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Unsurprisingly gogo OK ndIyo McLaughlin mli
ETA – this marks Bunny's first ever blog post …even though accidentally, I am gonna keep it.
Unsurprisingly gogo OK ndIyo McLaughlin mli
ETA – this marks Bunny's first ever blog post …even though accidentally, I am gonna keep it.
My life right now. The picture depicts it perfectly. Crazy. Happy. Full of Love.
Shifting base to our hometown was one of the best decision ever. I am getting all the right contacts and support to move in the desired direction with my startup. Apart from my website steadily growing, we also conducted our first physical event, and that was a different kind of experience. We are gearing up for event two, coming week.
Bunny turned two last month and he is just an adorable kid. I keep saying this but he has completely transformed me and my life for better. Now he talks non stop. Why and What have already started accompanying for each and everything around us. He love all Salman and Honey Singh Songs. Can't stop dancing to them, ya talk about taste :p. Eats on his own most days. Love people and family. If you are visiting us, he will fetch you a glass of water and would ask you, aur chahiye. He loves travelling. He loves balls. Pouts for pictures. Complete poser. And helps me around the house. Growing into the kind of person, I wouldn't mind in the same house :p
Also leaving you guys with my first media coverage
If you are new mom or know someone please feel free to reach out or hop onto the website – http://www.babywearingstuff.com, it's bubbling with new products almost everyday.
Also check out my profile pics for the current breastfeeding awareness week. It has become very close to my heart and now I am working towards spreading awareness and bursting few myths and help new moms.
Check out the blog I posted last year this time around – https://somehonestwriting.wordpress.com/2015/08/01/little-discoveries-part-three-nursing-in-public/
And yes we are still on, two years and counting 🙂
This morning –
Bunny woke up, I was still sleepy. He as if on a mission stepped off the bed, I had no idea where he was going, just to redirect him and keep him in the same room, I asked him to switch off the fan.
He did that, and forgot what he wanted to do. I said come to mamma again. He came and started feeding and I caught couple of more minutes of sleep.
Again as if on a mission, he kept saying Kela Kela, and went off the bed. I excitedly followed hoping he finally wants to eat something after two days of no food, right in the morning, that sounds like a good day.
He actually wanted the 'kela' only to practise peeling it off and throw the waste in dustbin. New found discovery of pressing the dustbin with foot to open the lid. First crying session, when I asked you can do it after two minutes.
Then picking every possible 'kachra' and putting it in dustbin. And if you are concerned about the banana, it was offered to mamma and when she took couple of seconds to hold it, it was shown the floor.
Then we went off to brush his teeth, he was least interested in brushing and wanted to play with the Tap. Second shouting session, to take him off the tap/washbasin.
We again came to kitchen to have something like breakfast and tea. Encountered the third and longest tantrum when he wanted to stand and fill water from RO. No amount of coaxing, distracting worked, and he found his way and played happily for 15 – 20 minutes.
I prepared tea and breakfast and we went to another room. He somehow found the plastic knife and took two fresh tomatoes to practise his cutting skills. Which was met with more shouts because he wasn't able to do it.
Somewhere in the middle of all this he also got hold of my phone , opened a video of playing in ball pit couple of days back and cried for balls balls. I had to fill all his balls at home in his bathing tub to make him happy.
Daddy is not at home for more than three weeks, we were looking at some pics, and another shouting session followed because I mistakenly scrolled a pic which he wanted to see and recognise his folks.
It's only 12.30 here, the boy slept few minutes back. And I have been practising deep breaths since morning.
Something seemed to changed overnight since Bunny turned 18 mo old. Their independence, interest in learning everything around, practising skills of jumping, running, banging, throwing; practising their vocal chords definitely get on to our nerves.
But all I know is there is a better way than shouting, getting upset or having an emotional breakdown in front of them. They are just being themselves. Tagging them little monster, stubborn and feel guilty for their behaviour do more harm for us.
I am just trying to find gentle ways, to what feels like a regular being a toddler mommy scenario, sitting here with my copy of toddler calm.
Meet the big boy :). When you are really angry, seeing their pics is a great stress reliever and a reminder it's all worth it.
Recently we have achieved a big milestone in Bunny's journey with Food. This guy all of a little over 17 months have started to dip his roti/paratha/bread in curry/Sabzi and eat. This after denying chapatis for months together.
Apart from that, he has developed a good princer grip since the beginning but these days, he can actually eat semi liquid food with spoon without much spills. Drinks confidentiality with any shape and size of glasses/cups. Knows meal times, knows the concept of eating out in restaurants.
We have been a household of no cerelac, no mashed food and no specific baby food / no special baby food preparation and all I can say is that, it has eased our parenthood to no bound.
We have tried to follow Baby Led Weaning (BLW) with Bunny, with occasional giving in to worried grandmoms/elders.
BLW is basically weaning the baby where baby plays the lead role. Decides how to eat, how much to eat, when to eat. Our job as caregivers is only to offer healthy, baby friendly regular food from time to time. There is a lot of information available about this on the world wide web. I wouldn't go into the the technicalities, but I will just share things I have learnt over the time.
1. First and foremost, which ever way you decide to wean the baby, please refrain from using force feeding and distraction feeding. These are two of the worst ways to start building relationships with Food for the young ones. I understand worry, I understand how difficult it is to see your Baby eat nothing at all for days together, I am this mom who have seen her chubby baby turning into a really lean one. But trust me no baby starves himself if offered food from time to time. Also even if we choose the purees way, its always good to give a combination of finger foods, soft hold able options so that baby learns to hold, explore different textures and learn to chew as well.
2. Changing definition of 'not eating enough'. It might be enough for the baby. A morsel of chapati, a spoon of rice, a bite here and there, mom's milk during nap times – more than enough.
3. The thing is babies naturally know to listen to their bodies, they have yet not learnt to eat to oblige or by clock or by quantity. They know best when they are hungry or done.
4. To accept very early on that baby's food intake work in phases, atleast till three years of age. So much revolves around teething and growth spurts that its best to take their cues and act accordingly.
5. We have not given Bunny Salt and Sugar till one year, apart from scientific reasons that's its not needed, mothers milk is best source of nutrition till one year etc; these two flavours are known to overpower the taste buds. And then we start eating for taste rather than hunger. Think about all Junk Food, that would either be salty or sugary.
I dint know how it would actually effect his eating or what would happen when we offer regular salted or sweet food. But actually nothing strange happened, he eats everything. And knows when to stop even when eating his most favorite treats like ice creams.
6. To put a deaf ear when parents say, 'you used to eat this much' (showing a big bowl of portion); in those occasions I have happily handed over the food responsibly to them. In reality no one can force feed a child if he doesn't want or after a certain point. Or bluntly answered neither me or TBH are healthy examples. We have no portion control, we eat for the love of food most times.
7. You save yourself from preparing different baby foods, or carry boxes of baby food or special food during travel. We offer him everything we eat. But take some steps like, when he was in rice eating phase, we just tried to make it more often for the whole family. Or always keeping a favourite fruit or curd handy to offer at a later time if he refuses to eat everything.
8. If you are a worried parent about food, I highly recommend reading ' My Child Won't Eat'. It would change your perception big time. Amazon link here – http://www.amazon.in/My-Child-Wont-Eat-Mealtimes/dp/1780660057?tag=multiagro-21&linkCode=w13&linkID=&ref_=assoc_res_sw_zz_dka_cra_t0_result_1&ref-refURL=http%3A%2F%2Flootainment.in%2F
9. And above all trusting your child works wonder. Making sure there are no shouts, or anger during meal times. Meal times are happy and family times. Start making him sit with you on lap/on floor on high chair anywhere, but involve baby during meal times.
10. And being patient when food is thrown, mess is created. When blunt refusal happens. When favourite food changes overnight. Keep offering is the key, for us it has happened with Banana and Chapati. I can't tell you when last he has eaten these two. But last two weeks, he would eat them at any given time.
On other side eating healthy food or choosing better alternatives become family's habit too. BLW is so much more than just offering food to Baby, its about starting a healthy relationship with food which lasts till a lifetime.
Irony is most of us have getting fit/thin as our all time goals and all we want our babies to be fat and chubby. As long as baby is healthy, there is no remarkable weight drop (more than 1kg) let them just be and save your sanity as well. I have seen moms getting super stressed out as the baby starts food, its not suppose to be a struggle but fun time :).
Shoot me any question you might have, would direct you to the best resource possible :).
Bunny just did the cutest thing ever. It melted my heart and I had to post it.
He got a magic car (a kind of toy car) as a Christmas/New Years/competing 17th mo present and he can't seem to have enough of it. Playing, riding, honking the horn all the time. So this evening I was working in the kitchen and he kept banging his car to me in fun way. And I said Bunny no, its hurting mama, mama ke pair mein lag rha hai (its hurting mama's legs), all this while not even looking at him, and this little guy came down, and kissed my legs and gave the broadest smile he could :).
Similarly these days anytime I am hurt, I say oh not feeling well, this kiddo will shower me with some lovely kisses :).
Anytime we are together and if my hair covers my eyes/face, he cutely keeps blowing them away from my face.
Each morning when he wakes up earlier than me, after playing with me for sometime, if I still don't wake up, he gets off the bed, brings my specs and tries to put them on my face so that I actually wake up.
We are making him learn to say sorry for some of his conscious mistakes. He does it after reminding, but the funny part is even when anybody else around him says sorry, he will bring his hands to his ears :p.
He has starting to hug people, that's awesomely cute and heartwarming :).
Asking for a Bindi, each time I put one. He really looks super cute in one.
The new craze of checking himself in mirror whenever I make him ready. Specially his socks, he tries to bring his legs up to the mirror level to check :p.
The way this little guy eats noodles/spaghetti.
When he calls anyone who is bald or has white hair – dada.
And such little special things :). It's a joy watching him grow. They grow up so fast, its absolutely unbelievable how independent he has already become.
Leaving you guys with our latest pic, practising 'oho', his new expression love 🙂
And my little guy turns 14 months old. Just like that. Noting 14 things/traits to see how time changes him 🙂
I cant count my blessings enough for BUNNY !!!
Ahh, I don't think I have used so much Coconut oil in my 27 years of existence, that I used in my one year of motherhood. If you guys remember, I mentioned that we don't use any soaps, powder, moisturizer or other baby products for Bunny. And it's been an year of no skin troubles ( touch wood and thank god).
All this while Coconut oil is my biggest discovery. Be it for rashes, body massage, mosquito bites, scratches or as a head oil. You get the drift right? I am so happy that leaving all the fancy baby stuff I chose something basic and desi. Reading about various skin issues in babies scare me to hell. Thanks to our doctor who mentioned that the biggest cause of various skin troubles in babies is using all the marketed baby products which are harsh for their sensitive skin and gladly we followed it.
I am yet to calculate how much money I have saved but it must be a lot 😉
If you can get pure/virgin Coconut oil nothing like it, I used the regular oil available in retail stores. Even if you don't end up using only Coconut oil, please be aware of the side effects of using a lot of other baby products specially Johnson and Johnson and any baby powder. Google it, or will add links later.
What products you guys use? Share the ones you swear buy, now its been an year, I am planning to use a bath gel sort of during Bath time. Do suggest.


