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Geneabloggers has had a World War I challenge. I thought it a good opportunity to discuss a few World War I tidbits I'd gathered a long time ago that have been sitting on my laptop ignored. While I work on my photos of Calvary, I will often research the person whose grave I've photographed. No particular reason, I just want to get to "know" those persons–who they were, what they may have experienced, how (or if) there is some possible connection to my family. In today's post, I am in no way related to those I'll be speaking of. But I do feel as if they could be ancestors due to their links to Toledo's Polonia and our shared experiences and extended families.
Some time ago, I had come across Tony Scymanski via a newsclipping from the Toledo News Bee dated January 16, 1919. Tony had enlisted into the US Army at the age of 21. Tony was a member of the 325 Infantry, 82nd Division, having seen action in Argonne. He had written home to his brother, Frank. A reporter got a hold of the letter he had written and placed a piece on Tony in the News Bee:
Tony Scymanski Wounded Twice
Twenty-two days on the field of battle, and only two slight wounds as a result, is the story of Tony Scymanski, who writes to his brother Frank, of Blade st., to say he has fully recovered and hopes that the rumors of an early sailing come true. Scymanski was in the drive thru Argonne, and proud of the record of his division, the 82nd.
"Imagine how I feel," he says, "when I walk down the street and the French say, 'there goes a soldier that fought hard.' "
Tony was born in Mt. Pleasant, Pennsylvania to Peter Szymanski and Mary Pieczynski. (I am unsure of where the name change had crept in. His death is recorded as Szymanski but the newsclipping and his stone reads Scymanski.) Tony did return to Toledo to gain employment as an rail inspector for Pere-Marquette and married a woman named Martha.
Tony died in 1948 and is buried in Calvary Cemetery.
Another clipping I'd come across was dated March 7, 1918 about Alois Nowicki, who also was writing home to his brother, also named Frank.
Life In France is Like Camping
"Life here is like camping at Point Place," writes Alois Nowicki of 1159 Blum st., from France, to his brother, Attorney Frank S. Nowicki. Sam Nowicki, another brother, is with the National Army, and Casimir Nowicki, a third brother, is with an aviation section about to leave for France.
I'm not certain that war time living would be like "camping at Point Place"–Point Place at that time was a sort of middle class resort area in Toledo with beaches and boats and fishing. Maybe Alois did not want to focus on the reality of Argonne, but wrote to reassure his family that he did find something to provide him with a sense of home, however fleeting? Alois certainly did not seem to have an easy time of of it. Per a Veterans Administration Hospital record from the hospital located in Dayton, Ohio, Alois was admitted there for pulmonary tuberculosis in 1925 and was discharged in 1927. By reading this record, one can see that he was admitted to the US Army through Camp Sherman near Chillicothe, Ohio. Camp Sherman was one of about 32 soldier training sites for World War I, and was a significant training site. Nearly 125,000 soldiers had been trained there. In fact, it was the third largest training camp at the time. It suffered a hard hit in late 1918 when the Spanish influenza epidemic hit when over 5,600 men were infected and well over 1,700 died in camp. A number of Toledo soldiers were inducted and trained through Camp Sherman.
The 1930 census places Alois in Pima County, Arizona with a wife, Hedwina and a daughter, Jean (who was born in Arizona). This census record is curious. It reflects no occupation or possible income source for Alois. This indicates to me perhaps Alois never recovered from tuberculosis and was residing there for possible health benefits. (Click the snippet to open in a new tab and enlarge.)
Alois died March 31, 1938. I have not found whether he died in Arizona or in Ohio. Nor have I yet located his grave at Calvary. But his wife did apply for a veteran's headstone and the address provided was in Toledo.


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SAMJ: South African Medical Journal
On-line version ISSN 2078-5135
Print version ISSN 0256-9574
SAMJ, S. Afr. med. j. vol.100 n.12 Pretoria Dec. 2010
Mother-to-child transmission of HIV in a community-based antiretroviral clinic in South Africa
Felicity C FitzgeraldI; Linda-Gail BekkerIII; Richard KaplanIV; Landon MyerVI; Stephen D LawnII; Robin WoodV
IMB BS, MA, PGDip ID. Desmond Tutu HIV Centre, Institute for Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, and Clinical Research Unit, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London
IIMRCP, MD, DTM&H, Dip HIV Med. Desmond Tutu HIV Centre, Institute for Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, and Clinical Research Unit, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London
IIIMB ChB, FCP (SA), PhD. Desmond Tutu HIV Centre, Institute for Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town
IVMD. Desmond Tutu HIV Centre, Institute for Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town
VBSc, BM, MMed, FCP (SA). Desmond Tutu HIV Centre, Institute for Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town
VIMB ChB, PhD. Centre for Infectious Diseases and Epidemiology Research, School of Public Health & Family Medicine, University of Cape Town, and Department of Epidemiology, Mailman School of Public Health, Columbia University, USA
OBJECTIVES: To examine the uptake of ART among pregnant women referred to an ART service and the associated rates and risk factors for vertical HIV transmission.
