text:
- Research article
- Open Access
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Dizziness in older people: at risk of shared therapeutic nihilism between patient and physician. A qualitative study
- Hanneke Stam1Email authorView ORCID ID profile,
- Marjanne Wisse1,
- Bram Mulder1,
- Johannes C. van der Wouden1,
- Otto R. Maarsingh1 and
- Henriëtte E. van der Horst1
© The Author(s). 2016
- Received: 18 February 2016
- Accepted: 9 June 2016
- Published: 16 July 2016
Dizziness-related impairment is a strong predictor for an unfavourable course of dizziness in older people. In this study we explored the experiences of older patients with significant dizziness-related impairment and their wishes and expectations regarding general practitioner (GP) care. Knowing the expectations and priorities of people with dizziness may enable the GP to provide tailor-made care, which in turn may substantially increase the quality of life and decrease the use and costs of health care.
We conducted a qualitative study with semi-structured interviews. We selected patients from ten Dutch general practices. Patients were invited to participate in the study if they were ≥ 65 years, visited their GP because of dizziness and were significantly impaired due to dizziness (Dizziness Handicap Inventory ≥ 30). We applied content analysis to the semi-structured interviews.
Thirteen participants participated, seven were female. Analysis of the interviews resulted in the overall theme "Dizziness in older people: at risk of shared therapeutic nihilism by the patient and the GP". Firstly, this can explained by the fact that participants frequently presented dizziness as a secondary complaint when they visited the GP for another complaint. Secondly, participants reported that the GP often could not help them with any treatment. Despite a poor therapeutic outcome, the vast majority of participants was satisfied how the GP handled their dizziness. Yet, understanding the cause of dizziness seems important for dizzy older patients.
Despite significant dizziness-related impairment, older dizzy patients may not present dizziness as main reason for encounter. Presenting dizziness as a secondary complaint may give GPs the - wrong - impression that the dizziness-related impairment is only mild. GPs need to be aware of this potential underreporting. Knowing the cause of dizziness seems important for older patients. Yet, GPs regularly did not succeed in identifying the underlying cause of dizziness. Therefore, GPs should manage the expectations of older dizzy patients regarding diagnosis and successful treatment, by informing them about the uncertainty and unpredictability of dizziness. We also recommend GPs to focus on improving functional ability; this is the key to escape from therapeutic nihilism by the GP.
- Dizziness
- Aged
- Impairment
- Qualitative research
- General practice
Dizziness frequently occurs, especially in older people [1–6]. One out of ten older patients visit their general practitioner (GP) at least once a year because of dizziness [1, 6]. Dizziness can refer to several sensations including a giddy or rotational sensation, a loss of balance, a faint feeling, light-headedness, instability or unsteadiness, a tendency to fall, or a feeling of everything turning black [7]. It is well-known that dizziness strongly affects daily living of older people [8–11]. Dizziness has moderate or severe impact on daily living of more than 60 % of older people with dizziness in primary care [7]. Furthermore, dizziness in older people is associated with increased depressive symptoms, lower self-rated health and reduced social activities [8, 12]. Dizzy older people also have an increased fall risk [13], potentially leading to impaired functioning and high health care costs. There is a broad etiologic spectrum of peripheral, central (neurological), and general medical causes for dizziness. However, it is often difficult for GPs to establish the origin of dizziness in older people [1, 6]. The broad etiologic spectrum of dizziness combined with a high rate of unknown cause of dizziness leads to a wide variety of management strategies by GPs [6].
A qualitative study design provides depth and detail of the impact of dizziness at an individual level instead of a group level and can introduce new topics not initially considered. Until now, only two studies explored the impact of dizziness on older people's daily life in a qualitative way [11, 14]. Awareness of the limitations that older dizzy patients are facing, might enable the GP to better understand the barriers and needs of these patients. In addition, it is desirable to understand the wishes of older dizzy patients concerning GP care. So far, only few studies have investigated older dizzy patients' experiences and wishes regarding GP care. Olsson Möller et al. reported that older dizzy patients preferred more information about the cause and prognosis of dizziness and also would like to have more examinations [11]. In a study by Kruschinski et al. some older dizzy patients felt that diagnostic efforts to find causes should be increased [14]. Furthermore, patients did not seem well informed about possible causes of dizziness nor about the therapeutic options [14]. Insights in the wishes and needs of older patients concerning GP care for dizziness may lay a basis for improved care for patients with dizziness.
This is the first qualitative study that focusses on significantly impaired older dizzy patients. Dizziness-related impairment is a strong predictor for an unfavourable course of dizziness [15], potentially resulting in a greater burden on individuals, health care systems and society. Improving care for this group may substantially increase the quality of life and could decrease the use and costs of health care. Therefore, the aim of this qualitative study is to explore the experiences of living with dizziness in older patients with significant dizziness-related impairment and their wishes and expectations regarding GP care for dizziness.
Design and ethical approval
This qualitative study was conducted using semi-structured interviews. The Medical Ethics Review Committee of VU University Medical Center approved the study (approval number: NL49604.029.14).
For this study we selected participants from the 'Reduction Of Dizziness in older pEOple' (RODEO) study, an ongoing Dutch randomised controlled trial on the effectiveness of a multifactorial intervention for dizziness in older people. Details of the study design have been published elsewhere [16]. Participants from the RODEO study were included from 50 general practices in the Netherlands. They were invited to participate in the study if they were 65 years or over and visited their GP because of dizziness in the preceding 3 months. We defined dizziness as recurrent dizziness for at least one month, including a giddy or rotational sensation, loss of balance, faint feeling, light-headedness, instability, and/or tendency to fall [7]. Patients were only eligible to participate in case of significant dizziness-related impairment (Dizziness Handicap Inventory (DHI) score ≥ 30 points [17]). The DHI is a self-report questionnaire that assesses the disability associated with dizziness. DHI-scores range from 0 to 100 and can be classified into mild (0–30 points), moderate (31–60 points) and severe (61–100 points) perceived disability [18]. Patients suffering from severe cognitive impairment, acute psychiatric problems or terminal disease were excluded. Furthermore, patients who did not master Dutch were excluded.
For this qualitative study we invited RODEO participants who were receiving usual care from their GP. Patients participating in the intervention arm of the RODEO study were not approached. Potential participants for this qualitative sub-study were contacted by phone. If they had interest in participating, they received written information concerning the study. Prior to the start of the interview, the interviewer asked for written informed consent. We purposely selected a diverse group of participants based on gender, age, GP, marital status and duration and intensity of symptoms.
Data collection
The interviews took place at the participants' homes in March and April 2015. A medical doctor (HS) trained in qualitative research conducted the first two interviews accompanied by one of two last-year medical students (MW and BM). The remainder of the interviews were conducted by MW and BM, one being the main interviewer and the other being the observant. The interviewers had no professional relationship with the participants. They presented themselves as medical trainees. This created a non-hierarchical relation with the participant and allowed the participants to speak freely. A topic list was used as guidance for the interviews (see Additional file 1). The topic list covered all the topics that we were interested in, based on the aim of or study and on prior research [11, 14, 19]. The topic list was revised after the analysis of the first three interviews. The revision included changing the opening question and reordering of some of the topics. The interviewers avoided closed questions and encouraged participants to talk freely about their experiences of living with dizziness and their wishes and expectations regarding associated GP care. The interview length depended on the time that was required to discuss all topics from the list.
All interviews were audio recorded and transcribed verbatim. To increase validity, a summary of the interview was sent to the participant by post and the interviewer later phoned the participant for feedback (member check).
We applied inductive content analysis to the verbatim semi-structured interviews [20]. This analysis process includes open coding, creating categories and abstraction. Open coding consists of writing down codes in the text while reading an interview. A code is a word that covers the content of every sentence or group of sentences with the same subject. After open coding, all codes are sorted and grouped around central themes, creating categories. Abstraction is the last step of inductive content analysis, leading to the formulation of a general description of the topic [20].
Two of the authors independently coded the manuscript of each interview (MW and BM). A list of all codes was made after coding the first three interviews, this code list was updated after the coding of every subsequent interview. This enabled us to continue interviewing until saturation was reached, referring to the point where no new codes were obtained from subsequent interviews. Four authors (HS, MW, BM and OM) sorted and grouped the codes around central themes, creating categories. The four authors compared and discussed the codes and categories until consensus was reached. The coding process was supported by Atlas.ti 7.2 software package [21].
A total of fifteen patients were invited to participate in the study. Thirteen patients were willing to participate and only two invited patients declined to participate. At the tenth interview no new information emerged. Thereafter, we performed three additional interviews, to ensure saturation was reached. The mean interview time was 25 min (range 19–40 min).
General characteristics of participants
Living situation
Self-rated healtha
DHI score
Time since start
Dizziness frequencyb
Dizziness durationc
1–6 months
≥1 h
2–10 year
1–10 min
>10 year
10 min - 1 h
with partner
2–10 year
≥1 h
with partner
1–6 months
1–10 min
1–6 months
with partner
2–10 year
≥1 day
2–10 year
10 s - 1 min
>10 year
≥1 h
>10 year
≥1 h
with partner
1–6 months
with partner
2–10 year
10 min - 1 h
1–6 months
<10 s
- 1.
Downplaying dizziness
Restrictions and psychological consequences
Dealing with dizziness without help
- 2.
Patient's positive fulfilment of GP care
Patients' nihilism regarding GP care
Pleased with GP care despite GP nihilism
Needs concerning GP care
- 1.
Downplaying dizziness
Restrictions and psychological consequences
Quote P13: "And, umm, yeah, you obviously shouldn't take any risks. And that's the reason I don't cycle anymore. And also why I don't drive anymore, so I won't hurt anyone. That wouldn't be sensible, putting other people at risk".
P8: "Oh, I'm too scared to stand on a ladder. […] That umm, triggers it I guess. Having no horizon or something."
I: "And what do you do if you have to use a ladder?"
P8: "I don't use it".
P5: "I had to cancel my birthday party. As it was my birthday, so I said, I can already see myself moving around with my coffee and my cake. I said 'Well guys, forget it. Go ahead, just cancel the whole thing".
P3: "…because of the insecurity, with the dizziness and the unsteadiness etc. […], I'm too scared to go somewhere the last couple of years and so I don't go anywhere".
P10: "I have to do everything at a slower pace. Well, that's not that bad, at my age, to have to do things at a slower pace".
P5: "So I got the impression that there is something seriously wrong with me. What's happening in my head, why does this keep happening?"
Dealing with dizziness without help
P9: "I do have to think about it really hard every day. I can't do anything out of the ordinary. Can't bend over all of a sudden. Of course you know that, well, you find out yourself. Because then you fall, if you do those kind of things. So I don't do that".
P6: "Well. How do you deal with it? Just accept it. That's it. You can't deal with it. You have to accept it. There are so many things that aren't fun anymore".
P13: "I can deal with it in this way. I keep thinking, some people have a bad hip, other people have a bad knee. And other people, whatever. My friends, they all have something. It hurts if I press here, it hurts there. Well, then I think, I have something as well. And yes, that's how I accept it".
- 2.
Patient's positive fulfilment of GP care
Patients' nihilism regarding GP care
P12: "And when do you do something about it, when you're at the doctor for another reason. And then you think oh yeah, now that I'm here anyway, I bring up my dizziness".
I: "Is there a reason why you never consulted the GP for your dizziness?"
P13: "Well, I'm uhm, I'm getting older. You can't do everything like you did it 10 years ago. You just have to deal with it."
Pleased with GP care despite GP nihilism
P6: "So when I came to him, then I said: 'Doctor, this will be a puzzle, won't it? 'Yes', he says, 'Indeed'. And then he will get to the bottom of how he can help me. No, this GP is dealing with it very well. I can't say anything else."
P2: "And if you start talking about these things, then sometimes you just see those eyes drift away into the distance, and you see her thinking what shall I have for dinner tonight. […]. They don't really care. Haha. Yeah, that's just the way it goes. But that doesn't mean that I haven't been taken seriously by her in all those 10 years".
P5: "The GP told me it is was an inflammation of the vestibular system or something. I asked him 'So what do we do now?', and he responded, 'Nothing'.
P7: "Well the GP visited me at home and told me what to do. And for the rest, well uhm, nothing really happened."
P11: "I mean, he can't do anything, he doesn't know anything about dizziness".
