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Lately, I've been thinking a lot about communication opportunities that can augment the patient experience. In fact, ever since Ward Alles, president at Core Creative, shared the story of his patient experience through his eyes as a healthcare marketer, it's been rattling around in my head.
Health systems and hospitals may already be doing many of these things. They amount to table stakes communication tactics in our digital age. Still, if you are doing this, and for your patients' sakes, I hope you are, there are two pressing questions I want to ask of you.
If you have built a clear and effective structure to communicate with your patients, using it in your messaging, particularly in social content (where you need to provide value for your audience to make your content worth anything) can help you reach the hearts and minds of your audiences. If your brand is built around an experience, don't assume your audience knows about that experience. Don't assume they know about all of the wonderful things you're doing for them.
You must teach them about your advantages.
It may sound simple, but if you want patient loyalty, one of the ways to get there is to earn it. You do that by being good to people. As the brilliant Kristin Baird said in one of the Core Exchange podcasts, "it's more than just smile lessons." I love that quote for the implication and everything behind it. Patient experience is more than being nice to people. It's more than creating a warm and fuzzy experience because people expect it. If they don't get a good experience, they very well may go elsewhere. But patient experience can be much more tangible than that. It's how you communicate with your audience and, as I noted before, if you're doing that right, you might as well shout it out loud because it certainly means a lot to people. You can't lead an ad or your content marketing with the fact you're being nice to people. It's not enough. But if you've operationalized more sophisticated communication tactics, say so. Let people know how.
Here are some ways to consider how you can meet your audience's need with sound communications tactics, based around the experience as noted in Ward's article.
Audience State: When a patient is experiencing a diagnosis, they will likely be feeling anxiety, needing confidence in their provider and information about whatever it is they are facing.
Communication Opportunities:
SEM – Setting up long-tail search keywords around common conditions or, even better, service lines featured in your campaign or of strategic importance to your health system or hospital can make sure your patients are finding the right information when they are searching for it. You'll be meeting patients in need, when they are feeling anxiety and need answers. Of course, to do that, you need to have developed content that serves their need ahead of time, and it's not just a page of bullet points buried deep on your website.
Content – Speaking of that content, this is your opportunity to feature information for the audience on the service line and the physicians. That content can be on your website or (and!) distributed through social media to be available for those searching for an immediate answer and those doing more detailed research.
Technology – Do you have online booking set up? If patients have already booked appointments, do you provide automated calendar updates? Those are becoming expectations in our digital age. There are simple digital solutions that can create a better healthcare experience for patients. And, again, become valuable messaging points in communication if you get it right.
Follow-up – There's a theme building here. People expect digital follow-up now. It's how the world works because it's how the Internet has come to work. People expect automated phone calls, emails and text messages. Make it easy for your audience by asking their preferred method of communication and giving it to them.
Audience State: Nervous about results. Pleased that they are moving on. Ready for what's next.
Communication Opportunities:
Content – It is useful for the audience to have access to content that addresses their safety concerns. It doesn't have to exist in article form on your website. You might be able to, and should, tell them all they need to know in an email, but that can always link back to more extensive information on your website. Provide them with content for caregivers for more complex procedures. What do people need to know? What is helpful for them? How can you inform them so you can provide a better experience? This is a good opportunity for video content, short and easy-to-understand explainers that help the patient, and their caregivers, understand what they're facing and how to deal with it.
Advice – Be sure you're preparing the patient by helping them understand how to arrive, what to do, what comes next. Those are all topics around which you can craft content to communicate with the audience.
Technology – If they need multiple appointments or follow ups, give them the chance to do it, automatically, through email communications to text messages. Digital solutions exist to connect with an individual's calendar through their email, smartphone and whatever else they may be using or need so they can commit to their schedule easily and feel empowered to take control of what's next.
Make it easy – Speaking of making it easy for them. When patients are approaching surgery, they need leadership. Prepare them every step of the way with email and texting if they desire. Valet services with simple directions will help them feel comfortable and taken care of. Many health systems and hospitals have figured this out, even offering rides through Uber or Lyft. What truly makes a difference, though, is letting the patient know ahead of time and integrating technology. Working with a digital team can uncover solutions even the most astute healthcare marketing leader wouldn't have thought of. Focus on the journey. Build an experience. Turn it over to the experts to find the best ways to build it.
Audience State: Hopefully they'll be feeling relieved and confident.
Communication Opportunities:
Follow-up – Email will keep them informed about the next steps and recommendations for self-care. It will continue to build that experience and it will continue to make them feel like you are partners focused on the individual, not just on a moment of care. That is how you can build on this experience to continue to build loyalty with your patients.
Direct Mail – It's the simple things. Consider sending a card that is solely focused on the patient. Nothing that has to do with next steps, follow-up appointments or even bills. Just send them a card. Include personal signatures. Make them feel like they are a part of the family and they will feel valued. It's another opportunity to empower your patients and help them feel like they are in the right place.
As I noted right up front at the beginning, these opportunities present themselves when you assess the entire experience of your patients. Build and follow their journey and audit the ways you are communicating with them. If you have simple pamphlets and handouts, toss it over to the team to explore a digital solution or a content solution and the best way to deliver that to the "user".
But with that in mind …
If you are doing these things right, building a stellar experience for your patients with more than just smile lessons, ask yourself, are you telling people about it?
It doesn't have to be, and shouldn't be, the lead message in your big advertising campaign, but you know what? A little bit of messaging to tell people that with your system, they get taken care of every step of the way, will go a long way toward helping them feel empowered and building patient loyalty while increasing patient acquisition.


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Offer a tip to DickQueen
I've added a new picture!
hello Mistress beurtifull phtoos you have hope too see you soon yours natasja.
Thank you <3 Me too Nata , See u soon <3.
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subset: commoncrawl


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We are a small multi-disciplinary/multi agency team commissioned by Camden Council from the Tavistock and Portman NHS Trust to assess and support the psychological, emotional and mental health needs of young people (up to 25 if they have an EHC plan) with complex needs.
These complex needs can lead to challenging behaviour which can be caused by mental health diagnosis, severe learning difficulties, autism, conduct disorders, anxiety and mood disorders, etc. Many of the young people we work with have a combination of these difficulties which often makes it difficult for them to remain at home and in non-residential school placements.
We therefore also have a role in helping to find suitable alternative school/residential placements for them and continue to monitor and support their care even when they are not in Camden.


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How To Explain 9/11 To A Child Who Wasn't Alive At The Time
If you were alive during the terrorist attacks on Sept. 11, 2001, there's no doubt you remember everything about that day. From the cloudless blue sky, to the chaos that erupted on sidewalks across the country, to the phone lines being so busy that you couldn't reach your loved ones, the events of that day are cemented in our collective consciousness. But what about the generation of Americans who weren't born yet? As parents, teachers, mentors, and anyone who is close to children, it's important to learn how to explain 9/11 to a child who wasn't alive at the time.
With the 15th anniversary of Sept. 11 coming up, now is the perfect time to talk to your kids about what happened that day, and how the attacks changed the world for everyone. Time suggested you set aside some time when you won't be interrupted and when you're confident enough to be direct and honest, without being graphic.
No matter how you've healed in the years since the attacks, you know in your gut that this is something you need to speak to your children about. But it's perfectly OK to have trepidations about what to say, or how to say it. The following are suggestions on how to explain 9/11 to young people, because it is still a tender topic for many people.
1. Ask What They Know About 9/11
According to PBS, you might start a conversation about 9/11 by asking what your child knows and what other kids at school are saying about the events that happened on Sept. 11. You might also be surprised what your kid has picked up from the news. So, it's always a good idea to begin a conversation with your child by seeing what they already know, which might be more than you think.
Of course, knowing and understanding are two very different things. The same PBS article suggested asking, "What did you hear?" and taking the conversation from there, being sure to make sure your child feels comfortable in your discussion.
2. Use A Book
One way to help your child feel comfortable discussing such a troubling topic is to read a story book. One of the many 9/11 children books is America Is Under Attack, written and illustrated by Don Brown, a Long Islander who dedicates the book to the 13 neighbors his town lost that day. Brown noted that the book is for young readers and explains what happened without the intention of frightening them. This book is for children grades one through five.
3. Take Kids To The Memorial Museum
Whether you live in New York or want to make a pilgrimage to the Big Apple, the 9/11 Memorial Museum tells the story of what happened that day with a variety of exhibits. Although most of the museum is open to all, there are some exhibits suggested for children aged 10 and up.
4. Use Art
PBS collected artwork made by kids in response to 9/11. Some of the images will break your heart, while others will give you insight into how the innocent minds of children process trauma and tragedy. Suzanne Silverstein, president and co-founder of the Psychological Trauma Center at Cedars-Sinai told National Geographic that encouraging kids to draw helps them express feelings of they might not be able to put into words.
5. Don't Mince Words
Dr. Robin Goodman, executive director and program director of A Caring Hand, The Billy Esposito Foundation and Bereavement Program told CBS that you shouldn't mince words when talking about 9/11 to kids. "Parents naturally want to protect their children from sad and scary things and experiences, but it is not necessarily in their best interest," she said. "Children do best when parents help them feel informed and prepared for what they will encounter in life — good and bad."
6. Use Simple Language
Richard Rende, an associate professor of psychiatry and human behavior at Brown University, explained to Time that you should be honest without being graphic. Rather than saying people plummeted from the Twin Towers to their deaths, just explain that people were trapped, and they decided to jump.
7. Use Prayer
The National September 11 Memorial & Museum suggested that you use prayer as a way to explain what happened that day. In the midst of the evil and tragedy, there was also a tremendous outpouring of empathy, as people rallied to help. This sends the message of hope about people, a common thread of religion, regardless of your faith.
8. Explain Evil
According to The Federalist, talking to kids who weren't alive at the time about 9/11 is difficult because you will have to explain that evil exists in the real world, and not just in storybooks. Bre Payton, who wrote the article, noted that her mom "explained who the bad guys were, what terrorism was, and why they hated Americans." Payton concluded that it's important to discuss evil because the consequences of the evil perpetrated that day are too severe to ignore.
9. Talk About Heroes
As everyone knows, the attacks on Sept. 11 brought out heroics in the first responders and search and rescue teams, as well as the Red Cross workers and scores of volunteers who rushed to the scene to help. In addition to the New York City firefighters, New York City police officers, search and rescue service workers, Today reported there were 300 rescue dogs who worked the scene to identify victims and served as therapy dogs for the traumatized rescue workers. Psychologist Dr. Sherrie Campbell told The Huffington Post that when kids hear about real-life heroes, even furry, four-legged ones, they can develop ideas about what their capabilities can be.
10. Explain Why You're Proud To Be An American
Putting aside all the things that this country can improve upon, the events of 9/11 inspired pride in many Americans. After all, the country rallied to help people in crisis, which is always something to be proud of. Discuss the reasons you're proud to be an American, which the organization Debate.org noted can include many factors.
11. Discourage Any Form Of Bigotry
When people learned that the terrorist group al Qaeda was responsible for the 9/11 attacks, bigotry against the Muslim and Middle Eastern community in America was rampant. The Daily Beast reported that even 13 years after the attacks, reports of discrimination, violence, and ignorant bigotry against Muslims and Middle Eastern Americans was still high. This can happen at school, where kids can be unusually cruel to one another when the teacher is turned away. Make sure you kid knows how short-sighted and evil any form of bigotry is.
12. Ask If They Have Any Questions
It's vital to listen to what kids have to say about 9/11. But bearing in mind that kids don't process information like adults, after you've listened to what they have to say, be sure to follow up with your own set of questions, noted The National Center for School Crisis and Bereavement.
13. Assure Them They Are Safe
Conclude your 9/11 talk by assuring your kid he or she is safe. After hearing disturbing news like what happened that day, it's only normal for kids to feel insecure. However, according to Parenting, the best thing you can do is to make sure your child feels safe in his or her environment. Listen to your kid's worries and don't belittle them. That's one of your jobs as a parent, regardless of what happens in the world around you.