METHODS: Retrospective analysis of an observational cohort at a community ART clinic in Cape Town.
RESULTS: Between 2002 and 2008, 367 treatment-naïve pregnant women accessed the clinic. The median age was 27.5 years, and median gestation at presentation was 28 weeks. The median baseline CD4 count and viral load were 134 cells/µl and 28 282 copies/ml. Two hundred and sixty-five women (72%) commenced ART before giving birth, 73 women (20%) were referred for prevention of mother-to-child transmission therapy (PMTCT), and 29 (8%) received no intervention. Among ART-eligible women, 13% were lost to follow-up. Of those starting ART, median duration of therapy prior to birth was 7.6 weeks (interquartile range (IQR) 4 - 11.9).The HIV transmission rate was 5.1% (95% confidence interval (CI) 2.8 - 9.0%). Factors associated with transmission were advanced maternal WHO disease stage (odds ratio (OR) 9.57, p=0.02), and follow-up viral load above 50 copies/ml (OR 3.64, p=0.03). Each additional week on ART reduced transmission by 20% (p=0.05). There was no HIV transmission among women who received more than 8 weeks' therapy.
CONCLUSIONS: The rate of HIV transmission in this study was higher than reported in high-income countries. Prevention of vertical transmission with ART was hindered by women presenting late in pregnancy and with advanced stage of HIV disease. Interventions that facilitate earlier ART commencement and improve programmatic retention of pregnant women are required.
The South African national HIV prevalence among antenatal women aged 15 - 49 years in the 2008 antenatal care (ANC) survey was 29.3% (95% confidence interval (CI) 28.5 -30.1%), and 16.1% (CI 12.6 -20.2%) in the Western Cape, which is the least burdened province.1From 2006 to 2007, 67.5% of HIV-positive women in the Western Cape received at least a single dose of nevirapine during labour.2
All HIV-positive pregnant women who meet South African national treatment guidelines may be referred to antiretroviral treatment clinics for antiretroviral therapy (ART) as per World Health Organization (WHO) guidelines.3 South Africa follows 2002 WHO guidelines with stage IV disease or a CD4 cell count of 200 cells/µl as a threshold for starting ART.
Perinatal transmission risk increases with low CD4 counts and high viral loads in the mother.4-6 Large cohort studies in the developed world have shown ART to be superior to AZT monotherapy,7,8 and the WHO recommends that all pregnant women with stage III or IV disease, or a CD4 cell count <350 cells/µl, should receive ART.9,10 While HIV transmission rates range from 0 - 2.9% for women in the developed world,7,8,11-13 the efficacy of ART in preventing vertical transmission has not been clearly documented in resource-limited settings. A study of 326 women in Côte d'Ivoire showed improved prevention of ART v. prevention of mother-to-child transmission therapy (PMTCT) (2.3% v. 16.1%, p<0.0001; where PMTCT was either AZT from 36 weeks or AZT and lamivudine from 32 weeks, with intrapartum nevirapine and 1 week's AZT for the infant).14 Transmission rates from a hospital-based combined antenatal and antiretroviral clinic in Johannesburg were 5% for 689 patients on ART.15 Since these data come from small research cohorts, more programmatic data on ART initiation in pregnancy are needed.
We studied the uptake of ART and rates and risk factors for vertical HIV transmission among pregnant women referred for ART at a large community ART clinic, and the characteristics of mothers receiving ART compared with PMTCT or no intervention.
The ART service was based at the Gugulethu Community Health Centre in Nyanga, Cape Town.16 This peri-urban area is home to a predominantly black population of over 300 000, most of whom live in low socio-economic conditions. In 2005, the antenatal HIV seroprevalence was 29%.17 By September 2008, 3 407 patients had been started on ART at this clinic according to national guidelines, except that the commencement CD4 cell count threshold was extended from <200 cells/µl to <250 cells/µl for pregnant women in January 2006. Pregnant women were referred for ART from an onsite ANC service 130 m away.18
The ART service has regular laboratory monitoring and adherence support from community-based peer counsellors.16 Enrolment of pregnant patients was stratified by gestational age so that women <24 weeks pregnant would follow the standard protocol of ART commencement within 4 weeks; women between 24 and 34 weeks were fast-tracked to initiate therapy in 2 weeks; and those >34 weeks pregnant were aimed to start within a week. Drugs for fast-tracked patients were ordered on the day of their first attendance, and they were escorted to meet the counsellor team leader by their doctor. They could commence treatment even if they had not yet attended all 3 education sessions, although these had to be attended in due course.
