even retain even a single of the four zila parishad seats that it held, according to the State Election Commission.
The bypolls for 27 panchayat samitis of 19 districts, 14 nagar palikas of 12 districts and four zila parishads were held on December 17.
"The results of the local bodies bypoll has proved that the countdown for the BJP in Rajasthan has begun. Congress has expressed the feelings of the people in the last four years and they have trust in the party," Congress state president Sachin Pilot said.
He predicted a similar result in the upcoming bypolls for the two parliamentary seats of Alwar and Ajmer and Mandalgarh Assembly seat.
Bypolls on all the three seats have been necessitated due to sudden demise of two of the ruling BJP's parliamentarians and a BJP legislator.
The civic by-election results are a setback for the BJP as it lost two nagar palika wards in Baran district, which is a strong hold of Chief Minister Vasundhara Raje's MP son Dushyant Singh.
However, state BJP spokesperson, Anand Sharma said that the result was good for the party as it has grabbed several seats earlier held by the Congress.
In August, opposition Congress had won 19 out of the total 37 seats in bypolls to urban local bodies and panchayati raj institutions while the ruling BJP had got ten.
The seats in various rural and urban local bodies had fallen vacant in Udaipur, Bhilwara, Bikaner, Jodhpur, Banswara, Dausa, Sriganganagar, Pratapgarh, Nagaur, Baran and other districts. Congress candidate Rajendra Patidar won by a margin of 3,178 votes for the Zila Parishad seat in Banswara.
Jubilant over the party's victory in the by-polls, Pradesh Congress president Sachin Pilot said the BJP's days were "numbered" in Rajasthan and its countdown had begun. "The Congress gave a tough fight to BJP in Gujarat. The Rajasthan government has completely neglected the people in both rural and urban areas during the last four years," he said.
Mr. Pilot said the by-poll results in the State, coming just after the Gujarat Assembly election results, were "very encouraging" for Congress, as the local bodies which went to polls were geographically situated all over Rajasthan. "The results have depicted people's disenchantment with the BJP and a renewed faith in Congress," he said, adding that his party would win in the upcoming by-elections to two Lok Sabha and one Assembly seats as well.


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The Library
Transforming management of tropical coastal seas to cope with challenges of the 21st century
(2014) Transforming management of tropical coastal seas to cope with challenges of the 21st century. Marine Pollution Bulletin, Volume 85 (Number 1). pp. 8-23. doi:10.1016/j.marpolbul.2014.06.005 ISSN 0025-326X.
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Available under License Creative Commons Attribution Non-commercial No Derivatives.
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Official URL: http://dx.doi.org/10.1016/j.marpolbul.2014.06.005
Over 1.3 billion people live on tropical coasts, primarily in developing countries. Many depend on adjacent coastal seas for food, and livelihoods. We show how trends in demography and in several local and global anthropogenic stressors are progressively degrading capacity of coastal waters to sustain these people. Far more effective approaches to environmental management are needed if the loss in provision of ecosystem goods and services is to be stemmed. We propose expanded use of marine spatial planning as a framework for more effective, pragmatic management based on ocean zones to accommodate conflicting uses. This would force the holistic, regional-scale reconciliation of food security, livelihoods, and conservation that is needed. Transforming how countries manage coastal resources will require major change in policy and politics, implemented with sufficient flexibility to accommodate societal variations. Achieving this change is a major challenge – one that affects the lives of one fifth of humanity.
|Item Type:
|Journal Article
|G Geography. Anthropology. Recreation > GC Oceanography
G Geography. Anthropology. Recreation > GE Environmental Sciences
Q Science > Q Science (General)
|Faculty of Science, Engineering and Medicine > Science > Life Sciences (2010- )
|Library of Congress Subject Headings (LCSH):
|Coastal zone management -- Tropics, Marine spatial planning , Oceanography, Environmental protection -- Tropics, Coastal ecology, Fishery management -- Tropics, Coral reefs and islands -- Management -- Tropics, Marine science
|Journal or Publication Title:
|Marine Pollution Bulletin
|Elsevier Ltd
|Official Date:
|16 August 2014
|Volume 85
|Number 1
|Page Range:
|pp. 8-23
|Peer Reviewed
|Publication Status:
|Access rights to Published version:
|Open Access (Creative Commons)
|Date of first compliant deposit:
|27 December 2015
|Date of first compliant Open Access:
|27 December 2015
|International Network on Water, Environment and Health (UNU-INWEH), University of Queensland.Global Change Institute
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Review the following two links
https://owl.purdue.edu/owl/general_writing/common_writing_assignments/annotated_bibliographies/index.html (Links to an external site.)
https://owl.purdue.edu/owl/general_writing/common_writing_assignments/annotated_bibliographies/annotated_bibliography_samples.html (Links to an external site.)
(follow APA sample)
Submit annotated bibliography following the APA sample found in the above for a minimum of 10 sources from the sources assignment that will support ideas on social change as it relates to environmental conservatism and enviromental concerns and progress. All annotations will be included on one document for submission. In other words, you will submit one document that included a minimum 10 bibliographies.


