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Where Is My Voice follows a young girl named Poppy who struggles with selective mutism. Join us as we follow her tough journey through life in hope that she will eventually find her voice. Link to book
Where Is My Voice follows a young girl named Poppy who struggles with selective mutism. Join us as we follow her tough journey through life in hope that she will eventually find her voice. Link to book
Aidan and Poppa spend hours and hours playing together and going on adventures together. Then, unexpectedly, Poppa gets very poorly. Join us on Aidan's sad and moving journey throughout this difficult time, how Aidan wades through a variety of different emotions and situations before finally realising that Poppa will always be there, just in a different way.
More information/purchase book
A special 25th anniversary edition of the extraordinary international bestseller, including a new Foreword by Paulo Coelho.
Combining magic, mysticism, wisdom and wonder into an inspiring tale of self-discovery, The Alchemist has become a modern classic, selling millions of copies around the world and transforming the lives of countless readers across generations.
Paulo Coelho's masterpiece tells the mystical story of Santiago, an Andalusian shepherd boy who yearns to travel in search of a worldly treasure. His quest will lead him to riches far different—and far more satisfying—than he ever imagined. Santiago's journey teaches us about the essential wisdom of listening to our hearts, of recognizing opportunity and learning to read the omens strewn along life's path, and, most importantly, to follow our dreams.
Captain Brock: Space Badger by Des Monceaux & Kingdom Brock
Hilarious sci-fi spoof starring the reluctantly heroic Captain Brock: Space Badger. Somewhere in the universe, Urth is under attack from evil Slugs. All hope is lost. The fate of the planet and the people who dwell there rests on the furry shoulders of renegade badger and freelance Space Captain: Kingdom Brock. Helped by his son Finn, Captain Brock bravely battles against a formidable enemy hell bent on blasting Urth into oblivion.
Star Wars meets Family Guy meets Wind in the Willows
Before. Miles "Pudge" Halter is done with his safe life at home. His whole life has been one big non-event, and his obsession with famous last words has only made him crave "the Great Perhaps" even more (Francois Rabelais, poet). He heads off to the sometimes crazy and anything-but-boring world of Culver Creek Boarding School, and his life becomes the opposite of safe. Because down the hall is Alaska Young. The gorgeous, clever, funny, sexy, self-destructive, screwed up, and utterly fascinating Alaska Young. She is an event unto herself. She pulls Pudge into her world, launches him into the Great Perhaps, and steals his heart. Then. . . .
After. Nothing is ever the same.
Winner of the Michael L. Printz Award
Los Angeles Times Book Prize Finalist
New York Times bestseller
Ultimately, the mystery of Margo proves more compelling than Margo herself–instead it's the four fumbling detectives, each with their own idiosyncrasies and foibles and secret strengths, who will capture readers' imaginations. –This text refers to an out of print or unavailable edition of this title.
John Green is the award-winning, #1 bestselling author of Looking for Alaska, An Abundance of Katherines, Paper Towns, Will Grayson, Will Grayson (with David Levithan), and The Fault in Our Stars. His many accolades include the Printz Medal, a Printz Honor, and the Edgar Award. He has twice been a finalist for the LA Times Book Prize. John was selected by TIME magazine as one of the 100 Most Influential People in the World. With his brother, Hank, John is one half of the Vlogbrothers (youtube.com/vlogbrothers), one of the most popular online video projects in the world. You can join the millions who follow John on Twitter (@johngreen) and tumblr (fishingboatproceeds.tumblr.com) or visit him online at johngreenbooks.com.
John lives with his family in Indianapolis, Indiana.
Caution: Witch in Progress by Lynne North
Gertie Grimthorpe is born into a society of witches and grows up in Vile Vale, but there is something very wrong with her… she is beautiful and couldn't be nasty if she tried. When she finds out that she is to attend a private academy for magical children, Gertie hopes to find her witchy way in the world. With a moat monster suffering from stomach ache, a short-sighted owl familiar and mishaps galore, Gertie's adventures are hilarious and heartwarming. Join Gertie as she struggles with growing up (and longing to grow her first wart), learning magic and working out how to deal with a grumpy enchanted umbrella, named Bat. "What a wonderful read this book is! Fun and laughter from beginning to end. Are we getting anymore 'Gertie' books? Can't wait!" – Amazon Review
[whohit]-Caution: Witch in Progress-[/whohit]
Pants Hats by Emi Lou Howe
A silly, funny pre-school book about wearing pants… as hats! "Lots and lots and LOTS of fun" – The Wishing Shelf Awards (finalist)
Mr Hendrix and The Heroic Rescue by AJ.FOXX
Printed Book
Mr Hendrix and The Heroic Rescue.
The Third Adventure for Mr Hendrix.
Will Mr Hendrix be able to save Sir Samuel the Second's daughter when she falls into danger?
Sebastian Falls by Celeste Holloway
She's the reason the devil never sleeps.
A year after her parents' death, seventeen-year-old, Meadow Parker is close to having a grave of her own.
Beyond her shrink's false diagnosis of PTSD, there's no medical reason for her failing health. Only she knows the cause. But if Meadow told the truth—told them what comes for her at night—they'd lock her in a padded cell.
Seeking an end to her torment, Meadow agrees to visit the supernatural landmark her parents were obsessed with—the river that fuels her fears. On arrival, she's charged with an ancient power, and her destiny as the long awaited Keeper is sealed. Now the countdown to save the world and the battle for her soul begins.


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HSPC Health Architect's Melbourne office is located on Level 1, 525 Flinders Street Melbourne and is shared with Peddle Thorp Architects, PTID and SBE. There are 140 staff in total at the Melbourne office.
Although Melbourne is our base, we travel national and internationally, to attend client meetings, project reviews and design reviews as required at all stages of a project.

subset: commoncrawl


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Anime: The World Is Still Beautiful (Blu-Ray)
Released By: Sentai Filmworks
Release Date: October 6th, 2015
Retail Price: $59.98
The anime series The World Is Still Beautiful centers on a girl named Nike, who is also fourth Princess of the Rain Dukedom. When the king of the Sun Kingdom is ready to marry, he decides to wed one of her family, with Nike being pawned off as the wife to be. The king, named Livius, is largely recognized as a madman who is merciless and hell bent on achieving power and authority however necessary. Livius is poised to take complete control in a matter of years, but Nike has no say in the matter and embarks on a quest to his kingdom. When Nike arrives she comes to terms with her old life being something of the past, and is robbed before the first night is over. As Nike makes her way to the location of Livius, she notices something isn't what she expected… Livius is a child, or at the very most a pre-teen. Nike (being a teenage girl) isn't so happy about the matchmaking choices, and that's when the series begins to unfold.
Despite his age, Livius has a very head strong adult presence about him. Initially, realizing he's in a position of power you would think that would make him slightly unqualified, but Livius has dealt with serious life experience already and his jagged persona is apparent. Does this mean Livius is a fully capable king? Probably not- especially when he's so feared by others. The anime tends to waiver between a cruel attitude for Livius, and a softened version as if he were bi-polar. He makes an interesting character for sure, and over time you learn more about his life including the loss of his mother that sent him into a darker direction. When you see what contributes to who he is now, it begins to make more sense and Livius becomes a character worth following in the series. The king of the Sun Kingdom becomes instantly infatuated by Nike, and begins to try to bring an adult married life scenario out, and although Nike is hesitant to wholeheartedly agree, he never gives up. (except one time…) His adoration for Nike is shown even further when he disregards a trial that Nike needed to accomplish on her own, and putting her before anyone else; the scene was also a major indicator of the bond forming between the very different characters against all odds.
Nike is technically our series protagonist, but it does seem to give Livius more time to fully develop as well. Nike begins the series with a strong self awareness, but over time that seems to become an issue. Her feelings for Livius confuse her, and she does feel a chemistry blossoming between them, but she doesn't understand how to go about it. The relationship feels very much like a Game Of Thrones, unconventional pairing that you aren't really sure if you should root for it. Besides her involvement with Livius, Nike has the ability to control the wind (and rain?) but is controlled by a song she sings. The song itself isn't exactly the catchiest tune…but you sort of adjust. It is nice to see Nike have her moments of badass-ness, able to fend for herself, think on her feet, and avoid dying from the numerous hitmen hoping to kill off her and Livius. I'm glad she's not a damsel in distress given the genre, and her ability to always keep her optimistic outlook while handling business – quite impressive.
The animation in The World Is Still Beautiful is impressive, and I thoroughly enjoy the character designs. Livius and Neil (his butler) are two characters that best represent the high quality art, but there aren't any real disappointments in the series. The colors seem to embrace more muted tones, with very pale, almost neutral choices, which can sometimes work as strength for the large setting. The wider angled shots of scenery provide just enough detail to solidify the strong artistry and environment of The World Is Still Beautiful. I enjoy the musical score for the anime, despite the tedious rain song from Nike, but like I mentioned, you almost get used to it.
The Japanese voice cast were all well chosen, and I would say the primary talent is Nobunaga Shimazaki (voice of Livius) and Nike's voice actor Rena Maeda brought entertainment as well. One more important standout episode (and better example of the series) includes a struggle between family "love" along with the tough decisions accompanied with finding your own identity…or so you'd think. It may not have always played out the way I would have hoped but it does manage to reel you back in to the serious tone that the series can go to. The ending of the anime will be pleasing to romantics, and has a happier feel to a Game of Thrones type interpersonal plot that I wouldn't have predicted getting into the series. I believe that if you are going into The World Is Still Beautiful with an appreciation for fictional kingdom realms and romance, this is definitely the series for you.
Overall Score: 7/10
Aedan's Final Thoughts:
-Tohara was one of my favorite characters, and the brief conclusion to her story broke my heart; her song was also a highlight that showed a more emotionally raw moment
-Livius is a more likable and motivated version of Ciel Phantomhive from Black Butler which is definitely a compliment to his character.
-Nike literally had me changing my opinions every episode as I struggled to decide whether I could completely root for her or not until the ending.
-The rain song will be engraved in your memory after this series, just try and tell me otherwise.