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JACKSON — Having failed to persuade lawmakers to ban smoking in public places, the Mississippi State Medical Association now wants lawmakers to put the question to voters. The association, which represents Mississippi's 4,700 physicians, announced this week it will gather petition signatures in doctors' offices asking the 2015 Legislature to set a referendum. "We hope we get 100,000 people or ...Read More »
Home » Tag Archives: cigar
Tag Archives: cigar
Tobacco companies win, have decision overturned
JACKSON — The Mississippi Supreme Court has sided with tobacco companies who argued that a state tax on cigarettes sold at retail outlets outside the state was unfair. Yesterday's decision overturned a 2011 decision by a Hinds County judge who found the tax fair. However, the issue is moot because lawmakers repealed the tax in 2011 while the lawsuit was ...Read More »

subset: commoncrawl


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What to do with a villain
I just finished going through the galleys for Vienna Waltz. Reading the final chapters in which the villains are unmasked, I was reminded of a conundrum I face writing historical suspense. What to do with the villains after try are caught. One problem I find with historical settings or perhaps with the kind of plots I write is that prosecuting the villain often entails revealing secrets that would cause scandal and ruin numerous lives. Which can be a dilemma for a hero/heroine who wants to see justice done but doesn't want innocent lives destroyed. Also in many of my stories the villains prove to be closely connected to the central characters, which means ending with an arrest and the prospect of a trial leaves a great many dangling ends that I don't necessary want to be the focus of my next book. In Secrets of a Lady Edgar and Jack both die in the dénouement, leaving Meg to go to prison (I'd still like to deal with Meg more in a subsequent book). In Beneath a Silent Moon, Evie also dies, killed by Tommy who escapes (definitely to be dealt with a in a future book). I'm not quite sure what the other characters would have done with Evie if she hadn't died in the dénouement. It's rather interesting to contemplate.
But the murderer can't always conveniently die just as he or she is unmasked. In an as yet unpublished book, I have the murderer get away with the crime. In Vienna Waltz, because the events of the book are very much intertwined with real historical events and people, it was particular difficult to find a solution that worked with the historical record. Reading over the galleys, I'm pretty happy with the solution I found. If you read the book, you'll have to let me know what you think.
When I blogged about this topic on my own website, several readers pointed that there are different types of villains. Sarah said, "I think it depends if the 'villain' is a plot device, to be written out with the end of the novel, or an antagonist, who may reappear in sequels (I'm thinking of Chauvelin in the Scarlet Pimpernel books). I can't think of any books I've read recently with an out and out 'villain', apart from detective/murder mysteries, where the goal is to catch the killer." As JMM pointed out, "Often the only difference between a hero and antagonist is the side he/she is on."
Since my books are suspense with murder mysteries, when I used the term villain I was really thinking of the murderer. Susan said, "I would think that a good suspense/mystery would need pretty loose definitions of villains, antagonists, and other misc bad guys. If someone is clearly a villain, committing obvious crimes, the story would be pretty predictable, and there wouldn't be much debate about what should happen to the bad guy. Things get more interesting when good people are put in desperate situations. When there is not really an obvious choice on what they should do."
I totally agree with this. I think "villain" relates to a character's position in a story rather than necessarily to something intrinsic about that person. In fact, part of what I think is interesting and part of setting up a mystery that's tricky to solve is that the murderer is someone who seems like a sympathetic person. In a book that's more suspense than mystery, you can have an evil mastermind behind a nefarious plot, with the emphasis on how the plot will be stopped. But if there's a mystery and multiple suspects, I think it's more interesting if the reader than imagine any of them possibly being driven to commit the crime. In creating the character of the murderer, I need to figure out what drives that person and what would push them over the edge. And then, at the end of the book, how to resolve their story.
How do you feel about how plot lines are resolved for villains? What are some of your favorite resolutions? Writers, do you struggle over what to do with your villains?
Labels: Beneath a Silent Moon, Secrets of a Lady, Tracy Grant, Vienna Waltz


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10 things of 36 inch bathroom vanity
Plumbing, ventilation and electrical installation and installation of plumbing fixtures and features have been repeatedly described in 36 inch bathroom vanity. In particular, you will: set a bath, a sink, in some cases – shower. Mount mixers. Put or replace water meters. Optional – connect the water heater. When installing ventilation should be inspected old, shot in preparation for the repair box. In most cases, even the very first box after cleaning and repainting are quite suitable for further use. In this case, it is desirable to immediately mount it swatter valve: the cold winter blowing excluded. From stationary electrical appliances in the bathroom allowed exhaust fan and ceiling lighting in waterproof performance. The fan must also be adapted to moisture: three-wire power cord with a protective conductor and Euro plug, with one-piece sealed (molded) by entering into the housing. Read more ›


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Blair Braverman hooked me in this, my first encounter with her writing. Her narrative is strong; she is clearly present in it but not distracting. I love the words she chooses, and I love how she tears me away from the adventure story and confronts me with something scarier: humanity.
From Welcome to Dog World! by Blair Braverman, published by the Atavist Magazine.
Dog World was perched atop a glacier near the edge of an icefield the size of Rhode Island. The only reasonable way to get there was by helicopter, and eight times a day they came in, five birds, loaded with cruise-ship tourists who'd spent $500 to go "flightseeing" over the icefield and then set down on the glacier for a dogsled ride—a taste of Real Alaska.
At first, from the helicopter, the only thing they'd see was the sweeping ice, smooth and white, punched through with mountaintops. If they had never been there before, the sight was near religious, something to bring them to tears. The pilots were instructed to play Enya on repeat, piped directly into their passengers' headphones—music the tour company believed was a properly swooning soundtrack for the otherworldly vista below.
We lived there from May to September—I and nine other musher guides, a few staff, and 200 huskies—in a cluster of canvas tents and plastic igloos. Our job was to provide a luxury experience: all the thrills of a glacier with none of the discomfort, either physical or mental, that comes with the terrain. It wasn't that our efforts were secret; they were just invisible. We cleaned the kennels constantly so that tourists would be spared the sight of a single lump of dog poop. We raked up fur that collected on the snow and piled it behind the tents in an enormous mound we called the woolly mammoth. Sometimes we had to be creative: If my dogs' eyes got sore from the sun, I'd put mascara around them to minimize reflected light. "Those dogs must be related," the tourists would say, admiring the huskies with big black circles around their eyes, and because it was easier than explaining, I let them believe it.
Nothing was meant to live on the glacier, and the longer I stayed, the clearer this became. Yet somehow we all got used to it. We no longer jumped at the gunshot crack of an avalanche on a sun-warmed afternoon. Turquoise lakes a half-mile wide formed and vanished overnight. As the surface snow melted, the foundation under our camp sank steadily away, and we'd wake to find our tents, which were on skis, perched atop pedestals of hardened snow. On rainy weeks, we gave up the dream of staying dry. At night, when I undressed, my waterlogged, sunburned skin fell off in white strips, which I'd toss to the nearest dogs, who sniffed them and turned away. I wrapped my fingers in duct tape to keep my shredded skin in one piece when I shook hands with tourists. When it was foggy we probed for crevasses, working a tight grid through camp, pushing aluminum poles into the snow until our palms blistered and our muscles burned. I never saw a big crevasse, but sometimes turquoise cracks split the snow. They were usually small, just a few inches across, and when I crouched close and peered into them they seemed to extend down forever.
The camp was a closed system: If we ate cherries for lunch, we'd be picking the pits out of the outhouse pump two days later (and getting a lecture from our manager about not swallowing pits in the first place). All human and dog waste had to be packed into barrels and flown to Juneau in a sling that dangled beneath the helicopters. On a bad day, we called it the Goddamn Ice Cube. On a good day, Summer Camp on the Moon.
But if the camp was a closed system, then the tourists, with their camcorders and designer sunglasses, existed outside of it. Our job was not to give them a peek in but to build the walls of their fantasy so solidly that they could not see anything else—to reassure them that even though they were on a glacier, nothing was dangerous, all was good, and everything was under control.
Our days started at 6 a.m. sharp and lasted until early evening. Most of my time was spent guiding the tourists. Each of the eight daily tours consisted of an orientation, a lap around a two-mile trail, and a chance to pet the dogs. My groups were often surprised that their guide was a young woman, and when I first arrived on the glacier I had taken pride in disarming them with my enthusiasm and knowledge. I praised their adventurousness, offered expertly timed confessions ("I was terrified on my first helicopter ride, too!"), took photos with their cameras and let their kids stand in front of me on the sled runners, pretending to drive. At first the performance was exciting, a chance to play the role of my bravest, brightest self. But with time my end of the conversation solidified into a script, one I could deploy with pristine enthusiasm. I hardly noticed what I was saying.
The tourists were always curious about glacier life, and I did my best to give them what they wanted. I told them about the hummingbirds that stopped by on their way to the moss-covered mountains, but I didn't tell them about the time a lightning storm closed in on us and I thought for sure we'd all get electrocuted. I told them how strange it was to live in a world almost totally drained of color, but not about the elaborate plans another guide and I had come up with to escape the glacier on foot if we ever needed to. I told them the food was great and the mushers and dogs were like family and I had the best job in the world. Then I'd go back to my tent and cry.