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To build on the change from summer to fall I put a new set of discs into the CD changer here in the shack. I looked at my music collection and found musicians I haven't listened to in a long time. I had one requirement. No lyrics. I have writing to do. Words in my ear interfere with words in my head.
I turned to jazz: Chet Baker, a couple of Miles Davis, two by Wynton Marsalis. I have a two disc set on standby to replace the two CD's I tire of first. It's the Riverside Recordings, a musical collaboration between Thelonious Monk and John Coltrane captured at New York's Five Spot Café in 1957. Chet Baker is playing "'Tis Autumn" in the background as I write. Let's get at it shall we?
For a couple years now I've been golfing with a good group of retired guys. It's an eclectic group, changes every week, goes to different courses, playing collectively or individually well one day and badly the next. Some of us keep individual scores privately but we only note and report our group success. We track the number of pars and par equivalents as a ratio of the number of holes played. The number of holes played depends of course on the number of guys playing. We aim to play 18. Once in a while someone has to leave after 9. At times (like now) someone goes past nine but doesn't play a full round of 18 (that's me, still getting my ankle back in playing shape.) Anyway, using those numbers we do some math and rate the group's performance. I've decided to forgo that for last week's round. It was a different kind of day.
Five guys played 79 holes of golf. Three played 18, one played 9, I cut out after 15. But it was not a day for numbers. That day was an experience, not a contest.
It started when one of the guys on the list replied to the e mail announcing the place and time with an idea to bring an old friend known to most of us. He's a guy who no longer plays much. Let's call him Bob.
"Hey, I was thinking of bringing Bob. It's going to be a nice day. He may want to get out of the house, or his wife may want a break. He won't play a lot. Just hit some balls now and then. Putt a little. What do you think?"
When you've lived in one community for as long as we have you develop and keep friendships with guys important to you. Bob was a mentor to many of us. I worked with him for a very short time. He was happy and expressive, said what he thought, and we realized he had good things on his mind. He was well suited for his job. I remember him as both sarcastic and good hearted. Fun.
"Bring him. I haven't been with him in a long time. I'd love to see him."
I showed up late, last to arrive, and Bob was already in the cart. He was wearing big orthopedic tennis shoes with Velcro straps extending down by the toe. I check those things out these days. Still recuperating from ankle surgery, I was wearing an Ankle Foot Orthotic (AFO), black leather over plastic covering my calf and laced up to my knee, in sensible black street shoes. Hard telling when I'll wear my golf shoes again. Bob and I were both heavily shod. When I shook hands with him he gave me a big smile. You remember people's smiles and how they make you feel. At least I do. His smile had always made me feel good. It still does.
"You going to be our swing coach today Bob? Our spiritual golf guru and advisor?"
"Nope. Playing."
"All right then, let's go."
We play at a fairly leisurely pace on the local courses, and playing on weekdays we find them rarely crowded. For some reason that day everyone had the same idea. It was a lovely morning. There were lots of golfers. We waited for the guys before us to hit and as we were teeing off another foursome was parked behind us. That's unusual for golf in the Illinois Valley. As the last guy was teeing up his ball I saw Bob slowly step out of his cart. Very slowly.
He was looking around intently. When he finally reached the tee box he scanned the horizon all around.
"That way Bob." I pointed down the fairway. "Straight ahead. See the flag?"
We were golfing at a course which was a country club that sold and went public. Bob was a member there. He knew the course well. Or he did at one time.
He looked in that direction. Slowly he bent to put a tee in the ground and once accomplished placed a ball on it. Then he stood up. A cart went by on the fairway next to us. He followed it with his eyes as it disappeared over a little rise. In the other direction a foursome cheered an apparent long par putt. He turned and looked intently at them.
"C'mon Bob. Hit the ball buddy."
It was his cart mate gently urging him to hurry. Another of his old friends called out.
"How long does it stay light out these days?"
That crack came from another supportive friend. It's what guys do.
Bob looked back and smiled. Then pulled the club back, his back swing much reduced from the last time I saw him play. He brought the club forward, all arms, and hit a soft liner about a foot and a half off the ground. It travelled 80 yards. But right down the middle and, you know, past the ladies tee.
"OK. We're off."
Four of us walked quickly back to our carts while Bob made a slow deliberate trip, one step at a time, back to his seat.
Brilliant blue and plush green were the colors of the day. A yellow sun moved across the sky. White clouds came and went. We played all through the September morning. Sometimes when I come home from golfing my wife asks what we talk about.
"Golf." I say.
People have tried to convince me that business gets done on the golf course. Not in my lifetime. We talk about turning slices and hooks into fades and draws. We estimate distance, complain about sand traps, bemoan our bad shots silently (for the most part) and praise good ones openly. We chide ourselves for bad habits. We get serious about golf.
Golfing with Bob was different. He was quiet and didn't get out of his seat in the cart often. At random times he would say
"Is it my turn?"
And when he did we would drop a ball twenty yards away from the pin for him to chip, or place one on the green ten feet from the hole to putt. We kept him involved to some extent, but sometimes didn't because the foursome behind us was waiting to hit. He rarely initiated conversation so we took on that task. Mistakes can be made unknowingly.
"Bob do you remember that time in Berta's when you …?"
At the word remember Bob looked in my eyes and replied firmly, but with a smile, "Nope."
I was embarrassed but Bob wasn't.
I did see flashes of the guy I remember from the past. I drove my ball off the tee first and pulled my cart next to his as the others of our foursome were getting ready to drive.
"How's your wife Bob?"
Bob is married to a lovely woman, a nurse. He looked at me for a long time.
"Compared to what?"
It was just the kind of smart ass thing Bob would have said thirty years ago. Never a straight answer.
"Oh, I don't know. How about compared to you."
He smiled again, his biggest smile, very close to a laugh.
"Me? Compared to me? He paused. "Fantastic."
Bob changed our game. He was living in the moment, enjoying each swing, while we were trying, like always, to figure out how few strokes we could manage at the finish. He saw everything around him while we saw the flag on the green at the end of the fairway. His life had changed. At times we found that awkward to deal with. But we also found ourselves changing to help our friend. We pulled his cart to places on the cart path where he could walk more easily. We took his arm and helped him up and down the slopes. We paid attention to him and each other more than normal. We may have been good to Bob, but Bob made us a little better that day too. The score was less important. Kindness and enjoying the day ruled.
Good to see you Bob.