P12: "I can't blame the GP, for instance that he should have done more to help me or whatever. No, I have no clue how else he could have been able to help me."
Needs concerning GP care
P2: "Yes, any kind of medical examination is pleasant. It gives hope for improvement".
To the best of our knowledge, this is the first qualitative study that focusses on significantly impaired older dizzy patients. Our study revealed that shared therapeutic nihilism by the patient and the GP may be a risk in dizziness in older age. As expected, participants described many dizziness related restrictions in daily life. However, participants seemed not to act accordingly: only in case of severe dizziness participants presented dizziness as main reason for encounter with their GP. Most participants presented dizziness as a secondary complaint when they visited the GP for another complaint. They felt that their dizziness was not serious enough to present as main reason for encounter with their GP or they expected the GP would not be able to relieve their symptoms. After visiting the GP, the vast majority of the participants reported they were very satisfied with the way the GP handled their dizziness. Even though, according to the participants, the GP was often not able to reduce the dizziness symptoms or did not start any therapy at all.
The reported restrictions in previous qualitative research of both younger and older patients [19, 22], are in line with the reported dizziness related restrictions in this study. All participants reported strategies to anticipate on possible consequences of dizziness, such as falling. Examples of these strategies are carefully moving through the house or concentrating and determining where to go prior to moving. These self-learned strategies are also described in other qualitative studies on patients with chronic dizziness [11, 14, 19].
Some participants reported they cling on to the hope the dizziness will disappear someday. Yet, the majority of participants seem to be able to cope with dizziness; they have got used to having dizziness, they focus on activities they still can do or they feel dizziness is not as disabling as their other chronic diseases or health issues among acquaintances. Previous studies also report dizzy patients who accept the presence of dizziness [14], have feelings of gratitude over things they are still able to manage [11] and assert their ability to cope with the dizziness and to carry on as normal [23].
It is remarkable that participants of this study stated their dizziness was not severe, even though they reported many restrictions in daily life. This seems contradictory. Yardley and Beech explained this apparent inconsistency in terms of the social roles that those with chronic illness have to fulfil: they must provide evidence of their illness to elicit sympathy and assistance but they must also affirm their personal competence to sustain social dignity and independence [23]. In a study on coping with multimorbidity in older age, Löffler et al. described a "can-do-approach to life": patients activated all their resources for the continuation of a meaningful and autonomous life [24]. In older dizzy aged patients, seeking help form their GP may not fit into their fight for an autonomous life.
Therapeutic nihilism by the older patient was revealed by the fact that dizziness was rarely the main reason for visiting the GP. This was unexpected given the high impact of dizziness in everyday life experienced by these participants (as reported during interviews and according to their DHI score of ≥30 points, corresponding to significant dizziness-related impairment [17]). Instead, participants mostly presented dizziness as a secondary complaint when they visited the GP for another complaint. Presenting dizziness as a secondary complaint may give GPs the - wrong - impression that the dizziness-related impairment is only mild. Other studies in older patients with chronic dizziness did not report that patients rarely visit their GP for dizziness [11, 14]. Many participants in this study described that they felt the dizziness was not serious enough to consult their GP for. The fact that a lot of participants described that the dizziness complaints were not as disabling as other chronic diseases or health issues among acquaintances, might also have attributed to not seeking help. This fits into non-help-seeking behaviour of older people with other health complaints. Previous studies revealed that older patients did not seek help because they attributed their symptoms to normal aging, they had the notion that their symptoms were to mild or not serious enough, or they prioritized help-seeking for more serious comorbid conditions [25–27].
Participants were very satisfied with the care they received for their dizziness, despite the therapeutic nihilism by the GP. However, some of these satisfied participants also reported they were disappointed that the GP could not relieve their dizziness symptoms. Others felt that their GP did not have a thorough knowledge of dizziness. And finally, some preferred more additional testing to find out the underlying cause of dizziness. In general, older people are very satisfied with their GP [28]. Furthermore, Chang et al. found that ratings of healthcare were not associated with technical quality of care but instead were strongly associated with ratings of communication in a sample of frail older patients [29]. This might explain why older dizzy participants in this study reported they were very satisfied with the care for dizziness despite their discontent with some specific aspects of this care. In line with Olsson Möller et al., participants in this study experienced that treatments sometimes had no or only temporary effects [11]. Nevertheless, a priority of older dizzy patients is to at least stabilize the symptoms and preserve mobility through prevention of falls [14].
Participants reported they would like more additional testing to find the cause of dizziness. This desire to know the origin of dizziness has also been reported previously [11, 14, 19]. In a study with younger dizzy patients, the inability of the physician to find any proof of disease was experienced as very frustrating and degrading [19]. For a significant proportion of older patients, doctors are unable to find an underlying cause of dizziness [1, 6, 30]. An unknown cause of dizziness can result in therapeutic nihilism by the GP. To increase the quality of life, we recommend to focus on improving functional ability when the cause of dizziness is uncertain and/or when subsequent treatment does not decrease dizziness symptoms. Focussing on improving functional ability is the key to escape from therapeutic nihilism by the GP. Furthermore, Drachman has recommended several treatment strategies for dizziness, including patient education to address the uncertainty and unpredictability associated with chronic dizziness [31]. We endorse this recommendation.
As all qualitative research this study is explorative. The data originate from a small sample of the total population with dizziness. Nevertheless, we endeavoured to maximise the trustworthiness of this study: we purposely selected participants with diverse characteristics; the two interviewers were non-medical which allowed the participants to speak freely; a topic list was used to guide the interviews; interviews continued until saturation was reached; data was analysed independently by two authors; categories were created in discussion sessions with four authors; all participants were asked for a member check.
This study revealed that shared therapeutic nihilism by the patient and the GP is a risk in dizziness in older age. Significantly impaired older dizzy patients experienced a lot of restrictions in everyday life. Nevertheless, participants regularly felt their dizziness was not serious enough to present as the main reason for encounter with their GP. If they mentioned dizziness to their GP, participants mostly presented it as a secondary complaint when visiting the GP for another complaint. This may give GPs the - wrong - impression that the dizziness-related impairment is only mild. GPs need to be aware of this and should actively ask the dizzy patient about experienced restrictions to enable assessing of dizziness-related impact on everyday life. Furthermore, finding the cause of dizziness seems important for patients suffering from dizziness. Yet, GPs regularly did not succeed in identifying the underlying cause of dizziness. The GP should manage the expectations of dizzy patients regarding diagnosis and successful treatment, by informing them about the uncertainty and unpredictability of dizziness. To increase the quality of life, we recommend to focus on improving functional ability when the cause of dizziness is uncertain and/or when subsequent treatment does not decrease dizziness symptoms. Focussing on improving functional ability is the key to escape from therapeutic nihilism by the GP.
DHI, dizziness handicap inventory; GP, general practitioner
We would like to thank the participants for taking part in the study. Furthermore, we would like to thank Drs. B.J.A. Hermsen for his linguistic recommendations.
This study was funded by the Netherlands Organisation for Health Research and Development. The funding body did not and will not have any role in the trial design, collection, analysis, or interpretation of data, nor in writing the manuscript.
Availability of data and materials
Data will not be made available in order to protect the participants identity.
Authors' contributions
HS, JvdW, OM and HvdH were involved in the design of the study. HS, MW and BM conducted the interviews and coded and categorised the data. HS wrote the first draft of this manuscript. MW, BM, JvdW, OM and HvdH provided important intellectual revision of the manuscript. All authors read and approved the final version of this manuscript.
Competing interests
The authors declare that they have no competing interests.
Ethical approval and consent to participate
The Medical Ethics Review Committee of VU University Medical Center approved the study (approval number: NL49604.029.14).
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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text:
Published on December 6, 2007
Author: Dixon
Source: authorstream.com
Vision and Approaches of Upanishads : Vision and Approaches of Upanishads M.G. Prasad Slide2: Vedic Triadic Approach to Seek Spiritual Knowledge Three essential components for making an effort to acquire any knowledge, particularly spiritual knowledge are: The Sadguru refers to the guiding energy in the form of mother, father, acharya, spiritual mentor Shastras refers to the body of knowledge (Vedic literature) Anubhava means the experience of the seeker Eventually, the seeker should advance towards spiritual enlightenment. Slide3: Vedic Knowledge as an Inverted Tree Integrated knowledge of Spirituality and Science Bramhan - God Non - Dual Reality Vedic literature 4 Vedas Vedic Literature : Vedic Literature Samhita, Bramhana and Aranyakas form the Vedas Vedas are classified as Rik, Yajus, Sama and Atharva. Maharishi Vyasa classified them, hence Veda Vyasa. There are large number of Upanishads (108, 32, 10) Principal Upanishads: Principal Upanishads Ten Upanishads are considered as major ones. Rigveda ---Aitareya Sukla Yajurveda ---Isavasya and Brihadaranyaka Krishna Yajurveda --Katha and Taittiriya Samaveda ---Kena and Chandogya Atharva ---Prasna, Mundaka and Mandukya Upanishads: Upanishads Upanishads refers to the spiritual knowledge obtained by disciples sitting near the realized Guru, that destroys the ignorance of disciples. Upanishads are the Vedanta (essence of the Vedas) Upanishads are essentially in the form of stories and dialogues such as those of Yama-Nachiketa, Varuna-Bhrigu, Yajnavalkya-Maitreyi, etc. Upanishads are the super conscious experiences of Atman by several rishis and they form the foundation of Sanatana Dharma. The other two are Bramha Sutras and Bhagavadgita. Upanishads (continued): Upanishads (continued) Upanishads deal with the fundamental questions about existence, life, creation, death etc. Upanishads deal with nature of soul, universe and God and their relationships The various systems of philosophy namely Advaita, Vishishta advaita and Dvaita refer to the Upanishads as their source material. Upanishads (continued): Upanishads (continued) "What is that by knowing which everything in this universe will be known?" (Mundaka) "Commanded by whom does the first vital breath force move forward?"- (Kena) "When a person passes away there is this doubt, some hold that the person exists and some that the person does not. This I should like to know, instructed by you"--------(Katha) "Please instruct me about Bramhan"-(Taittiriya) Isavasya Upanishad: Isavasya Upanishad Small in size (18 verses) Mystical experience of ubiquitous Atman. Karma yoga Kena Upanishad: Kena Upanishad Subjective (psychological-spiritual) and objective (cosmological) approaches to proof of Atman. Atman as Ultimate Reality Omnipotence of Atman (Uma, the Goddess and Indra) Katha Upanishad: Katha Upanishad Dialogue of Yama-Nachiketa Sacred fire and yajna mortal body and immortal soul role of yoga and discipline Prasna Upanishad: Prasna Upanishad String of questions to rishi Pippalada by Sukesi, Satyakama, Gargya, Aswalayana, Bhargava and Kabandhi Systematic presentation through questions and answers "Whence is all this that is visible"-(Kabandhi) "Who is the Purusha with sixteen kalas"-(Sukesha)\ Mundaka Upanishat: Mundaka Upanishat Refers to the visions and experiences of Samnyasis Para and Apara Vidya Cosmology Karma and Jnana Marga Mandukya Upanishat: Mandukya Upanishat Four levels of consciousness (wakeful, dream, deep sleep, fourth (samadhi)) OM : its various aspects Taittiriya Upanishat: Taittiriya Upanishat Ethics, learning and advice at the end of studies Sheaths of Bramhan Levels and scale of happiness (bliss) Dialogue of Varuna and Bhrigu about Bramhan Ecstatic expressions of experience of Bramhan Aitareya Upanishat: Aitareya Upanishat Creation of world through Viraj Philosophy of three births Nature of Atman Chandogya Upanishat: Chandogya Upanishat Yajna and upasana Raikva, Satyakama Jabala, Usasti Pravahana (Life after death), Narada (Para and Apara) Bramhachari (worship of Prana), Indra (about Atman) Thus spake Uddalaka Aruni Brihdaranyaka Upanishat: Brihdaranyaka Upanishat Karma (Soma sacrifice) Creation of Universe and four varnas Gargi-Yanjnavalkya, Balaki-Ajatashatru, Bramhan as Antaryamin Thus spake Yajnavalkya Essence of the Upanishadic Teaching: Essence of the Upanishadic Teaching Atman is the antaryamin (Divine power) as the ultimate source of all the distinct aspects of external nature as well as inner faculties of humans and other beings. Atman is to be realized (anyone can) from direct personal knowledge through the practice of disciplines austerities of very arduous and exacting nature. The grace and guidance of realized Guru is required. Atman thus realized in the pure space of the enlightened seer's heart is of the nature of indescribable bliss. The human life is completely fulfilled with the realization of Atman.