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it's friday, y'all!
Harlow and I have been getting out of the house–one of the challenges I made for myself the first few months of this year. I know it'll get easier as the weather gets warmer, but I'm thankful for knit goodies and her Gloriana scarf to keep her warm!
As a one-car family and a husband pushing 6'4″, buying a stroller was something we researched and researched, and after deciding on one: we saved. I know many think we're crazy for buying our Stokke, but it's one of the few baby purchases I've never regretted. We live in the city, and this stroller is our second vehicle.
Harlow also looks pretty darn cute in it, too.
Gloriana // Hazel // Custom Buttons
I've been window shopping a bit as I anticipate spring weather and temperatures increasing–they will someday soon, right?
It has been absolutely frigid here this past week!
I always love checking out the new sale listings here and here.
I love this and this–even though emerald is the color this year.
I think this video is so gross–but Andy laughs so hard his shoulders shakes and he cries. Truth. And well, this has been Harlow the past few days.
I'm sorry in advance.
Okay. Last thing, I promise. These. Oh man. I just love them!
happy happy!
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The Buzz Cut: Britney Spears Says She Burnt Down Her Gym
In The Buzz Cut, we bring you a round-up of all the weird, controversial, and wonderful stories we've been reading all week.
"Hi guys, I'm in my gym right now. I haven't been in here for like six months because I burnt my gym down, unfortunately," Britney Spears said in a matter-of-fact tone during an Instagram livestream. "I had two candles, and yeah, one thing led to another, and I burned it down."
When a Twitter user tried to slut-shame Kendall Jenner for dating too many NBA players, Jenner clapped back — "they act like i'm not in full control of where i throw this cooch."
Black artists like Lizzo have had to straddle a very thin line between appealing to mainstream audiences and seeming 'Black enough' at the same time. But when mega popularity comes to mean having to "transcend race" — what people think Prince did — then what does it say about these Black artists' roots, and how they make music?
Irrfan Khan, the revered actor that achieved fame in both Bollywood and Hollywood, and who dabbled in everything from mainstream cinema to art-house movies, died this week after a long fight with a neuroendocrinal tumor. The Atlantic's Mayukh Sen examines what Khan's legacy.
Terrace House, a Japanese reality show, has made a global niché for itself as an amiable and mundane look into the lives of people at the brink of change, living together in a fully-stocked house. Under lockdown, the mundanity of Terrace House takes on a whole new level of relatability, even as we envy them for being able to leave whenever they wish, while we stay trapped.
Democrat and Presidential hopeful Joe Biden has been accused of rape by a former staffer, Tara Reade. Biden denies the allegation; Reade stands by it. As the election approaches, voters will have to grapple with the choice in front of them — an alleged rapist, or a known pussy-grabber?
A strip club in Portland was shut down after the state of Oregon, U.S. sent out a stay-at-home order. Refusing to let its dancers go out of work, the strip club owner added a drive-through option — patrons can now drive by, pick up a food order, perhaps stay for a song.
Alice Wu, the creator of Chinese-American lesbian rom-com Saving Grace, is back — 10 years later, with another queer romance. How did she write a movie after all this time? Wu says she made out a $1,000 check to the U.S. National Rifle Association and told her friend to mail it if Wu didn't finish her script. The self-blackmail worked.