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Knowledge Map Articles
Blog Posts can be found at Dataversity
In this installment we look at how to identify interesting data and solve difficult information problems in your organization. A taxonomy of knowledge gaps is described and how Knowledge Maps help bridge these gaps and provide real value.
In this piece we consider the future of "meaning" based data design versus what has historically been a structural approach. The transition from structure to meaning will impact data management practices for decades to come. To read more click here... http://www.dataversity.net/knowledge-maps-structure-versus-meaning/
The third article in my series on Knowledge Maps has been posted on Dataversity. This article looks at the traditional relational database approach to metadata repositories and ITIL CMDB's, why they don't work, and how Knowledge Maps built on the property graph model as exemplified by Neo4j is the answer. You can read it here... http://www.dataversity.net/knowledge-maps-new-model-metadata/
The second article in my series on Knowledge Maps has been posted on Dataversity. This article describes the components of knowledge maps and describes some of their common characteristics.
Part 1 in the series on Knowledge Maps has been published on Dataversity. This article explores the common information (lack of) awareness problem all organizations have and introduces the solution - Knowledge Maps. Please read the full post at http://www.dataversity.net/knowledge-maps-problem-trying-solve/
Great News - my blog posts will be appearing on DATAVERSITY !


text: On Thursday 27 March 2008 16:38:20 Darren Spruell wrote: > On Tue, Mar 18, 2008 at 12:00 PM, Derek Ragona > > <derek at computinginnovations.com> wrote: > > Is it worthwhile to contact NVidia with bug reports? Does the FreeBSD > > community amount to much of a blip on their radar? Do we have a direct > > liaison in the community? > > Never hurts to file a bug report. It seems to be in the nvidia older > > driver, I've not heard of the problem with the driver for the current > > cards. > > Four days ago I emailed a problem report to > freebsd-gfx-bugs at nvidia.com. I haven't heard a peep back. The NVIDIA > support site is structured about like this: > > - If your NVIDIA card shipped with the computer direct from the OEM > manufacturer, it's not our problem. Contact [Dell,HP,Compaq,etc] for > resolution. > - If your NVIDIA card was purchased retail, it's not our problem. > Contact the card manufacturer [Gigabyte,MSI,etc.] for assistance. > > Does anyone know a contact in NVIDIA that would have any concern over > (driver, etc.) issues like this? Go to nvnews.net and moan a _lot_, NVIDIA staff notice things when people moan. Zander is an NVIDIA staffer and FreeBSD-lover on there he will likely help, he's very polite and seems to care for users and keep people reasonably up to date on things where he's allowed to. Hope this helps, Martyn Hare


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Whether on location or in the studio, we only use the latest in 8K technology from RED Digital Cinema. Our production gear list includes:
- RED Epic-W 8K Cinema Camera
- RED Scarlet-X 4K Cinema Camera
- Sony A7rii
- Sony EX1R HD
- Westcott, Arri and Mole Richardson Lighting
- DJI Ronin Camera Gimbal
We offer full editorial services, animation and visual effects. Projects are completed in a timely manner using only the latest products from Adobe.
From auto racing, concerts, college commencements and awards programs we've done it all in terms of our live event streaming and recording services. Our production gear list includes:
- 20 Input Blackmagic ATEM 2ME 4K Switcher
- Blackmagic Solid State Recorder
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- Three Broadcast Sony Cameras
- Telex Intercom
Our talented photographers are on hand for all photography needs including event, corporate, creative and commercial photo shoots. We'll even take head shots!
creative services
As a full-service production company we also work in graphic design (print and digital), design consulting, copywriting and offer a full-range of pre-production services.


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Question #2: What genres are you reading with your class? Tally them up and ask yourself: Am I a little one-sided? If you're like many middle grade teachers, you're reading a lot of contemporary realistic fiction. After all, it's stuff your students can really relate to.
Question #3: What informational texts are on your reading list? The first big shift for the Common Core State Standards is balancing informational text with literature. Check out this short video for more information (and maybe a little push) about bringing more nonfiction selections into your classroom.
Here's the big question: Does your classroom reading list need a shake-up?
You're probably thinking that all of this is well and good . . . but you really don't have the finances to add more literature and nonfiction to your classroom reading list.
Here are three ways to bring more reading materials into your classroom. For free!
- Visit Project Gutenberg. They currently offer over 42,000 titles with expired U.S. copyrights! You can even adapt the text for different reading levels in your classroom.
- Use pamphlets relating you your social studies or science curriculum. This week, instead of our tired old Indiana history book, my class is reading about the Indianapolis 500 with flyers and free teaching materials supplied by the racetrack!
- Give your students online reading assignments. For example, my class had a blast with "Adaptations" by Project Beak this year. They practiced online reading strategies while learning more about science topics.


text: February 7, 2015 shane ramer TSGP Ep31 - Papa Roach Frontman Jacoby Shaddix February 7, 2015 shane ramer Live from the Warfield, That Sober Guy Podcast sits down with Papa Roach front-man Jacoby Shaddix to address the fight against alcoholism, addiction, and mental illness. "Sometimes we have to go out there and learn by our own mistakes, and some of us have to go out there and die" said Shaddix.The quote comes in reference to punk rock icon Nick Traina, the beloved son of best-selling author Danielle Steel. Nick died tragically September 20th, 1997 of a drug overdose."I believe my addictions straight goal, is for me to be in a casket" Shaddix said.Also included in the interview were topics such as living a sober lifestyle in the mad world of rock n' roll, the newly released 8th studio album by Papa Roach called F.E.A.R., and how having a support group is key in recovery.Alcoholism and addiction run closer to many of us than we realize. Chances are, we probably know someone who seems to have it all together. In reality, they may be suffering from any one of these issues, even depression. It is important that we get the word out to as many people as possible that there is help out there. Addiction, alcoholism, or depression is nothing to be ashamed of. When we can truly be honest and surrender the battle we so often fight against ourselves, a great weight is lifted from upon us. This is the start of recovery. This is the start of a new life. shane ramer


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Monday, February 2, 2009
I Just Have To Ask...
I am trying to understand what selection process takes place when the writers of media choose what stance to take on certain issues. The reason I'm thinking about this is the octuplets that the news people are currently fixated on.
Yes, it is insane that this woman, who already has six children, no job, no partner, and lives at her parents's home, would choose to undergo invitro fertilization and become pregnant again. No way am I going to try to justify or defend that. It was irresponsible, of course. Reckless even.
But does anyone remember the McCaughey septuplets from 1997? They were also born as result of fertility treatments. The parents already had one child. They were not wealthy enough to afford these children on their own. If I recall, their hospital bill came to something like $135M dollars! Yes, million!
The difference: the McCaugheys were media darlings. Sure, there were a few people saying how irresponsible it was and this and that, but mostly they were given gifts: full scholarships, a new van, a new house, two years worth of diapers, and free nanny services, to name a few.
I just read one news article that, in the same paragraph, scathingly criticized the mother of the octuplets for attempting to capitalize on the publicity by means of a book and/or movie deal, and then immediately followed by saying that taxpayers would be raising these children. Umm, make up your mind! If she sells her story then she'll have money to raise her own children. If people want to buy it, why not?
And please explain to me how that would be any different than the popluar reality show Jon & Kate Plus 8. They have twins and septuplets. The show is centered around the eight kids, whom the mother gets to stay home with because of the money made from the show. I've never heard anyone say how horrible or irresponsible it was for them to have invitro, or accuse them of being exploitative. Everyone just says "Awwww."
So what is the magic ingredient? Is the mother of the octuplets getting such bad press due to the fact she already had six children? If so, I can at least understand that.
Is it simply due to the bad financial timing?
Or is some of this stemming from the fact that there is no man in the picture? I think so.
Neither of the other two families mentioned above could afford the hospital stay for their pregnancies alone either, despite their being a daddy at home. Hell, only Brad and Angelina could afford that many kids- and look! Even they are criticized for it by certain members of the media for adopting and having so many children.
I'm sorry for such an unfocused rant. I am just puzzled by the media logic of "it was okay then, but not now."
8 comments:
- Blicky Kitty said...
I can't figure it out. If I had enough of an attention span I might be able to keep my moral/judgement systems properly calibrated in between media barrages. Geez the media should travel back in time to any catholic neighborhood c. 1970.
- February 02, 2009
- Laoch of Chicago said...
I think it was never ok when you look at the metric which most matters. Being able to give each child the time, energy, attention and love it needs. Only a superhuman could manage such a thing. Money is not the thing that really matters in the end. It is other people and how we treat them.
From a societal standpoint, one such selfish family diverts massive resources from many other needy families. Also if this becomes a trend there will be no book deals or tv shows, just quiet poverty.
- February 02, 2009
- Annika said...
Hi, I am going to write a freakin' novel about this.
The McCaughey septuplets were almost certainly the result of fertility drugs, and the Jon + Kate sextuplets definitely were. Fertility drugs stimulate the ovaries to make you ovulate LOTS OF EGGS, and then you either have sex or have an IUI (which is where the sperm is "washed" and then inserted, turkey baster style). So there is no way of knowing how many eggs will fertilize.
This woman, however, is saying she had IVF. In IVF, the ovaries are stimulated and the eggs are harvested and fertilized in a petrie dish. If any fertilize, they are transferred back into the uterus - but only one, two, or (SOMETIMES) three of them. Different clinics have different success rates of implantation (actually becoming pregnant once the embryos is put into the uterus - which is awfully confusing when I put it that way, but it has to implant to be a pregnancy), but I think they hover between 25-50%. I know two couples with IVF twins. One of them transferred three embryos, one transferred two. I also know of several people who've transferred who and had a singleton pregnancy.
The problem with the octuplets is that no doctor on earth should have transferred enough embryos to create octuplets. Even if they all split into identical twins (impossible since it wasn't a 4/4 split boy/girl), which is SO UNLIKELY, four is too many embryos. It is so unethical I could spit. Those babies should not have survived, honestly. It is a miracle. And she shouldn't be doing so well either.
I want the head of that doctor on a fucking platter. And I think the mother should get some psychiatric help.
But I have no idea why the media fawns over some parents of multiples and not others. Maybe because this woman has been secretive about so much of it? I don't know.
- February 02, 2009
- *mary* said...
Sorry Annika, even after you just differentiated the fertility processes for me I still used the same INCORRECT terminolgy.
I'm one of those people that call any vaccuum a Hoover, I guess.
I do understand the difference better now, and I am thoroughly digusted that someone thought this would be okay.
See- the news is really off mark. They are still yammering about her when they should be reporting on WHO let this happen. What medical professional did this, and WHY?!
- February 02, 2009
- *mary* said...
Also, I hate that this woman's doctor is so grossly abusing these fertility techniques that are designed to help people have children. Maybe the media attention- if nothing else, will get doctors like this a little necessary scrutiny to prevent this fom happening again.
- February 02, 2009
- Annika said...
You know, it is possible that I know WAY too much about assisted reproduction technology, at least for someone who conceived her only child on, ahem, the first try.
- February 03, 2009
- minerva1822 said...
I must say that the media about these things disgust me more than the actual women or families that decide to have these children...is it right that they want these children?..no...crazy...yes, no one in their right mind and thinking of all the pros and cons no matter how much money they have would be considered sane to me.
but on the other hand..who are we to say that they cant love that many..its irresponsible and it isn't right but the media is judging this woman not only because of her lack of cash but because of the fact she is single and supposedly unable to love all 13 of her children...still not saying its right but once again who are we to judge.
for me its also no different than 1 woman whoring around having a crap load of single babies...i know plenty of women that live off welfare with a dad in the home doing nothing and they have 9 kids from 9 pregnancies...or how about drug addicts that have loads of babies and all of them are going into foster homes?..is there a difference?..nope not to me..but you never see this on the media except in politics about welfare cost or raising it for these low income families or in drug related programs. you would think that they would do something about these women and families but it doesn't happen...instead they still let them have children and say nothing.
either way...it makes me sick
- February 03, 2009
- minerva1822 said...
but i also think it retarded and a waste of my time when i see HEADLINES posting about miley cyrus and how she doesn't like a hand me down car (which i must add is a Porsche) so she trades it in...a waste of time and paper if you ask me. not everyone with intelligence of any kind could care about this shit.
- February 03, 2009