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AMovieGuy.com's RATING: 3 ½ STARS (Out of 4)
Toni Erdmann is the funniest movie of the year and nobody in going to see it. At least stateside they won't see it. The new German drama/comedy from Maren Ade has a limited release in this equally serious and hilarious film about the relationship between a daughter and her father's attempt to rekindle their close friendship by his crashing her very important business trip. It makes for surprises aplenty, with each scene keeping the audience on their toes in this smart, sensitive and slapstick film.
Peter Simonischek stars as Winfried Conradi, who we first see with his face painted like a clown ala The Dark Knight's joker and ends it in one of the weirdest ceremonial costumes from Budapest. In between, he is a free going character, wearing disguises to not embarrass his daughter in front of her business friends. His efforts are to make sure he sucks all the fun one can have out of life and connect to his daughter- Ines Conradi (Sandra Huller) after the passing of his friendly dog. For Ines, business and work are the most important thing in life, dealing with the contracts of a large oil company and the sexist males who seem to value their work over hers.
Director Maren Ade (Everyone Else) makes Toni Erdmann (the title comes from the name Winfried introduces himself with) a slow burning process of humor and uncomfortable positions. It feels as close to real life as possible as any grown adult that had their father following them around would have feelins of discomfort. The performances from Huller and Simonischek are instant classics, including one of the most memorable movie moments of 2016, when Ines sings Whitney Houston's "Greatest Love of All" at a family party that Winfried invited himself to. At a running time of almost three hours, the entire trip feels like a complete journey, that often involves Winfried hovering in the background of fancy parties with his dark wig and fake teeth.
Toni Erdmann is not just all things humor, in fact it is extremely sensitive at its core. The screenplay from Ade manages to wedge all the gentle moments behind the laughs, including a climactic scene that involves Ines and the rest of the cast in their birthday suits, which shows behind her intense focus lies the kindhearted nature her father instilled in her. The easy movies to compare it to would be a movie from earlier this year- The Meddler, but it also has a sense of humor like Father of the Bride or Monty Python. It's an honest display of how our busy lives can damage the love and lives we share with our parents.
There is no debate that Toni Erdmann is one of the more surprising films of the year. The pace and length do get a tad bit wearing, but that is not to say that the audience is not rewarded at the end. They actually do not make enough movies like this today. It's a kind and film that at least tells the important lesson to see humor in life and love the family that you have. Everyone is going to want to have a father like Toni Erdmann and will leave the theater with a big smile on their face. No matter how sad everything else is.
3 ½ Stars
Written by: Leo Brady


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F&S Energy goes live
The fully responsive re-design for Chelmsford based energy re-seller company F&S Energy has gone live.
Founded in 2011, F&S Energy purchase power from small solar and wind turbine generators up and down the UK at market leading rates, which is then sold on to supply customers and other third parties within the electricity market.
We were approached by F&S Energy with a vision to create a crisp, vibrant and attractive site re-design. The fully responsive site is built in the MODx content management system, hosted by Enovate and uses some of the latest web technologies, including CSS3 animations and transitions. The site provides a user experience that is simple and intuitive across mobile, tablet and desktop devices.
We are currently working with F&S Energy to help improve the performance of their pay-per-click campaigns.
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Sound wacky? Let's see how this comes about.
Salads have evolved through the years as much as anything. Originally all lettuce seemed iceberg, rarely was there any other choice. Then one year iceberg became very expensive, then everyone who couldn't stand a salad without lettuce, turned to the relatively unknown romaine, and they liked it. Then everyone had more lettuces they were willing to experiment with, ones which usually came in heads like iceberg but were escarole, curly endive and more. Probably, and still later, the most exciting was the arrival of the "little lettuces," often put into bags by us with tongs at the market, and these were the arugulas, the Frisses and more. Now, we pretty much mix and match all of the greens we like.
However, there seems to be evolving a new lettuce chapter, and it is the use of a green, usually cooked and served hot, and that is kale. And we are eating it raw! There are several types of kale.
Enter Trail Mix Salad: Many trail mixes are salted, and this makes a "rather salted caramel effect," with sweet raisins and other dried fruits in the mix, something we picked up from Asian cuisine. This effect in a salad matches nicely with bold kale and a clear vinaigrette or Asian vinaigrette.
Salads have always been essential to good health for their fiber and source of raw, uncooked foods. Trail mix is lean and an excellent source for energy-producing nutrients.
Below is a modular approach to making a good, nutritious trail mix salad, and it's an excellent chance to cater to the favorites your family prefers. Some trail mixes are sold containing pieces of chocolate. At this point of Trail Mix Salad evolution, we are not including trail mixes with white or brown chocolate.
It is important to wash and remove the kale leaves from their tough central stem then bunch it and julienne-slice the raw leaves for salad greens.
- Citrus peel
- Dried fruits, especially raisins and dried cranberries
- Granola/Muesli
- Nuts
- Peanuts
- Seeds
ADDITIONAL INGREDIENTS (Optional)
- Cheese cubes
- Fresh fruit
- Grated coconut
- Green onion
- Heart of palm
- Lunch meats
- Meat
- Poultry
- Raw vegetables (optional)
- Seafood
SALAD GARANISHES (Optional)
- Anchovies
- Bacon bits
- Berries
- Cheese
- Croutons
- Edamame
- Parsley
- Radishes
- Shredded carrots
- Sliced mushrooms
- Sliced red onion
Do not pre-dress a Trail Mix Salad. Serve the dressing in individual dipping sauce dishes.
Use your imagination with a basic vinaigrette made from your favorite oil, lime or lemon juice, maybe a dab of mustard, herbs and seasoning.
Or, an Asian vinaigrette would contain your favorite oil, some sesame seed oil, fish sauce, citrus juice and soy sauce.
Below are foodsites with Trail Mix Salad recipe suggestions.
http://www.midwestliving.com/recipe/salads/crunchy- trail-mix-salad/


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Call a Roofing Specialist
Compare & Save On Roofing in Laotto, IN
Do you need a roofer in Laotto you can trust to provide fair pricing and the experience necessary to work with any type of roof? Cork'd is here so that you can quickly compare costs from certified roofing contractors in Laotto for tile, wood shake, asphalt, shingle roofing and more. When you work with experts from Cork'd you are assured they will have a solid history of positive reviews and use the latest techniques and materials to get the job done.
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When every roof is different in shape, size, and age you need Laotto roofing companies that have seen it all and can tackle any job. Cork'd only partners with roofers in Laotto that work to keep your roof looking great and leak free. We know you need a contractor that will show up and finish the job on time above all keep the cost down. Our Ballpark estimator puts you one step ahead by providing you with average roofing costs from our network and Laotto average material & labor rates. Knowledge is power so get started now!
Roofing in Laotto, IN
Non-Verified Roofing Companies
Braman Roofing Co
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Hillsdale, MI 49242
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9109 Rothman Rd
Fort Wayne, IN 46835
Prestige Exteriors
7616 Disalle Blvd Ste 1E
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5320 Distribution Dr
Fort Wayne, IN 46825
Southwood Gutters
6301 Goshen Rd
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9318 Airport Dr, Ste D
Fort Wayne, IN 46809
3 Rivers Remodeling, Llc
1415 Directors Row, Suite 3B
Fort Wayne, IN 46808
Hoosier Windows & Siding
4633 Lima Rd
Fort Wayne, IN 46808


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This forum is here to let new users introduce themselves - and also to let longtimers who never really told us who they were fix that now!
Do not reply to this thread - instead, either respond to the other threads or post a brief introduction about yourself.
To all new members: You MUST post your first post in the introductions forum before you are allowed to post anywhere else.
And please know that you are very welcome here, and we appreciate your joining Hypography!
Welcome users!
Started By Tormod , Dec 28 2004 11:22 AM
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Leisure time in the Urals
Do you enjoy outdoor activities? It is possible to spend a recreational holiday not only in summer but as well in winter! We will show you how!
We invite you to visit a tourist village "Zarechnoe".
At your services:
- Accomodation in the comfortable chalets
- Full day meal plan (3 times per day)
- Various entertainments for all tastes: billiards, karaoke, ice-rink, paintball
- Snowmobile rides
- Sauna/Bathhouse with swimming pool
- For shooting lovers: compak-sporting
zones (skeet shooting), an open area for pistol shooting, the place for carbine, rifle, shotgun bullet shooting at distances from 50 to 200 m
The cost of the trip package for 4 days/3 nights:
For up to 8 pax – 490 euro/person.
For up to 8 pax – 490 euro/person.
The package includes:
Return transfers (from airport to the camp and back to the airport), accomodation in the comfortable chalets
Full day meal plan ( 3 times per day)
Bathhouse with the swimming pool (2 hours)
Snowmobile rides (2 hours)
Excursion to the shooting area "Losinyy Log" . Here you can enjoy extreme activities but still you will spend your time safely.
You can get a lot of positive emotions, which you will never forget!
You can get a lot of positive emotions, which you will never forget!


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APIM - Post Maturity
Assess - what's maturity level now?
- Determine maturity level
- Identify strengths and weakness for future improvement
- Improvement measures.
- Audit plans.
- Audit reports.
- Periodic progress assessments.
- Updated risks.
- Updated budget.
- Updated action plan.
- Task-completion criteria.
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Orange Two Stroke Boost pedal. The Two Stroke Boost EQ is a take on the essential 'clean boost' pedal, but with even more versatility. Combining an active dual-parametric EQ and up to 12dB of output boost, the Two Stroke is the perfect tool for fine-tuning your sound or pushing your amp's front end with unsurpassed control.
Subtle Two Stroke tweaks can add an extra dimension to solos, whilst more aggressive use of the pedal's EQ can sculpt entirely new sounds. Use the Two Stroke to add an extra channel to your amplifier or re-voice your guitar's pickups completely. Crank the high mids to jump through the mix, cut the low end to remove the woolliness that normally occurs with traditional boost pedals, or leave the EQ flat to hear more of what you already like.


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Victor Oladipo scored 28 points and posted the first postseason triple-double of his career Friday night, leading the Indiana Pacers to a 121-87 blowout over the Cleveland Cavaliers.
With the series now even at three, Game 7 will be played Sunday in Cleveland.
The Cavs were led by LeBron James with 22 points, seven assists and five rebounds despite sitting out the entire fourth quarter.
Nobody else scored more than 13 points as the Cavaliers lost their first closeout game in 14 tries dating to 2009.
James had won 11 consecutive closeout games and is 12-0 all-time in the first-round series.


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Scrabble & Words with Friends Word Unscrambler
Definition of Coaxial
1 Definition of Coaxial
The definition of coaxial, the meaning of word Coaxial
Is coaxial a scrabble word? Yes!
- adj.- having a common axis
1 Synonym of Coaxial
Coaxial is worth 16 points in Words with Friends and 18 points in Words with Friends
There are 7 letters in coaxial: A A C I L O X


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Monet Monet
Monet Monet is a boutique garden venue sure to add a level of romance to your wedding. As you enter the gardens, you will find a tranquil setting reminiscent of a romantic era of time gone by. The lush greenery, seasonal blooms, stunning water features and elegant bistro lights make this a space unlike any other on the Gulf Coast. As the exclusive catering and event planning company at Monet Monet, Grayton Beach Catering will serve a delectable array of food and create an unforgettable wedding experience for you and your guests. Please contact us about booking Monet Monet for your wedding so we can help you create the wedding of your dreams.