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There is a dimension of truth which most of us have tragically lost and need to recover, a dimension that cannot be put into words and sentences, though words and sentences can be used to suggest it.
All premodern societies had this other dimension, even the ones who were very far from having the propositional truth, the Christian content of revelation. This other dimension is a vision, a perspective, a habit of seeing rather than a specific thing seen. If we do not have this habit—this vision—then our theology will not sink much deeper than on a conscious, rational level.


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One important part of software maintenance is perfective maintenance. I understand it here as adding new features and functionality to the software system. Especially for developers new to a system or developer beginners, adding a feature to a large, long-lived software system can be a challenge.
While looking through hundreds of thousands of lines of code, it is hard to keep track of where which parts of the system are and should be located. Architecture and design documents are often out-of-date or completely missing. So one classic question in software engineering is: Where in the source code do I have to make changes?
Several researchers have worked on this problem over the years. One direction in this research uses the idea of suggestions that we get in web shops: "Who bought diapers also bought romper suits." In our context: Who changed this file also changed these three files. Gall, Hajek and Jazayeri already published this idea in 1998. Over the years, there have been many proposals of methods and tools for coupled change analysis as well as the application on existing data sets.
What has been missing so far, however, is experimental validation that these approaches actually help developers. Therefore, we conducted an experiment comparing two groups of students performing perfective maintenance tasks. We measured the correctness of the feature implementation as well as the time needed to complete the tasks. We found almost no difference in the time needed, but there is a statistically significant difference in the correctness. In short: students having suggestions from coupled change analysis produced more correct implementations.
Of course, our first- and second-year students are not representative for all kinds of developers, but especially software engineering beginners have similar characteristics. In the end, this is only one experiment but at least first solid evidence on the usefulness of coupled change suggestions.
You can find all details to our study openly accessible in the journal PeerJ Computer Science.


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Texas health officials say second health care worker at Dallas hospital tests positive for Ebola
A second female health care worker at the Dallas hospital where Ebola patient Thomas Eric Duncan was treated has tested positive for the virus, Texas health officials confirmed Wednesday, as the state prepares for the possibility of more cases.
"We are preparing contingencies for more and that is a very real possibility," Dallas County Judge Clay Jenkins said during a press conference Wednesday morning.
"It may get worse before it gets better," said Dallas Mayor Mike Rawlings.
Officials did not specify what position the worker held at Texas Health Presbyterian Hospital, but they did say she was among those who provided care for Duncan, who died from the virus Oct. 8.
One of the health care worker's relatives identified her as Amber Vinson, a nurse at Texas Health Presbyterian Hospital.
A check of public records by Reuters showed that Vinson lived at the apartment complex identified as the home of the latest patient. Public records indicate that she is 29 years old. Officials confirmed the second patient lived alone on the 6000th block of Village Bin Drive and without pets.
"Like Nina Pham [a nurse, and the first health care worker at the hospital to test positive for Ebola], this is a heroic person, a person who is dedicating her life to helping others and is a servant leader," said Jenkins.
Officials confirmed that within 90 minutes of reporting a fever, the health care worker's temperature was taken and she was placed in isolation.
Preliminary tests were run at the state public health lab in Austin and results came back at approximately midnight Wednesday. A separate test will be done this morning at the Centers for Disease Control and Prevention (CDC) in Atlanta.
Officials have said the health care worker was interviewed quickly to identify any contacts or potential exposures, and that others will be monitored. The type of monitoring will depend on the nature of their interactions with the health care worker, and the potential of exposure to the virus.
Jenkins said health officials are currently monitoring more than 70 others who treated Duncan. These workers are employed but not working.
"You can imagine the anxiety of the families of these 77 people," said Jenkins. "You can imagine the gut shot that this is to the family that is Presbyterian hospital has done a great job taking care of this community in many, many years."
During the press conference, officials did not confirm the number of possible contacts with the worker.
Dallas Mayor Mike Rawlings said the city has sent a team to her apartment to disinfect the patient's home and the inside of her car, which will be removed this afternoon.
On Sunday, officials confirmed that Pham, 26, had tested positive for the virus. Pham received a blood transfusion from a recovered Ebola patient and has moved from "stable" to "good" condition, Jenkins said. Pham's dog has also been isolated.
More than 70 people who may have had contact with Duncan at the hospital are currently being monitored. The 48 contacts outside of the hospital who may have had contact with Duncan are asymptomatic, and Sunday marks the end of the 21-day incubation period, during which Ebola symptoms can arise after direct contact.
Officials have not said when or how the second health care worker or Pham may have had contact with Duncan. But the second case pointed to lapses beyond how one individual may have donned and removed personal protective garb.
"There's clear there was an exposure somewhere, sometime in the treatment of Mr. Duncan," Dr. Daniel Varga, chief clinical officer for Texas Health Presbyterian, said during the conference. "Let's be clear, we're a hospital that may have done some things different with the benefit of what we know today. But make no mistake, no one wants to get this right more than our hospital first to diagnose and treat this insidious disease that's now attacked two of our own."
The Ebola virus is transmitted when a person comes in direct contact with an infected, symptomatic Ebola patient's bodily fluids, such as blood, sweat, saliva and tears.
News of the latest positive test comes one day after the largest U.S. nurses' union charged that Duncan's caregivers worked for days without proper protective gear and faced constantly changing protocols.
A statement from National Nurses United also says Duncan was left in an open area of an emergency room for hours.
A spokesman for the group says nurses were forced to use medical tape to secure openings in their flimsy garments. It's said that the patient had explosive diarrhea and projectile vomiting.
In a conference call with reporters executive director RoseAnn DeMoro says the allegations are based on revelations from "a few" nurses and that the claims were vetted.
The nurses also said that Duncan's lab samples were allowed to travel through the hospital's pneumatic tubes, opening the possibility of contaminating the specimen delivery system. The nurses also alleged that hazardous waste was allowed to pile up to the ceiling.
A hospital spokesman told the Associated Press that the facility had not received similar complaints.
The Associated Press and Reuters contributed to this report.


text: Nice ranch style manufactured home that sits on beautiful lg. (2) lot. Offers 3BR & 2BA Sold 77,500Property Type: ResidentialLocation: VEEDERSBURG INDIANABeds: 3Baths: 2Sq Ft: 1456 Description This is a nice ranch manufactured home that sits on a beautiful lg. (2) city lots that offers 3BR, 2BA and a 2 car detached garage. Nice deck in back that overlooks lg. back yard with mature trees. Listing Inquiry Name: * Email: * Phone: Message:


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If you have an issue to report or need help, please visit store help.
Sleeping Giant Glossolalia sgg20 Multicult S/t
The debut LP from this gritty, Baltimore-based post-punk combo.
- New Part
- Le Coq Sportif
- Whiteout
- Day Glow
- Speak For Him
- Rabbit Fever
- Vegetable Blood
- Semaphore
- Whiteout Row


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This distinctive orange olive oil is grown utilizing sustainable practices. It has a fresh orange flavor that can only be achieved by cold pressing Mandarin Oranges and late harvest olives together. The oils from the olives and the Mandarin Oranges are extracted and perfectly combined during the milling process. Unlike infused olive oils this method creates a true Mandarin Orange olive oil. It is superior in quality and flavor intensity.
It is the ideal olive oil for seafood, chicken, vegetables and salads. Use it while baking, sautéing, grilling and steaming. Then drizzle or toss to finish.
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AT-16 Harvard IIB, G-AZSC, 22 July 2011
AT-16 Harvard IIB, G-AZSC
During a high-speed, low-level pass as part of a practice air display, the low fuel pressure warning light illuminated and the engine stopped. A successful gear-up landing was made in a nearby field. A subsequent inspection found no fuel in the tank selected although it was reported that the fuel gauges had each indicated about 30 gallons shortly before the engine had stopped.
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AT-16 Harvard IIB G-AZSC 01-12.pdf (243.78 kb)
Published 10 December 2014