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U.S. Open Player's Gallery has Global Reach
University of Oregon Coach has fans in Uganda, where he sponsors kids who want to golf.
By Adam Jude | JUNE 13, 2012
SAN FRANCISCO — Tiger Woods may be the favorite to win the U.S. Open, but to a group of kids in Uganda, there's no question who their favorite golfer is.
"To them, 'Uncle Casey' is more recognizable than Tiger Woods," said Roxanne Robbins, the founder of a Christian-based nonprofit organization that supports orphans and impoverished families in the Uganda capital of Kampala.
Casey Martin, the Oregon golf coach who qualified for this week's U.S. Open, had met Robbins through mutual friends in 2001. They've stayed in touch, and Robbins included Martin on a mass e-mail list when she moved to Uganda five years ago to start the program, called Tukutana.
Recently, Martin sponsored 26 children to go to the seven-week Uganda Junior Golf Program, which before was open only to high-income families. Martin's sponsorship helped pay for the childrens' uniforms, equipment and transportation to the golf course a half-hour away.
"It was really phenomenal for these kids because it gave them such a sense of confidence (when) they were able to step somewhere they never thought they would step," Robbins said. "It's quickly becoming a strong program largely because of Casey."
Robbins and the children, ranging in age from 8 to 15, have Skyped with Martin several times, and the kids recently sent him a package with pictures and thank-you letters.
"She's sent me pictures of all the kids playing golf in their uniforms, and it's just awesome," Martin said.
Tukutana — meaning "Working together with hope" — has a Facebook page, and there's a two-minute news report on YouTube showing the kids from the program playing golf.


text:
Step 1: Click top right corner to go to manage accounts.
Step 2: Click settings
Account details
This is where you change your email or password.
This is where you verify who you are. You have the option to verify by phone and/or your social media accounts such as Facebook, Instagram, Twitter, Google+, Pinterest and Soundcloud. You'll gain karma for each way you verify. This is also where you enter your full name and home address.


text:
Canadian facing four years in Cuban jail has conviction overturned: wife
Tourists walk in the gardens beside the waterfall of the Nacional Hotel in Havana, Cuba, Wednesday, April 18, 2018. (AP Photo/Desmond Boylan)
Morgan Lowrie, The Canadian Press
Published Wednesday, July 11, 2018 12:01PM EDT
Last Updated Wednesday, July 11, 2018 5:14PM EDT
MONTREAL -- A Quebec man who was sentenced to four years in a Cuban jail following a boating accident that killed a fellow tourist isn't being allowed to return to Canada even though his conviction has been overturned, his wife said Wednesday.
Kahina Bensaadi says her husband Toufik Benhamiche is no longer charged with any crime, but has not been allowed to leave the country because the case is still under investigation.
"He's no longer convicted, he's no longer charged, he's no longer anything, but they don't want to let him leave," she said in a phone interview.
Benhamiche, 47, was driving a small boat as part of a tourist excursion in July 2017 in Cayo Coco when it veered out of control and fatally struck a woman from Ontario.
A Cuban court found the Mascouche resident guilty of criminal negligence causing death and sentenced him to four years in prison.
But in June, Cuba's highest court found flaws in the lower court's handling of the case and reversed all its decisions including the conviction, Bensaadi said.
She said the judge's decision recognized the arguments in Benhamiche's defence and that it suggested bringing charges against those who were responsible for renting out the boat.
"(The decision) clearly stated the responsibility of other people in violating all norms and procedures, and explained the violation of all these norms of conduct probably led to the accident," she said.
She says that while the family was orginally thrilled with the news, the elation turned to despair when they realized the judge's decision means the case had been returned to the prosecutor and must be reinvestigated -- a process she believes could take years.
Now Bensaadi is calling on Canadian immigration officials to help allow her husband to return home while Cuban authorities decide whether to bring new charges.
She says she's been offered no help so far, and accuses the Canadian government of choosing to abandon her husband rather than ruffle feathers with Cuban officials.
"It's not normal that the Canadian government continues to favour diplomatic relations to the detriment of the rights and liberties of its own citizens," she said.
The MP representing Behamiche's riding also issued a statement blasting Foreign Affairs Minister Chrystia Freeland for failing to resolve what he called an "appalling" situation.
"You go for a week's vaction with your family to have fun for seven days in Cayo Coco and end up with four years in prison," Quebec Debout MP Luc Theriault said later in a phone interview.
"Is anyone going to wake up and get him out of there?"
Bensaadi said the year-long ordeal has devastated the family both financially and emotionally.
Benhamiche has lost his engineering job near Montreal, and she has been forced to care on her own for their two daughters, aged six and eight, while trying to pay for lawyers and flying to Cuba for her husband's court dates.
"If we had wanted to destroy our family, we could not have done better," she said.
The family has also filed a lawsuit in Canada against travel company Sunwing, alleging Benhamiche was given little instruction on how to operate the craft and was assured it was easy to use and by no means dangerous.
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Immigration Law is complex and ever-changing. The Law Offices of Socheat Chea stays on top of immigration law changes and believe that you should too.
Here are some recent articles and cases that you might be interested in reading. You'll need Acrobat Reader to view links.
(click link below to view .pdf)
- Best Lawyers of America 2010
- Super Lawyer 2010
- AILA Outstanding Service
- AILA Faculty Invitation
- Lawyers Foundation of Georgia Certificate
- Super Lawyer 2008
- Super Lawyer 2005
- Selected as one of the 55 Most Influential Foreign Born Atlantans


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Winner at the Austin Film Festival, 2013.
All of Me chronicles "the Girls", who have been friends, and fat, for years. Their bond goes deep and wide, literally and figuratively. They are smart, intuitive, complex, warm, and compelling. They speak poignantly of a rich inner life that we rarely hear from anyone over 250 pounds. Once they were passionately involved in Size Acceptance and the BBW (Big Beautiful Women) social community. Now, one by one, they are choosing to have the gastric band or gastric bypass weight loss surgery. Losing weight is changing their lives in unexpected ways, forcing them to reckon with who they have been, who they are becoming and who loves them for precisely who they are. As they lose the pounds, will they find health, happiness and love? Directed by Alexandra Lescaze.


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By hiring a cab, from Home Cabs you will have a relaxing and hassle free journey. Home Cabs is No. 1 service provider for outstation taxis in Uttamnagar. Now You need not to search Contact Number or Address for a outstation taxi service provider in Uttamnagar you can book directly calling us or by visiting our website. The booking of outstation cab service in Uttamnagar can be completed online in few easy steps. Home Cabs's outstation cabs from Uttamnagar are always in high demand because it offers best value for money to customers.
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What a magnificent time it is to be an American citizen. As we stare down the 237th observation of our nation's Declaration of Independence, it's important to remember those inalienable rights written down by Jefferson and Adams. That these truths are self evident, that's how it is. Not how we wish it was, but how we have no choice for it to be. Celebrate this however you can: sparklers in the streets, a house show, eating for 'Merica, staying on your couch and watching Wall-E, do it however you see fit. Get to the highest point you can get and watch the burning-magnesium light up the air and fall back to the earth as Souza is blaring from the general direction of Apogee Stadium. It's mesmerizing watching Denton grow, born from of the spark of freedom and democracy. Celebrate that.
Thursday July 4
The Denton Institute Of Phrenology Half-Fast Marching Band | Wells Fargo Lot | 8AM
Bring an instrument and get dressed up for this one. Easily one of the most entertaining ways to spend an early July 4th morning is by being in the marching band in the parade on the square. In keeping with tradition, the marching band will continue marching after the parade route ends straight into Dan's which will be graciously serving bloody mary's. Start your holiday off on the right foot.
Remain In The Light | Dan's | 9PM | $10
Becker, Cripps and Contreras among others take the stage to perform Talking Heads Remain In Light.
¡FIESTA! with Weedeater / ASG/ Terminator 2 | Rubbergloves | 9PM | FREE
Kiwanis Fireworks Show | Apogee Stadium | 6:30PM | FREE
Get as close or far as you need. Get up on a rooftop with a cooler and some friends. This is summertime in full effect.
Friday July 5
Sparkles + Rita's: July First Friday with DIME | DIME Store | 6PM | FREE
Get some local handmade goods and get lit on sparklers and 'ritas.
Spiderweb Salon First Friday Gallery Opening | Jupiter House | 7PM | FREE
Star Party / Black James Franco / Ghost Daddies | Rubbergloves | $10
Saturday July 6
Splash Day At The Market | Denton Community Market | 9AM | FREE
Watching kids come down the water slide comes second to watching kids take out all the other kids when they flub on the top step to get to the water slide. Serious people watching happens weekly at the Community Market and the presence of a water slide really ups the ante. Human Child Bowling is a real thing, y'all.
Possessed By Paul Jame / Delaney Davidson | Dan's | 9PM | $10
You've got to see this one to believe it. Possessed by Paul James drifts between "I'm ready to fight you to the death" to "I'm ready to die for your love" as effortlessly as the Clancy Brothers.
Tuesday July 9
The Reptilian / Innards / Atla / Acidic Tree / Cat People | Macaroni Island | FREE
No Jerks.