Patients referred after 28 weeks were started on AZT monotherapy at the ANC service while awaiting ART. Zidovudine, lamivudine and nevirapine was the regimen of choice for pregnant women unless contraindicated, in which case an alternative regimen was constructed. ART-naïve women accessing the service between 1 September 2002 and 1 March 2008 were eligible for analysis if they were pregnant at first attendance. Singleton and multiple pregnancies were evaluable.
Women started on triple therapy before birth were categorised as the 'ART' group; women referred back to a maternity outpatient unit for PMTCT and not commenced on ART were categorised as the 'PMTCT' group; and women not started on ART prior to birth with no documented referral for PMTCT or having received AZT prior to birth were categorised as the 'No intervention' group.
Demographic data, WHO staging, treatment outcomes, laboratory results, ART regimens and regimen changes were recorded in a prospectively maintained database for all patients referred to the ART service since the start of the clinic in September 2002. Infant HIV status and age at polymerase chain reaction (PCR) testing were verified using the regional laboratory PCR test database. National guidelines are that PCR testing should take place at 6 weeks of age.3 Infant HIV status was followed up until September 2008.
Data analysis was by STATA/IC version 10. Fisher's exact tests and Wilcoxon rank-sum tests were used to compare proportions and medians, respectively. Multiple logistic regression was used to examine the odds of vertical transmission according to maternal clinical characteristics. The upper bound of the rate of transmission was calculated according to Ghent working group formulae.19 For calculating the upper bound, only first-born twins were included as per the formula. For other calculations, both twins were included. All women provided informed consent. Data collection from this clinic for the study was approved by the University of Cape Town Research Ethics Committee.
Maternal characteristics
Between 2002 and 2008, 2 350 ART-naïve women were referred for ART, and 367 were identified as pregnant at first clinic attendance. Their median age was 27.5 years (range 15 -44); median gestational age 28 weeks (interquartile range (IQR) 24 -32), and the median baseline CD4 cell count and viral load were 134/µl (IQR 88 -179) and 28 282 copies/ml (IQR 8 103 -74 859) respectively.
Intervention received
Two hundred and sixty-five mothers (73%) started ART prior to giving birth; 73 (20%) were referred back from the ART clinic to the midwife obstetric unit (MOU) for PMTCT, and 29 (8%) had no intervention (Fig. 1). After exclusion of 6 women who were confirmed to be ineligible for ART, 13 refused ART and 7 started ART later. Altogether, 44 out of 346 (12.7%, 95% CI 9.6 16.7%) eligible women were lost to follow-up or refused ART and therefore were not started on ART.
Women who commenced ART started a median of 21 days after enrolment (IQR 14 -29); the median period on ART before birth was 7.6 weeks (IQR 4 -11.9) (Fig. 2). The choice of ART regimen depended on maternal condition. Two hundred and forty-six (93%) started AZT, 3TC and NVP; 12 (5%) commenced d4T, 3TC and NVP owing to anaemia; 6 (2%) started d4T 3TC and EFV owing to TB and advanced pregnancy; and 1 (0.3%) started d4T 3TC and Kaletra. There were 8 regimen changes during pregnancy.
Comparison of PMTCT, ART and No Intervention Received
The demographics and outcomes of the groups of ART and PMTCT were compared (Table I). The PMTCT group were more advanced in their pregnancy, and had higher baseline CD4 cell counts and lower baseline viral loads (p<0.001, p<0.001, p=0.013 respectively). There was no difference in distribution of live births and stillbirths, or in HIV status of infants. The groups that received no intervention were significantly younger than those started on ART (p=0.02), and were more likely to have TB (p=0.015) and to have stillbirths (p=0.004). Both groups gave birth at earlier gestational age than the ART group.
Maternal and pregnancy outcomes
Of the women commenced on ART, 16 (6%) were lost to the programme prior to giving birth. Of these, 9 (3%) were lost to followup, 5 (2%) died and 2 were transferred to another ART clinic. Of the 5 deaths, 3 were due to TB and 1 to pneumonia, and the cause of the fifth was unknown. Overall, 34 (9.3%) pregnant women had TB.
There were 376 pregnancies among the 367 women including 9 sets of twins. There were 279 live births (74%), 21 stillbirths/miscarriages (6%), 4 terminations (1%) and 72 (19%) were of unknown outcome. Median estimated gestational age at birth or stillbirth was 38 weeks (IQR 36 - 40). There were 232 HIV-negative infants (83%), 11 HIVpositive (4%), and 36 (13%) infants of unknown HIV status. Median infant age at PCR was 13 weeks (IQR 10 - 17).
Twenty-one (5.6%) pregnancies ended in either stillbirth or miscarriage, 2 at 19 weeks' gestation, 18 between 28 and 42 weeks, and 1 unrecorded. Stillbirths and miscarriages were analysed together. In multivariate analysis, longer duration of pregnancy at enrolment (OR 0.88, p=0.001) and commencing ART v. no intervention (OR 0.1, p=0.007) were protective. Higher baseline log viral load increased the risk (OR 2.46, p=0.07).