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ap: power outage notification
ap: power outage notification
Tesla-David | 4 August 2018
@mcdonalk, we have our Tesla-app on our Apple IPAD, which also has our two Tesla vehicles (MS and M3) in addition to our two PW2's, but in the notification section, I see notifications for vehicles but none for the PW2's. Am I missing something. We access the PW2's from our IPAD and do not have the app on a smartphone, as we do not have smartphone, only flip cell phones. The notification app works well for our vehicles, and would love to have it notify us if there is a power outage, but do not see that on our IPAD Tesla-Energy Gateway application.


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Fancy seeing us at your event
Booking us:
Avon Scout Radio are able to support Scouting events of any size with Broadcast Radio activities. We can offer event Radio Stations, Interviews and event coverage, as well as local FM if required.
We have provided Broadcast Radio Stations at wide variety of events Inc,
- International Jamborees such as Kent International Jamboree
- District Jamborees inc: Arrow Jamboree in Arrowe Park, Wirral & IceScout at Blackwell Adventure.
- National Scouting events inc Winter camp at Gilwell Park , Beaver Cub Fundays, Gilwell 24, Scarefeast,
- World Events inc JOTAJOTI.
At your event:
We are able to provide presenter-led programming, helping to entertain and inform the listeners both at the event and those listening online at home. As well as allowing the young people on site the chance to take to the air for there 15 minutes of fame as they take over the studio.
Here at Avon Scout Radio we appreciate that each event is different and our bookings team will work along side you to insure the perfect package for your event. For more information please use the form below.


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You don't need to wait for the SS19 collection anymore!
Our designers created the Spring/Summer collection in the light of "Modern Elegance". With the feminine cuts and fine fabrics the familiar elegant Livello look will be with us. But the sporty and casual details can be noticed in the outfits. The colourful patterns will give a spectacular touch, and easy combination with basic pieces.


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The Future of Editing - A Review of AutoCrit
The future of editing has arrived. I'm a writer first and an editor by default. Reducing my editing time is important. I want to present the best work I can, that I am capable of doing myself. I'll admit I'm not the best editor. There are just so many editing issues it's difficult to catch every single one. A poorly edited manuscript turns off prospective buyers and readers, though. It takes far more time for me to edit than it does laying out a first draft. The essential word here is time. Searching for a myriad of issues in a manuscript while getting eye strain is an intense, boring, and at times frustrating experience.
Impressive Functions of Autocrit
I stumbled upon the AutoCrit site and used their Free Wizard, pasting in a 500-word sample. I expected it to take a few minutes, enough for me to walk away and grab a coffee, but it was fast. How fast? Right now fast. Later, I pasted in 100,000 words and each analysis was done in seconds. It's actually a fine-tuned, elaborate search mechanism tailored to writers. It performs 11 functions: searching for repeated words/phrases, sentence variation, dialogue tags, pacing, phrases, homonyms, overused words, first names/pronouns, and clichés, plus it produces a combination report and sums up the readability on about ten ratings. The analysis readily shows problem areas by highlighting them in color or underlining them. On a few reports it even makes suggestions. If your overused words count is low it will congratulate you. That's a nice touch.
Word Searching
I use the word search on MS Word to catch the usual culprits of -ly adverbs, was, that, had/has, but it's the phrase repetition I find difficult to spot. AutoCrit identifies two-word, three-word, and four-word phrases. Trying to catch overuse of slang phrases is no longer a concern. This is important in dialogue because not all characters speak the same way. The best part about the program (I have the professional subscription) is that I can insert my own particular slang words and phrases and it will include them in the analysis. That's not all. Each report can be emailed so you can work on it at your convenience. program has saved me time and made my work far more presentable. Actually, it showed how basic my editing was.
The Future of Editing
This program will catch on because it's effective, clever, time-saving, and attractively priced. I believe it will raise the bar if enough writers use it. Expectations will rise from publishers and agents. With all the information regarding editing and manuscript submission formats on the internet, there are still many writers who don't show due diligence and submit their work anyhow. Every writer can use AutoCrit but these are the people who need it most. Those who don't have AutoCrit risk being left further in the dust. Take a look when you get the chance.


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Breaking Barriers and Staying Healthy0
Since launching Hmong American Partnership's Learn and Live: Kev To Taub, Yuav Cawm Tau Koj Txoj Sia Program this past year, at least 250 Hmong women have attended breast health workshops and this number is only expected to grow.
HAP is currently the largest non-profit Hmong organization in the United States. Providing over 20 programs, HAP's mission is to empower the community to embrace the strengths of our cultures while achieving our potential. This past year, to address the disparities of breast and cervical cancer among Hmong women, HAP launched the Learn and Live Program. The goal of this program is to educate the Hmong community on breast and cervical health and increase the number of screenings.
Hmong women have high rates of cancer but very low rates of cancer screenings. This is due to various reasons such as language and cultural barriers, views on western medicine, and lack of health insurance and transportation. Taking these factors into account, the Learn and Live program is designed to provide culturally sensitive services by conducting group workshops, making individual home visits, helping women schedule screenings, and providing transportation. Most importantly, the program provides education not only for the women but for their husbands and daughters as well. This is to help husbands understand the importance of their wives' health and to educate daughters to be aware of not only the health of their mothers but most importantly, themselves.
HAP partners with local health care providers from the Minnesota Department of Health's SAGE Screening Program and the American Cancer Society's Minnesota Chapter. SAGE provides free mammograms and Pap tests for women who do not have health insurance and both SAGE and ACS provide gift cards to women who complete their check-ups.
Anyone interested in receiving services through HAP's Learn and Live Program can contact Nina Lee at [email protected] or (651) 495-1502. To learn about other services provided by HAP, please visit www.hmong.org.


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Chang Mai...Thailand...and...AND... the Suite Pool Villa..goes for $439(120 KD) a night only!!!...i'm not even being sarcastic!...the prices i've been hearing are crazy..so this sounds great to me!!
Note: I poked around a bit and it seems to be a bit far from anything remotly silimar to a downtown area..Not a family vaca destination!:P


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World Startup Factory is hosting an open afterwork on How to Build a Dependable Team. During the session, Jeremy Raes, CEO & Co-Founder at LizardApps, is going to share his experience on how he managed to expand his team to over 40 employees from The Netherlands and Malaysia only within 5 years of operation. Join us to learn more about team building skills but also talk to our startups participating in our Sustainable Cities accelerator. See you there!
World Startup Factory helps founders accelerate their business with an intensive 30 days bootcamp, followed by 5 months of customized support to increase success in their market. We offer a personal approach with a focus on customer development and strategic partnerships. Turn to us if you are a team of entrepreneurs working on solutions for a better world.


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Best Lawyers in Canada© administers a list of top lawyers in different practice areas, compiled based on peer-review evaluations. Lawyers are not required or allowed to pay a fee to be listed; inclusion in Best Lawyers is considered a singular honour. Burchells is proud to have seven of us recognized in the 2018 edition as being among Canada's best: D. Bruce Clarke, QC, Wayne Howatt, Kelly Greenwood, Stuart C.B. Gilby, David Hutt, Cheryl Canning and Naiomi W. Metallic.
Bruce, Stuart and Naiomi continue making our Aboriginal and Indigenous Law practice group among the most robust such practices in the country. Wayne Howatt and David Hutt were recognized in commercial leasing law, with David singled out as 2018 "Lawyer of the Year." Cheryl Canning was again recognized as a 'best lawyer' and leader in the insurance law field. And Kelly Greenwood was recognized for real estate law.
Burchells congratulates not just these lawyers but all our colleagues singled-out in this year's listing.


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Used Car Loans after Foreclosure in Bothell
Used Car Loans after Foreclosure in Bothell
Bayside Auto Sales understands that rebuilding your credit can be stressful, especially after unforeseen events and financial issues such as foreclosure. Securing an auto loan shouldn't be a tedious task. That's why Bayside Auto Sales offers Used Car Loans after Foreclosure in Bothell. Our friendly and experienced staff will help make your auto loan experience as easy and stress-free as possible.
We Are Experienced with Used Car Loans after Foreclosure
After going through a foreclosure, you may find that you're having difficulty obtaining a loan. Bayside Auto Sales has the experience to help you secure one of our Used Car Loans after Foreclosure in Bothell, as well use their training and experience to locate you the best lender offering the lowest rates possible. Bayside Auto Sales takes extra steps to help customers skip the stressful aspect of the loan process, and ensures they'll be back on the road in no time. We have a large network of lenders, as well as a wide-range of used vehicles to select from. We are confident that you will find the perfect pre-owned vehicle on our lot that fits your everyday needs.
Finding the Perfect Vehicle with Used Car Loans in Bothell
You can begin to finalize your decision one you have found the perfect vehicle. Once you have met with our financial team to determine what your interest rates and monthly payments will be, we can then discuss how you can begin to rebuild your credit. With the Used Car Loans after Foreclosure in Bothell we offer at Bayside Auto Sales, and making your monthly payments on time, you will begin to see your credit score increase. If you are unable to pay your monthly commitment, reach out to your lender immediately to work out a solution. Bayside Auto Sales continues to provide you with support, even after you have driven off the lot in your newly purchased vehicle.
For additional information or for questions about our Used Car Loans after Foreclosure in Bothell, please contact Bayside Auto Sales by calling us directly at 425-267-9777 to speak with one of our sales specialists. From the comfort of your own home, you can browse our inventory, contact us via our form, and fill out an application online. Stop by today and test drive some vehicles, we are conveniently located at 9815 Evergreen Way, Everett, WA 98204. Let Bayside Auto Sales help you get back on track, and back on the road in a quality vehicle.
© Copyright Content Motive, 2017.
All Rights Reserved. | Optimized for auto dealers by Content Motive