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This script provides you with the perfect way to effectively maintain the integrity of your existing top sites program, by detering cheaters and adding new features. The script adds integrity and additional features through a gateway page and ip log. The gateway page helps to eliminate misleading voting links and increases your pageviews at the same time. The ip log deters repetitive voting by a member trying to artifically inflate their vote count.
Topsites is a popular promotional program that allows your affiliates & promoters to send traffic and earn reciprocal displays on a link list. It generates the linklist from crontab to allow ultrafast operation even under heavy fire. Topsites is also fully compatible with our AGENTS OF FORTUNE affiliate software which tracks and awards sales commissions. The topsites list may be inserted on the fly into any webpage with a simple server sides includes command, be used as its own web page or in a console. Comprehensive statistics are provided for both administrator and affiliates which breakdown the traffic sent and traffic received from each promoter. Admin stats allow overview of traffic for the entire year, bi-monthly, or daily statistical periods and may also kick out malicious users.
Top Sites is the original and premier web site ranking program. Features include: Number of sites to rank (ex. top 10 or top 25, you choose any number), Number of sites to display banner (ex Top site, top 5 sites, etc), Two ranking options (Hits/Day & Total Hits), User taken to Top Sites list automatically upon click thru, Hands free sign up page, each person creates their own account without anything done by you, and Multiple color configurations.
Features include: Unlimited number of sites supported, Unlimited categories supported, Daily ranking, Weekly ranking, Daily hits reset, Remove inactive sites, Unlist site, Incoming hits, Outgoing hits, Anti-cheat gateway, ip-blocking Browse sites by 25, 50 and 100 sites on page, Auto registration, Full contol on members and other admin features, Mail all members, and Recommend site. The program requires mSQL or mySQL database.
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Top Sites Professional includes all the features and benefits of Top Sites and much more: Variable editting completely browser based, Counts out-going hits, Ability to split the rankings up among many pages, Gateway or double cgi protection option available, Daily system and member stats, Bulk Email to all members, Admin and Member editing of account, IP blocking to deter cheaters, Total control over colors and look, Encrypted passwords, Ease of customization (headers and footers for all pages), Crontab option, You decide how you want your members to be ranked (eg. Total hits in Hits in current day, Hits in current week, Hits in current month, Hit/day average), and 8 different display options configurable in numerous ways.
Pro Top Sites is a program which works like a poll system. It lets a webmaster sign up and receive a special URL which he/she will put on their website. Then, whoever clicks on that link/banner linked to that special URL will generate one vote for that site. The more votes the site gets, the higher it is ranked among other sites.
Ranking System is not only for creating a top-sites list but also for creating a list for anything you want to rank. For example, the products of your company, each section on your web site, the latest music, and anything you can think. This script doesn't just rank a member by the total votes, but also the scores that the visitors give to the member.
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List Site PRO is a top site ranking system that counts hits from member sites and then ranks them according to the number of hits. List Site PRO allows the highest ranking members to display their banners. It also features: Logs Both Incoming and Outgoing Hits, Admin Controls Number of Records to Display, Admin Controls Number of Banners to Display, Automatically Updates Counts Every Hour and Resets Counts Every 24 Hours, List Site Automatically Links to New Account Form, Use Headers and Footers To Customize Site, and Email Account Information to New Members.
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text:
The RKIL site has been around using one form of technology or another since 1995, and it has always been interesting to look at the analytics for the site.
In the past few weeks, a significant change has taken place, a new web crawler has shown up. Baidu is a Chinese based search engine that now accounts for 20% of the crawler traffic.
Something is about to change.


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Hi Ladies & Gents,
Happy Tuesday! I cant believe this weather in New Jersey, its like it literally went from hot to cold climate in a day. As much as I like the fall fashion, I hate cold so I'm not feeling the change at all.
Anyway I had the opportunity to check out the Alison Brod Holiday preview event last week and it was so much fun. I'll be sharing all the goodies from the event and whats to come from some brands this holiday season on my you tube channel, but for now Ill share with you what I wore to the event.
I went for a casual but still flirty fall look. I don't know about any of you, but I love fall colors and love pairing them together. I have to say I think my go to color will be olive green because it goes great with about anything and looks fab on my skin tone.
This look was a very affordable and quick and easy to throw together which makes this mommy very happy. If you have been following me for a while you know I love to mix price points, though I love high fashion your girl also loves a good bargain. The boots were less than $40 and look so amazing on. I'm obsessed with the site PublicDesire because they have amazing shoes at perfect price points.
Check out some pictures below of my look and some alternative styles for you to choose from. Stay tuned this week I find out if I'm having a boy or girl at my gender reveal party. What do you guys think I'm having? Either way I will be happy as long as my baby is healthy. I also have my family maternity shoot this weekend, so as you can imagine this week is going to be very busy for me, wish me luck.
Peace & Love,
Fall casual look by ravenfashion featuring a zip front mini dress


text:
Meet your specialists: Keyhole Surgery
Specialist Keyhole Surgery Negligence solicitors
Our medical negligence solicitors specialise in keyhole surgery (laparoscopy) claims. Our specialist solicitors have won compensation for many clients who have suffered injuries as a result of keyhole surgery negligence.
What is keyhole surgery?
Keyhole Surgery is carried out using a laparoscope, which is a tiny camera that is inserted into the body, usually through the stomach. It provides a surgeon with video images to enable keyhole surgery to be carried out on vital internal organs, such as the gall bladder, the bowel or reproductive organs.
Surgery is carried out without having to make a large incision. During the procedure a small metal tube is inserted and, using a telescope along with the video camera, the surgeon views the operation procedure on screen. The procedure is then carried out by inserting cutting tools.
It is exciting technology, and in skilled hands, can offer great benefits for the patient in reducing the level of surgery involved and the amount of recovery time needed.
Call Freephone 0800 358 3848
If you think you, or a member of your family has suffered because Keyhole Surgery Negligence, our specialist team of solicitors can help you recover the compensation you and your family deserve, Call us today or start your claim online and we will call you back.
Keyhole surgery/laparoscopic error
Keyhole surgery can go wrong, for example, there is the reported case of the wrong part of a bile duct being cut during a routine gall bladder operation whilst using laparoscopic techniques.
Other errors arise when the surgeon cuts too deep causing a puncture or perforation and damages other internal tissues. Whilst perforation is a recognised risk of keyhole surgery many injuries are nevertheless caused by negligence and heavy handedness.
Serious complications and fatalities arising as a result of laparoscopy techniques have increased in line with the dramatic rise in the use of this procedure. The general public sees numerous advantages in keyhole surgery not least of which is a lessening in pain and suffering and substantial reduction in recovery time.
Although there are very well established methods for the physical procedure of these operations what is less well known is that because of the nature of blind entry into the body, mistakes which may be made as a result of an error of judgement can have serious and sometimes fatal consequences. Most laparoscopy claims arise as a result of damage to the bowel, bladder and blood vessels often through use of electro surgery to coagulate, cut and dissect.
The laparoscopy procedure involves making incisions to insert a fibre optic camera into the body which transmits live pictures of the procedure onto screens in the operating theatre. The camera is subsequently used to guide the surgical instruments around the inside of the body. The most dangerous part of the procedure relates to the initial insertion of the camera as this must be done blind and at that point there is a risk of unintended physical damage especially if there is unusual body anatomy. If a surgeon fails to follow tried and tested laparoscopy protocols intended to reduce the risk of accidental damage he may be liable in negligence to pay compensation for any injury.
Contact us
If you believe you have a keyhole surgery (laparoscopy) claim, please contact our medical negligence team
All enquiries are completely free of charge and we will investigate all funding options for you including no win, no fee.
Speak with one of our keyhole surgery negligence experts
You can also email the team
or you can
Contact us on freephone 0800 358 3848
Or start your claim online.
Fieldfisher received Personal Injury Team of the Year 2017 at the Solicitors Journal Awards.
Fieldfisher's 'excellent' practice is 'a leading firm in this field' and 'provides an excellent, bespoke service to clients' - Top Tier Practice, Legal 500 2017
"The group is praised for its commitment to 'demystifying the legal process' while this is a firm for which the client has always been a priority"
Fieldfisher has successfully been recognised as an "Occupation and Asbestos Disease Specialists" Fieldfisher are now recognised as assessors
Fieldfisher's Personal Injury and Medical Negligence solicitors are proudly listed as 'Super Lawyers' in both on-line and off-line printed publishings.
Fieldfisher are signatories of the Ethical Marketing Charter demonstrating our commitment to responsible, transparent and professional marketing.
Fieldfisher has been named as the winners of the Legal 500 United Kingdom 2015: *Claimant Clinical Negligence Award*. Testament to our expertise.
Jill Greenfield, awarded 'Lawyer of the year 2016' by the United Kingdom Brain Injury Forum (UKABIF) for support of victims with neurological injuries
Charities we support
Fieldfisher boosts its leading medical negligence team with partner Jenny Urwin joining in March
Leading medical negligence lawyers Fieldfisher has hired Jenny Urwin, Slater and Gordon Lawyers' Manchester head of clinical negligence.
A Face in the Crowd: Maxillofacial Trauma Conference
Fieldfisher is pleased to be running a conference in London on the 15th March 2018 to discuss different aspects of maxillofacial injuries.
Medical Negligence and Personal Injury Teams top the Legal 500 rankings
Fieldfisher's Personal Injury and Medical Negligence teams have been listed tier 1 in the Legal 500 rankings.
Fixed costs: The end of patient justice
A letter from the Action against Medical Accidents (AvMA), the charity for patient safety and justice, published in the Telegraph this week, asked the Health Secretary to reconsider proposals concerning fixed costs in clinical negligence claims.
Activity stream
Simple scan to identify breech babies supported by partner Jane Weakley and senior midwife Charlene Francois
Proposals for coroners to investigate late-term stillbirths would provide relief to grieving families