subset: commoncrawl


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Ulta Beauty's Debut on Chicago's Magnificent Mile
The storefront of Ulta Beauty's 999th location, on downtown Chicago's Michigan Avenue.Photo 1 of 9
The salon at Ulta Beauty's new Michigan Avenue location features a larger space, more stations and services.Photo 2 of 9
MODERN Editor in Chief Alison Alhamed with Ulta Beauty's Kecia Steelman, chief store operations officer; Nick Stenson, Chief Artistic Director; and CEO Mary Dillon.Photo 3 of 9
Ulta Beauty's Amiee Thomas, SVP Stores, West, with Michele Musgrove, MODERN Editorial DirectorPhoto 4 of 9
Ulta Beauty's Kecia Steelman, chief store operations officer; Nick Stenson, Chief Artistic Director; and CEO Mary Dillon.Photo 5 of 9
Ulta Beauty's Kecia Steelman, chief store operations officer, with Tara Simon, SVP Merchandising.Photo 6 of 9
MODERN's Alison Alhamed with Ulta Beauty's Chief Artistic Director Nick Stenson.Photo 7 of 9
Dylan's Candy Bar supplied treats for attendees.Photo 9 of 9
On Wednesday, June 21, 2017, Ulta Beauty proudly opened the doors of its brand-new downtown Chicago store for a sneak peek of its 999th location. The grand opening on Michigan Avenue—best known as the Magnificent Mile for being the largest shopping district in the Windy City—celebrates Ulta Beauty's new look.
Located at 430 N. Michigan Avenue, the new location features a much larger salon space than Ulta consumers are most familiar with.In addition to the chain's first-ever MAC Cosmetics boutique, the Michigan Ave. location also features a Skin Laundry clinic, which is best known for its signature Laser & Light Facial.
During the Mag Mile debut, attendees including editors, beauty bloggers, Chicago media and VIPs, experienced hair and makeup touch-ups, sweets from Dylan's Candy Bar, shopping the 10,000+-sq. ft. store, and mingling with Ulta Beauty's top executives, including CEO Mary Dillon.
"Isn't it beautiful?" Nick Stenson, Ulta Beauty's Chief Artistic Director, beamed as he was joined by his Pro Team colleagues Sonya Dove, Global Ambassador for Wella Professionals and Danielle Keasling, Matrix Artistic Director.
Ulta Beauty continues to add roughly 100 stores each year, and has plans to open a similar location in Manhattan in late 2017.