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May 16
Faculty Members Honored for Making a Difference: Lisa Cooper, Ph.D.
Lisa Cooper, Ph.D., an assistant professor of anatomy and neurobiology, has dedicated countless hours of her time to studying bats. What some might not realize is how many hours she has also spent educating future generations about the winged mammals.
Dr. Cooper's dedication and achievements were recognized when she was presented the Junior Faculty Award at NEOMED's Employee Recognition Day on March 27. The award honors a faculty member at the instructor or assistant professor level who has demonstrated exemplary performance in the areas of teaching, research and scholarly accomplishments, and service; and has made a noteworthy contribution to the NEOMED community.
Inspiring tomorrow's scientists
Not only does Dr. Cooper teach Human Development and Structure to first-semester NEOMED students; she also travels around Northeast Ohio to educate high school, elementary and pre-school students on all things bats.
Most recently, Dr. Cooper traveled to an elementary school in Hudson, Ohio, where she, along with Hope Ball, Ph.D., a postdoctoral fellow in Dr. Cooper's lab, and Tobin Hieronymus, Ph.D., an assistant professor of anatomy and neurobiology, conducted interactive sessions with hundreds of third-graders.
The trio visits schools around the state to teach children what bats eat, why they have such large wings as babies, how their bodies are structured, and more, depending on the questions they get.
During one of her latest school visits, Dr. Cooper explained to students what our lives would look like without bats. They wouldn't be too different, right? Wrong. A world without bats and their help would mean lots more mosquitoes and crop pests. Without bats, farmers would collectively have to pay $53 billion dollars a year in pest control.
Bats act as pollinators, explained Dr. Cooper. If there weren't any bats to pollinate, that would mean a world without some species of banana, mango, cocoa and agave (a natural sweetener used in making tequila).
Bats have bendy bones
While Dr. Cooper's lab may not resemble the bat cave most people envision (sorry), she uses her spaced tucked away in the walls of NEOMED to study the mechanism of how bats maintain bones that bend during wingbeats, and why bats don't develop bone fragility.
Still early in her career, Dr. Cooper has already had 33 publications—including four so far in 2018. Dr. Cooper's research stands out as being integrative and collaborative, noted Amy Lee, M.D. ('88), M.P.H., M.B.A., professor of family and community medicine, before presenting Dr. Cooper's award at Employee Recognition Day.
For example, a current National Science Foundation (NSF) grant is a collaboration among three investigators at NEOMED and another from the University of Wyoming. Dr. Cooper partners locally with Christopher Vinyard, Ph.D., a professor of anatomy, and Fayez Safadi, a professor of anatomy and neurobiology. The research team is using the NSF grant to study the stiffness and elasticity of the bones of bats compared with terrestrial mammals; how protein signals within these bones shift with age in bats compared with mice; and how the composition of bat bones compares with those of terrestrial mammals at the nanostructure level.
Results of this unique collaboration have generated an impressive mountain of data that links how gene expression, bone cell activity, bone composition and shape determine the unique biomechanical performance of the bendy bones of bats.


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Sandra Adamson Studios offers creative, fun and artistic wedding photography and cinematography services for the Halifax NS area and surrounding Maritime Provinces. Available for international travel as well. If you are looking for unique, different, artistic, crazy organization, help with your wedding day schedule and a photographer who really cares about your input and the vision you have for your photography, not just your regular wedding photographer, then I would love to chat with you!!!
Email: email@example.com
Address: 414 Mineville Road, Halifax NS, B2Z 1J8
Website: sandraadamson.com


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The Dark Ages were a period in Earth history, a significant decline in communications and political infrastructure of multiple continents brought about by the fall of the Roman Empire.
|This article is a stub relating to an event or time period. You can help our database by expanding on it.
In the year 2364, crewmembers from the USS Centurion and USS Enterprise-D discussed parallels between the history of the Roman Empire on Earth and the Magna Roman Empire. Data brought up how the Dark Ages followed the Empire's fall while Marcus Volcinius said that Magna Roma's empire prospered. (TNG novel: The Captains' Honor)
It was noted by historians that, because of the Eugenics Wars, Earth stood on the verge of a new Dark Ages at the end of the 20th century. (TOS episode: "Space Seed")
External linkEdit
Community content is available under CC-BY-SA unless otherwise noted.


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The row over Barnaby Joyce's citizenship is threatening not only the Turnbull government, but Australia's relations with New Zealand.
And as the trans-Tasman spat continues to simmer, the Australian Labor Party staffer who fished for information about New Zealand citizenship has been identified.
Prime Minister Malcolm Turnbull and Foreign Minister Julie Bishop sought to turn the tables on Bill Shorten on Tuesday, accusing the Labor leader of treachery and international conspiracy.
The High Court has been asked to rule whether Mr Joyce's NZ citizenship by descent, which he has now renounced, made him ineligible for election to the Australian parliament.
The coalition blames Mr Shorten for tipping off the NZ government, via NZ Labour MP Chris Hipkins, about the deputy prime minister's potential citizen status.
Labor senator Penny Wong's chief of staff Marcus Ganley, who is from New Zealand, spoke to Mr Hipkins about citizenship law in recent weeks but did not mention Mr Joyce.
Mr Hipkins subsequently asked questions about Australia-New Zealand citizenship laws in the New Zealand Parliament.
There was no specific reference in the question to Mr Joyce, nor was Mr Hipkins aware of any issue relating to the Australian deputy prime minister.
The NZ minister Peter Dunne said any suggestion Mr Hipkins instigated the issue was"utter nonsense".
"They were not the instigator. Australian media inquiries were," Mr Dunne tweeted.
That did not stop the prime minister and Ms Bishop ramping up their attack on Mr Shorten.
"He chose to plot with his Labour Party comrades across the ditch," Mr Turnbull told parliament.
Mr Shorten told caucus colleagues the government was engaging in conspiracy theories.
"The Turnbull government is in a constitutional crisis caused by its own negligence," Mr Shorten said.
"The deputy prime minister, who I suppose we should now call the foreign minister or the leader of the 'dual Nationals' is unwittingly or not a dual citizen."
With NZ heading to an election in September, Ms Bishop told reporters it would now be "very difficult to build trust" with an NZ Labour government.
NZ Labour leader Jacinda Ardern met with the Australian high commissioner on Tuesday to clarify Ms Bishop's statement.
"I'm disappointed she's expressed her view in that way ... but I will not let that get in the way of our relationship," she said.
Ms Ardern said she and her party had no knowledge of the issues around Mr Joyce until they broke in the media on Monday afternoon, but she acknowledged her MP should never have asked the question.
Labor foreign affairs spokeswoman Penny Wong said Australia's long friendship with NZ deserved better than a "cheap attack by a government under pressure".
Adding to the pressure are concerns a by-election in Mr Joyce's seat of New England could take the one-seat majority government into a minority position.
However, crossbenchers Cathy McGowan and Rebekha Sharkie said they would continue to support the government on questions of supply and confidence.


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Italian Songbook Luca Aquino
Album info
Label: ACT Music
Genre: Jazz
Subgenre: Crossover Jazz
Artist: Luca Aquino
Album including Album cover Booklet (PDF)
- 1Deborah's Theme02:41
- 2Scalinatella05:02
- 3La canzone dell' amore perduto04:30
- 4Caruso03:55
- 5Storia d'amore04:50
- 6Almeno tu nell' universo05:40
- 7Un giorno dopo l'altro04:08
- 8Era de maggio05:16
- 9So che ti perderò05:04
- 10Anema e core03:54
- 11Pippo non lo sa04:37
- 12La Strada03:18
Info for Italian Songbook
Sometimes fate steps in and changes the course of a life. That's what happened to Luca Aquino: he was about to go on a "Jazz-Bike-Tour" in the summer of 2017. He'd packed his trumpet and was ready to set off...but then he couldn't. He had contracted Bell's palsy, a sudden and acute facial nerve paralysis which put paid to his idea of cycling all the way from his home town of Benevento to Oslo, playing concerts en route. He couldn't touch the trumpet for more than a year, then had to re-learn it more or less from scratch. The good news is that he has successfully put his musical career back on track.
For Aquino, however, this was a time for self-reflection, and "Italian Songbook" its logical outcome: "Ever since I was little, the traditional music and popular songs of my homeland have been with me. Music was all around, the latest Italian songs were always on the radio, and my mother often sang to me. My grandfather always said I could whistle those tunes before I could walk. A Neapolitan song was the first piece I ever played on the trumpet. During my compulsory break through illness, I decided to take a look back at this music, as a way to start over."
Aquino's "Italian Songbook" is very personal and the repertoire here is broad: film music by Ennio Morricone and Nino Rota, plus great songs by famous cantautori (Italian singersongwriters) the likes of Luigi Tenco, Lucio Dalla and Fabrizio De André. Aquino recalls largely forgotten pioneers of Italian music such as Mario Pasquale Costa and Gorni Kramer. He receives outstanding support from pianist Danilo Rea (tracks 2, 4, 7, 8 & 10).
Together with accordionist Natalino Marchetti, they create deeply heartfelt music. And there's a luxurious unfurling of sound when Aquino's group is combined with the Orchestra Filarmonica di Benevento. In the trio format they are gentle, soft and intimate, but they can also bring on the opulence of an orchestra, and it is this dichotomy which gives "Italian Songbook" its charm.
Every note of this album conveys Aquino's devotion to his musical heritage. With a soft tone and yet great urgency he develops these well-known melodies and brings out all of the beauty in them. And so the "Italian Songbook" has become a touching homage to the music of his homeland. Fate really must have known what it was doing all along.
Luca Aquino, trumpet, flugelhorn, trombone
Danilo Rea, piano
Natalino Marchetti, accordion
Orchestra Filarmonica di Benevento
Giovanni Francesca, conductor
Fabio Giachino, piano, keyboards
Rino De Patre, classical guitar
Ruben Bellavia, drums
Luca Aquino
It must be something in the warm waters of The Med, for here comes Luca Aquino, another lyrical Italian trumpeter to emulate the achievements of Paulo Fresu and Enrico Rava, both of whom have been effusive in their praise for the young player from Benevento. His 12 Points! appearance coincides with the release of Sopra Le Nuvole, his debut for Universal, and a further chapter in the lengthy development of a personal group sound with guitarist Giovanni Francesca, bassist Marco Bardoscia and drummer Gianluca Brugnano. It's a journey that started with Miles and Chet Baker, took a detour through Norway for Nils Petter Molvear's emotive electronica and the new trumpet vocabulary of Arve Henriksen, returning to Southern Europe for an infusion of Italian romanticism.