text:
Let's be clear about something right off the bat: Given the thick and cloudy moisture in the air, my iPhone camera picked up one heck of a lot more visibility than was apparent to me on this morning's ride. Perhaps it has a particularly sensitive method of capture, but more likely it's because I was almost constantly wiping the watery mist from the lenses of my glasses.
Considering that this was one of the final days in June, a time we normally experience as hot weather on the cusp of transforming into really hot weather, this morning was unusually foggy, damp, clammy, and chilly. In fact, at 49 degrees and the air at nearly 100% moisture, my fingers were actually cold. The loose, long sleeve jersey I was wearing had a hard line of water droplets on the front of my arms where I had sliced through the atmosphere as I descended the first hill.
The unusual weather also created an oddly ethereal light. It was as if I was viewing the world through the translucent surface of a plastic milk container. Everything was mysterious and extremely quiet, the normal sounds even of passing cars on the nearby highway dampened almost into nonexistence.


text: We are proud to announce that Chrysalis has been selected for exhibition in the 2015 AIA Annual Emerging Professionals Exhibition. The juried exhibition, sponsored by AIA's Center for Emerging Professionals, promotes compelling work by the rising generation of architects and designers. The exhibition is mounted at the AIA national headquarters in Washington D.C., and will be on display until April 30, 2015.


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Listing ID: 1056
Established for 38 years - and a member of Interflora for 35 years - La Fleur has an unbeatable reputation for quality fresh flowers and gifts, delivered worldwide.
Boasting a prime position in the main Cairns shopping centre, this excellent leasehold investment offers a steady income and an enviable lifestyle in tropical Queensland.
Prime location in Cairns Central - largest shopping centre in Far North Queensland
Leasehold premises, close to Myers and other leading retailers
Turnover around $236,000
Sells beautiful fresh flowers, gifts and toys
Baskets, bowls, boxes and bouquets
Commercial and corporate clients, weddings and receptions, churches, funerals and all special occasions
2 casual staff members in place - one covering Monday & Tuesday; the other working Wednesday, Thursday, Friday & Saturday
Business includes excellent cool room
Some training provided
La Fleur is known for always having in stock 70cm roses (red, white, mid pink); oriental lilies; anthuriums; Bird of Paradise, and Australian native flowers.
The very high standards at La Fleur Florist has seen it successfully gain Quality Assurance accreditation, and that in itself is a major marketing tool for this successful business.
All that plus a fabulous lifestyle in one of Australia's most sought-after locations. The Gateway to the Great Barrier Reef, Cairns offers unparalleled access to boating, fishing, scuba diving, snorkelling, sailing and more.
Surrounded by pristine beaches and ancient rainforest, Cairns is also known for its great restaurants, shopping and entertainment, as well as picturesque parks and wonderful swimming lagoons.
Price: $124,000
Cairns Central, Queensland 4870


text:
Fort Resistance
This area is full of platforms and steam vents. Move forward until you reach a pressure pad on a platform. Drop a Clockwork Bomb on the pressure pad to lower a platform. Jump to the lowered platform, then jump to the green platform up ahead. Cross the platforms and steam vents all the way to the house on the left. Inside the house you'll find a bottle on the lower floor. Exit the house through the back, this will take you to the starting point. Reach the pressure pad again. Lower the platform and cross the gap. Use the green platform and steam vent to reach the house straight across this time. You must reach the house before the bomb explodes.
Don't enter the green house just yet. Jump up using the mushroom and grab the memory on the second floor. The memory is entitled, "Beloved Toys." Jump down a floor and enter the keyhole.
The keyhole has a fork in the road towards the end. Take the path on the right first, it will eventually take you to the same place as the left path. The path will lead outside. Use your shrink sense to see a few invisible platforms. Jump from the platforms to the house on the left. Inside the house is a bottle and a lever. Pull the lever to gain access to the next area.
Move through the house and enter the new area. A snout will be flying in the air at the far side of the area. Pepper the snout to bring up a platform. Cross the platforms and jump into the steam vent. Jump from the steam vent to the green house on the right. Inside the house is a lever. Pull the lever to open a trap door. Drop down into the trap hole and shrink into the keyhole at the bottom.
You'll find a room inside of the keyhole. Use your Hobby Horse to break open the gingerbread man wall. Inside the wall is a lever. Pull the lever to move the keyhole to the floor. Shrink yourself and squeeze through the keyhole. Another gingerbread man barrier will be at the bottom, but this time it's on the floor instead of the wall. Smash it and continue on.
The next area has a few Drifting Ruin and a Menacing Ruin. Defeat them to activate a short cut scene. After the cut scene, you will face a new enemy called the "Dollgirl." The Dollgirl is a slightly difficult enemy, but can be killed easily with a bit of precision shooting. The Dollgirl attacks in two main ways: stomping on you, and using a flamethrower from it's mouth. She will also block your attacks with her arms. Look on it's back for two nails sticking out. Shoot the nails to remove her arms, and in turn, her defense. Remove both arms and her clothes to expose her heart. Shoot the heart to kill her.
Before leaving the area, look around for teeth and roses inside the cake pieces. Walk back to the house you came out of. Look on the wall to the right for a Gingerbread wall. Smash it with your Hobby Horse and grab the bottle inside. Head towards the big doll exit, but don't exit just yet. Shrink yourself and look to the right for a keyhole. It will be closed when you're big, but it opens when you're small. Go through the keyhole, break the Gingerbread man wall, and pick up a memory in the back. The memory is entitled, "Cutlery and the Devil." Head back to the main area and exit through the giant doll crotch.
Was this guide helpful?


text: Joanna Blotner October 19, 2015 Charles Koppelman-Milstein Joanna Blotner October 19, 2015 When my first child was born, I took an unpaid three months off to care for him and to help my wife succeed in her career. 'It's nice of you to help your wife with the baby,' people would say, but I wasn't 'helping,' I was parenting. For three months, I was my son's primary caregiver, although sometimes (thankfully!) my wife would take time out of her workday to help me. He and I developed such a deep relationship that when my second child was born, I knew that I wanted bonding time again. This time my employer gave me four weeks of paid parental leave and I was fortunate to be able to afford another month off unpaid.


text:
Dataset from Swift Navigation
Swift Navigation has published a dataset of their laps around the track captured with their new Piksi Multi GNSS hardware. They grabbed the inner, outer, and centerline of the track and referenced it more expensive gear. The documentation and files are available here.
As always, we will migrate links or copies of datasets to data.selfracingcars.com so that people who are interested in working with the data can build their own projects.


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Baked Lemongrass Risotto
Recipe by Lindsay Pleskot.
See the original recipe on her blog here.
I love a nice creamy risotto, but all that standing at the stove and stirring! Not gonna lie, it has redirected me to another dish more than once . . . But I was redently reminded of my love of risotto! And when I made this recipe, I was seriously that annoying person saying Mmmm. Mmmmm! At every bite.
3 Tbsp coconut oil, divided
1 shallot, minced
3 cloves garlic, pressed or minced and divided
1 1/2 cups Long Grain Rice
4 cups Lemongrass Tea (brewed strong!) divided
1 cup stock (chicken or vegetable)
1 large bunch of Dino kale, stems removed and cut into bite-sized pieces
1/2 cup parmesan cheese, freshly grated
1/2 cup dry white wine or stock
1-2 Tbsp unsalted butter
1 tsp coarse salt
Black Pepper, to taste
Preheat the oven to 375°F with your oven rack in the middle position.
Steep 4 cups of your strong tea and set aside.
In a medium-sized Dutch oven (if you don't have one you can do the stove top portion in a heavy-bottomed pan and then transfer to a lined baking dish for the cooking portion), heat 2 Tbsp of your coconut oil over medium high heat. Once heated, add shallot and cook until translucent, approx. 4-5 minutes. Add 2 cloves of your garlic. Cook another 2-3 minutes until the garlic becomes fragrant.
Add the rice and allow it to brown a bit, building flavor. Cook for 3-4 minutes, stirring constantly to ensure it doesn't burn.
Add 3 cups of your tea and 1 cup stock. Cover and bring to a boil. Once it's boiling, remove from heat, and place in the oven with the lid on. Bake until tender, approx. 50 minutes.
Meanwhile, line a baking sheet with parchment paper. In a medium-sized bowl, toss kale with remaining oil (melt for a few seconds in the microwave so it coats the leaves evenly) add garlic and a pinch of salt and pepper. Toss to coat evenly and lay out on the baking sheet.
During the last 20 minutes of cooking, add the kale to the oven.
Once rice is cooked and kale is tender with a bit of brown crispy edges, remove both from the oven.
Pour the remaining cup of tea, parmesan, wine or stock, butter, salt, and a generous amount of pepper into the risotto mixture. Stir to combine well and let some of the liquids soak up, leaving you with a nice creamy mixture.
Top with kale and enjoy as a side dish or serve with fish, chicken or poached eggs to complete the meal!
(Thank you again to Lindsay Pleskot for the lovely recipe & photos - see the original on her blog here).