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Pittsburgh Attorney Receives Pitt's Dick Thornburgh Faculty Academic Support Grant
PITTSBURGH—The University of Pittsburgh Dick Thornburgh Forum for Law and Public Policy has named Pitt law school adjunct professor Joseph S. Hornack, attorney and partner at the Pittsburgh law firm of Healey and Hornack, P.C., recipient of Pitt's Dick Thornburgh Faculty Academic Support Grant. The award will support the steps necessary to set the foundation for Hornack to develop a seminar course to be offered at the School of Law during the 2012-13 academic year.
The Thornburgh Faculty Academic Support Grant was created to expand the use of the extensive resources of the Dick Thornburgh Papers that are housed in the University's Library System Archives Center. The award is designated for use in incorporating archival material into a new or existing course and to encourage student research in the collection and expand recognition of the primary source material's value.
This term, Hornack is teaching The Law of Disability Discrimination. His proposal is for a student who has completed this course to conduct research in a fall 2011 course titled Archive Research: Dick Thornburgh's Commitment to Persons With Disabilities. The results of that research will assist Hornack in developing the new seminar course.
The student research assistant's project will include complete and thorough research of the archives—first online and then at the off-site location—of all entries related to Thornburgh's work locally, nationally, and internationally on behalf of persons with disabilities. The final component of the project will be for the student to prepare a summary of findings for Hornack's review.
The planned new seminar will cover such issues as the origin of the principles underlying the Americans with Disabilities Act (ADA), the political and legislative history of the ADA, and a comparative analysis of the ADA with both the laws of other nations as well as international law on the subject of the rights of persons with disabilities. As part of the course, Hornack intends to invite Thornburgh to participate in active classroom discussion.
The Thornburgh archive (www.library.pitt.edu/thornburgh) is a rich source of information on major events and policies in Pennsylvania and the nation as a whole, as well as on international issues of law and public policy. It consists of 1007 cartons of documents from Thornburgh's 25 years of public service as governor of Pennsylvania (1979-87), attorney general of the United States (1988-91), and under-secretary-general of the United Nations (1992-93), among other notable positions. For more information on the archive, contact collection curator Nancy Watson at firstname.lastname@example.com.
The Dick Thornburgh Forum for Law and Public Policy has a close association with an expanding array of schools throughout the University. It focuses on creating ethical and responsible civic dialogue and leadership, fostering a global commitment to the rule of law, building effective and responsible institutions of government, and examining disability law and rights.
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Dear friends and fellow colleagues,
I compiled a new surgical guide, however it is not as complete as I like it to be as Surgical was quite an eventful posting, I was rather busy till the end. I have now moved on to my 5th posting…hence I doubt I' d have any time to check and update it anytime soon. Nevertheless, I'm sharing it and hopefully it may be of some help. Will update it again once I'm free. Do let me know if there are any mistakes or things to add on. Thanks!
The "gangnam" cartoon is in celebration of the Surgical Night, memories which will remain with me for a long time to come. Not to forget the lion dance. Thank you General Surgery Hospital Ampang! My favourite posting so far.
Gong Xi Fa Chai!


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- Stephon Gilmore reacts to being called best cornerback in NFL
- Tom Brady among 4 Patriots players limited Wednesday
- Isaiah Thomas will have a delayed start to 2019-20
- Police will not look into first two alleged Antonio Brown incidents
- Two players missing from Patriots practice Wednesday
- Bill Belichick lauds Jets RB Le'Veon Bell
- Patriots could get creative when it comes to replacing Isaiah Wynn
- Why we cared so much about Mike Yastrzemski
- Mic'd up Antonio Brown celebrates first Patriots TD with Tom Brady
- Latest news a reminder that Red Sox starting rotation's story has been a nightmare
- OMF - Tom Brady limited; Kaepernick's agent working to get him back in NFL; Belichick is in a great mood 9-18-19
- OMF - Eli a 1st ballot Hall of Famer? If so, congratulations Julian Edelman 9-18-19
- OMF - Alex Cora joins us at Fenway; Tedy Bruschi calls in to talk Antonio Brown and if Eli Manning is a Hall of Famer 9-18-19
- The Off Day, Ep. 16: The latest on Antonio Brown on and off the field & Week 3 Preview
- OMF- Alex Cora joins OMF LIVE in studio at Fenway Park. 9-18-19
- OMF- Tedy Bruschi LIVE on OMF 9-18-19
- OMF - Robert Klemko says the potential criminal charges for Antonio Brown stem from threat of violence; why didn't AB settle? 9-18-19
- Dale & Keefe - Tom E. Curran on the Patriots' depleted offensive line and news on Antonio Brown; Eli Manning reveals that he is, in fact, not dying
- Dale & Keefe - Tom Brady could retire off an undefeated season, a seventh ring, and as the leader in career passing touchdowns; DA in Pennsylvania has reached out to Britney Taylor
- Dale & Keefe -
- September 18, 2019
Marc & Hart- The intricacies of addiction and Josh Gordon
Weekend Shows
Saturday, August 17th
Hour 4: Even more callers want to chime in about their experiences with addiction and how it might be affecting Josh Gordon.


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Water Removal, Water Damage Restoration & Repair
ServiceMaster of Columbia has years of experience in returning homes back to normal after suffering from water damage, and helping families, businesses, and individuals just like you. This makes us the best choice for all of your emergency services and water damage restoration and repair needs.
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We can be on site usually within 1-2 hours of the initial call, 24 hours a day, 7 days a week. When you call, our staff will give you the personal attention you deserve.
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The water removal and drying process helps to minimize overall damage. If left standing, water causes irreparable damage to hardwood floors, will loosen vinyl, and can cause carpets to mold or delaminate. If the water is left sitting without action, it may absorb into the ceilings, walls and items throughout the structure, causing secondary damage and increasing cleanup or drying costs in the long run. It is always best to hire a professional like ServiceMaster of Columbia to clean up the flood damage the right way.
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If applicable, after the drying process is complete, structural damage is assessed and the repair phase can begin. Now, drywall, ceilings and floors will be repaired. If carpet or other flooring cannot be salvaged, new carpeting, padding, flooring and possibly sub-flooring will be installed.
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Wet Carpet
Power Washing
Water Heater Leaks
Toilet/Plumbing Leaks
Sewer Back Up


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FAMS2019 – 13th-16th May 2019, MELBOURNE. SAVE THESE DATES!!
The 3rd Food Allergen Management Symposium – FAMS2019 – will be held at State Library Victoria, Melbourne from 13-16 May 2019.
Food industry, researchers, clinicians, dietitians, consumer groups, regulators and legislators with an interest in food allergy and food allergen management should attend FAMS2019.
The Food Allergen Management Symposium is a biennial international symposium held in Australasia. FAMS2019 will provide a unique opportunity for the ANZ and international food industry to learn from, and interact with, some of the key global figures in food allergy and food allergen management.
The State Library's beautiful new heritage gallery, the Isabella Fraser Room, will be the venue for the FAMS2019 welcome reception on the evening of Monday 13 May 2019. The symposium will then begin on Tuesday 14 May until midday Thursday 16 May 2019. A selection of specialised, interactive workshops will be held on the afternoon of Thursday 16 May 2019.
Established in 1854 as the Melbourne Public Library, State Library Victoria is Australia's oldest public library and one of the first free public libraries in the world. Explore the spectacular buildings of State Library Victoria in this 360° interactive tour.
FAMS2019 is proudly presented by the Allergen Bureau, Dairy Food Safety Victoria, National Measurement Institute, and University NSW.
The Organising Committee invites expressions of interest to sponsor FAMS2019. Sponsorship EOI should be directed to Ray Murphy, Manager Allergen Bureau firstname.lastname@example.com


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About Us
Grubco was founded in 1951 as one of the first mail order bait companies in the United States. For 35 years Grubco raised only fly larvae and mealworms. I purchased Grubco in 1987 from the founder and quickly expanded the product line to also include waxworms , crickets, and superworms. We have recently added hornworms to our menu and have some additional products to be added later this year.
|Copyright © 2011-2019 Grubco. All Rights Reserved.


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Do you have technical questions?
This is Mr. MK's Blog about common technical questions that people have.
Do NOT leave urgent support questions here.
Do NOT leave urgent support questions here.
Clearing your browser cookies
Your browser will store information as you use other websites. This can be very helpful and makes things simpler the next time your return. However often times that information can cause problems.
If something is not working well in the browser, before calling support you should clear your cookies. The bad thing about doing this, is that it also clears the passwords and you will have to log back into Facebook and other sites. Make sure you know your passwords.
As you should learn quickly, I use simple Google searches to remind me how to reset cookies on a particular browser if I can not poke around the menus. The site below is a current reference for all browsers.
HINT: Have more than one browser installed. Windows comes with the Edge Browser, but having Internet Explorer or Chrome installed is not a bad idea. The Edge Browser does not support some website features. It is always good to have multiple browsers installed. Chrome (by Google) is making a strong push to be a good default. But each type may work better with different websites.
MK's Video site authors seem to prefer Google Chrome which can be loaded on an Ipad and Iphone, but I will have to test to see if this works well for video viewing.
Leave a Reply.
Mr. MK
I am the nerd behind the beautiful MK. Our life together is an open (Face)book.
August 2019