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A recent, must-read article for anyone concerned about the problem of misuse of antibiotics to treat viral bronchitis, not to mention anyone who prescribes antibiotics, was recently published in Clinical Infectious Diseases. The short version: giving patients antibiotics to treat viral pneumonia is dangerous for the patients themselves (never mind the evolutionary consequences of increasing resistance).
Since antibiotics are almost never effective against bronchitis, the prescribing rate should be nearly zero, but in the U.S., 67% of adults with acute bronchitis received antibiotic therapy, even though, according to analysis of the U.K. General Practice Research Database, one would have to treat 4,000 patients with antibiotics to prevent one complication. Keep in mind that mistreatment of acute bronchitis may account for up to 50% of all antibiotic prescriptions.
The effects of misuse on patients are not good:
- Five to 25% of patients will develop antibiotic-associated diarrhea.
- Increased susceptibility to Clostridium difficile infections.
- Two percent will develop a skin reaction.
- One out of 5,000 patients will experience anaphylactic shock–and, yes, this is comparable to the percentage of patients who will be helped by therapy.
- Antibiotics are responsible for nearly twenty percent of ER visits for drug-related adverse reactions.
- The risks associated with antibiotics, especially sulfonamides and clindamycin, are similar to insulin, warfarin, and digoxin. Would any medical professional administer insulin just to be safe or to keep a patient happy? (Intelligent Designer, I hope not).
There is a long, sorry history of trying various interventions to prevent misuse of antibiotics that have had little success. Traditionally, these programs have relied on altruism–not a particularly good strategy since most people suck. Instead, the author advises the following response to a request for antibiotics:
For your infection, there is an 1 in 4000 chance that an antibiotic will prevent a serious complication, a 5%-25% chance that it will cause diarrhea, and an 1 in 1000 chance that you will require a visit to the emergency department because of a bad reaction to the antibiotic.
As the author notes, "For most acute respiratory tract infections, antimicrobial resistance is irrelevant. For an individual patient, the risks are greater than the benefits, and the discussion should stop there."
Cited article: Linder, J.A. 2008. Antibiotics for Treatment of Acute Respiratory Tract Infections: Decreasing Benefit, Increasing Risk, and the Irrelevance of Antimicrobial Resistance. Clinical Infectious Diseases 47:744-746. DOI: 10.1086/591149


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Sold Out
These enamel connectors are easy to slide on and off with our stainless steel slider beads. This beautiful cord imported from Greece is durable and on trend.
Necklaces can be worn in many different lengths and bracelets are adjustable.
Please specify color of string in comment section
Handmade in Montreal


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Electricity announces renewal of energy import contract with Iranian company for one year
|Sunday, February 10
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The Ministry of Electricity announced on Sunday the renewal of the contract to import electricity with an Iranian company for a year on the sidelines of the visit of its Minister Loay Khatib to Tehran .
"The Minister of Electricity, Luay Khatib, visited the Islamic Republic of Iran with a delegation of specialists from the staff of the ministry," the ministry said in a statement. "The visit included several meetings with Iranian officials, starting with the Vice President and the Minister of Energy Iranian and a number of energy specialists in Iran for four days. "
- She added that "the visit came at the invitation of the Iranian Energy Minister in his last visit to Baghdad at the end of last December," noting that "the visit resulted in the activation of the minutes of the meetings that took place in Baghdad and agreements that have been fixed items and for mutual cooperation, Power with Iran's Tfnair for one year. "
The minister pointed out that "the minister briefed on the Iranian experience of dealing with slums and rumors until the arrival of self-sufficiency, being close to the status of many areas in Iraq , and how to move to the stage of technological progress," asserting that "Iran is a state manufacturer of technological systems in the energy sector, For goods and products to many countries of the world, including backup tools, smart meters, and all equipment of the sectors of production, transmission and distribution of electric power.
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To administer the Code of Ethics and Conduct ordinance relating to elected officers, appointed board, committee and commission members and Town employees. Requirements for the form and content of the complaint are specified in the ordinance: Chapter 1, Article 17. Complaints are filed via email to the Town Secretary.
Agendas are available prior to the meetings. Minutes are available following approval.
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If you are interested in watching a meeting after it has taken place, please visit the Town of Trophy Club YouTube channel @TrophyClubGov and click on Board Meeting Replay playlist to view past meetings.
PLEASE NOTE: Prior to video recordings, ALL board and commission meetings have been audio recorded, stored and are available via Soundcloud here.
Meeting replays are typically posted within two days after each meeting.
The Town Manager serves as the Commission's staff liaison, please email the Town of Trophy Club with comments or questions.