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Mayor Bloomberg Announces Selection of Developer for Affordable Housing and Community Center in Coney Island
Mayor Michael R. Bloomberg today announced the selection of Coney Island Commons LLC to develop a community center and affordable housing complex in Coney Island. The residential component of the project will contain 152 cooperative residential units, more than 75 percent of which will be affordable for low- and middle-income families, and a 40,000-square-foot community center to be owned and operated by the YMCA of Greater New York. The $56 million project will create 240 construction jobs, 42 full-time jobs and 125 part-time jobs for the area, and provide residents with much-needed recreational and community facilities. The community center and housing project are the latest components of the Coney Island Strategic Plan, developed by the City and Coney Island Development Corporation with the support of local elected officials and the community, and unveiled by Mayor Bloomberg in September 2005.
"Coney Island, once one of the world's most vibrant and exciting destinations, is undergoing a tremendous renaissance," said Mayor Bloomberg. "To revitalize Coney Island and turn it into not only a year-round destination for visitors, but an increasingly attractive place to live and raise a family, we engaged the local community heavily, resulting in our Strategic Plan for Coney Island. This community center and affordable housing complex was one of the things residents indicated they needed most. By providing area residents with a center for active recreation and an affordable place to live, this project will go a long way to strengthening Coney Island's residential community."
Joining the Mayor at the announcement at P.S. 329, adjacent to the site, were New York City Economic Development Corporation (EDC) Interim President and Coney Island Development Corporation (CIDC) Chairman Joshua J. Sirefman, Department of Housing Preservation and Development (HPD) Commissioner Shaun Donovan, New York City Housing Development Corporation (HDC) President Emily A. Youssouf, Brooklyn Borough President Marty Markowitz, Councilmember Domenic M. Recchia Jr., South Brooklyn Youth Consortium Executive Director Sheryl Robertson, Larry Hirschfield of Coney Island Commons and YMCA of Greater New York President and CEO Jack Lund.
"It's no secret that the world's most desirable homes are near beautiful beaches, and with this project we are proving that in Brooklyn, anyone can afford a world-class oceanfront address," said Borough President Markowitz. "I commend the Mayor, EDC, Councilmember Recchia, the YMCA, and the partners of Coney Island Commons for helping to maintain our unrivaled diversity, for creating new jobs and recreational facilities for local residents, and for ensuring that Brooklynites and visitors alike enjoy Coney Island's bright future."
Construction on the project is anticipated to begin in fall 2008 and be completed in summer 2009. The development site is within the boundaries of the Coney Island I Urban Renewal Area and it is also within walking distance of Coney Island's famous boardwalk and beach. Totaling approximately 160,000 square feet, the residential component of the development will consist of two buildings of seven and eleven stories that will include an assortment of studios, one, two and three-bedroom co-op units. The residential portion of the development will also include landscaped open space and parking for 84 cars, and is expected to be financed in part through HDC's Affordable Cooperative Housing Program and the New York State Affordable Housing Corporation.
"This is a historic day for Coney Island and one that has been a long time coming," said Councilmember Recchia. "I am elated to see this community center that I have been working for since I first got elected come to fruition. I would like to thank Mayor Bloomberg and EDC for working closely with the community and myself and turning this dream into a reality. This is another big step forward in the revitalization of Coney Island and I look forward to its bright future."
"A major goal of the Strategic Plan for Coney Island is to strengthen Coney Island's residential community and make it a better place to live, and the new community center and affordable housing complex will play a tremendous role in that effort," said EDC President and CIDC Chairman Sirefman.
"The transformation of this vacant property into a vital mixed-use development with affordable housing will advance the revitalization efforts of Coney Island while ensuring that current residents can enjoy the area's rebirth," said HPD Commissioner Donovan. "By cultivating innovative partnerships through the Mayor's ten-year $7.5 billion New Housing Marketplace Plan, we are making the needed investment in housing so the city can continue to grow and working New Yorkers can afford a good home to raise their families."
The project is in keeping with Mayor Bloomberg's New Housing Marketplace Plan to build and preserve 165,000 units of housing over 10 years. The New Housing Marketplace Plan is the largest municipal affordable housing plan in the nation and, at a cost of $7.5 billion, will provide homes for 500,000 New Yorkers.
"When we created the Affordable Cooperative Housing Program it was to meant to facilitate homeownership possibilities throughout the City," said HDC President Youssouf. "The residents of the 152 apartments will be a validation of that offer. HDC development options have led to increased housing throughout the City and made HDC the number one issuer of affordable housing bonds in the nation, bringing in $1.8 billion to finance affordable housing in New York City in 2006 alone."
The community center will include an aquatic center with a six-lane lap pool and family recreational lap pool, a full court gymnasium, fitness and multi-purpose rooms, a double height social room and office space. The community center will be owned and operated by the YMCA of Greater New York. Membership and program fees are affordable to all incomes due to the YMCA's Sliding Scale Membership Program that uses a flexible rate structure to assure that no one is turned away due to financial circumstances. In serving New York City's neighborhoods, the YMCA works as a partner with local schools to create complementary programs for youth and teens' growth and development.
"The YMCA of Greater New York is proud to be a partner in this exciting development – one that is sure to become a community anchor in Coney Island," said YMCA President Lund. "As one of the City's leading youth service organizations, we will provide much needed after school programs, teen leadership initiatives, healthy kids programs, wellness initiatives, a vast array of other important services, and of course, plain old fun. The Y is committed to building strong kids, strong families and strong communities, and we're very glad to have a presence here in Coney Island."
"In the past two years, Mayor Bloomberg, Councilmember Recchia, EDC and CIDC have worked tirelessly to ensure the Strategic Plan is implemented," said South Brooklyn Youth Consortium Executive Director Robertson. "The establishment of the multicultural center and affordable housing is the catalyst that will spur economic development for decades to come."
Coney Island Commons, LLC, a three-part development team comprised of ELH Management, KB Companies and Galaxy General Contracting, was selected for the development as a result of a Request for Proposals (RFP) issued by the City in May 2006. Of the proposals submitted, Coney Island Commons' proposal provided the greatest affordability in the residential component and required the least amount of subsidy. The City will convey the property to the developer for $1 and contribute $5 million for the construction of the community center.
"We are pleased to be part of Mayor Bloomberg's New Housing Marketplace and his commitment to the development of affordable housing," said Larry Hirschfield of the Coney Island Commons development team. "Our promise is to build a wonderful community center and 150 beautiful cooperative apartments providing substantial opportunities for affordable home ownership. These are building blocks in the continued growth of Coney Island."
The development features sustainable design elements to conserve resources and energy and promote healthy living for resident and community, including energy efficient mechanical systems, water conserving fixtures, extensive use of natural light and lighting control, and use of recycled, regionally manufactured and renewable materials. Portions of the community center will feature "green" roofs planted with natural grasses and wildflowers native to a beach environment.
The Coney Island Strategic Plan calls for the enhancement of amusements and seaside attractions, establishment of a year-round entertainment destination and creation of economic opportunities for local residents, and it is serving as a guide for the comprehensive rezoning analysis currently underway.


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In the hours after Osama bin Laden's death, cyber-scribes unleashed a Twitter storm of biblical proportions, posting epistles at rates reported to have hit 4,000 a second. Apparently, 140 characters is a great fit for Bible quotations. The most popular post-Osama Bible tweets, as charted by Stephen Smith at OpenBible.info, quickly divided into two theological camps.
Some quickly offered passages such as Proverbs 21:15, which proclaims: "When justice is done, it brings joy to the righteous but terror to evildoers." Another popular tweet was Proverbs 11:10: "When the righteous prosper, the city rejoices; when the wicked perish, there are shouts of joy."
Others, however, declined to celebrate and quoted verses such as Ezekiel 18:23: "Do I take any pleasure in the death of the wicked? declares the Sovereign LORD. Rather, am I not pleased when they turn from their ways and live?" Some favored Romans 12:19: "Do not take revenge, my dear friends, but leave room for God's wrath, for it is written: 'It is mine to avenge; I will repay,' says the Lord."
The No. 1 verse sounded this same sobering tone: "Do not gloat when your enemy falls; when they stumble, do not let your heart rejoice (Proverbs 24:17)."
This was the verse Public Religion Research Institute personnel spotted and quickly wove into a survey probing the national mood after the death of the world's most famous terrorist. To be specific, the pollsters asked: "Scripture says, 'Do not rejoice when your enemies fall.' Do you believe this passage applies to how Americans should react to the death of Osama bin Laden, or not?"
The result was a strong coalition that crossed religious, political and ethnic lines, with 60 percent of those polled believing this verse applied in this case. At the same time, 65 percent were sure, to one degree or another, that bin Laden was locked in hell for eternity.
However, the details of this survey -- conducted in cooperation with Religion News Service -- contained a surprise for those inclined to think that most conservative believers would be dancing in church aisles after hearing this news bulletin.
Instead, 66 percent of white evangelical Protestants said "do not rejoice when your enemy falls" applied to bin Laden -- compared to 53 percent of those from liberal "mainline" Protestant denominations. At the same time, 70 percent of those polled from "minority" churches -- mostly African-American evangelicals and charismatic Latinos -- said it was improper to celebrate in these circumstances.
Believers from the biblically conservative flocks were, however, more likely to believe God played a direct role in bin Laden's defeat, with 54 percent of white evangelicals and 51 percent of minority Christians taking that stance.
"It's a careful line that they are drawing, but that line is quite clear" in the survey results, said Robert P. Jones, chief executive officer at the Public Religion Research Institute.
Members of the more conservative religious groups, he said, seem to be saying "what transpired was guided, in some way, by the hand of God. But at the same time they're saying that this is not something that they, as believers, should be celebrating. ... That's not up to us, in other words."
Many evangelical commentators offered variations on this dual message after bin Laden's sudden demise during a U.S. raid on his secret compound in Pakistan. The response by R. Albert Mohler, Jr., the outspoken president of Southern Baptist Theological Seminary in Louisville, Ky., was typical.
"While we should all be glad that this significant threat is now removed, death in itself is never to be celebrated. Such celebration points to the danger of revenge as a powerful human emotion. Revenge has no place among those who honor justice," he noted. "The reason for this is simple -- God is capable of vengeance, which is perfectly true to his own righteousness and perfection -- but human beings are not. ...
"All people of good will should be pleased that bin Laden is no longer a personal threat, and that his death may further weaken terrorist plans and aspirations. ... But open patriotic celebration in the streets? That looks far more like revenge in the eyes of a watching world, and it looks far more like we are simply taking satisfaction in the death of an enemy. That kind of revenge just produces greater numbers of enemies."