text: In the Philippines, the Widus Hotel and Casino Clark has apparently reported that it means to spend around $500 million keeping in mind the end goal to additionally grow its contributions following the arranged September finish of another five-star lodging. Online Betting Malaysia As per a Friday report from the Manila Standard daily paper, the Luzon setting opened twelve years prior after an underlying $4 million venture by the Widus Philippines Incorporated, auxiliary of Widus International Leisure Incorporated, while the most recent disclosure is set to take the nearby company's aggregate expense on the coordinated gambling club turn to past $1 billion. Daesik Han, President and Chief Executive Officer for Widus International Leisure Incorporated, allegedly told the daily paper that he was upbeat to build his company's interest in the Pampanga property arranged just around a hour and a half drive north of Manila because of the neighborhood government's progressing endeavors to make a more appealing and effective business condition. Online Betting Malaysia "The administration is building the framework however the private segment should add to construct some recreational offices with the goal that this region won't be a travel zone just," the South Korean apparently told the Manila Standard. Online Betting Malaysia The Widus Hotel and Casino Clark is situated in the Clark Freeport Zone, which is the site of a previous United States Air Force base, and right now offers nearly 233 inn rooms nearby a 48,437 sq ft gambling club including 342 spaces and 54 gaming tables. Online Betting Malaysia The Manila Standard revealed that Han's acclaim of the nearby government's endeavors through its Bases Conversion and Development Authority was resounded by Evan McBride, Chief Investment Officer for designer Global Gateway Development Corporation. This firm is in charge of the territory's 437-section of land Clark Global City business stop that is now more than one-quarter possessed with the official commending the region's 'exceptionally straightforward business process.' "For a speculator that is first coming in, we can bear witness to the simplicity of really putting and working together in the [Clark] Freeport Zone as opposed to going elsewhere in the Philippines," McBride supposedly told the daily paper. Online Betting Malaysia McBride likewise proclaimed that the most recent ten years has seen his firm contribute, "a great many dollars" in the Clark Freeport Zone while calling the zone, "a genuine organization with the Philippines." Online Gambling Malaysia The Manila Standard refered to Noel Manankil, President and Chief Executive Officer for Clark Development Corporation, as uncovering that the state-run substance has put aside roughly $38 million to update the territory's streets and enhance its mass travel frameworks and parks this year in the wake of spending around $19 million on comparable activities in 2017.


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Members of the Scottish Tourism Alliance (STA) board along with lead representatives from other leading Tourism and Hospitality trade associations met with Lord Smith last week to put forward their thoughts on what powers might best be devolved to Scotland to create best trading conditions for the sector.
Some of the Issues discussed were APD, Vat, Living wage implications, the importance of VisitBritain relations with Scotland, Local Area Funding & Scotland's place at the EU table.
Marc Crothall CEO of the Scottish Tourism Alliance, the over arching tourism trade body also responsible for coordinating the national tourism strategy Tourism Scotland 2020, commented.
'We were delighted to have been invited by Lord Smith to share our thoughts on devolution of powers post the referendum and highlight opportunities. Being invited to engage directly with Lord Smith once again demonstrates that Tourism and Hospitality is acknowledged as a Key Sector in Scotland. We were all encouraged to hear from Lord Smith that the 5 political parties had a genuine desire and were committed to working towards the best possible outcome for all."
A formal submission to the Smith Commission will be submitted by the Scottish Tourism Alliance on behalf of the industry bodies the Alliance represents.
Associations that were represented at the meeting were the STA, SLTA , BHA, ASVA, ASSC & SDMA.


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Since 1959, Andy's Tackle Box has been a mainstay in the Downriver fishing community, providing a wide selection of fishing tackle and supplies to the area's fishermen at our Melvindale location.
Many of our customers grew up fishing in small towns, where the local shop owners were always more than happy to swap fishing stories and advice. We continue that tradition at Andy's while providing a central location and a selection few can match.
Whether you're looking for rods, reels, lures, jigs, sinker molds or fly-tying materials, we have the equipment and the know-how you need to make your next fishing trip a successful one.
Stop by at 17485 Dix-Toledo Road in Melvindale or give us a call at 313-388-3474!
And if you're a fan of steelhead and salmon fishing or just itching for that Up North experience, visit us at our Manistee River location in Brethren, located at 14573 Coates Highway; or call the shop at 231-477-5737.


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Island Caretaker – Hamilton Island, Queensland, Australia…
That's it, the job that is being billed as the "Best Job in the World". Tourism Queensland is looking for someone to live on Hamilton Island for 6 months, spend time outdoors enjoying adventures and to blog about it all. Sounds like fun, doesn't it? And for this the person will have a house to live in plus gets paid AUD $150,000! Of course everyone wants this job!
Who wouldn't want to be there, doing that?
I want to meet the people who came up with this idea. It's an absolutely brilliant marketing campaign! Brilliant! The publicity they are already receiving is crazy! Last week, their website crashed because so many were using it at the same time.
This campaign has been carefully thought out. It launched January 9th, winter for those of us in the northern hemisphere. When it's -30 Celsius, the idea of spending 6 months on an island in the Great Barrier Reef sounds pretty darn good! The job (and therefore the blog) begins July 1st and ends January 1st. It will run during the time that those who want to visit Australia in January and February will be doing their planning.
They are creating a buzz by having the application videos available for people to view, plus they will have the public vote for one person to get a wildcard spot for an interview, in addition to the 10 candidates Toursim Queensland selects. They are already creating a following for this blog 6 months before it will launch!
And the cost of this amazing promotional campaign? The $150,000 salary, providing housing to the person for 6 months, plus airfare to the interview for the 11 candidates, plus airfare for the successful candidate… Now there is good value for money!


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Sneaker Bot
Budget $30-250 USD
I would like to make a "Sneaker Bot", the gist of a "Sneaker Bot" is to get an item and checkout an item as quick as possible. The item will be sneakers, specifically limited sneakers. Here are the features I'd like the bot to have.
* Can add an item to cart based off a keyword or a url given
* Can checkout an item and autofill all the info required
* Can have multiple tasks doing what was mentioned through a proxy
So my essential question is, where can I start, what programming language is recommended to do this, and what do I do.
Here are some examples of sneaker bots that are sold, Id like to make a sneaker bot like these.
*AIO Bot
*Silent AIO
*Task Bot


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All things are Prima... and I love it =) especially the stitched stamps that I have been hunting for some time... but now I have bought two different of them!
Thanks for stopping by =)
love this page Maja, so sweet and neat! I know how you feel about those stitched stamps - I'm mad about them too!SvaraRadera
Mycket snygg Lo, fina färger .
Kram Ulla
Those stamps are great aren't they? I have one too and have used it on my LO.. which I'm off to upload now. Fab take on the sketch btw!SvaraRadera


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Clea G.
Clea G. is having a boring day at the office. But fortunately she has a masseuse coming to the office at 1 pm to give her a massage. When the doorbell rings, she excitedly jumps up and finds Kristof at the door. Now he is exactly what she needs. Stripping down in the bathroom, she climbs naked onto the massage table and Kristof gets to work. But before long, their urges get the best of them, and the massage becomes something a bit more intense. Making passionate love on the massage table, Clea begs for him to cum inside her for the ultimate conclusion to her body work. And of course, he's only so happy to oblige...
- Born
- Nov 30, -0001


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You can continue the type of exercise that you were doing pre pregnancy if your body is used to it. Your body will tell you if it is too much for you. I have seen pregnant mamas jogging and that is great for them (but not me!). Swimming is great during pregnancy but I have not had access to anything other than the baby pool while watching my other kids. When I am not pregnant, I usually find yoga to either be too hard or a bore. During all three of my pregnancies I found prenatal yoga to be healing. My first two pregnancies in NYC, Melissa Feldman made me laugh and love going to class. I connected with fellow pregnant mamas who I shared a very special time with and learned a wealth of knowledge. After giving birth we had weekly playgroups (sometimes for happy hour) and later a babysitting coop with each other for support. This was priceless BUT the most priceless part is that no one in Melissa's class EVER had back pain or other pregnancy ailments. Women were at class up until the end even if they were overdue. There was a magical feeling as I would walk out of class that made me feel like my body was in perfect alinement and that I was in perfect harmony with my body image and with my beautiful baby.
On a daily basis, I recommend making exercise part of your lifestyle. Walking has been the perfect fit for me because it takes no extra equipment and can be done anytime. For me living urban has kept me walking wether it be for groceries, up and down endless subway stairs, walking the kids to preschool or the park. For those of you who have a harder time adding walking into life, there are a lot of things that you can do like park (or get off the train) farther away and walk a longer distance. You can go for a 20 minute speed walk on your lunch break, visit a local park or enjoy a prenatal salsa dancing DVD at home. Those prenatal yoga DVDs bored me because they were too easy.
Whatever you do, try to have movement everyday.