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This isn't the first t-shirt quilt I've ever made nor will it be my last. The reason why it took 2.5 years is I had a baby almost 2 weeks after her arrival and on top of that, still had to take care of my oldest (who just turned 2 at the time and recovering from a minor outbreak of the chickenpox).
This version of the quilt is made of 25 squares and almost all of them are from a shirt with sentimental value. Brutus Buckeye always has to be in the middle since he's our mascot from THE Ohio State University.
|quilt layers from bottom to top: fleece, batting, t-shirt squares
Instead of buying packaged bias tape, I used the leftover material from the trim. I had to look up several tutorials to find the easiest way to cut one continuous strip and then run the material through a bias tape maker. I felt so much satisfaction when feeding through the material and ironing out the partially folded bias tape. I'm not sure how much I made but there was enough to cover the perimeter of the quilt and a ton of it leftover for future projects.
|cutting one long continuous strip to make bias tape
|bias tape created with the most awesome gadget ever


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Cotswolds A5 calendar - 2021
2021 Cotswolds A5 calendar containing 12 stunning images of the landscapes and villages in the Cotswolds.
Size: 148mm x 210mm closed
297mm x 420mm open
Includes 2021 & 2022 year planner
This calendar opens out to show a picture with the dates below – allowing plenty of space for writing all your engagements.
Cotswolds A5 calendar published by Chris Andrews Publications Oxford
Please SELECT Delivery Destination from drop down list for EACH ITEM – this adds the postage to your item as it is added to your shopping cart
Please choose the delivery destination carefully for each item. Why?


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Bishop Chemengich who oversees the Diocese of Katali, Kenya is our guest preacher this morning. Sermon delivered on the Last Sunday after Trinity C, Sunday, October 27, 2019 at St. Augustine's Anglican Church, Westerville, OH.
There is no written text for today's sermon. To listen to the audio podcast, click here.
Lectionary texts: Joel 2.23-32; Psalm 65; 2 Timothy 4.6-8, 16-18; Luke 18.9-14.


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Today we embarked on the second day of our journey here in the Dominican Republic and in just a short time I have experienced many wonderful things and at the same time some things that greatly emphasized our purpose in being here. As we toured through the city and the countryside we tried to look at what some of the needs were and what factors created the circumstances for people to find themselves in the situation that they're in. However, when we arrived at the Cigar Family Complex we got an amazing exposure to the wonderful change and talent that is now flourishing in the community. I was absolutely amazed at what I saw and what I got to experience; now, as we prepare to serve the community I've realized how they also serve to us- through their rich and beautiful culture and the experiences that they help us create.
– Juan Forero


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Let Us Help Plan Your Perfect Stay
You will now find the Grand Hotel Concierge Desk in its new location on the Parlor level. Our friendly and knowledgeable staff are delighted to help create a unique resort experience tailored to your interests. Allow them to assist you with this and other grand services during your stay at Grand Hotel:
- Suggest and schedule activities for the entire family at Grand Hotel and around Mackinac Island
- Schedule tee times on The Jewel golf course
- Assist with dining reservations at one of Grand Hotel's offsite restaurants
- Book a relaxing service at the onsite, full-service Astor's Salon and Spa
- Provide other ideas and suggestions to plan your unforgettable stay
The Grand Hotel Concierge Desk is open to assist you with all your requests from 7:00 a.m. to 7:00 p.m. Or contact the Concierge direct by calling 906-847-3331 ext. 567.


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Notes, Exercises, Videos, Tests and Things to Remember on Importance and Function of business
Please scroll down to get to the study materials.
Business is one of the most important human activity. It has been playing an important role in the economic development of the nation and for the upliftment of living standard of the people. All the developed European countries, such as USA and Japan are developed today due to the development of the business. The important functions of business are as follows:
Business is an economic activity, which is concerned with production, distribution, and exchange of goods and services with an objective of earning the profit by satisfying the unlimited wants of human beings. The major important function of business are as follows:
Khanal, Soma Raj, Surendra Thapa Aslami and Sitaram Dhakal. Business Studies. Kathmandu: Taleju Prakashan, 2067.
Pant, Prem R., et al. Business Studies. Kathmandu: Buddha Academic Publishers and Distributors Pvt. Ltd., 2010.
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text: Migris is pleased to announce the release of a public 3D basin model covering the UK Central North Sea (CNS) and Moray Firth areas. The model accounts for HC generation and migration within layers of Permian to Paleogene age. The layer model has been built upon recently released datasets from the UK Oil and Gas Authority and is highly relevant for the upcoming 32nd UK Offshore Licensing Round. The model input can easily be modified to incorporate your own interpretations, such as local depth and facies maps.Read More


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The Financial Times and The Economist today publish the results from the latest Global Business Barometer, which reveals that business executives in North America and Europe are not as pessimistic about the global economy in comparison to their peers in emerging market regions.
The barometer, which launched in May 2011, aims to establish business sentiment felt by business leaders not only globally but by region and sector. The barometer surveyed 1,700 senior executives in January 2012 and found sentiment across regions varied, with North American business leaders registering greater optimism than their peers in emerging markets when it comes to the outlook for their own companies and industries, with the exceptions of Africa and the Middle East.
Overall, it found 45% of respondents expected global conditions to worsen in the next six months compared to 53% of those surveyed last quarter. However, business leaders are less pessimistic than they were in the previous barometer survey with 17% expecting the global economy to improve versus less than 15% last quarter.
When questioned on the topic of the possibility of a eurozone break-up, companies in Western Europe were no more likely to have made contingency plans than peers in other regions.
For further analysis of the Global Business Barometer results and interactive graphic, go to www.ft.com/barometer.


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The 2018 conference circuit is in full swing! Last week, several Blue State Digital staff from our New York and D.C. offices attended the 2018 Nonprofit Conference, hosted by the DMA Nonprofit Federation. After last year's great conference in Chicago, we wouldn't miss a chance to speak to and learn from our peers in the nonprofit space.
Here were a few major themes from the sessions we attended (and led):
Mid-level donors present a huge opportunity for nonprofits
Our Senior Digital Analyst Orwin Evenson spoke with our partners UNICEF and Target MarkeTeam about cultivating mid-level donors in our session, "Welcome to the VIP Room." Mid-level donors — those who give between $1,000 and $10,000 — often do not receive the high-touch "major donor" treatment, but can also be under-served by mass-market communications geared towards the grassroots. In our session, we discussed when and how to fold mid-level donors into existing programs and when to create content specific to this cohort, and how to measure success.
However, we weren't the only ones. There were multiple sessions on how to strengthen relationships with these donors across direct mail, telemarketing, and, of course, digital.
Every organization needs to be rapid-response ready
Despite best-laid plans, the missions of many nonprofits will require them to respond to real-time events. In an age of social media and news push alerts, how can you set up your organization to respond to what's happening in a timely fashion? Does a successful response time need to be measured in minutes or hours, not days?
Your organization should be setting up workflows and structures that move creative through production and approval more quickly than ever. To facilitate this, agencies need to be treated and behave as partners, not vendors.
Mission-driven marketing is more important than ever
The conference's keynote speech, as well as several other sessions, reminded us to not take our line of work for granted. Many of us at non-profit and progressive organizations have backgrounds working on advocacy issues or on campaigns, so it's easy to forget that the majority of people who care deeply about forging a better society don't also get to devote their livelihoods to fighting for the cause.
Happiness is fine and all but meaning is much more powerful and gives us something to hold onto. – @EmEsfahaniSmith … really great keynote!!! #DCNP2018
— Pam Rutter (@pamrutter) February 22, 2018
Are you looking for a like-minded partner to help your organization raise money? Let's talk about it.


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in discussion Hidden / Per page discussions » Legalizing Heroin for Pain Management
I am not going to suffer anymore because of the war on opiods. I was called a drug seeker by a Doctor I was seeing and liked. So, I have to see another Doctor before my eye surgery for a required physical. At the physical I plan on telling this Doctor my situation and why I no longer have a regular Doctor. I now have to buy my opiod pain pills Off the street and fear that to make sure this source becomes unavailable..I plan to get heroin to put in capsuls and make my own pain pills.Just have to see how things go. I will not go on suffering . I am breaking the law,but if that's what I have to do then so be it. I am not the only one that is going through this because of this war on opiods. The conclusive Fact is..There is No Addiction to opiods when taken as prescribed with lagitament pain" as stated by the AMA after years of study.So I will see this new Doctor,explain my pain,history,facts,and how I have to get my opiods now. Also,that I am planning to get heroin to put in capsuls to make my own pain pills if I can't get back on prescribed opiod and I fear my source on the street may not be available. I will not suffer because people abuse and cause other to suffer.