text:
We've been friends a long time, and although it didn't come up at first, sooner or later, we must have had that first conversation about Dyatlov Pass, Black Eyed Kids or some other story of equivalent mystery. After that, I think we were both amazed to have found someone with similar unusual interests, not just in Fortean events, but paranormal events, and mysteries of a wide variety across the passages of time. Eventually hanging out together evolved or devolved, depending on how you look at it, into long rambling discussions of every story imaginable, both of us not only having knowledge in common but having details that the other hadn't heard.
As a former TV commercial editor with a passion for broadcasting and the skill set to put a podcast together or at least the ability to guess his way through it, Scott proposed to Forrest that they do their own show. The idea of a show restricted to just the paranormal was too limited, but it was hard for us to quantify all the other areas we wanted to cover, so we just went for it and here we are working through a file cabinet of over a thousand strange tales and interviewing people with stories of their own along the way.
Thanks for listening.


text:
Jan 20, 2017
There is a strand of cosmology theory that posits the existence of parallel universes. This is the many worlds theory. Not just idle myth but a solution to many of the paradoxes of quantum mechanics. A theory though, an extrapolation of actual science, speculation but informed speculation. The idea is that at any moment in time, the probability of what happens in the next moment is never 100% but is always comprised of a set of probabilities, an infinite but countable set. Many worlds. For most events, the alternate possibilities have such small probability as to quickly asymptote off towards zero. Some, however, comprise more than one alternate of high probability, a choice, a branching. This is what we call history. In the last 16 years of the 21st century, this country we call United States has seen four major historical moments or bifurcation points. These are: 9-11-2001, the start of the Iraq war in 2003, the financial crisis in 2008, and now the election of 2016. The day after the election I awoke thinking I was in a parallel universe, the wrong one. I needed distance from it all, distance to wash away the smell, to mourn and to contemplate. Now I need to speak.
Whether I am in a worse universe now could be debated, a Hillary win might have only postponed what was already rolling down the highway, with even more tragic results. In the late sixties we used to debate how fascism would come to America and what technology would enable it. And when and how it would happen. History has moments of choice but is a continuum, working backward things begin to make sense, including the choices made. Slave economy, real estate, settler vigilantism, darkness come back to haunt us.
"Shit, money, and the Word, the three American truths"
"But others had the money, others gave the orders–trying to superimpose their lusts and bickerings on something that had its own vitality, on a technologique they'd never begin to understand."
Thomas Pynchon Gravity's Rainbow
Stalin on the phone ordering executions, Hitler on the radio, the Rwandan genocide managed by radio. Now tweets are policy, to repress certain stocks or unleash troll hordes. the day of execution by tweet could be upon us. The current regime doesn't look like a very competent bunch but each failure could lead to more fear and hate, more blame. A dangerous cascade. This is only the tip of what could be an iceberg, the deep cesspool of our new president's mind. Today I am full of dread, but silent, not on your life.
I have more to say, this is a start.


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Google SearchWeb
Gandhi Balika Vidyalaya Scheme (KGBVS):
Kasturba Gandhi Balika Vidalaya (KGBV) – is a scheme
to provide elementary level quality and life skill
educational facility to girl children of the age group
10 to 14 years belonging to SC, ST, OBC and Minority
communities. Under this scheme, residential school and
hostel facilities for girls is established in the
Educationally Backward Blocks (EBBs) , towns and
minority concentrated areas, all over the country. The
criteria followed for setting up the schools are -
blocks with rural female literacy below the national
average and gender gap in literacy more than the
national average and minority population above 20% (as
per Census 2001).
Assam, 15 identified EBBs spreading across 8 (eight)
districts (Darrang, Dhemaji, Dibrugarh, Karbi-Anglong,
Nalbari, NC Hills, Sibsagar and Tinsukia) and 11
blocks as per the revised guidelines of Ministry of
Minority affairs and MHRD in 7 Districts ( Darrang,
Karbi Anglong, Dhubri, Sonitpur, Barpeta ,Kamrup and
Lakhimpur ) are identified as eligible for
implementing the scheme.
Altogether 26 nos of KGBVs are sanctioned in 26 Blocks
of 13 Districts of Assam which
are functioning and each KGBV school is set up with
enrolment of girl children as per the capacity. All
these schools are running in rented/ Govt. abandoned
of Children in the KGBV is as follows:
% of Coverage
Total no of District
Total no of Block
Total No. of KGBV
Total No. of Girl enrolled in KGBV
100 %
Coverage of Scheduled Caste girls
4.20 %
Coverage of Schedule Tribe girls
41.37 %
Coverage of Other Backward Class girls
18.13 %
Coverage of Minority
35.5 %
0.68 %
Total Coverage under
District wise no of KGBVs and Enrollment
Nos. of KGBV sanctioned
Nos. of KGBV operationalised
Children covered
1 ( Model -II )
3 ( Model- II )
2 ( Model- II )
1 ( Model- II )
2 ( Model- II)
Karbi Anglong
5 ( Model -II)
NC Hills
1 ( Model -II)
3 ( Model -II)
2 ( Model- I)
1 ( Model -I)
1 ( Model- II)
Activities undertaken for KGBVs during the year
Opening of 11 nos of newly sanctioned KGBVs:
nos of KGBVs are sanctioned during the financial year
2008-09. The KGBVs are operationalised in the month of
September/October, 2008. 700 nos of girl children in
the age group of 10 -14 years are covered by these 11
nos of KGBVs. To operationalise the KGBVs following
activities are completed as per the scheduled time
Selection of rented house and govt. abandoned
buildings to run the KGBVs till completion of
permanent building.
Selection of staff for the KGBVs.
Selection and enrollment of right categories of girls.
Inauguration of KGBVs by involving State, District,
Block level officials, guardians and community.
Repairing of Govt. abandoned building to the extent
possible for setting up of KGBVs initially.
2. Induction training of teaching staff
of newly opened KGBVs
The entire staff was imparted 5 days Induction
training during the financial year 2008-09 from
18.8.2008 to 22.8.2008, immediately after their
election. Total 85 nos of persons like - Warden, Full
Time / Part time teachers and Assistant cum Caretaker
were imparted training on classroom transaction,
hygiene and health care for the children, management
of the schools, community participation and other
issues related to day to day activities of KGBVs.
Regular Monthly sharing workshop was organized in the
KGBVs involving the Concern Associate Block Resource
Coordinator , Experts from the DIET/DRC and the
District Programme Officer who is the District in
charge of the KGBV.
3. Formation of Local Advisory Board for KGBV:
For each of the 11 nos of new KGBVs, local Advisory
Board is constituted in each block to monitor the day
to day activities of respective KGBV. The board
consists of the following members –
Officer In-charge of the local police station or
police outpost.
Doctor of the local Public Health Centre/ Hospital.
Local Anchalik Panchayat Member.
Gaon Panchyat president.
Local Village Education Committee /Tea Garden
Education Committee President.
Two Gaon Panchyat Members of the areas.
Block Resource Centre Coordinator of concerned
One Retired Teacher (preferably female).
One Distinguished citizen /Social worker of the
concerned area (preferably female).
Supply of materials to the 11 newly opened KGBVs
materials are provided to all the KGBV schools -
Two tier beds.
Steel Almirah, Chair, Table, and Desk-Bench etc.
Necessary utensils along with water filter and
cooking materials including gas stove etc.
Necessary stationary materials required for the
office purpose of KGBV schools.
Uniforms and Chappals/Shoes with socks for the
Black boards, ring bells, TLMs such as maps, charts
material such as Carom, Ludo, Chess board, one
Badminton set, etc.
of TV sets to each KGBV school.
book, work book, copy book, pencils etc.
Aid box.
Sweater for the children
Inner garments for the children
Health check up camp:
At the time of opening of KGBV all the children were
undergone Medical check up. For this the Doctors and
other staff of local Public Health Centers ( PHE)
were involved where measures was taken by providing
medicines on free of cost. A medical profile for each
children is maintained mentioning the major indicators
like- Weight of the children, Height of the children,
any major or minor disease of the children etc.
One doctor of the local PHC is given the
responsibility for regular health check up of the
children of all the KGBVs. One weight machine is also
supplied to each centre for measuring the weight of
the children and report to the concern Doctor on
monthly basis. Essential medical support is being
provided like- Iron tablets with folic acid, skin
ointment and vitamin tablets etc. as per need.
6. Classroom transactions
The classroom transaction and other relative
activities of KGBV schools are fixed as per the
Academic Calendar prepared by Education Department,
Govt. of Assam. The boarders of the centres are
acquainted with a daily time schedule keeping in mind
that both mental and physical health of the children
are maintained properly thus creating a conducive
environment for learning. Introduction of activities
like meditation, prayer, morning assembly, sports
along with other recreational activities are
attracting children towards joyful learning.
7. Vocational Training for the Children:
For all the KGBVs necessary items for vocational
training like- sewing machine, weaving looms,
embroidery set along with required materials were
supplied to the KGBVs. Part time instructors are
engaged as per need to train the children in
vocational activities. Following are some of the
Vocational activities undertaken in the Schools:
Stitching and Tailoring
Doll making & Flower making etc.
It may be mentioned here that some of the Vocational
activities are conducted with the help of trained
instructor engaged by SSA where other certain
activities are conducted with the help of community.
In some KGBVs where land is available, kitchen garden
is prepared by the children with active initiative.
Evaluation of Learners:
To know the learning level of the children following
evaluations are being conducted –
evaluation to know the progress of learners and
providing remedial support to the Children whose
learning achievement is slow.
session evaluation of the learner and
Final evaluation.
The final Evaluation is conducted in the KGBVs in the
month of December,09 and children are promoted to the
next higher class as per the outcome of the
The learners identified who achieved less than the
required level of learning and accordingly subject
wise and competency wise remedial support has been
provided to the children by the concern teacher
Martial Art (self defense) for the Children:
Children of KGBVs were imparted self defense training
which helped the children in building discipline,
courage, confidence and empowerment. The result of the
training is fruitful for the children in building self
empowerment, self awareness and sportsmen sprit.
Selected trainers from recognized institute were
engaged for the said training.
10. Supervision and Monitoring:
Regular supervision, monitoring and support is being
provided to each schools by the DACG and BACG members.
Further, District Mission functionaries of SSA and
head teachers of nearby schools regularly monitor the
academic progress of the children.
Apart from these, monthly parent/guardian meeting is
also conducted in the centres to share the performance
of the children and to discuss other centre related
Convergence with other departments:
Initiatives are being taken to involve departments
like Food and Civil supplies and Health to supply the
food grains at Control rate to the KGBV schools (Rice,
Sugar, Atta, Kerosene oil, etc.) and to provide free
monthly/bi-monthly health check up facility along with
essential medicines/ vaccines for children and other
staff of the KGBV schools.
12. Settlement of Permanent land for KGBV:
In Assam, out of 15 numbers of KGBVs sanctioned in the
first phase,7 numbers of KGBVs are running in rented
building and 8 numbers of KGBVs are running in Govt.
abandoned buildings. SSA, Assam is taking initiative
for settlement of permanent land for construction of
KGBV buildings. For 15 nos. of old KGBVs sanctioned
earlier, land has been finalized and for 11 numbers of
newly sanctioned KGBVs the issue of land is under
process of finalization.
13. Supply of Television and DVD set to KGBV
T.V. and DVD Sets, Computer Set supplied to the
centre. Children were supplied some selected cassette
for upgrading the following areas :
level of the children
Promoting self esteem of the children
Self confidence of the children
Learning of good habits
Health, hygiene and cleanliness.
Co curricular and Recreational activities
With the help of Community the children learnt various
co curricular and recreational activities like
Dance and Drama
Play and Songs
In some of the KGBV's the self defense training was
also given through convergence with NPEGEL scheme.
15. Parent Teacher Meet:
Parent Teachers Meet was conducted on regular basis in
all the KGBVs for-
Discussion on different issues related to education
and health of child
Sharing on the progress of the children with
Other related issues
16. Library books along with book shelve:
In all KGBVs sufficient Children's reading book was
supplied for promoting reading habits of the children.
Necessary book shelve was also provided to the centres
Stipend for the Children:
As per the budget provision children were given the
stipend @ Rs. 600/- per annum per Child. This stipend
helps the children to meet up their essential needs
and also some personnel expenditure. As the children
could spent this amount on their own choice this help
them in terms of decision making capacity and
prioritizing the essential need which helps in their
capacity building in personnel life.
18. Release of Infrastructure grant, Maintenance grant
for school and TLM for teachers:
SSA, Assam released Infrastructure grant, Maintenance
grant for school and TLM for teachers for the year
2008-09. This three grants helped to solve some
important needs of the centers like–maintaining
hygiene in drinking water and washing areas by making
the place cemented with proper drainage systems, minor
repairing of the door and window and in preparing
teaching learning equipments by the teachers.
19. Review for 15 nos of Wardens of old KGBVs
Review of 15 nos Wardens of old KGBVs was held in
State Mission Office, SSA where wardens were imparted
various inputs in management issues.
21. Construction of Permanent building of KGBVs
Construction work for 14 numbers of old KGBVs is
already started. The work has already been allotted to
selected contractors. On and average 15% of the work
will be completed by March,09 and the entire work is
expected to be completed within Sept,09. Regarding
construction of permanent building of 11 nos of newly
sanctioned KGBVs in the year 2008-09, work is allotted
to selected contractors and finally the work will be
started within March, 2009.
22. Computer Education in KGBV:
Computer Aided learning is successfully implemented in
15 nos of KGBVs during the year 2008-09. Computer Sets
are provided to 15 nos of KGBVs sanctioned in the
first phase. In rest 11 nos of KGBVs Computers will be
supplied within March,09. All the children as well as
the teaching staff of the 15 KGBVs are undergoing
computer training in convergence with UNICEF and
EDUCOM. The impact of providing Computes to the KGBVs
is quite satisfactory as all the children are found to
be keen towards use of Computers and Computer Aided
Learning .
Creation of Educational Infrastructure:
Ministry of Information Technology has sanctioned K-yan
machine for educational technology development in 15
KGBVs. The K-yan is basically a CPU and LCD projector
incorporated in the machine and Multimedia content for
class I to Class XII for all subjects is loaded in the
machine. The warden and two teachers form each of the
15 KGBVs, sanctioned in first phase has been already
trained on use of K-Yan.
Instruments to KGBVs:
Musical instruments like Dholok, Harmonium, Tabla,
Ghunguru are supplied to each of the KGBVs during
2008-09. These materials are provided with an
objective to strengthen the children of KGBVs in
co-curricular activities.
25. Alternative Power Provision :
To meet with the problem of frequent power disruption,
all the 26 KGBVs will be provided with Power
Generators within March,09. Necessary ground works are
already completed in this matter.