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ISSN (print): 2318-8111
ISSN (online): 2358-0429
How to cite
Miossi R, Souza FHC, Shinjo SK. Could C-reactive protein and erythrocyte sedimentation rate support monitoring of dermatomyositis and polymyositis activity?. MEDICALEXPRESS 2017;4(2):M170205 http://www.dx.doi.org/10.5935/MedicalExpress.2017.02.05
Could C-reactive protein and erythrocyte sedimentation rate support monitoring of dermatomyositis and polymyositis activity?
Renata Miossi; Fernando Henrique Carlos de Souza; Samuel Katsuyuki Shinjo
Division of Rheumatology, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil (BR)
E-mail: email@example.com
Received in
July 2 2017.
First Review in March 13 2017.
Accepted in March 21 2017.
OBJECTIVES: To evaluate serum levels of C-reactive protein and erythrocyte sedimentation rates in patients with untreated newly diagnosed dermatomyositis or polymyositis and their correlation with clinical and laboratory parameters.
METHODS: A cross-sectional study including 48 consecutive patients with untreated newly diagnosed dermatomyositis and polymyositis reviewed between 2002 and 2015 was conducted. Fifty healthy subjects were enrolled as controls.
RESULTS: Patients with dermatomyositis and polymyositis had higher levels of C-reactive protein and erythrocyte sedimentation rate than healthy controls, but these values were not associated with clinical or laboratory parameters of disease activity either for dermatomyositis or for polymyositis. Additionally, erythrocyte sedimentation rate values correlated with pulmonary involvement as evidenced through computer tomography imaging (OR 1.15; 95%CI 1.01-1.31) only in patients with polymyositis.
CONCLUSIONS: Although elevated, C-reactive protein and erythrocyte sedimentation rate are not sensitive parameters for measuring clinical and laboratory activity of dermatomyositis nor for polymiositis. However, erythrocyte sedimentation rate may be a valid parameter for screening pulmonary involvement, particularly in patients with polymyositis.
Keywords: Dermatomyositis; polymyositis; C-reactive protein; erythrocyte sedimentation rate.
OBJETIVOS: Avaliar os níveis séricos da proteína C reativa (PCR) e da velocidade de hemossedimentação (VHS) em pacientes recém-diagnosticados com dermatomiosite (DM) e polimiosite (PM), sem tratamento prévio, correlacionando-os com parâmetros clínico-laboratoriais.
MÉTODOS: Estudo transversal que incluiu 48 pacientes consecutivos com DM e PM (critérios de Bohan e Peter) recém-diagnosticados, sem tratamento medicamentoso, no período de 2002 a 2015. Foram incluídos 50 indivíduos saudáveis como grupo controle.
RESULTADOS: Os pacientes apresentaram níveis mais elevados de VHS e PCR comparativamente aos controles saudáveis. Estes valores, porém, não se correlacionaram com os parâmetros clínicos e laboratoriais da atividade da doença (DM e PM). Somente em pacientes com PM a VHS apresentou relação com acometimento pulmonar na tomografia computadorizada [OR 1,15 (IC 95% 1,01-1,31)].
CONCLUSÕES: Apesar de aumentadas, a PCR e a VHS não são parâmetros sensíveis para a mensuração da atividade clínica e laboratorial de DM e PM., No entanto, a VHS pode ter validade no rastreio do acometimento pulmonar, particularmente em pacientes com PM.
Palavras-chave: Dermatomiosite; polimiosite; proteína C reativa; velocidade de hemossedimentação.
Dermatomyositis (DM) and polymyositis (PM) are rare systemic autoimmune inflammatory myopathies that primarily affect skeletal muscle.1-4 Moreover, cutaneous, cardiac, pulmonary, joint and gastrointestinal tract involvement may also occur in these inflammatory myopathies.1-7
The International Myositis Assessment & Clinical Studies Group (IMACS) has developed and validated a set of instruments for measuring DM and PM activity which includes the serum level of muscle enzymes: creatine phosphokinase, aldolase, aspartate aminotransferase, alanine aminotransferase and lactic dehydrogenase.8,9 However, the IMACS does not include erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP), which have been used indiscriminately as possible markers of DM and PM activity.10-24
High ESR levels have been correlated with neoplasia risk11-16 and pulmonary involvement17-22 in inflammatory myopathies. Likewise, high CRP levels seem to be associated with neuropathy risk in this population.23,24 However, these studies11-24 are limited by the fact that ESR and/or CRP were analyzed in patients who had been submitted to chronic use of glucocorticoids and/or immunosuppressants.
Therefore, the aim of the present study was to evaluate the relevance of ESR and CRP in treatment naive patients with newly diagnosed DM or PM.
A cross-sectional, single-center study was conducted in which 48 consecutive patients with defined DM or PM (Bohan and Peter criteria)25 were systematically reviewed between 2002 and 2015.
All patients had been initially admitted to our tertiary center, to investigate progressive muscle weakness of the limbs, associated with high serum levels of muscle enzymes. The patients were treatment naive (glucocorticoids and/or immunosuppressants) and had had symptoms for less than one year. Some patients also had typical cutaneous lesions, characterized by heliotrope and/or Gottron's papules. The diagnosis of DM or PM was later confirmed by complementary examinations: electroneuromyography with evidence of myopathy and/or muscle biopsy (vastus lateralis or brachial biceps muscle) compatible with inflammatory myopathy. Fifty healthy volunteers (patients' relatives and employees of our Institution) were selected as a control group.
Patients with clinically amyopathic DM, inclusion body myositis, neoplasia associated myopathies, myositis overlap syndromes were excluded.
The present study was approved by the Institutional Ethics Committee.
The subjects in the patient and control groups were over 18 years of age and had no infectious processes (acute or chronic, including tuberculosis), uncompensated hypothyroidism, previous use of statins or tobacco, acute myocardial infarction, chronic obstructive pulmonary disease or fibromyalgia.
The clinical and laboratory data of patients with DM and PM were obtained from a systematic review of electronic medical records, previously parameterized and standardized, including the parameters of interest for the present study.
The following initial parameters were analyzed: age at disease diagnosis; time between symptom onset and disease diagnosis; gender; ethnicity; laboratory abnormalities, such as serum creatine phosphokinase (CPK: reference value 24 - 173 U/L), aldolase (1.0 - 7.5 U/L), lactic dehydrogenase (240 - 480 U/L), alanine aminotransferase (< 31 U/L), aspartate aminotransferase (< 31 U/L) performed by the automated kinetic method; ESR (6.2 - 13.2 mm/1 hour) by the automated Westergren method; CRP (< 5.0 mg/L) by the immunoturbidimetric method; constitutional symptoms; skin lesions (heliotrope rash, Gottron's papules, facial rash, "V-neck" sign, "shawl" sign, vasculitis, calcinosis, Raynaud's phenomenon); joint involvement (arthritis or arthralgia); pulmonary involvement (confirmed by computed tomography: presence of interstitial pneumopathy or honeycomb lesions) and presence of dyspnea; muscular strength of the limbs (degree 0: absence of muscle contraction, degree I: signs of mild contractility, degree II: normal amplitude movements but not enough to overcome the action of gravity, degree III: normal amplitude movements against the action of gravity; degree IV: integral mobility against the action of gravity and some degree of resistance, degree V: complete mobility against severe resistance and against the action of gravity);26 antinuclear factor evaluated by indirect immunofluorescence using Hep-2 cells as a substrate; anti-Jo-1 antibody by the immunoblotting method.
Statistical analysis. Data were expressed as mean ± standard deviation (SD), median (25th - 75th interquartile) or percentage (%) and were assessed for normal distribution using Kolmogorov-Smirnov's test. Student's t-tests and the Mann-Whitney test were used for analysis of continuous data. Categorical data were analyzed the chi-square test or Fisher's exact test. Odds ratios (OR) and 95% confidence intervals (CIs) between the CRP values, as well as the ESR values and the different parameters analyzed in the present study were reassessed by multivariate logistic regression adjusted for patient sex and age (Spearman or Pearson correlation). These calculations were performed with the SPSS Statistics software program (version 15.0, USA). Values of P < 0.05 were considered statistically significant.
We evaluated 48 consecutive patients (29 DM and 19 PM). Fifty healthy subjects were included as the control group. The individuals in the groups had a mean age of around 40 years, and were predominantly female and Caucasian (Table 1).
Median time between symptom onset and disease diagnosis was 3.0 months (DM and PM). Approximately two-thirds of the patients had constitutional symptoms, whereas one-fifth had joint and pulmonary involvement. Cutaneous involvement was found mainly in patients with DM. Dysphagia was present in 69.0% and 31.6% of patients with DM and PM, respectively. Most patients had muscle strength of III and IV degrees, in both limbs.
The antinuclear factor was present in more than half of the patients (DM and PM), whereas the anti-Jo-1 autoantibody was detected in 20.7% and 15.8% of DM and PM patients, respectively.
Three out of 19 patients with PM had anti-Jo-1 antibody. Moreover, only one out of these three patients had pulmonary involvement (honeycomb lesions), joint involvement, fever, Raynaud's phenomenon and "mechanic's hands" and, therefore, antisynthetase syndrome.
Six out of 29 patients with DM had anti-Jo-1 antibody. Additionally, only one out of these six patients presented pulmonary involvement (interstitial pneumopathy). None of them had antisynthetase syndrome.
As expected, serum levels of creatine phosphokinase, aldolase, lactate dehydrogenase, aspartate aminotransferase, alanine aminotransferase, ESR and CRP were significantly elevated in patients with DM and PM relative to the control group (Table 2).
As an additional evaluation, for each disease (DM and PM), an association analysis was performed between the ESR and CRP values and the different parameters analyzed in the present study. Neither ESR nor CRP correlated with anti-Jo-1 antibody. The only association found was between ESR and pulmonary involvement (changes on thoracic computed tomography) (OR 1.15; 95% CI: 1.01 - 1.31), and solely in patients with PM. Nevertheless, it was not possible to analyse the association between ESR and pulmonary involvement (interstitial pneumopathy or honeycomb lesions), because of the limited number of final samples.
The present study evaluated the relevance of ESR and CRP in newly diagnosed and treatment naive patients with DM or PM. ESR and CRP were elevated in patients with DM and PM compared to healthy individuals, but did not correlate with clinical or laboratory activity. However, ESR was found to be a predictor of pulmonary involvement in patients with PM.
In contrast to other studies available,11-24 in this study ESR and CRP were assessed in newly diagnosed patients, with clinical and laboratory activity. In addition, the study did not include patients with factors that might have interfered with ESR and CRP values, such as infections, neoplasia associated myositis, overlap myositis syndromes, and patients submitted to glucocorticoid and/or immunosuppressant treatment regimes.
ESR can reflect the extent of a systemic inflammatory process and thus high levels are often observed in infections, neoplasms and other autoimmune diseases.26-28 Moreover, since the ESR value may vary according to gender and age, patients and controls were also matched for these parameters.
The ESR and CRP values were elevated in our patients with DM and PM compared to control subjects. Nonetheless, the values were next to the upper limit value of normality in the patients. Therefore, additional studies will be necessary to confirm these high ESR and CRP values as well as their relevance in the clinical practice of patients with DM and PM. However, these levels did not correlate with increased serum levels of muscle enzymes, nor with the degree of muscular weakness. Thus, increases detected on these tests of inflammatory activity do not seem to be valid for measuring muscle activity of the disease, reinforcing the importance of the parameters evaluated by IMACS.9
Although newly diagnosed, a quarter of the patients analyzed in the present study already exhibited pulmonary involvement, with symptoms of dyspnea upon moderate or major efforts and changes on thoracic computed tomography. ESR was found to correlate with this involvement, but only in patients with PM. The analysis of the evaluation of the pulmonary function test was not performed, since the patients who underwent the test, did so after some time of treatment and diagnosis.
Other studies point to the association of ESR with pulmonary involvement in patients with classic DM17,21,22 and amyopathic DM.20,22 Marie et al.10 have demonstrated that high levels of ESR and CRP, the presence of polyarthritis, anti-Jo-1 antibody, and microangiopathic changes on periungual capillaroscopy are associated with this involvement in both DM and PM.19 In the present study, it was not possible to analyse the association between levels of ESR/CRP and anti-Jo-1 antibody and also type of pulmonary involvement, because of the reduced number of final samples. Therefore, further investigation with large samples will be necessary to better clarify these analyses.
Unlike other studies,19,23 the increases in CRP found in the present investigation did not correlate with disease activity or pulmonary disease. Ideura et al.24 suggested a prognostic value for elevated CRP level correlating with interstitial lung disease in amyopathic DM.
As a limitation of the present study, a specific analysis of correlation between possible features findings in histological muscle biopsies (fiber necrosis, fiber regeneration, inflammatory cell infiltration) and laboratory parameters (ESR and CPR) was not performed. However, previous studies have already shown the dissociation between the presence and the degree of inflammatory cell infiltration findings in muscle biopsies and clinical, laboratory and therapeutic parameters.29,30 This occurs because the inflammatory infiltrated cells occur in "patches" in the muscle tissue.31
In summary, CRP and ESR are not sensitive parameters for measuring clinical and laboratory activity of DM and PM. However, ESR may be valid for screening pulmonary involvement, particularly in patients with PM.
Miossi R: planning, reviewing literature, executing and writing the present article. De Souza FHC: planning, reviewing literature, executing and writing the present article. Shinjo SK: planning, reviewing literature, executing and writing the present article.
All authors declare no conflict of interest
1. Dalakas MC. Inflammatory muscle diseases. N Engl J Med. 2015; 372(18): 1734-47. DOI: 10.1056/NEJMra1402225.
2. Dalakas MC. Inflammatory muscle disease. N Engl J Med. 2015; 373(4): 393-4. DOI: 10.1056/NEJMc1506827
3. Dalakas MC. Review: an update on inflammatory and autoimmune myopathies. Neuropahtol Appl Neurobiol. 2011;37(3):226-42. doi: 10.1111/j.1365-2990.2010.01153.x.
4. Briani C, Doria A, Sarzi-Puttini P, Dalakas MC. Update on idiopathic inflammatory myopathies. Autoimmunity. 2006;39(3):161-70. DOI: 10.1080/08916930600622132
5. Souza FH, Barros TB, Levy-Neto M, Shinjo SK. Adult dermatomyositis: experience of a Brazilian tertiary care center. Rev Bras Reumatol. 2012;52(6):897-902. DOI: 10.1590/S0482-50042012000600008
6. Cruellas MG, Viana V dos S, Levy-Neto M, Souza FH, Shinjo SK. Myositis-specific and myositis-associated autoantibody profiles and their clinical associations in a large series of patients with polymyositis and dermatomyositis. Clinics. 2013;57(7):909-14. DOI: 10.6061/clinics/2013(07)04
7. Souza FH, Levy-Neto M, Shinjo SK. Prevalence of clinical and laboratory manifestations and comorbidities in polymyositis according to gender. Rev Bras Reumatol. 2011;51(5):428-83. DOI: 10.1590/S0482-50042011000500003
8. Rider LG, Giannini EH, Harris-Love M, Joe G, Isenberg D, Pilkington C, et al. Defining clinical improvement in adult and juvenile myositis. J Rheumatol. 2003;30(3):603-17.
9. Rider LG, Giannini EH, Brunner HI, Ruperto N, James-Newton L, Reed AM, et al. International consensus on preliminary definitions of improvement in adult and juvenile myositis. Arthritis Rheum. 2004;50(7):2281-90. DOI: 10.1002/art.20349
10. Gabay C, Gay-Croisier F, Roux-Lombard P, Meyer O, Maineti C, Guerne PA, et al. Elevated serum levels of interleukin-1 receptor antagonist in polymyositis/dermatomyositis. A biologic marker of disease activity with a possible role in the lack of acute-phase protein response. Arthritis Rheum. 1994;37(12):1744-51. DOI: 10.1002/art.1780371206
11. Chen D, Yuan S, Wu X, Li H, Qiu Q, Zhan Z, et al. Incidence and predictive factors for malignancies with dermatomyositis: a cohort from southern China. Clin Exp Rheumatol. 2014;32(5):615-21.
12. Di Rollo D, Abeni D, Tracanna M, Capo A, Amerio P. Cancer risk in dermatomyositis: a systematic review of the literature. G Ital Dermatol Venereol. 2014;149(5):525-37.
13. Burnouf M, Mahé E, Verpillat P, Descamps V, Lebrun-Vignes B, Picard-Dahan C, et al. Cutaneous necrosis is predictive of cancer in adult dermatomyositis. Ann Dermatol Venereol. 2003;130(3):313-6.
14. Amerio P, Girardelli CR, Proietto G, Forleo P, Cerritelli L, Feliciani C, et al. Usefulness of erythrocyte sedimentation rate as tumor marker in cancer associated dermatomyositis. Eur J Dermatol. 2002;12(2):165-8.
15. Sparsa A, Liozon E, Herrmann F, Ly K, Lebrun V, Soria P, et al. Routine vs extensive malignancy search for adult dermatomyositis and polymyositis: a study of 40 patients. Arch Dermatol. 2002;138(7):885-90. DOI: 10.1001/archderm.138.7.885
16. Basset-Seguin N, Roujeau JC, Gherardi R, Guillaume JC, Revuz J, Touraine R. Prognostic factors and predictive signs of malignancy in adult dermatomyositis. A study of 32 cases. Arch Dermatol. 1990;126(5):633-7. DOI: 10.1001/archderm.126.5.633
17. Go DJ, Lee EY, Lee EB, Song YW, Konig MF, Park JK. Elevated Erythrocyte Sedimentation Rate Is Predictive of Interstitial Lung Disease and Mortality in Dermatomyositis: a Korean Retrospective Cohort Study. J Korean Med Sci. 2016;31(3):389-96. DOI: 10.3346/jkms.2016.31.3.389.
18. Sun Y, Liu Y, Yan B, Shi G. Interstitial lung disease in clinically amyopathic dermatomyositis (CADM) patients: a retrospective study of 41 Chinese Han patients. Rheumatol Int. 2013;33(5):1295-302. DOI: 10.1007/s00296-012-2545-7
19. Marie I, Hachulla E, Chérin P, Dominique S, Hatron PY, Hellot MF, et al. Interstitial lung disease in polymyositis and dermatomyositis. Arthritis Rheum. 2002;47(6):614-22. DOI: 10.1002/art.10794
20. Ye S, Chen XX, Lu XY, Wu MF, Deng Y, Huang WQ, et al. Adult clinically amyopathic dermatomyositis with rapid progressive interstitial lung disease: a retrospective cohort study. Clin Rheumatol. 2007;26(10):1647-54. DOI: 10.1007/s10067-007-0562-9
21. Park JK, Gelber AC, George M, Danoff SK, Qubti MA, Christopher-Stine L. Pulmonary impairment, not muscle injury, is associated with elevated ESR in the idiopathic inflammatory myopathies. Rheumatology (Oxford). 2013;52(7):1336-8. DOI: 10.1093/rheumatology/ket162.
22. Lin H, Liang Y, Wang Y, Cen XM, Yin G, Xie QB. Clinical features and risk factors associated with interstitial lung disease in patients with classic dermatomyositis or clinical amyopathic dermatomyositis. Sichuan Da Xue Xue Bao Yi Xue Ban. 2013;44(5):805-9.
23. Tanaka A, Tsukamoto H, Mitoma H, Kiyohara C, Ueda N, Ayano M, et al. Serum progranulin levels are elevated in dermatomyositis patients with acute interstitial lung disease, predicting prognosis. Arthritis Res Ther 2015;17:27. DOI: 10.1186/s13075-015-0547-z
24. Ideura G, Hanaoka M, Koizumi T, Fujimoto K, Shimojima Y, Ishii W, et al. Interstitial lung disease associated with amyopathic dermatomyositis: review of 18 cases. Respir Med. 2007;101(7):1406-11. DOI: 10.1016/j.rmed.2007.01.023
25. Bohan A, Peter JB. Polymyositis and dermatomyositis. N Engl J Med. 1975; 292(7):344-7. DOI: 10.1056/NEJM197502132920706
26. Brigden ML. Clinical utility of the erythrocyte sedimentation rate. Am Fam Physician. 1999;60(5):1443-50.
27. Amerio P, Girardelli CR, Proietto G, Forleo P, Cerritelli L, Feliciani C, et al. Usefulness of erythrocyte sedimentation rate as tumor marker in cancer associated dermatomyositis. Eur J Dermatol. 2002;12(2):165-8.
28. Mallya RK, de Beer FC, Berry H, Hamilton ED, Mace BE, Pepys MB. Correlation of clinical parameters of disease activity in rheumatoid arthritis with serum concentration of C-reactive protein and erythrocyte sedimentation rate. J Rheumatol. 1982;9(2):224-8.
29. Shinjo SK, Nascimento JJ, Marie SK. The effect of prior corticosteroid use in muscle biopsies from patients with dermatomyositis. Clin Exp Rheumatol 2015;33(3):336-40.
30. Pinhata MM, Nascimento JJ, Marie SK, SHinjo SK. Does previous corticosteroid treatment afect the inflammatory infiltrate found in polymyositis muscle biopsies? Clin Exp Rheumatol 2015;33(3):310-4.
31. Diaz MTM, Fraga PS, Silva MG, Shinjo SK. Muscle biopsies in dermatomyositis and polymyositis: practical relevance of analyzing different levels of histological sections of the same muscular compartment. J Bras Patol Med Lab 2017 (in press).