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"Evil is like a shadow – it has no real substance of its own, it is simply a lack of light. You cannot cause a shadow to disappear by trying to fight it, stamp on it, by railing against it, or any other form of emotional or physical resistance. In order to cause a shadow to disappear, you must shine light on it."
Shakti Gawain, teacher and author (b. 1948)
I love this positive way of removing evil – it seems much of the way people combat one evil deed is with another and we all know where that gets us.
b u
p s


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Hello guys! I'm very honoured that you guys agreed to do an interview with The Vith and since this is the first time ever I'm doing an exclusive interview with a band so I hope we would rock this interview together. \m/
1) Can you guys introduce youself to the readers and instruments you're playing?
Assalamualaikum. Well hello guys! We are Lakes & Snadders, Post-Hardcore/Metalcore band hail from Klang/Shah Alam, Selangor, Malaysia. We are 5 piece metal band, Since 2008. For those who have already know about us, thank you guys for your concerned. For those who don't, we are here, enjoy this interview, read it wisely and spread our images and words to your mate.
So your first question is, Instruments? Basically, our instrument is just the same with other metal band. A single drummer, 2 guitarist player, a very single bassist also a part of backing vocal though and one vocalist/screamer.
So your first question is, Instruments? Basically, our instrument is just the same with other metal band. A single drummer, 2 guitarist player, a very single bassist also a part of backing vocal though and one vocalist/screamer.
2) How did you pick your band name?
We had a lot of names before. We started with Diamond for Dayana, Dayana is actually one of our very understanding female friend's name. Our 2nd name is Asthalin, but there's another band using it and It's official though. After that we changed to Echidna which mean is "Dahlia" or Tulips by terms of full of joy. We came out with our final name and everybody's agreed, Lakes & Snadders based on the idea of Snakes & Ladders board game. We swapped the letters because of we despise the idea of living with Snakes & Ladders way of life. Get to the higher level by our own stepping on the ladders and be pulled under easily by the SNAKES (misfortune). Once again, our name based on the idea of Snakes & Ladders.
3) What is the story behind your official band logo?
The story behind our official logo is we are like oftentimes changing our bandmates. Firstly, we are trying to change our path, we try to change our directions and ideology from the old one to the new one trailing by the time flows. We also want to let you know that we change this through other influences from every band mate who had been selected. Our logo is a way to attach each message and our journey to all those who look at us, fast and compact. A round shape of the world and we in it.
4) Why did you decide to play the genre or genres you do?
We have discovered the world of Metalcore since the year of 2008. Since then we were attached within it and we felt so comfortably playing based on this genre because of the Metalcore's attitude itself, which building our hopes and exactly the melody and riffing are so catchy. We're focusing on Metalcore, but we also play other genre. The identity and the ideology of Metalcore gave not just us, but to the listeners an impact. Good question.
5) Who are your musical influences?
The band that inspired us the most is Blessthefall, by musical, lyrical, theatrical and attitude. Fight with music and arts. We will make a difference to the world of Metalcore we hope.
6) How do you describe your music to people?
Our music as you all knows it, metal. Full of meaning and the story behind the lyrics that you hear. Our music is maybe a little old school, but easier to hear now and having the old and the new pattern in creating music. We hope our music can inspire our listeners and listeners of other musical genres. In creating music, we will apply the hopeful and certain messages.
7) Where do you usually gather songwriting inspiration? What is your usual songwriting process?
Writing a lyric is quite challenging to us. Technically, our influences are big, huge and astonishing. We wrote based on humanity, religion and the history. Basically, we were trying to observe the problems of the world and we tried to enlightened up and elaborated more. Some religious writings are very helpful in order to applied our thought about the world. For the lyrics, we always will discuss together about its contents no matter where. Usually, our drummer and vocalist will discuss it and will be agreed with the others.
8) You guys just released the Fragment music video (cool vid btw!), how would you describe the storyline/inspiration of the MV?
Our music video, it is a random idea about the song title and the lyrics themselves. We tried to think of something unusual, but easy to understand. There are three stories in the music video.
The first story is about a man who is not in the know, he fights with himself and it is symbolic of the man who has failed in his life and had almost nothing. Find his way home, his life looking for light.
The second story is about five young men who do not know each other. Each of them is the ordinary man and came across with a book with old symbols, which means hope.
The third story is so we ended up with a goal to prove ourselves to all who follow us from the beginning and to the world.
Thank you because you have seen our MV. We hope it will give satisfaction to all of you.
9) What is the hidden meaning of your single, Fragment?
This fragment is a breakdown of past memories might come back. From the lyrics themselves are capable of managing their own point of view. Perhaps it relates to a lot of people, maybe even you who are reading this. Hope you are entertained by our songs. Interesting question.
10) Anything you'd like to share, from new merch to upcoming gigs or songs/albums?
Oh yes! We are planning to make more Merch for the next single. Our merchandise is a shirt that on tape by the design of our own. The album / EP, we will issue our singles from the EP will likely come out in the future. The date has yet to be decided but we will tell you about the progress.
11) What live performance experience have you had? How does your fans react to your music?
We have quite a lot of life experience which we will never forget. Many bitter sweet experience when we play live. We had to go show desperate struggle even though no money, no place to stay and we've also exposed like dead amp, dead mic live, but we also white water solely for the audience. Always very supportive and happening crowd. Their reaction to our very satisfactory. We are very grateful to you, the audience. Without you there is no us. Keep rocking guys.
12) Are you looking for an independent label deal or a major label deal?
For now, we are extremely independent. If there is any label that wanted us as their artist, and we are very excited about welcoming it. Whether it's indie or mainstream, we do not mind as long as they provide good cooperation.
13) How do you see yourself/band in the upcoming years?
Our journey is still far and more of our target for the future. We see the future there will be many more challenges we remedied travelled together. The future is not yet set, but we will try our best to use our power to determine our future more towards excellence.
14) What is the craziest thing that you guys had done together during gigs/studio sessions together?
So far, nothing too crazy we 've done in the studio or on stage. For us the craziest thing is, we played one song for three hours. Besides that, we are less crazy. Hahaha!
15) How do you rate your live performance ability?
Depend on the audience. When the audience is silent and does not enjoy, we knew we were not good and are in trouble, we will do post - mortem through our live video after the show. So far, we are at normal levels. For us, we are not too great and not too severe. We will not compare us with other bands because we may not be at their level.
Thank you so much for this opportunity. Wishing you all would have a great success in the future with the band.
And one last question, would you like to merge with and make The Vith as one of your official publicist?
And last but not least your question without a number. Sure, why not. It's our pleasure to collaborate with you. Thank you for having and we will keep in touch with you, The VITH. We wish all the best to you and stay safe, healthy and always been wider. Let the lights surround you.
Lakes And Snadders is a Malaysian Metalcore based band from Klang/Shah Alam, Selangor Darul Ehsan. The band founded in late of 2008 by the two original members Emir and Fazi. After quite lots of show and several line-up changes, the band went to hiatus. After graduated from school Emir and Fazi decided to re-formed the band with Elle later joined by Khalaf. Since then, Lakes And Snadders started a meteoric rise after a long hiatus. Initially in-re-formation in late of 2010 and several members had parted ways during the early days. The band has been reformed back in September of 2010 with its 3 original members and a new bassist filling the missing gap. In December of 2010 the band released their very first demo songs called 'clarity arise' and followed by their first pre-mastered single called 'Now I Claim Your Sun' in May of 2011.
Former Bandmates:
Elle – Screamer
Emir – Guitarist/Vocalist
Khalaf – Bassist
Fazi - Drummer
The band is heavily influenced by religious and spiritual theme into their writings.
Our music is not just a typical Metalcore, each members come from different music varsities and influences and then blended in our sound, composition and writings (lyrics).
In early of year 2012, Lakes And Snadders is filled up by Putra/Dirufied Ziddy (now he has a legitimate joint Daarchlea as a screamer) replacing Elle due to a matter that we can't literally speaking up. He brought the new light enlightened us all as a new writer to a band.
2013 early, Putra had left the band to join Daarchlea and his place being replaced by now, our saturated screamer/vocalist, Akhil. Later join by Siv, our regular guitarist at this time because Emir had left the band to catch his dreams.
Lakes And Snadders are now fix with 5 regular members. Through their passion and dedication, they mustered the idea to restore the band to the world and comeback with a new material, eargasm and more melodic also harmonize with your routine life long and never be forgotten.
In the year of restoration which is in late 2014, December, we for the very first time released our proper recorded single and it is official track debut to Lakes And Snadders it-self called "Fragment" to show to the world that we're still alive and energetic to perform our best for.
Current Bandmates :
Akhil – Screamer/Vocalist
Zurin – Guitarist
Siv – Guitarist
Khalaf – Bassist
Fazi - Drummer
"The Light Enlighted Us All"
The band consists of 5 teenage youngster who tries to deliver out the youth angst with a relentless blast to your ears. With oldest members is at 22 years old and the band are struggling to be apart from the others in the strain.
With the coming of 2015 and a new members in the mess. The band are now armed with a new mission, vision and perspective.
To come out with a new lights.
Be please to listen, hear and watch us on our social media :
Soundcloud: https://www.soundcloud.com/wearelns
Twitter: https://www.twitter.com/wearelns
Instagram: https://www.instagram.com/lakesandsnadders
Reverbnation: http://www.reverbnation.com/lakesandsnadders
Bandpage: https://www.bandpage.com/wearelns