text:
#NephJC Chat
Tuesday April 25th 9 pm EST
Wednesday 8 pm BST, 12 noon Pacific
BMJ. 2017 Mar 9;356:j791. doi: 10.1136/bmj.j791.
Serum creatinine elevation after renin-angiotensin system blockade and long term cardiorenal risks: cohort study.
Schmidt M, Mansfield KE, Bhaskaran K, Nitsch D, Sørensen HT, Smeeth L, Tomlinson LA.
PMID: 28279964 (Paper free at BMJ)
ACEs and ARBs are so familiar that I don't even need to define their acronyms. The evidence for benefit from these drugs is so compelling that they now feature in the treatment guidelines for hypertension, heart failure, diabetes with albuminuria, CKD, and post-myocardial infarction care.
However, how we use ACEs and ARBs has changed. My most senior colleagues recall when patients were admitted to the hospital to start ACE inhibitors. Now these drugs are often subject to constant dose escalation and given as part of exacting multidrug regimens. As a result, the same guidelines that advocate their usage also suggest close monitoring and discontinuation if serum creatinine rises by 30% or more after starting treatment.
This week's paper makes the points that very few patients receive the suggested monitoring, or discontinue therapy when they reach the suggested 30% creatinine rise criteria, which lacks firm evidence anyway. The paper therefore uses a retrospective population based cohort study to examine the relationship between cardiac and renal morbidity and creatinine rises after starting ACE/ARBs.
The authors used UK primary care databases to identify people over 18 years of age who started ACE/ARBs over a 17 year period and for whom pre- (up to 1 year before starting treatment) and post-initiation (up to 2 months after starting) creatinines were available. The outcomes of interest: time to ESKD, MI, new diagnosis of heart failure, and all-cause mortality were extracted from the same primary care databases as well as a raft of information about socioeconomic status, comorbidites and other medicines.
The group found that 40% of subjects who started an ACE or ARB during the study period had pre- and post-initiation creatinine measurements (approximately 122,000 out of 303,000).
1.7% of patients had a creatinine rise over 30%, and of these "risers", a higher proportion were female, had CKD 3B or 4, previous MIs, heart failure or peripheral vascular disease. "Risers" were also more likely to use loop diuretics, beta-blockers and NSAIDs. The blood pressure response after starting ACE/ARBs was similar, and socioeconomic status and diabetes did not differ between "risers" and "non-risers".
Increases in creatinine of 30% or more were associated with increased rates of all of the measured adverse outcomes. Although ESKD, heart failure and mortality all showed decreasing risk over time, there was a massive increase in incident rate ratio of 12.2 fold for ESKD in the first year and the risk persisted for 10 years. However, the event rate for ESKD was small and the confidence intervals were wide and heart failure and mortality showed much smaller effect sizes.
When the group examined the cumulative mortality according to creatinine increase after starting treatment, they found a dose-response relationship for creatinine rise that started when the creatinine rise was between 10-19% and persisted up to when it was over 40% (Figure 3). In addition, incidence rate ratios for ESKD, MI and heart failure also increased in a dose response relationship.
Take Homes
This study suggests that patients with a creatinine rise of 30% or more after starting an ACE or ARB are at increased risk of adverse outcomes and death.
The temporal data suggests that risks of adverse events are highest in the first year.
Categorising creatinine rises shows that increases in creatinine below the 30% level may also raise risk of adverse outcomes.
Real world data
Length of follow up
Unable to adjust for proteinuria
Uncertain validity of ESRF and heart failure data in the databases
Only includes those who had pre and post treatment initiation creatinine measurements.
Discussion points
How much risk do creatinine rises under 30% confer to patients?
What is the true risk/benefit calculation of continued treatment versus discontinuation in all indications except heart failure now?
Do patients with pre and post start creatinine measurements represent the population as a whole? If not, could the population risk be different?
Can we really say that RCT data is more informative than these sorts of population cohorts?


text:
'The Jeremiah' Wood, Eagle Claw Handle Umbrella
'The Jeremiah' Wood, Eagle Claw Handle Umbrella
Handmade in England by James Smith & Sons, founded in 1830 for Joshua Kane, this traditionally constructed Umbrella features the iconic brass tailoring shears. A limited run of 10 unique handled creations makes up this first collaboration.
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