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Toyota's Hino, VW's truck unit tie up to reduce R&D costs
By Naomi Tajitsu
TOKYO, April 12 (Reuters) - The truck units of Toyota Motor and Volkswagen AG are forming an alliance to bolster their market positions as commercial vehicle makers face growing costs to develop lower-emission vehicles and automated driving capabilities.
The strategic tie-up of Toyota subsidiary Hino Motors and Volkswagen Truck & Bus GmbH is the latest in the global vehicle industry, where automakers seek to jointly tackle the high costs of developing self-driving vehicles and new transportation services like ride sharing.
The two truck makers said on Thursday they will consider cooperating in areas such as diesel and gasoline-electric hybrid engines, connectivity and self-driving technologies, adding their combined output could offer economies of scale in research and development (R&D) as well as procurement.
"We can join forces and spend R&D money only once instead of twice or three times," Volkswagen Truck & Bus GmbH Chief Executive Officer Andreas Renschler told reporters at an event in Tokyo to announce the agreement.
"We see potential to save on our budgets and also to combine our resources to be faster at bringing products to market than we would be alone."
The companies were not considering the possibility of cross- shareholding at the moment, a Hino spokesman said.
Both Volkswagen Truck & Bus, the world's third-largest commercial vehicle maker, and Hino said the partnership would not change their respective relationships with their parent groups which are fierce competitors in passenger cars.
The tie-up comes after Volkswagen bought a 16.6 percent stake in Navistar International Corp in 2016 with an eye to buying all of the U.S. truckmaker. The two partners plan to launch an electric medium-duty truck in North America by 2019.
Volkswagen AG aims to list its trucks and buses operations in the first quarter of next year, according to two people with knowledge of the matter, as the German automaker considers a broader structural overhaul to boost efficiency.
Posting sales of around 205,000 units last year, Volkswagen Truck & Bus supplies commercial vehicles mainly in Europe and South America under its MAN, Scania and Volkswagen Caminhões e Ônibus brands. It has been growing its presence in Asia and holds a stake in Chinese truck maker Sinotruk.
Its chief competitors are Daimler and Volvo trucks, with which it competes mainly in the European market.
Hino sold around 170,000 vehicles in 2017, roughly 70 percent of which were sold in Japan and the rest of Asia, where it dominates the large commercial vehicle market. It has been growing operations in Africa and North America.
(Reporting by Naomi Tajitsu; Addional reporting by Minami Funakoshi; Editing by Chang-Ran Kim and Muralikumar Anantharaman)
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BBC Persian TV
The BBC launches its latest TV channel today - BBC Persian. It will be a daily eight hour service, for audiences in Iran, Afghanistan, and the wider region, broadcasting at peak times for the market. It will run from 1700 to 0100 local time in Iran (that's 1330 to 2130 GMT).
The backbone of the schedule will be news, together with a rich mix of current affairs, features and documentaries, culture, science, business and arts programmes - all broadcast in Persian from a new newsroom in central London.
Iran is obviously geopolitically important with significant influence across the Middle East. And Afghanistan is a high priority for BBC World Service, with very large radio audiences. The BBC has been providing news and information on radio in Persian for six decades. But these days, TV is the preferred news medium for Iranian audiences.
The BBC is well respected by opinion formers within Iran and brand awareness is high - despite government media restrictions. Media freedom is severely limited - so we hope BBC Persian TV will build a following by providing free and independent news and information - the traditional role of the BBC World Service over the last 75 years - and provide a window for Iranian viewers to the rest of the world in an open and unbiased way.
The Iranian authorities have been a little apprehensive about the launch, describing it as "an illegal channel", refusing us permission to work within Iran and suggesting anyone found working for it will be arrested as a spy. However, we hope once they have seen the service they may recognise the independence and quality of the channel - and hopefully take part in its programmes.
Persian TV is aimed at audiences in Iran, Afghanistan and Tajikistan - totalling around 100m Persian speakers. The potential audience in Iran is young, highly educated and outward-looking. The projected audience figures for Persian TV are 10m within 3 years - with a total tri-media reach (radio, TV and online) of close to 20m by 2012.
The channel will cost £15m a year - funded by the Foreign Office via Grant in Aid.
The launch is much anticipated within the region and is already being discussed on blogs within Iran, Afghanistan and beyond. Clips have appeared on YouTube (see below). It will be available globally, streamed on the BBC Persian website.
Richard Sambrook is director, Global News.
Comments Post your comment
Comment number 1.At 10:08 14th Jan 2009, Brian_A wrote:
I had to smile:
"The Iranian authorities have been a little apprehensive about the launch, describing it as "an illegal channel", refusing us permission to work within Iran and suggesting anyone found working for it will be arrested as a spy."
'A little apprehensive' - how many rewrites did it take to come up with that delphic phrase ?
Comment number 2.At 10:16 14th Jan 2009, unablogger wrote:
Why is taxpayers money being wasted on a service that even Iran does not want. In the modern age many Iranians can actually speak and read English. Far from the misconception of the BBC, Iran is in fact quite a modern forward thinking state with believe it or not many places of learning including Universities. The funds should be better spent elswhere.
Comment number 3.At 10:51 14th Jan 2009, Walrus wrote:
"Daily eight hours' service."
This should be adopted by all channels throughout the BBC. Solve the funding problems in one stroke.
Why should Iran be the only channel to have the crap cut?
Comment number 4.At 11:00 14th Jan 2009, Jordan D wrote:
Best of luck with the venture, Richard. It is still a shame that we can't get BBC World in the UK.
Comment number 5.At 11:28 14th Jan 2009, dotconnect wrote:
Iran is obviously geopolitically important with significant influence across the Middle East. And Afghanistan is a high priority for BBC World Service, with very large radio audiences.
When you step back and think about what the BBC actually is - the BRITISH Broadcasting Corporation - and then look at the geopolitical significance of these countries, and our own historical role in them (not to mention our possible intentions)..... well it's hard not to look upon the decision to launch this channel as just the next step in a wider propaganda campaign.
I'd be interested to know what kind of say (if any) the British government or intelligence agencies had in this.
Did/Do they benefit from seeing things like this implemented?
I'm sorry if that sounds conspiratorial and overly suspicious, but it's just how it looks from the outside.
Comment number 6.At 12:55 14th Jan 2009, coastwalker wrote:
This is a significant and welcome step to enable the BBC to extend its quality programing to an audience who are susceptible to being fed misinformation because of current geopolitical disputes.
The West successfully avoided large scale conflict and was eventually reconciled with the former Soviet Union. Not so much by the use of force but by the people not wanting to continue the conflict. This would have been informed by their knowledge of us.
So it can only help us in this region if the BBC is able to output the sort of programming carried by World Service radio on television. I am very happy to see my taxes spent on this sort of work and would condone more of the same.
I expect the editorial control to be in the hands of the BBC. We can always argue about their bias, but most of the world sees them as balanced and reasonable. No instructions from government agencies should be necessary. Though I am sure they will communicate the British Governments stated position on things like the Gaza conflict along with other Governments statements. The BBC charter gives them a reasonable degree of independence from the establishment in this country. It is State owned but not State run.
Hopefully we will also see some of the programming for the region appear in English here in the UK. It is a two way street.
Comment number 7.At 14:12 14th Jan 2009, dotconnect wrote:
...to enable the BBC to extend its quality programing to an audience who are susceptible to being fed misinformation because of current geopolitical disputes. The West successfully avoided large scale conflict and was eventually reconciled with the former Soviet Union. Not so much by the use of force but by the people not wanting to continue the conflict. This would have been informed by their knowledge of us. So it can only help us in this region if the BBC is able to output the sort of programming carried by World Service radio on television. I am very happy to see my taxes spent on this sort of work.
Happy as I would be to see a secular liberal agenda blossom around the entire world, I still have to ask, isn't all the above more resonant of politics and propaganda than anything else?
After all, if this was English-speaking output for the purpose of British servicemen and women serving abroad, I'd understand it.
If it was purely a Murdoch-style capitalist venture, exploiting a hitherto untapped market for financial reward, then I'd also understand it.
But it appears to be something else.
When Richard himself says:
Iran is obviously geopolitically important with significant influence across the Middle East ... [and we hope the service will] ... provide a window for Iranian viewers to the rest of the world in an open and unbiased way.
- it really does sound like a concerted attempt to shape opinion throughout that part of the world.
Is that the bottom line?
Let's face it, from the point of view of Western goverments, opinion-forming in this part of the world (aka soft power) is exactly what they need right now, given the problems posed by the prospect of further military involvement. Is the timing a coincidence?
(Yes I know the BBC has been providing news and information on radio in Persian for six decades - that can still be held up to the same question - what was its real purpose? Is it now and has it always been effectively an extension of the British Foreign Office or intelligence services?)
As I say, I realise these things sound conspiratorial, but I'm genuinely interested to know the BBC's bottom line objectives, not just for this station launch but more generally the BBCs involvement around the world.
"Providing an alternative source of news and information" isn't a bottom line objective. It's a method for achieving an objective. So what are the actual aims and objectives that are met by providing services like this one, Richard?
Comment number 8.At 15:26 14th Jan 2009, PubliusOvidius wrote:
@unablogger: One of the BBC's public purposes is to bring the UK to the world: https://www.bbc.co.uk/info/purpose/public_purposes/world.shtml. Delivering news to Iran perfectly suits said purpose and while you express concern about a service "even Iran does not want", just because the Iranian government is concerned does not mean that the Iranian people do not want said news.
Having moved here from the US, I'm often surprised that many people in the UK hold the BBC in far less esteem than much of the rest of the world. Many of my fellow Americans constantly rely on the BBC because they consider to be a counter-point to our media and an excellent window on the world as a whole. I hardly consider this money "a waste".
Disclaimer: I work for the BBC so I may be biased, but I held this view long before I started working here. Also, these views are my own, not those of the BBC.
Comment number 9.At 16:17 14th Jan 2009, tonenolan wrote:
Surely the 'British' in British Broadcasting Company should mean for the British Public. The TV license is paid for by the British public for British programming, why is it that the rest of the world benefits from free BBC programming (tv and radio)? If the BBC wants to branch out (even if under the guise of 'world service') would it be too much to ask a fee for using the service - along the lines of 'pay per view' etc ? If not then surely it would be fairer for the UK license payers to abandon the tax and have these service subsidised in whole by the government.
Comment number 10.At 17:27 14th Jan 2009, bully_baiter wrote:
I suppose it is nice to know that it will take the Iranian authorities no time at all to confirm all the "lies" the BBC has been dishing out to its UK audience over the years, but really just how does the BBC justify this expenditure?
You cannot get your coverage at home right so whose (not so) bright idea was this?
Is this a part of your smart-ass plan to take over the world of media? Or is this just another blog to wind up the natives?
Comment number 11.At 21:21 14th Jan 2009, radiantLondonJohn wrote:
"Persian TV is aimed at audiences in Iran, Afghanistan and Tajikistan - totalling around 100m Persian...."
Please amend your data as there are more than 35 million Azeri Turks living in Iran with different language( Not Persian) who prefer to use Turkish or English Media!!!
Comment number 12.At 22:12 14th Jan 2009, dennisjunior1 wrote:
Congrats to the BBC Persian TV Channel and, I am wish this channel many positive things to come for the new channel and service....
~Dennis Junior~
Comment number 13.At 22:42 14th Jan 2009, BashfulPaperclip wrote:
I use to be a great supporter of the BBC, I'm not now.
I use to think the BBC was free from government interference, I don't now.
I use to think the BBC gave impartial opinions and reported the news fairly, I don't now.
I use to think the BBC projected all that was great in our country, I don't now.
I use to think the BBC was a great organization, I don't now.
I never thought the day would come when I would think the best thing that could happen to the BBC would be for it to be privatised, I do now.
Why would I think that way and why would so many other people think the same. The BBC has become a patronizing, smug, money greedy, extravagant, politically correct out of touch organization which most ordinary people cannot relate to, they preach, condemn and try to manipulate and anyone that does not fit into their nice little middle class chattering classes lefty boxes are regarded as some sort subhuman subculture.
If I were Iranian I would not trust the BBC, that is a shame after its great and distinguished history. I'm afraid any semblance of trust was destroyed by Tony Blair and I can't see them recovering for at least the another 30 years.
Comment number 14.At 06:46 16th Jan 2009, T from New Zealand wrote:
I'm not sure all the commenters above me realise that this is a BBC *World Service* project. The World Service is funded by taxpayers, not Licence Fee payers, (UK Foreign Office) and was set up for 'counter propaganda' whatever that is.
Its used to be all radio until recently (as far as I know) when BBC arabic and now BBC Persian were introduced.
So the experience that some of the above commenters have had with the BBC may not be the experience World Service listeners have had over the years.
Several World Service radio stations in Eastern Europe (I think) were closed to fund BBC Arabic, I'm not sure about BBC Persian.
Comment number 15.At 18:10 19th Jan 2009, SovereignJaguar wrote:
Persian TV? Maybe.
In Persian? Don't you mean Farsi?
What language(s) have you been using over the past 6 years for radio?
Perhaps you should also consider using sub-titles in the other languages spoken in the whole area that you intend to cover.
It matters not what any individual says about the need for, or acceptance of, broadcasting to any area in the world; the only things that matter are truth and objectivity. Whilst those two are now degraded within the BBC in the UK, the BBC World Service has had a much better record in the past and it is to be hoped will continue to have in the future. Their were many people within the old Soviet (USSR) countries who relied upon the World Service for 'free' news.
Comment number 16.At 02:03 20th Jan 2009, JTayler wrote:
Awesome idea to have a BBC Persian Channel. Can't wait to see whats next in store.
Comment number 17.At 09:31 26th Jan 2009, bkosimi wrote:
Dear Sirs,
With all my respect for BBC and special gratitude for recently established BBC Persian TV, I would like to ask you on behalf of many young, well-educated Tajiks like myself to increase the amount of news and analysis from Tajikistan to proportionate level of coverage and representation coming from our brotherly nations, Iran and Afghanistan.
It would greatly help in achieving good purposes of your undertaking.
Sincerely yours.
-- Botur Kosimi
Comment number 18.At 07:14 8th May 2009, jamesbritish wrote:
Why does the BBC Persian Television not broadcasted 24 hours a day? Like BBC Arabic Television which is reach globally and broadcasted 24 hours a day.
Comment number 19.At 18:54 19th Jun 2009, iranjay625 wrote:
Dear all:
I'm really sorry to hear that Iranian supreme leader branded bbc and British government as evil. Rest of the world fully aware of what happening in Iran and they know who is real evil. These days i'm so concern about what is going on in street of Tehran, but one day i'm positive Iranian people will be free and embrace the free world. At the end just want to say that i'm great admirer of bbc and i wish you all the best.
Thank you
Comment number 20.At 17:51 28th Dec 2009, persian viewer wrote:
RE: Anousheh Ansari - Space Visitor
I have just been watching a report on Anousheh Ansari seemingly boasting about having £20m pocket money to visit the space! Considering what our fellow country men and women are currently going through and having to put up with, I hardly think it appropriate to show this programme at this moment in time. It is not as if Ms Ansari has made any positive contributions to humanity by visiting the Space and to be perfectly honest I find it totally unpalatable and rather nauseating that anyone would be so shallow as to show their face to talk about "how her wishes have come true"! I am sure anybody with that much spare cash would have better sense as to how it should be spent. How about bringing the dreams of the street children true by providing them with a warm bed if you have that sort of money lying around. Please BBC, could you try to show more compassion at this time of the year. There is nothing to get excited about this woman who only God knows how she got hold of this amount of cash! It beggars belief how vulgar some people can be.