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Responding to lender, condominium association and consumer outcry that the existing FHA condominium lending guidelines are too strict, the Federal Home Administration (FHA) has announced a round of changes which will hopefully make it easier for borrowers to qualify for FHA condo loans. The full FHA announcement can be found here.While some of the changes are a step in the right direction, I think overall they are a mixed bag, as FHA left some of the most onerous provisions intact. I'm skeptical that these new changes will have a major impact on condominium sales, but of course, any loosening of the strict requirements is a positive move.
Condo fee delinquency rule increased to 60 days overdue
FHA is softening its stance on delinquent monthly condo fees and home owner association (HOA) dues. FHA is now allowing up to 15 percent of a project's units to be 60-days delinquent on condo fees, up from just 30 days delinquent under the prior rule.
Expanded investor purchasing allowed
Under the new rules, investors can come in and buy more units in a project than they could previously. They can now buy up to 50 percent of the project units, up from just 10 percent before, but with an important caveat: the developer must convey at least 50 percent of the units to individual owners or be under contract as owner-occupied.
Owner occupancy limits and total FHA financing percentage unchangedThe biggest disappointment of the new rules is that the main impediment to FHA condo financing remains unchanged, and that's the 50 percent rule. Before any new buyer can obtain FHA financing, 50 percent of a project's units be sold to third party buyers. This is what I've called the Catch-22. FHA provides the most first time home financing, so how can a developer expect to sell out his project if he cannot offer initial FHA financing? I agree with the National Association of Realtors and the Community Association Institute on this one. Get rid of the 50 percent rule or decrease it to 25 percent or less.Another restriction that hasn't changed is the number of units that can have an FHA-backed loan. Only half the units can have FHA financing, so a borrower can't get FHA approval if his unit would put the number of FHA financed units over 50 percent. That limitation remains unchanged, and that's a killer for a lot of projects.
Spot approvals remain dead
Mortgage lenders used to love FHA "spot approvals" which could by-pass the involved standard FHA approval process in order to get individual unit financing. Problem was is that they love spot approvals way too much, and they got abused. FHA did not resurrect spot approvals from the dead on this go-around. Maybe they will be back when the economy gets better.
More commercial space OK
Projects can also have more space devoted to non-residential commercial uses than before. You see this a now in Boston with Starbucks and a bank office on the ground floor of a new condominium building. Up to this point, only 25 percent of project space could be used for commercial purpose. Now 50 percent of the project can be commercial, although certain authority for approval is reserved for the local FHA office. This will benefit the newer mixed use projects in urban markets.
Fidelity insurance coverage required
Important for all condominium professional management companies. If the condominium engages the services of a management company, the company must obtained its own fidelity coverage meeting the FHA association coverage requirements or the association's policy must name the management company as an insured, or the association's policy must include an endorsement stating that management company employees subject to the direction and control of the association are covered by the policy. This is a substantial change to the previous requirements that required management companies to obtain separate fidelity insurance for each condominium.


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Open a Greenhouse Fabrics Account
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Have you ever stopped to pay attention to the stream of consciousness convo you have with yourself in your head as you casually browse through your Pinterest stream? Just me? If not, I highly recommend it. I did today and I was able to very easily confirm my suspicion that I'm TOTALLY FUCKING CRAZY.
Herewith is the liveblog "transcript." I've indicated each pin I'm talking about with arrows, smiley faces, and other obnoxious graphics.
[EVERY time I see one of my pins repinned]: Somebody repinned MY pin! Even though I repinned it from someone else! Still, I RULE SO HARD!
1. I'm such a blogging idiot. Why don't I do more posts where I just take a stupid boring everyday item, write MAGIC over it in cute handwriting and then sit back and let 8 billion trillion people pin the shit out of it?
Lemons: 10 secret uses that will blow your mind...but not your budget. Pin now, read later!
15 ways to use sweat socks to organize your home. Why didn't I think of this!
Bug Spray...it's not just for bugs. Another pinner said: this bug spray info literally rocked my world! Now I cook with bug spray, I clean with bug spray and I even make clothes with bug spray. Yes, really!"
Cookin with bug spray, yo. For realz.
2. How long is it before someone invents a separate Pinterest site for all the cutesy, inspirational, tug at the heart strings quotery? Quoterist? Annoyingest? Still brainstorming...
3. Hmm, this chick is going quartz crazy today. Maybe quartz is a new trend? Why do I not know about this..?
4. She looks like a baby bitch.
5. I'm I an asshole if I just don't give a shit about Butterflies? [Don't answer that].
6.This woman is drop dead gorgeous. I hate her so much.
7. ARE YOU FUCKING KIDDING ME WITH THIS SHIT?! That door is even more beautiful that that hot chick I just decided to hate on the last pin.
8. OOhh, best jobs in America. Interesting...let me repin this as you never know if...though I forget if my boss is following me? Cause then what's she going to think? That I don't like my job and am looking for a new one? That I'm the type that always likes to keep my options open? That I'm gunning to get a raise? That I'm an ungrateful employee that deserves to be fired. Great, NOW I'M GOING TO GET FIRED.
9. I'm sorry, but chia pudding looks like it has bugs in it. Or mice poop. I think I'm gonna throw up in my mouth.
10. Who the fuck is One Direction? Holy shit, I'm old.
11. I sincerely hope these Olliblocks people have google adsense on their site or something. Cause I've seen this pin about 4036 times over the past 24 hours. These ppl are probably now in the 1% based on all the traffic and ad revenue they received from just this one pin. Obvz I need to pin this too...even though I would never do this project in a billion years. Also, yet again I'm a stupid, shitty blogger for not coming up with my own clever downloadable PDF that loads of ppl could pin and then never actually do anything with.
12. Candy corn nails? Those make me want to punch a Panda.
13. ARE YOU KIDDING ME WITH THAT PHILIP LIM BAG, RIGHT NOW?? I don't even wanna know how much it costs. Yes I do. CLICK. [FUCK. FUCK. FUCK].
15. That cake looks nicer than my apartment.
16. Again with the quartz! Ok, I'm definitely missing out on a trend here. Maybe I should start a new blog called The Daily Quartz? I knew I should have been keeping up with my RSS reader.
17. A quinoa slider? Ugh...I think I'd rather eat chia pudding.
18. I think I need to start a board called "Shit I would wear if I wasn't fat."
Annnd, I'm at the end of my pins. Time to illegally download the first two eps of Downton Abbey.


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$40B cleanup cost for Gulf spill could double
Last month, BP increased by $8 billion the financial provisions it was taking for the Gulf of Mexico oil spill; the company's shares rose.
SPECIAL REPORT – Last month, BP increased by $8 billion the financial provisions it was taking for the Gulf of Mexico oil spill; the company's shares rose. Better-than-expected underlying profits and upbeat comments from new Chief Executive Bob Dudley were taken by the market as a sign the company would soon return to giving steadily rising dividends.
Key to this outlook is confidence that the new estimate of the total cost of the spill — $40 billion — will be sufficient.
That optimistic view may turn out to be true. BP executives have said this is their "best estimate" of costs, adding they could turn out lower. But history shows there is ample scope for nasty surprises from BP. The oil giant has so far consistently underestimated the scope and potential cost of the Gulf spill. It also has a track record of low-balling disasters, including the fatal Texas City refinery blast in 2005.
CEO Dudley has said a $20 billion fund BP created to compensate victims of the spill should cover all damages claims. The lawyers who are suing BP don't think so.
"The total value of the claims already registered could exceed the amount of money that has been dedicated to pay the fund," said Texas-based trial lawyer Brent Coon.
An analysis by Reuters of the potential fines, damages, costs related directly to the leak, compensation and the damage to BP's business suggests the final spill bill could, over the long term, end up much higher than BP's latest provision — perhaps even more than twice as much. Much hinges on whether U.S. courts find the company was "grossly negligent" in the run-up to the disaster, but there are other risks.
Changing costs
BP's inability to gauge the scope of the spill in April is well-documented.
» April 2010: One week after the blast, the company said a relief well would take three months to complete and cost $100 million — but that would be the most expensive part of the whole response operation. Combining this with the daily expenditure that BP reported at the time suggested a total bill of $200 million. BP hinted then that even this calculation was pessimistic.
» June: BP tells analysts the cost of containing and cleaning up the spill would be $3-6 billion.
» July: The company said the likely cost of the spill would be $32 billion
» September: By mid-September, the response effort alone, excluding damages claims, had cost BP $8 billion.
» November: BP hiked its estimate by another 25 percent, or $8 billion. reuters