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Before I pop over to Versace to have coffee with Donatella, let me dash off a few words about the Gucci show. It will only take a few moments, so comprehensibly '70s were Frida Giannini's fur-covered shoulders, tie-at-the-neck blouses and chic gaucho trousers in flannel or suede with boots or platforms. The palette was all violet, wine, rust, emerald green, teal and a bit of cherry. Ms. Giannini also offered those lady-ish full-sleeved dresses with tiny belts that figure so prominently in memories and archives of the '70s, along with fedoras and feathers. Her press notes referred to Helmut Newton and Bob Richardson's fashion photographs of Anjelica Huston, his girlfriend at the time, who practically lives on every designer's mood board. The silhouette is certainly one for the ages — Marc Jacobs made a pass for spring — but it hardly lifts the old skirts.
Did You Say Helmut Newton?
Antonio Calanni for The New York Times


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Court properly ordered husband to pay car payments on minor child's vehicle as it was marital debt, not child support
Partridge v. Partridge, S15F0039
Supreme Court of Georgia, Civil Case (6/1/2015, 6/9/2015)
The trial court properly ordered husband to pay the car payments on the minor child's vehicle as part of its final decree in the parties' divorce, since husband and wife were joint obligors on the indebtedness owed on the car and it was therefore marital debt.
The Supreme Court affirmed the trial court's final judgment in James Partridge and Bridget Partridge's divorce, holding that the trial court properly ordered James to pay Bridget alimony. James argued that Bridget affirmatively waived any right to collect alimony in light of her testimony at the final hearing that she did not want alimony. However, the statements James cited did not represent the totality of Bridget's testimony regarding alimony, and to the extent her testimony could be viewed as conflicting, such conflicts were for the trial court to resolve. The Court also found that the trial court properly ordered James to pay the car payments on James and Bridget's minor child's vehicle. He argued that the payments constituted an improper deviation from the amount of child support that he was legally required to pay. However, his characterization of the car payments as "child support" was misplaced. James and Bridget were joint obligors on the indebtedness owed on the car and that marital debt could be properly addressed by the trial court through its equitable division of the parties' marital property.
As published by The Daily Report, 190 Pryor St. Atlanta, GA 30303 on 6/9/15.


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Niki A. Ververelli
Niki A. Ververelli
Director of Business Development
Niki oversees the business development, communications and marketing strategies for DJVI as well as spearheading proposal submissions for clients and prospects. Her efforts are focused on establishing and maintaining relationships between clients and DJVI.
Active throughout Greater Philadelphia professional networks, Niki is a member of the Union League of Philadelphia, the Society for Marketing Professional Services, the Society for College and University Planning, the Engineers Club of Philadelphia, Hellenic University Club of Philadelphia, and the Greater Philadelphia Chamber of Commerce. Niki received her BS and MS from Drexel University, where she serves as an elected member of the Alumni Board of Governors.
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Hadouken! are a band based in London, England. The band consists of James Smith (vocals), Daniel "Pilau" Rice (guitar, backing vocals), Alice Spooner (synths, backing vocals), Chris Purcell (bass) and Nick Rice (drums). The band formed after James Smith and Daniel "Pilau" Rice met at Leeds University, where they set up their own Label, Surface Noise Records. After forming the label, Smith began writing and demoing the first Hadouken! tracks, forming the band in 2006 with Rice, Pilau's brother Nick and Smith's girlfriend Alice Spooner. In February 2007 Hadouken! released a two song vinyl with the song "That Boy That Girl", which gained popularity after the video, directed by friend Bob Harlow, made it onto MTV2. Shortly after the video, the band added bassist Chris Purcell.
After releasing their 12-track mixtape "Not Here To Please You" on November 12, 2007 featuring originals and remixes, the band returned to the studio to complete their debut album, 'Music For an Accelerated Culture.' This featured nine new songs as well as the single "Liquid Lives" and was released on May 5th 2008.
In February 2009, the band produced Japanese singer Meg's 13th single, "FREAK," producing the A-side "PlayFREAK" and the B-side "TOXIC."
The band are currently working on their second studio album with the Drum & Bass outfit Noisia. The album is yet to be titled.
The band's name comes from a special move - a throwing fireball attack called "the Hadouken" (surge fist) – in the video game "Street Fighter".


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Featured Pre-Owned Wagons Hempstead NY 11550
Ford E-350 Super Duty
Ford Transit Connect XLT w/Rear Liftgate
Ford Transit-350
Whether you're looking for a sedan, truck, SUV, or coupe, you can test drive whatever fits your needs. Like the 2011 Ford E-350 Super Duty. This is a superb vehicle at an affordable price! Load your family into the 2014 Ford Transit Connect. If you need a lot of cargo…


text: Annie is evolving laterally as a pluridisciplinary Artist. She works for the stage and the screen, on it and behind it. Along with her work as host (Dusk Dances, New Moon Cabaret, Canada Day, Prix Rideau Awards) theatre (Medea, Danny and the Deep Blue Sea, SKIN, À tu et à moi) and television (FranCoeur, Motel Monstre) actor, Annie works as a Makeup (Complections College of makeup Art and Design) and Wig Artist (Houston Ballet) and sometimes, she builds costumes and kind of strange things for events and fancy parties that can be seen as far as Vimy, France and Singapore. Her work has garnered her several Prix Rideau Awards nominations in several categories. She is over the moon (on her broomstick) to be at Canada's National Arts Centre once again in the company of such fine little toadlings.


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Last Day of Work as Ms. Z
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So here I am on my last day of work as Ms. Z – I'm a teacher so kids are all asking me what my new last name will be and can they still call me Ms. Z. I say yes, because I remember it being really hard when I was younger and teachers would get married. The old last name will fade out eventually, I'll get more used to hearing Mrs. H and being introduced that way. What a weird thing it is to get rid of your last name. In my heart, I'll always be a Z. I walked into a nice surprise in my office this afternoon from one of my co-workers. It was a small little gesture, but it made me feel appreciated and even more excited for the day to end!
I feel very lucky after going through this process to have had a fiance that was involved and didn't just tell me to figure it out and do what I wanted. We worked together on a lot of projects and I was always checking with him for feedback. This is what our football Sundays have looked like over the past two weeks, luckily our team performed terribly last Sunday, so we didn't miss too much while we were cutting and assembling our menus and programs. I feel very blessed to have experienced this with him and that he will have had a hand in how everything turns out and our wedding will be representation of both of our styles.
Thank you all for your supportive comments throughout the planning process. I am so looking forward to our wedding and seeing how everything comes together. I can't wait to marry the love of my life, have our first dance together, enjoy our honeymoon and then finally live together. It's all going to be so exciting! Oh yeah, did I tell you that I broke out in a rash last Friday? Doctor thinks it could be an allergic reaction or just nerves, so I'm taking prednisone until the wedding day and hoping it works some magic on my rash. I don't feel that stressed or nervous, but our bodies have weird ways of handling things sometimes. I'm ready to be sipping champagne with my girls and be getting my nails done – ya know!?!?
See you on the other side of the wedding! I'll be a Mrs. and have a new wonderful husband.
Any last minute advice on what to do to make sure to enjoy my wedding day as much as possible?
Editor's note: Due to the pandemic, some of the general wedding planning advice we share may not be applicable or possible due to restrictions on events. Please adhere to all current regulations and stay safe and healthy! Get more resources for planning a pandemic wedding here.


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Originally uploaded by PaperDollyGirl.
Simple Sewing with a French Twist by Céline Dupuy.
In my ideal situation, I would complete a project from every craft book before reviewing it. So many times the strengths and weaknesses don't come through until one actually attempts to follow the directions. I finished the Lingerie Carryall with some vintage fabric I had at home. It was my first time doing a bag with a lining – the instructions walked me through that part very well. I could not figure out how to thread the drawstring the way it was done in the book though. I will experiment some more after I buy a new ribbon. The red was the only thing I had on hand to try it with.
The book is organized by different sections of the house, starting with general sewing info and some "First Steps" projects. Next we have two sections with general home items, which includes the following photo. The chair with buttons on the back is perhaps one of my favorite projects in the book. The kitchen section contains many projects that can all be made from dishtowels – very clever! Then Bath, Romance (which is where the lingerie carryall is located), items for girl children, and outdoor items. The garden section includes instructions for a sunshade! Wow! An appendix with patterns and fabric sourcing completes the book. Each project has one big, beautiful photo and sketches to accompany the instructions.
I really appreciate that this is not merely a sewing book. You need hardware skills to make the folding screen and re-assemble the umbrella. For my part, I have a power drill and saw that I am not afraid to use, so this is very engaging to me. I can see how it might be a turn off for others, but it would be just as easy to take a thrifted screen and sew the covers for it without building the whole screen.
In parts, the instructions struck me as slightly vague. However, as so many of the projects call for remnants or small amounts of fabric, it's not much of a risk to explore until one gets it right. For advanced sewers, this book may offer more eye candy than practical guidance. For an advanced beginner (dare I call myself that??), it's perfect.
i love the style of the projects – not too frilly at all. The author strives for a stylish, chic look and well achieves it. This book will definitely travel with me for the next decade – I can see using this well into the future.