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For the Drug Busts, you can use a Thug Set to boost your melee damage when clearing out the area to hack the camera, then change back into one of the Cop XP Bonus Sets before you initiate the drug bust to capitalize on the experience points earned.
While going around town cracking heads near each drug bust area, remember to upgrade your accessories (watch, bracelet, glasses, and necklace) to maximize your Face XP earned, or you will run out of missions long before you reach Face Rank 10.
Go to the blue shield icon to initiate a drug bust. You have to clear the area of all thugs so you can move on. Locate the junction box for the camera and start hacking. The camera passwords are all unique numbers so there isn't any number that repeats in the code. Red numbers mean the number is not in the password, orange means the number is in the password but not in the right spot, and green means the number in that part of the password is correct. You have six attempts to get the password so eliminate numbers by starting with 0123 and keep going until you know every number.
When you've hacked the camera go back to your apartment and go to the tv. The camera footage will be on and the supplier will soon have a red icon over his head. Identify him for arrest and the police will take care of everything else.
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Think back to the last week...how many different types of foods did you eat?
In the last week I have made Mexican food, Italian food, traditional American breakfast, burgers, fresh veggies, lots of salads, and more. What have you had? What special meals do you have planned coming up?
In America, we very rarely have the same TYPE of meal back-to-back much less the exact same foods BUT...
A really good meal in the villages of Malawi looks like this:
Nsima with greens or beans. No variation. Super special moments call for goat or chicken and sometimes mornings are marked with porridge but rarely is there variation from these exact food much less types of foods.
Culturally Malawians often expect every meal to include nsima or it is not a meal.
What does this mean for their nutrition?
90% of a Malawian family's diet is corn based with plenty of calories but limited nutrients. The greens that are often eaten in the villages with nsima are low in available nutrients too.
What's the GOOD news?
Our local community in Malawi has seen a HUGE improvement in our children's hemoglobin levels (iron in their blood) and overall health according to out health checks! Woo hoo! Our anemia feeding program is working and the community is getting educated as to what eating meat and a variety of fruits and vegetables will do for their health.
More good news: Our gardens and farms are producing a variety of vegetables and our children in Timothy and Patricia's Homes are being fed a balanced diet.
As we add the land of the Grace Center our ability to grow these, very necessary, foods only increases!
Our corn goes towards nsima for our kids but the sale of it also goes towards meat and healthy variation...a ground breaking concept in Malawi!
Join us as we raise the last 1/3 needed for our land purchase! What better way to say Happy Mother's Day to the mother figure in your life than donating towards healthy, happy kids and their futures in her honor?