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Until the last few days I'd resigned myself to the fact that most of my posts would attract just a handful of readers and comments will been rare. Suddenly there's been a huge increase in traffic- have been checking the stats. I'm not sure why this has happened -perhaps something to do with the way Google lists the blog on search engines. While some posts are languishing with only a few readers, one has had a massive number of hits - over 170 the last time I checked. It's all about the Michael Kors bag I bought for my sister. Reckon it's the mention of this high-end designer that gets it noticed. I suspect that some of these readers are disappointed when they find a post about my purchase of a bag from Clark's as an alternative! Tempted again today to mention Michael Kors in the post title but that would be a con really. But will add a picture from yesterday's Saturday Times of his yellow outfit. Great if you are 17, but not for me I fear, though I do like colour a lot.
I like the Saturday Times' magazine as there's a lot of fashion for your money. £1.50 for the whole paper compared to £3.90 for 'Woman and Home' and there are three regular witty and informative features: 'This week I'm wearing' with Laura Craik shows Laura wearing the latest designer gear (above in yellow Michael Kors). Then there's 'How to Get Dressed' with Hilary Rose who's a bit older and says this about the current trend for florals in this week's edition: 'There is precious little flowery about me. I'm too noisy to be flowery, and having never worn anything floral in my youth, 40+ seems an odd time to start. However, there are some fiendishly pretty floral things out there and, if we hold our breath and wish hard enough, it will soon be March, which is practically spring, so florals seem suddenly apt.' Great stuff.
I also really like 'Fashion Sums' by Prue White (above) which shows you how to get a designer look using purchases from high street stores. I really liked this week's feature on cobalt blue. The bottom one on the page is Michael Kors again. Inspired by this, I wore today one of my cobalt blue items of clothing, a cardigan from Next.
Love the colour which is why I bought it. Also like the metal buttons. But hate the way the sleeves are all puffy at the top and so don't wear it much.
|Horrid puffy sleeves spoil Next cobalt blue cardigan
|M&S jeggings at £22.50
As today was very much a slob-around-the-house-day it didn't matter. But it's definitely being ejected from the capusle wardrobe as a bit of a mistake. Still love cobalt blue so I have my eye on some of the great value M&S denim 5 pocket 'jeggings' (awful portmanteau word) in this colour. At £22.50 they are worth a try, even if skinny type jeans are usually ill advised for hourglass figures like mine.


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Please open with me to I Corinthians 3:10-15.
This evening we look at one of the most sobering day of our lives as believers. The entire Trinity will be involved in that day.
• We all were saved one day by God's grace through the Cross of Jesus;
• We all live each day energized by the grace of the Holy Spirit; but
• We all will stand and have all our days lived as believers analyzed and tested by Jesus Christ for the works we used those days to accomplish.
Don't Waste Any
Days of Your Life
You see, even under grace it does matter what you do with your life. Don't waste your life is the message of God to us this evening. We need to be gripped by the reality that choices we make have consequences both now and for eternity.
Only our sins are forgiven and forever forgotten by God—wasted lives are not forgotten, rather they are remembered and dealt with by God at Christ's Bema Seat.
Martin Luther lived by a motto he often repeated:
"I have but two days in my calendar—Today, and the Day I stand before Christ."
In I Corinthians 3 we find ourselves standing before Jesus Christ. Please stand with me this evening and follow along as I read.
Christ's Coming simply reveals what people have been all the time. For us as believers, Paul tells us that when we stand before Christ "each man's work will become manifest, for the Day will disclose it" (1 Corinthians 3:13).
Remember, the One who has planned the End from the Beginning has told us what will happen in the days ahead, and this is His Plan for History.
Seven Steps from
Now to Eternity!
RAPTURE I THESS. 4 BE READY – Christ is Coming
JUDGMENT SEAT OF CHRIST 2 CORIN. 5 BE HOLY – Christ will test our lives.
TRIBULATION REV. 6-19 BE THANKFUL – Christ will keep us from the hour.
SECOND COMING REV. 19 BE PATIENT – Christ will right all wrongs.
MILLENNIUM REV. 20 BE FOCUSED – Christ will perfect the earth
GREAT WHITE THRONE REV. 20 BE FAITHFUL – Point people to Christ.
HEAVEN REV. 21-22 BE INVESTING – Lay up treasure in Heaven.
#7: Heaven: Be Investing—Lay up treasure in Heaven. (Revelation 21:1-7; 22:1-5)
#6: Great White Throne: BE FAITHFUL–Point people to Christ. (Revelation 20:11-15)
#5: Millennium: Be Focused—Christ will perfect the earth. (Revelation 20:1-10)
#4: Christ's Second Coming: Be Patient—Christ will right all wrongs. (Revelation 19:1-21)
#3: Tribulation: Be Thankful—Christ will keep us from the hour. (Revelation 6:1-17)
And that leads us to the 2nd event that looms biggest for all of us who know Jesus.
#2: Christ's Judgment Bema: Be Holy—Christ will test our lives. (2 Corinthians 5:1-10)
For we know that if our earthly house, this tent, is destroyed, we have a building from God, a house not made with hands, eternal in the heavens. 2 For in this we groan, earnestly desiring to be clothed with our habitation which is from heaven, 3 if indeed, having been clothed, we shall not be found naked. 4 For we who are in this tent groan, being burdened, not because we want to be unclothed, but further clothed, that mortality may be swallowed up by life. 5 Now He who has prepared us for this very thing is God, who also has given us the Spirit as a guarantee. 6 So we are always confident, knowing that while we are at home in the body we are absent from the Lord. 7 For we walk by faith, not by sight. 8 We are confident, yes, well pleased rather to be absent from the body and to be present with the Lord. 9 Therefore we make it our aim, whether present or absent, to be well pleasing to Him. 10 For we must all appear before the judgment seat of Christ, that each one may receive the things done in the body, according to what he has done, whether good or bad.
Standing Before
Christ's Bema Seat
Dawn in the northern Ontario region called Chapaleau is cold! How vividly I remember that morning 25 years ago. Pulled out of a warm sleeping bag, plunked in a cold steel canoe and now shivering in the 4 AM morning somewhere out in a vast Northern Canadian lake.
There as my dad angled for Muskies and walled-eyes, I saw something that will forever remind me of the saddest moment any Christian could face. Open with me to II Corinthians 5:10.
As dawn broke and the huge red disc of the sun inched past the distant shore of the lake, warm rays cutting across the frigid waters drew wisps of vapor. Steam swirled in tiny vapor puffs lasting for just a moment before dissipating into nothingness. . .
Paul spoke of much the same when he wrote of the upcoming appointment we all have with God. He used the word phaulon for "bad". Such a colorful word used by Greeks for the dust whipped up by the gust of wind on a dirty street. Also used of steam swirls on a boiling pot of water it describes exactly what I saw that early morning so long ago. Although the vapor trails swirled, ascended and formed fabulous shapes, they all became nothingness in a second. That is the last word of v. 10.
Join me at the Judgment Seat of Christ. Verses 9 and 10 give us two perspectives we must all heed.
We are first to live each day with an:
Ambition that is Consuming
II Corinthians 5:9
• Philotimeomai is a word not often used but rich in meaning. It means 'actuated by honor alone'. This involves not only actions but also motivations. All must be seeking Christ's honor.
• All of the metaphors Paul uses for the Christian life allude to opposing forces we struggle [agonidzomai] against. Hence his word pictures of warfare, races, struggles, and building. So all of life is a struggle [agony] to please Christ.
• Listen to Eric Sauer in his helpful book The Arena of Faith
"Is not the whole an astonishing, many-sided picture of the race and completion of the spiritual life? The arena of faith, the training, the self-control, the ruthless denial of self, the herald, the entrance to the racecourse, the different kinds of contests, the racing to the goal, the boxing, the wrestling, the rules of the combats, Christ the umpire, the danger of being disqualified, the appearance of the victor before the exalted throne of the divine Judge on the great day of the distribution of prizes.
It is out of His hands the victors will receive the wreath and the palm. The list of the victors 'the book of life', the triumphal entry in the homeland, the banquet, the festival, the gifts, the place of honor-- in fact, scarcely one essential feature of the whole course of the games has escaped the writers of the New Testament and not employed in their figure of speech."
• In the British Museum of London there is an inscription from the city of Ephesus second century AD. "He fought [egonistato] three fights [agonas] and was twice crowned with wreaths [stepho]." This type of inscription was common in Paul's day and may have influenced his mind as he said he finished his course [dromos] "I have fought [agona] the good fight [egonismai] henceforth there is laid up for me the wreath [stephanos] of righteousness." II Tim 4:7.
• This struggle is so important that life becomes "a mere trifle ", for we labor whether at home or absent, living or dying. Remember the Puritans who spoke of the refiner who held the gold in the fire and pulled off the sludge until his face was clearly reflected in the molten gold. So our Lord tries us until He can be seen reflected from us!
So with a life that is to have such a consuming ambition Paul calls our attention to v. 10 and our:
Appointment that is Constraining
II Corinthians 5:10
The Time is the Day of Christ. This is mentioned six times in the New Testament [I Corinthians 1:8; 5:5; II Corinthians 1:14; Phil 1:6, 10; 2:16]. This is the judgment of the church, one of three last day judgments.
• There is also the judgment upon the nations before the Millennial Kingdom starts in Matthew 25:31-46; Revelation. 20:4.
• This event is not to be confused with the final Great White Throne judgment of Revelation. 20:11 after the old universe is destroyed.
The Judge is Christ Himself as explained in II Tim. 4:8, John 5:22, II Corinthians 5:10 and Romans. 14:10. The Intensity of evaluation by the Heavenly Judge is very great. It is:
• A DAY OF BEING JUDGED as either great or least in Heaven
Matthew 5:19 Whoever therefore breaks one of the least of these commandments, and teaches men so, shall be called least in the kingdom of heaven; but whoever does and teaches them, he shall be called great in the kingdom of heaven.
1 Corinthians 3:13 each one's work will become clear; for the Day will declare it, because it will be revealed by fire; and the fire will test each one's work, of what sort it is.
1 Corinthians 3:13-15 each one's work will become clear; for the Day will declare it, because it will be revealed by fire; and the fire will test each one's work, of what sort it is. 14 If anyone's work which he has built on it endures, he will receive a reward. 15 If anyone's work is burned, he will suffer loss; but he himself will be saved, yet so as through fire.
1 Corinthians 3:15 If anyone's work is burned, he will suffer loss; but he himself will be saved, yet so as through fire. 2 John 8 Look to yourselves, that we do not lose those things we worked for, but that we may receive a full reward.
1 Corinthians 3:15 If anyone's work is burned, he will suffer loss; but he himself will be saved, yet so as through fire.
2 Corinthians 5:10-11 For we must all appear before the judgment seat of Christ, that each one may receive the things done in the body, according to what he has done, whether good or bad. 11 Knowing, therefore, the terror of the Lord, we persuade men; but we are well known to God, and I also trust are well known in your consciences.
1 John 2:28 And now, little children, abide in Him, that when He appears, we may have confidence and not be ashamed before Him at His coming.