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Jayapura, Jubi – In addition to launching and laying the first stone of a cross-border station at the Indonesian border with Papua New Guinea, the Coordinating Minister for Political, Legal and Security Affairs Luhut Binsar Panjaitan would also talk about drugs, terrorism and the village funds.
But, during his three days visit in Jayapura, his most important agenda is to resolve human rights issues.
"The most important is the human rights issues. Sixteen cases are still unresolved, but I have started reviewing them all. Because I can say that eight cases are not categorized as human rights violations. But that is only my opinion. We will make it transparent, so other parties or colleagues from Papua can participate," said the minister in Jayapura on Monday (28/3/2016).
According to him, among the 16 cases are the Wasior Case, Wamena Case and Paniai Case.
"But we have to be fair, if it was right we must say right and vice versa, those who find guilty get punished, and everything is over. Do not raising the issues of human rights to everywhere, moreover do not let it being used by other countries to discredit Indonesia," he said.
He also said the government wants the human rights issues would be immediately resolved within this year, if possible.
"We want everything to be settled within this year. In fact, in May, we will report some issues to the president. We will make a decision after that, including PKI (Indonesian Communist Party) and other cases, Semanggi and Talangsari, and several cases in Papua as well," he said. (Victor Mambor/rom)


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God places the lonely in families. (Psalm 68:6 NLT)
The higher position of "Ephesians" is this that now, being quickened and raised together with Christ and seated in the heavenlies is a matter of relatedness to other believers, and in that relatedness, you are going to find your fullness. You are never going to find spiritual enlargement just as an isolated, separate individual, but in relation with other believers. "God setteth the solitary in families" (Ps. 68:6), and there is no doubt about it, whether or not you understand or accept the doctrine of it, you can prove very quickly in experience that our spiritual enlargement does come by way of true spiritual and heavenly relatedness with other believers. That is proved by the fact that it is not always easy for Christians to live together for very long. It sounds a terrible thing to say, but you have a lot of other factors to reckon with. If you were ordinary people in this world, you might get on very well, but being Christians you have to meet the whole force of Satan working upon any little bit of natural life he can find. So he makes for difficulty between Christians that they would not find if they were not in a heavenly position. They are meeting forces in the heavenlies. There are the rub and friction and all the cross currents that try to divide Christians but which do not try to divide other people, because there is so much bound up with true spiritual oneness amongst the Lord's people so much for the Lord, and so much against Satan. Satan is going to break up that spiritual oneness if he can. He knows what that means for him, and the Lord knows what that means for Himself and hence the special and extra difficulties when it is a case of Christians living together, especially for a long time.
Now what is the upshot? When these difficulties arise we must say, "It is evidently necessary for me to get a new spiritual position, to get on top of this. If I am not going to give it up and leave, I must come to some spiritual enlargement; I have to know the Lord in a new way, to have more grace, love and patience." That is spiritual enlargement, and it comes by relatedness. (Of course, that is only one way; there are many others by which spiritual enlargement comes by relatedness.) If only we can keep together in prayer, there is spiritual enlargement.
Open Windows messages have been selected and compiled by Austin-Sparks.Net from the works of T. Austin-Sparks. In some cases they appear in abridged form. The introductory verse and its associated Bible version have been selected by the editor and did not always appear within the original message. In keeping with T. Austin-Sparks' wishes that what was freely received should be freely given and not sold for profit, and that his messages be reproduced word for word, we ask if you choose to share these messages with others, to please respect his wishes and offer them freely - free of any changes, free of any charge and with this statement included. Print books can be ordered from Emmanuel Church free of charge.
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