Nine infants died within 1 year of birth; the median age at death was 14 weeks (IQR 6 - 26). Three were HIV-positive, 2 negative and 4 unknown. Maternal TB was associated with infant death in crude analysis (p=0.042) but, in multivariate analysis, only HIV-positive status was independently associated with infant death (OR 30.5, p=0.001).
Risk factors for vertical transmission
The groups of HIV-negative, positive and status-unknown infants born to women commenced on ART were compared (Table II). There were 241 births in this group. Median age at PCR was 13 weeks (IQR 10 - 17). Two hundred and six infants were negative (85%), 11 (4.6%) positive, and 24 (10%) of unknown status (Fig. 1). Four of the infants of unknown HIV status died under the age of 17 weeks, and the remaining mothers of 20 infants had been transferred to another clinic, were lost to follow-up, or the infant had not been tested. The mother of infants of unknown status were younger (p=0.018).
After exclusion of unknowns, the transmission rate was 5.1% (95% CI 2.8 - 9.0%). The upper bound for the rate of transmission within the ART group estimated by the Ghent working group formulae was 7.83% (95% CI 4.9 - 12.2).19
Crude analysis showed duration of ART before birth to be significantly associated with transmission (p=0.029). All of the mothers who gave birth to HIV-positive infants had less than 8 weeks' ART prior to delivery. Advanced maternal disease stage (stage III or IV compared with I or II, p=0.01), gestation at enrolment (p=0.036) and first follow-up viral load >50 copies/ml (p=0.018) were also significantly associated. No significant difference was found in HIV status of infant according to maternal ART regimen.
Multivariate analysis of the HIV-positive versus negative infants revealed duration of ART to be an independent predictor of transmission (Table III). Each week reduced risk of transmission by 20% (p=0.005). Additional independent predictor variables were maternal WHO stage at enrolment and viral load at first follow-up. Women with WHO stage 3 or 4 disease were 9.5 times more likely to transmit (p=0.02) than those at stage 1. Those with incompletely suppressed virus (viral load >50 copies/ml) at 16 weeks on ART had a transmission rate of 10% (95% CI 4 -20%), whereas those with a viral load of <50 copies/ml had a transmission rate of 3% (95% CI 1 -8%).
The HIV transmission rate of those starting HAART during pregnancy was 5.1%, with an upper bound of 7.8% that was higher than rates reported in the developed world.7,8,11 Our study demonstrated that shorter duration of HAART in pregnancy was strongly associated with increased HIV transmission. The major factor limiting the potential duration of ART was advanced gestation at the time of presentation to the antenatal services. The period of ART was further shortened by systems delays in referral from the antenatal to the ART service severely restricting the time available to prepare women for ART.
The median gestational age at enrolment was 28 weeks. However, 25% of patients presented after 31 weeks of pregnancy. The potential duration of ART was further restricted because delivery tended to occur early at a median of 38 weeks with 25% of mothers giving birth before 36 weeks' gestation. This limited window of opportunity for ART initiation resulted in a strategy of fast-tracking of women presenting in the third trimester of pregnancy. Fast-tracking may not be an optimal strategy but was considered necessary as an emergency intervention precipitated by late booking. Women accessing ART programmes during pregnancy are significantly more likely to be lost to follow-up than their non-pregnant peers.20,21 The reasons behind poor retention of pregnant women within ART programmes are uncertain; however, too little preparation prior to ART initiation could be a contributing factor.
Lack of treatment readiness was also an important constraint to implementation as 21% of eligible women either refused or delayed commencement of ART to after delivery. Such women had already successfully navigated their way through antenatal booking and referral before attending the ART clinic. As losses may occur at earlier stages of the entire cascade of antenatal clinic attendance, counselling and testing, referral for treatment, initiation of HAART and ongoing adherence to protocol, true losses from the programme are likely to have been even greater.
In the developed world, vertical HIV transmission rates of between 0% and 2.9% have been achieved for women on HAART.8,11-13 Triple therapy (HAART) is superior to AZT monotherapy in preventing motherto-child transmission.7,8 Similarly, in this study, there were no HIV transmissions among women who received at least 8 weeks of therapy before delivery. The overall HIV transmission rate among our patients highlights that the effectiveness of HAART for vertical transmission is affected by the potency of the regimen used and also by other operational constraints. One contributing factor is that the present national ART treatment guidelines restrict HAART to those with AIDS or CD4 <200 cells/µl. Pregnant black women with high viral loads require several weeks of therapy to completely suppress viral load.12
Our data highlight that the effectiveness of HAART will be greatly increased if women can be encouraged to access antenatal services at an earlier stage of gestation. Antenatal services should also place emphasis on retaining women within care.