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Could use some help making a decision.
Choice is between an Alexa Mini and the New Red Weapon Helium.
Leaning towards the Alexa Mini but the lack of raw high frame rates and not true 4k is a little scary. Some consider the Alexa sensor overhyped and old in the meantime, so I'm concerned about sinking a lot of cash into old tech.
Any thoughts or advice hugely appreciated.
Edited by Dominik Bauch, 16 October 2016 - 09:31 PM.


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The inner ear, however, doesn't make me feel sick. The cochlea looks like a snail, so it's cute.
Monday, 23 February 2015
Human Snail
The inner ear, however, doesn't make me feel sick. The cochlea looks like a snail, so it's cute.
16 comments:
Wow quite the anatomy lesson. lol. Very creative connections. Would not have known. I love learning things from Every Inchie Monday. Well done.ReplyDeleteReplies
I know what you mean about learning from EIM - it certainly does that to us.Delete
that is so interesting! I love your take on the theme. great job, again EIM teaches me something new. Wonder if this can be considered earned credits for college? LOLReplyDeleteReplies
Me too, too! I love doing all the research that comes with these inchies. I just can't help associate snails with inner ears.Delete
I'm always amazed at the information we can get from these tiny pieces of art!ReplyDelete
Oh I love this and enjoyed reading about itReplyDelete
Chrissie xxReplies
Thanks, Chrissie!Delete
Cute,huh? Interesting thought HAHA! But, it does look like a snail, so you win :)ReplyDeleteReplies
Seriously, snails are cuter than our insides :)Delete
Really interesting post :-) But I also think that snails are cuter than our insides ;-)))ReplyDelete
Greetings from germany!
Oh Zoe, you are so cute!!! I knew right away what your Inchie was!! I had to study anatomy for massage therapy, acupressure and cranial sacral therapy, and those minute, little bones that you were talking about were very, very important. Your cochlea is perfect!!! Great thinking , my friend!!ReplyDelete
You always put a smile on my face, Thank you!!!!!! (((hugs)))
oh, ps. only you would tangle on a lemon.......lol! Oh and I love the catch phrase 'Zenquilling'! I think your the creator!! Oh and did you happen to see the other zenquiller's work? Her name is Duchess, on the Diva challenge! She is a fellow quiller too!! I think it is awesome how all the arts are coming together!!! Pure Awesomeness!!!! :0) You are definitely an inspiration!!Replies
:) We're all cute :) I hope my own cochlea is perfect, not just the drawn one HAHAHA LOL. You put a simile on my face too. And thanks for telling me about Duchess. Had a look - unreal, isn't it. Working on a massive project for a competition now plus had to make some presents/cards back to back for various celebrations, so no time to draw, but I shall return....... sooner or later.Delete
I am late this week looking at your inchie. It is a very cute snail. Interesting to see what is in my ear.ReplyDeleteReplies
Hope not a real snail :) Thanks Trillian! You're not late, it's just the time zone difference.Delete


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Fianna Fáil spokesperson on Social Protection Willie O'Dea said it is no surprise that the Tax Strategy Group's Report on Social Protection published today stated 'there has been no progress on the national social target for poverty reduction'.
Commenting on the issue Deputy O'Dea stated: "In November 2012 Minister Joan Burton published a revised national social target for poverty reduction, which was to reduce consistent poverty to 4% by 2016 (interim target) and to 2% or less by 2020. What has actually happened has been the reverse. Poverty rates have doubled and the latest statistics from the Survey on Income and Living Conditions (SILC) show that the consistent poverty rate now stands at 8%.
"However, this won't be a surprise to many people, particularly those on the lowest incomes who have been at the receiving end of Fine Gael and Labour's harsh and punitive measures. It is a fact that every budget introduced by the current Government was regressive, in that those who had the least to give, gave the most.
"This Government has deliberately created a two-tier society. They cut the Fuel Allowance, the Back to School Clothing and Footwear Allowance and the Household Benefits Package. Furthermore, they changed the eligibility criteria for the One Parent Family Payment and abolished the Telephone Allowance – all payments relied on by those on the lowest incomes.
"The increase in poverty, inequality, deprivation and homelessness is not just a consequence of the economic crisis; it is a result of well thought out decisions made by Fine Gael and Labour. As a consequence their parting legacy is 1 in 9 children in consistent poverty; 1600 in emergency accommodation; 59% of lone parents experiencing deprivation and 13.2% of the population in food poverty. It is not a record to be proud of."


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Embassy of India
'National Unity Day Celebrations'
The Embassy of India, Riyadh organized a public lecture on 31 October, 2017 at the Embassy Auditorium, to celebrate the 142th birth anniversary of Sardar Vallabhbhai Patel and the National Unity Day. The event was attended by a cross section of the community members, Embassy Officials and their family members. Dr. S.M Shaukat Pervez, principal, Indian International School, Riyadh was the Guest Speaker for the evening.
2. Addressing the audience, Ambassador H.E Ahmad Javed spoke about Sardar Patel's contributions towards the Indian freedom struggle and his eminent role in uniting the princely states with India, without any casualties.
3. He said 'India, a land of diversity is known for its rich culture, heritage, traditions and its strength lies in 'Unity in Diversity'. Sardar Patel was crucial in integrating the multi-faceted country into a single fabric of India. He was really a man of Integrity and Integration'.
4. Ambassador also fondly remembered his days at the Prestigious Indian National Police Academy, which is named after Sardar Patel, the first Home Minister and Deputy Prime Minister of the Independent India. He underlined "Sardar Patel played a crucial role in setting up the 'All India Services', called the 'Steel Frame of India', which still upholds the integrity of India".
5. The Guest Speaker Dr. S. M. Shaukat Pervez spoke on the early life of Sardar Patel, his days as a barrister and commitment to his work, his entry into the Indian Independence movement through the Kheda Satyagraha, his bonding with Mahatma Gandhi, Jawaharlal Nehru, his tireless efforts in the integration of India and his role as the first Home Minister of Independent India. He called upon the younger generation to recall the efforts and sacrifices made by our freedom fighters, and work with conviction and commitment to contribute to India's development. Hi speech was full of interesting anecdotes from the inspiring life of Sardar Patel.
6. A 20 minute English Documentary on 'Life of Sardar Vallbhbhai Patel' was played during the event. Also, an another Documentary 'Uniting India' highlighting the diverse culture, traditions, geographical landscapes, surge in Services sector, technical prowess, scientific progress and the military might was played enthralling the audience.
7. Dr. C. Rambabu, Third Secretary (Political & Economic) welcomed the audience and delivered 'Vote of Thanks'.
8. Earlier, the Embassy officials led by Ambassador H.E Ahmad Javed took the 'Rashtriya Ekta Divas' pledge at 1100 Hrs on the occasion of National Unity Day.


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RBI Recruitment 2016 For Various Job Posts | Apply OnlineLalita Bhuyan
RBI Recruitment 2016.
RBI Recruitment 2016, Reserve Bank of India (RBI) invites application for the post of 05 Senior Voice Presidents/ Heads of Verticals & Voice President.
1. Name of Post: Senior Voice Presidents/ Heads of Verticals
No. of Post: 04 Posts
Educational Qualification: Candidates should be a Graduate in Engineering with 10 years experience in IT Industry in respective area.
2. Name of Post: Voice President (VP), Human Resource Management
No. of Post: 01 Post
Educational Qualification: Candidates must be passess a Master Degree in HR with 7 years experience in managing HR and IT Companies of repute.
Age Limit: 35 to 45 years (as on 01.04.2016)
How to Apply: Interested candidates may apply in prescribed application form along with attested copies of relevant documents & experience certificate send outlook E-mail to [email protected] on or before 06.06.2016


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It's no surprise Houston and the cities around it are gaining new popularity every year.
Earlier this year, Sugar Land was named one of the fastest-growing cities in the nation, and it's getting even bigger.
On Tuesday, the Sugar Land City Council unanimously voted to annex Greatwood and New Territory by the end of 2017. That would make the city more than 30 percent larger and increase the population from 87, 367 to more than 117,000 residents.
The process for the annexation began in November 2007. City officials say an "extensive public outreach effort" will be conducted during the next year, which includes an explanation of City and information about how to get involved.