text:
You can request a Prospectus pack which includes all the details you will require and a copy of our 'REFLECTIONS' Magazine which highlights the events of the last academic year and provides an excellent insight into life at Mylnhurst.
Visitors are always welcome to school and our office staff are happy to arrange an appointment to suit you. We also hold Open Days twice a year so please ask for dates.
Request a Prospectus
Simply fill in the Admissions Contact Form, or alternatively you can call on 0114 2361411 or email email@example.com (see 'contact us' page on this website)
If you want to contact the Headmaster (Chris Emmott) directly, please do so via


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featured on Irish Examiner by Kya deLongchamps
Minimalist or austere? The uptight, sleek, relatively empty neutral space spiked with worthy mid-century inspired furnishings is being challenged in 2019 with the return to a cosier more full inhabited feel of maximalism. Celebrated American architect Robert Charles Venturi Jr, who sadly died this year, tangled with the Mies Van Der Rohe's sacred but paralysing adage trotted out in the last 10 years of decorating – 'Less is more', Venturi stated flatly, '- and less - is a bore.'
One of the most popular and luxurious interpretations of the 'more is more' school of aesthetics is the Memphis look – a 1970s fantasy of brass bound tables, marble, velvet and abstract art layered joyfully over every wall, glass and lacquered surface. It's still chic, but there's a lot more 'you' in these playful rooms.
In lush imagery of the Memphis lifestyle in European and American trade shows, living and faux greenery softens glass counters, orphaned corners and empty vertical voids using the exquisite geometry of rosette succulents, string-of-pearl (trailing Senecio Rowleyanus) and statuesque palms-house super-stars.
…read full article
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