There were few adverse events related to use of HAART but there were multiple sequelae of untreated HIV. However, a significant proportion of women refused or delayed initiation of HAART. Social marketing of the benefits of HAART is urgently required to overcome the negative messages previously propagated by South Africa's health authorities. The limited window of opportunity for initiating HAART in women presenting later in pregnancy has required fasttracking them. Whether inadequate preparation due to fast-tracking plays a part in the poor retention of pregnant women in HAART programmes must be investigated.
We studied the effectiveness of HAART and did not address important parameters such as mode of delivery, breastfeeding and infant post-exposure prophylaxis. Additionally, pregnancy outcomes of the women referred back for PMTCT were unknown. Direct comparison of the effectiveness of PMTCT v. HAART in this study was therefore not possible. Interpreting the analysis of live v. stillbirths is complex, as women having miscarriages or early stillbirths would not attend the antenatal clinic, which builds in an ascertainment bias. Similarly, longer duration of pregnancy at enrolment emerged as protective, but this may have been because the more advanced the pregnancy, the less time there is for a stillbirth to occur.
The generalisability of the data to other parts of South Africa and the rest of sub-Saharan Africa is difficult to establish. This is one unique programme, and other public sector services may initiate ART more slowly. In other areas, antenatal booking may be later still, and treatment initiation may be further slowed by delays in CD4 enumeration. Further programmatic data are needed.
The rate of vertical HIV transmission (5.1%) among women commencing ART in this cohort was higher than that reported in the developed world, and was associated with advanced immunodeficiency at presentation and late initiation of HAART. No HIV transmissions occurred among women who received more than 8 weeks of HAART. However, 12.7% of women eligible for ART during pregnancy did not receive it and, in those starting HAART, the median length of therapy before delivery was less than 8 weeks. The effectiveness of HAART will be improved by earlier presentation to antenatal services and subsequent retention in care. Increased uptake of HAART will require social marketing of the considerable benefits of HAART in this patient population.
LGB, LM and RW were funded in part by the National Institutes of Health (NIH) through a CIPRA grant 1U19AI53217-01 and RW by an RO1 grant (A1058736-01A1). SDL was funded by the Wellcome Trust, London, UK. The authors gratefully acknowledge the dedicated staff of the Hannan Crusaid ART clinic, the Desmond Tutu HIV Centre, and Di Hardy for access to the NHLS database.
1. UNAIDS. Progress Report on Declaration of Commitment on HIV and AIDS. Republic of South Africa. Reporting Period: January 2006 - December 2007. http://data.unaids.org/pub/Report/2008/south_africa_2008_country_progress_report_en.pdf (accessed 14 October 2008). [ Links ]
2. Health Systems Trust. The District Health Barometer - Year 2006/07. http://www.hst.org.za/publications/717 (accessed 5 November 2008). [ Links ]
3. Policy and Guidelines for the Implementation of the PMTCT Programme. Pretoria: National Department of Health. http://www.doh.gov.za/docs/policy/pmtct-f.html (accessed 10 October 2008). [ Links ]
4. Mofenson LM, Lambert JS, Stiehm ER, et al. Risk factors for perinatal transmission of Human Immunodeficiency Virus type 1 in women treated with zidovudine. Pediatric AIDS Clinical Trials Group Study 185 team. N Engl J Med 1999;341(6):385-393. [ Links ]
5. Garcia PM, Kalish LA, Pitt J, et al. Maternal levels of plasma human immunodeficiency virus type 1 RNA and the risk of perinatal transmission. Women and Infants Transmission Study Group. N Engl J Med 1999; 341(6):394-402. 6. European Collaborative Study. Risk factors for mother-to-child transmission of HIV-1. Lancet 1992; 339(8800):1007-1012. [ Links ]
7. Cooper ER, Charurat M, Mofenson LM, et al. Combination antiretroviral strategies for the treatment of pregnant HIV-1-infected women and prevention of perinatal HIV-1 transmission. J Acquir Immune Defic Sydnr 2002;29:484-494. [ Links ]
8. Shapiro D, Tuomala R, Pollack H, et al. Mother-to-child HIV transmission risk according to antiretroviral therapy, mode of delivery, and viral load in 2895 U.S. women (PACTG 367). 11th Conference on Retroviruses and Opportunistic Infections, San Francisco, CA, February 2004 [ [ Links ]Abstract 99].