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In bygone years I wrote several articles for this newspaper describing my adventures rappelling down deep pits in a mountain "filled with caves" in Cerro Grande, part of the the Manantlán Biosphere Reserve, which is a 2,860-meter high mountain range located 150 kilometers southwest of Guadalajara, straddling the states of Jalisco and Colima.
The area was declared a Reserva de la Biósfera in 1987 and a year later was internationally recognized as such by UNESCO.
Recently, I discovered that a friend of mine, Sergi Gómez, was leading tours to Manantlán, and last Saturday I decided to go have a look.
My neighbor Richard Gresham and I set out early from Guadalajara and after two hours reached the home of Gómez on the outskirts of Colima. We caught my friend busy working on the construction of his new hyperadobe house, built from hundreds of earth-filled mesh bags, stacked one upon the other, igloo-fashion.
Gómez, who is the head of an organization called Aventura Camp Colima, noted that the Sierra de Manantlán drew worldwide attention in 1979, when a primitive, perennial corn called Zea diploperenis was discovered there.
"The local people call this milpilla or chapule and most botanists agree it is probably the original species of corn that all the hybrids in the world are descended from," Gómez said. "This discovery got scientists investigating the Sierra, and what they found was an astonishing number of other rare plants endemic only to Manantlán. So the University of Guadalajara decided to set up a research station there and now we know that there are five ecosystems operating up and down those mountains."
According to Gómez, 2,900 species of plants have been identified there, as well as 110 species of mammals and 336 species of birds.
"All this adds up to a truly unique site," Gómez enthused. "I've traveled to all of Mexico's national parks and in my book, Manantlán is the most beautiful."
There are two ways to reach the indigenous village of Terrero, population 300. One route, is entirely paved, said Gómez, adding that the other is "much steeper and a good part of it is just a narrow dirt road with a high wall on one side and a sheer 500-meter drop on the other."
He quizzed us: "You do have four-wheel drive, I hope? With brakes in perfect condition? I've seen a number of abandoned cars and trucks on that road, all of them parked with their front wheels up tight against the wall."
In spite of this scenario, Gómez recommended we go up to Manantlán via one road and come down the other, in order to have "a complete experience."
We decided to ascend via the paved road, but discovered the paving had been done minimalist style, using two parallel strips of concrete. Too bad for you if your wheels are wider apart!
As we rose little by little in altitude, the foliage kept changing. This was so fascinating that we found ourselves stopping again and again to wonder at orchids, bromeliads, lichen and Spanish moss."
At last we reached Terrero at an altitude of 2,222 meters. We saw lots of cabins for rent but no people. We soon discovered that everyone was at the funeral of one of the best-loved members of the community. Nevertheless, someone immediately came to show us to our cabin, which, we were happy to discover, was located 300 meters from the main road at the end of a rustic brecha.
"Sorry," we were then told, "but you'll have no lights tonight. We have solar panels here, but someone stole the battery."
Water was another thing that wasn't working that night. Fortunately, we had come prepared for camping and I suspect anyone planning to sleep in Terrero ought to be equally ready for anything.
Since the per-person cost of one of these cabins is only 200 pesos a night, we felt we couldn't complain and off we went for a delightful walk in the woods, cheered on by the incredible song of a clarín jilguero (brown-backed solitaire), which sounds a bit like three flutes being played simultaneously.
That walk convinced us that Gómez was right in calling Manantlán unique. The foliage was truly exuberant and we spotted all kinds of mushrooms, including some blue ones we were later told are good to eat. Upon our return, our cabin was suddenly shrouded in fog. This vanished as quickly as it came and as the sun set we heard a bizarre cry which we were at first convinced was of human origin. It turned out, in the end, to be the call of a lonesome herpetotheres cachinnans or laughing falcon.
On Sunday, a local guide named Leopoldo took us to a hanging bridge rigged over an 85-meter-deep doline, a funnel-shaped hole typical of these limestone hills, frequently including a deep, narrow shaft at the bottom. As I mentioned previously, Manantlán is famed for its vertical caves and this hanging bridge is a clever way to introduce tourists to this typical geological feature. For safety's sake, each visitor dons a harness and a helmet and clips into a steel cable before venturing onto the swaying bridge.
Our next stop was the Mirador del Filete lookout point, from which it is said you can see the Pacific Ocean on a clear day. The view turned out to be magnificent, but equally so was the half-hour walk to get there. So many strange plants, insects and mushrooms did we see that, in my opinion, the walk alone deserves five stars.
At last we decided to head home via the scary-sounding, ultra-steep route. It did turn out to be hair-raising in places, but was no problem for Richard's 4WD. We got a pleasant surprise when we reached the village of Campo 4: a restaurant (with no sign!) called Cocina Economica Mari, where we enjoyed several delicious dishes prepared by María Engracia Pedraza Orozco, a prize-winning cook in Colima.
So ended our adventure, with an unexpected gourmet meal perched on the side of a nearly vertical precipice at the southeast end of the never disappointing Sierra de Manantlán.
To follow the route described here, see "Terrero Loop Manantlán" at Wikiloc.com. Driving time from Guadalajara or Lake Chapala: about 3.5 hours. For other great outdoor sites in Colima, check "Outdoors in Western Mexico, volumes 1 and 2," both now available at Diane Pearl and Sol Mexicano Gallery in Ajijic.


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Tegretol belongs to a class of pharmaceutical drugs called anticonvulsants, which have become one of the most effective methods of epilepsy treatment available. Although anticonvulsants like Tegretol were originally designed as a first line of defense against epileptic seizures, these drugs have been approved for additional purposes in recent years, and have even been prescribed for off-label uses in some cases. Tegretol was approved by the FDA in 1974 and has since been approved for the treatment of epilepsy, bipolar disorder, and neuropathic (nerve) pain. The active ingredient in Tegretol is carbamazepine, and the drug functions by inhibiting nerve impulses in the brain which are responsible for causing seizures and pain. Since its introduction to the U.S. market, Tegretol has become an increasingly popular anticonvulsant, and is currently manufactured by Novartis Pharmaceuticals.
Although Tegretol and other anticonvulsants have been widely embraced by physicians across the country, these drugs have become the subject of significant scrutiny in recent years. Serious concerns have been raised about the safety of anticonvulsant drugs like Tegretol, especially in the treatment of pregnant women. According to an emerging body of research, women who take Tegretol during pregnancy may significantly increase their risk of giving birth to infants with major side effects, including birth defects like growth retardation.
Growth retardation is a birth defect diagnosed in fetuses that are underweight in regards to their gestational age. The growth of a fetus, which can be measured and assessed while the fetus is still in the womb, is considered healthy when there is a normal increase in size over time until the skeleton is fully fused. Children suffering from growth retardation however, are born at or below the tenth percentile in weight for their gestational age, meaning they are smaller than ninety percent of other children their same gestational age. Most instances of growth retardation occur during the third trimester, which makes the birth defect especially difficult to diagnose.
Growth retardation is typically defined as either symmetrical or asymmetrical. Symmetrical growth retardation occurs when the child displays poor growth of the head, abdomen and long bones, compared to asymmetrical growth retardation, in which the head and long bones develop properly, but the abdomen does not. The most common screen for determining growth retardation is estimating fetal weight, which is based on measurements of head circumference, femur length and abdominal circumference.
Growth retardation can result in serious complications if not promptly diagnosed and treated. Possible growth retardation treatment includes correcting reversible causes, discontinuing drug therapy if a pharmaceutical medication has caused the abnormal growth, and close monitoring of the fetus during the remainder of pregnancy. Some complications associated with growth retardation include abnormal neurological development, decreased cognitive function, and an increased risk of cardiovascular disease, high blood pressure and diabetes.
For several decades, researchers have conducted studies with the goal of evaluating the potentially harmful nature of anticonvulsant drugs like Tegretol. In 1989, the New England Journal of Medicine published a study in an attempt to determine whether and to what extent Tegretol is teratogenic, or likely to cause fetal malformations. According to researchers involved in the study, the teratogenicity of Tegretol was illustrated by the incidence of serious birth defects among infants whose mothers took the drug during pregnancy. Of the thirty-five children observed, 11% were born with craniofacial defects, 20% suffered from developmental delay, and 26% developed hypoplasia of the nails.
In 2001, the NEJM published an additional study in which researchers sought to examine the adverse side effects associated with fetal exposure to anticonvulsant drugs like Tegretol. Over 100,000 pregnant women were divided into groups based on extent of anticonvulsant exposure during pregnancy, and their children were observed for any serious side effects. Of the women who took only one anticonvulsant while pregnant, 87 took phenytoin (Dilantin), 58 took carbamazepine (Tegretol), and six took valproic acid (Depakote). The report indicated that 20.6% of infants exposed to one anticonvulsant developed birth defects, compared to 28% of infants exposed to two or more anticonvulsants, and 8.5% of unexposed infants. Among the birth defects observed were growth retardation, hypoplasia of the midface, hypoplasia of the fingers, spina bifida, and microcephaly. After reviewing these results, researchers concluded that anticonvulsant drugs are one of the most common causes of potential harm to a fetus in utero. Anticonvulsant birth defect studies are still being conducted in the U.S. and other countries in order to further identify the potentially harmful nature of these medications. In the meantime, these drugs remain on the market, available to millions of consumers across the country.
The FDA has advised physicians to avoid prescribing Tegretol to pregnant women unless the possible benefits of the treatment justify the potential risks to the fetus. This decision was based on the FDA's classification of Tegretol as a pregnancy category D medication, the second highest category available in the evaluation of dangerous drugs. Category D is reserved for drugs which positive human evidence has shown may cause serious harm to a fetus when taken during pregnancy. If you are currently taking Tegretol and you are pregnant or planning to become pregnant, consult your healthcare provider to discuss alternative treatment options. You should never stop taking a prescription medication without medical consent, as this may cause further harm to you or your child. However, with your doctor's help, you may be able to find a safer way to treat your condition.
Growth retardation affects approximately 100,000 infants in the United States each year. Unfortunately, this birth defect may result in significant fetal morbidity and mortality if not properly diagnosed. If you or a loved one has suffered from growth retardation which you believe to be associated with Tegretol, contact a qualified Tegretol attorney to discuss the benefits of filing a Tegretol lawsuit against Novartis Pharmaceuticals. The goal of Tegretol lawsuits and potential Tegretol class action lawsuits is to seek financial compensation for your injuries, the medical expenses associated with injury treatment, and the pain and suffering endured by you and your family. Victims of serious injuries resulting from the use of a potentially dangerous drug are not at fault and should not be held accountable for the resulting consequences. Drug companies like Novartis are responsible for the safety of their medications and should be held liable for any adverse side effects sustained by consumers of their products. Unfortunately, some pharmaceutical companies deny liability for dangerous drug injuries in order to protect themselves from a drug recall, or other negative consequences. The only way to protect your own rights and stand up to the deceptive practices of drug companies is to hire a Tegretol lawyer to represent your case.