9. World Health Organization. Antiretroviral Therapy for HIV Infection in Adults and Adolescents: Recommendations for a Public Health Approach. 2006 revision. http://www.who.int/hiv/pub/guidelines/WHO%20Adult%20ART%20Guidelines.pdf (accessed 10 October 2008). [ Links ]
10. World Health Organization. Rapid Advice: Use of Antiretroviral Drugs for Treating Pregnant Women and Preventing HIV Infection in Infants. http://www.who.int/hiv/pub/mtct/rapid_advice_mtct.pdf (accessed 30 November 2009). [ Links ]
11. Townsend CL, Cortina-Borja M, Peckham CS, de Ruiter A, Lyall H, Tookey PA. Low rates of motherto- child transmission of HIV following effective pregnancy interventions in the United Kingdom and Ireland, 2000-2006. AIDS 2008;22(8):973-981. [ Links ]
12. European Collaborative Study, Patel D, Cortina-Borja M, Thorne C, Newell ML. Time to undetectable viral load after highly active antiretroviral therapy initiation among HIV-infected pregnant women. Clin Infect Dis 2007;44(12):1647-1656. [ Links ]
13. Warszawski J, Tubiana R, Le Chenadec J, et al. ANRS French Perinatal Cohort. Mother-to-child HIV transmission despite antiretroviral therapy in the ANRS French Perinatal Cohort. AIDS 2008;22(2): 289-299. [ Links ]
14. Ekouevi DK, Coffie PA, Becquet R, et al. Antiretroviral therapy in pregnant women with advanced HIV disease and pregnancy outcomes in Abidjan, Cote d'Ivoire. AIDS 2008;22(14):1815-1820. [ Links ]
15. Black V, Hoffman RM, Sugar CA, et al. Safety and efficacy of initiating highly active antiretroviral therapy in an integrated antenatal and HIV clinic in Johannesburg, South Africa. J Acquir Immune Defic Syndr 2008;3:276-281. [ Links ]
16. Bekker LG , Myer L, Orrell C, Lawn S, Wood R. Rapid scale-up of a community-based HIV treatment service: programme performance over 3 consecutive years in Guguletu, South Africa. S Afr Med J 2006;96(4):315-320. [ Links ]
17. South African Government Information. HIV & AIDS and STI strategic plan for South Africa, 2007- 2011. http://www.info.gov.za/otherdocs/2007/aidsplan2007/executive_summary.pdf (accessed 31 October 2008). [ Links ]
18. Stinson K, Boulle A, Coetzee D, Abrams E, Myer L. Initiation of highly active antiretroviral therapy among pregnant women in Cape Town, South Africa. Trop Med Int Health. In press. [ Links ]
19. Newell ML, Coovadia H, Cortina-Borja M, et al. Lancet 2004;364(9441):1236-1243. [ Links ]
20. Kaplan R, Orrell C, Zwane E, Bekker LG, Wood R. Loss to follow-up and mortality among pregnant women referred to a community clinic for antiretroviral treatment. AIDS 2008;22(13):1679-1681. [ Links ]
21. Karcher H, Omondi A, Odera J, Kunz A, Harms G. Risk factors for treatment denial and loss to followup in an antiretroviral treatment cohort in Kenya. Trop Med Int Health 2007;12(5):687-694. [ Links ]
Accepted 12 May 2010.
Corresponding author: Linda-Gail Bekker (email@example.com)


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Small communities can be fertile for drama. And the ethics of privacy and disclosure around relationships is complicated – further complicated by the politicised context of marginalised communities.
A few partners of trans guys have voiced concerns about submitting to DUDE when they know that the magazine will be circulated among their community. But sometimes the stories that are hardest to tell are the ones we most need to hear.
So for DUDE 3 we're welcoming submissions of anonymous fragments – for little snapshots that would be difficult to develop into a whole article or story without giving too much away.
Some topics you might want to explore:
- subcultural hierarchies
- awkward sex stories
- scene drama
- political controversy
- trans guys being jerks
Put "DUDE #3 SUBMISSION: FRAGMENT" into the subject line and email to DUDEmag.special(at)gmail.com
Remember you can send any type of submission anonymously or under a pseudonym, and we also take fiction submissions. Full submission guidelines here.
x Lia


text:
My sisters, mom and I headed to Mary's in laws place to take everyone to the beach. Although I had not shared it with many people, I was around 16 or so weeks pregnant. AND I was exhausted! Blaine, while so much fun, is a Mama's boy. He did not want anyone to help him except for me. That meant carrying his 36 pound self (yes, 36 pounds at age 2) around and tending to him. My mom and sisters helped as much as possible but when the kid cries when talked to, I'm sure it was hard to want to help him. Nonetheless, we had a blast. Once we actually got TO the beach or IN the condo, everything was fine. That boy!
On the other hand, Justin and Troy were wonderful and played great with their cousins. So we're talking about 5 boys at 5, 5, 3, 3 and 2 plus a 3 year old girl. Whew!
Papa John came down one night to let the ladies go out to dinner. We had the BEST time and laughed a lot. It was super sweet for him to do that.
Once I got the car packed and got my boys in the car, I felt so relieved…I was exhausted! The drive home was pretty quiet and uneventful.
Overall, it was a wonderful trip and I'm so glad I took all 3 boys. Thank you Mary!
KK made the kids swimsuits. SO cute, huh?!


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Maki gets no love.
ZZZZZZ. I could have designed something more interesting and I'm just some guy sitting here in my underwear.
I think the PANYNJ will be taking a bunch of space in this one from what i hear
I had a bad feeling about Maki....just didn't have the same kind of record as Foster and Rogers. Very uninspired.....and downright embarassing for him when compared to 2 and 3 WTC.
they need about 500,000 sf for all there NYC functions
I feel this building is much better than 7wtc, to which it is often being compared. Does it dazzle like 2 or 3? Nope. Is it as awesome as 1? Of course not. But the atrium is nothing short of brilliant. Check it out again and imagine seeing all of those criss-crossing escalators and elevator shafts through those gigantic windows. Its going to look fantastic from the memorial.
I do agree with Lofter in that I would like it more if it had a slant. It seems that would tie things up a bit. Oh well.
Relevant quote from the AP article:
Maki's 61-story tower, the first on the construction schedule, would be clad in a perforated aluminum that would make it the lightest-colored of the three. It also would have a restaurant and bar with panoramic views of the memorial and would house the Port Authority of New York and New Jersey, which owns the trade center site.
More renderings. I really hope that the lesser level of detail in all of these means that Tower 4 is still in design mode, but I'm kind of resigned to it being a dull, minimalist tower. I'm not going to say I had high hopes though; I never understood why Maki was selected to design one of these. First up, a cross-section:
Church Street view:
These two are labeled "The Atrium":
Memorial Park Restaurant:
Office Lobby:
Cortland Street Elevation:
I actually quite like this one. The good thing though is that having 4 towers competing for attention in the same area is a bit too much IMO.
The roof is flat and is depicted that way in every rendering. At first look, in a couple of those images, it does seem to slant. But as kznyc2k noted, if you look closer you can see the floor lines are parallel to the roof. The perspective view coupled with the sharply angular setback misleads the eye.
The 'incline' of the upper part of the facade mentioned in the article is describing the way the setback angles from the southwest corner in a northwesternly direction.
OK, so in this image what appears to me to be a sloping roof at the topmost part of the Maki buiildng is actually a glass parapet of sorts, hence the color differentiation -- and the optical illusion created by the shift of forms in the upper part of the tower. That's what had me confused ...
(I still wish it sloped ...)


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Played it tonight.... Wow this is awesome. Here's some video of my crap playing level 1https://youtu.be/Oh5i7gmPfhoSent from my ONEPLUS 3t using Tapatalk
Yep! That's pretty bad, don't forget to pickup items. Practice makes perfect [emoji108] Sent from my iPhone using Tapatalk
Hahaha. I know. But the important thing is to have fun. And I am loving this. Sent from my ONEPLUS 3t using Tapatalk
Hello,The time has come to my version of ghosts'n goblins on gx4000 to be released !Thanks to the people who helped me !The game is not perfect, but playable, and i hope people with c4cpc will play it on real hardware ! EDIT : i discovered a bug that only happens when you don't beat astaroth (the final boss) at the first time !So i changed the cpr file to the patched one.Sorry guys !
This looks awesome! Finally, a great game for GX4000!I just have one negative remark, I hope you won't take it too hard... The music isn't great. Do you need some help about it?
Hi Xifos, great work!!!!!!! I love it!Can't wait to do a feature on it on my YouTube channel.However I've encountered quite a bug! Beat the game, and you don't get the ending! :OSo yes I beat the boss the 1st time, and as expected it sent me back to level 1 to go through it all again. I defeated him again with the Shield weapon, but still gives me the "This room is an illusion..." and sends me back to level 1 again! You can see in the screenshot my score to show I've gone round twice already.
I barely adapt the music from the nes version, using arkos tracker, but i'm not musician.
If you want me to convert the songs, please PM me. Since this is convertion only, this should be very quick. But it's up to you of course, I don't want to intrude in your project!
Well hum, that's not a bug.There is not the good ending for purpose !You can see it at a joke, a wink...(un clin d'oeil je veux dire en français)(i hope my sense of humor will not be a problem here)Congratulations for beating it twice anyway !
I don't see what do you call the pin ?(sorry for my poor english)Are you talking about the position of arthur on the levels map at start ?
I guess 64k is the problem, must have run out of memory.
A .cpr can have up to 512K of ROM in it (no real cartridge was ever that big, but the facility was there). The Z80 can access that ROM data directly, it doesn't need to copy it from the cartridge into RAM (like the C64 does), so 64K is actually a very generous amount of RAM and probably more than should be needed under normal circumstances.
I'm not so sure now -"The cartridges can be fitted with different EPROMs in range of 32kb through 512kb, but only 128kb to 256kb versions are known to have been produced."http://www.cpcwiki.eu/index.php/GX4000_cartridgeSo technically I'm guessing the .cpr file could hold up to 256k of data - the problem with the GX4000 was that it only had 64kb of RAM, so a lot of data had to be swapped in and out for high class games.
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Nowiny Cement Factory is situated in Southeast Poland between Warsaw and Cracow, right on the edge of the Swietokrzyskie Mountains and some 10 kilometres from the historic city of Kielce. Nowiny is one of the top five cement producers in Poland with annual production exceeding one million tons of cement and affiliated products. Since 1996, the company has been a member of the renowned Dyckerhoff AG group of Germany, which comprises more than 23 operating cement factories worldwide.
Nowiny is the first cement factory in Poland to take advantage of Grundfos CRN-SF multistage centrifugal pumps in gas cooling systems used in connection with tower stabilisation.
The situation
In the production of clinker, grinded raw meal is fed into a pre-heater where it is heated by hot air rising from a kiln and trans-formed into clinker at extremely high temperatures. Effective cooling of outlet gasses from the clinker production is essential for tower stabilisation and thus efficient and safe production at Nowiny. The actual cooling process is realised by a system of dust extractors and heat exchangers, and, in the final stage, outlet gasses are cooled by water injection in the conditioning tower.
Mr Grzegorz Baliga, head energy specialist and responsible for energy and water systems, was looking to replace the existing cooling pumps, as they had demonstrated poor performance and revealed weaknesses in construction and bearings.
The Grundfos solution
Implementing Grundfos CRN multistage centrifugal pumps in the cooling systems seemed the natural choice, as Grundfos pumps had excelled in performance and provided year after year of reliable and trouble-free operation in other vital production and auxiliary processes in the factory. For example in water supply, heating and water pressure boosting.
6 Grundfos CRN multi-stage centrifugal pumps in dual configuration have been installed in Nowiny's mill house to transport water for cooling of discharge gas. The stainless steel, in-line CRN pump is efficient, reliable and ideally suited for transportation of liquids in cooling systems. However, the CRN range offers an optimum pump solution for every conceivable industrial application as it represents state of the art technology and robustness inside out.
The outcome
Providing enhanced cooling performance and reduced energy consumption, the CRN pumps have made a big difference at Nowiny Cement Factory. The Grundfos "Cost of Ownership" principle has been communicated successfully to the decision-makers at Nowiny, so that they now realise that the most expensive part of owning a pump is not its purchase price and maintenance cost, but the actual cost of running it during its lifetime.
Reduced energy consumption - Reliable pump solution - Trouble-free operation
Southeast Poland
Nowiny Cement Factory
Grundfos provided
- Reduced energy consumption
- Reliable pump solution
- Trouble-free operation
"We have tested the Grundfos CRN pump for some time now, and we are very impressed with its superior reliability and low energy consumption. We have learnt our lesson - and in future we will always look at the cost of owning a pump rather than the cost of buying a pump". Mr Grzegorz Baliga Head Energy Specialist, Cementownia Nowiny II
Grundfos products used
- 6 Grundfos CRN pumps
If you need a similar solution, please contact us for further information.
If you need a similar solution, please contact us for further information.


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Rell admits: higher taxes coming
HARTFORD -- For the first time during the six-month-long battle over a new state budget, Gov. M. Jodi Rell admitted Wednesday that the eventual agreement will include higher taxes.
But majority Democrats and the Republican governor still seem far apart on the balance of spending reductions and revenue enhancements that will get them to a bipartisan bottom line for the two-year budget that began July 1.
Since presenting her first budget in February, Rell has maintained the state's economy is too fragile for new taxes, while Democrats pushed for higher income taxes for the state's wealthiest.
The governor told reporters in the Capitol that she is drafting both a budget proposal required under a new revenue-forecasting law, as well as a second executive order to keep state government functioning Saturday when August begins.
She said she has "exhausted" as many budget cuts as possible in talks with Democrats and will include tax hikes in the new $37 billion-plus budget she'll propose Thursday, as the Democrat-dominated Appropriations and Finance committees consider their own budgets that are expected to include well over a billion dollars in new taxes.
Democrats have proposed raising the $2 tax on packs of cigarettes to $2.75 to raise $196 million over the biennium. Rell confirmed the higher cigarette tax is in the mix.
"That's one tax," she said. "No one wants taxes, but that's part of it. I believe that I have exhausted cuts. I've made more cuts to spending."
Rell seemed outwardly supportive of a Democratic proposal -- released Tuesday despite a supposed bipartisan news blackout -- to close the Department of Motor Vehicles, and then transfer employees into four other departments.
But she voiced skepticism about the possible security problems of running license-renewal programs in supermarket kiosks.
"I haven't seen any real proposal," said Rell, who has proposed consolidating several state agencies, but not the DMV. "I'm intrigued. I have one concern that kind of hit me right off that the bat, and that's security and keeping confidential information just that: confidential."
Rell said if Democrats are supportive of department and agency consolidations, they should review the proposals she had in the budget she introduced in early February, when the partisan budget battle began.
"I don't want to focus on one cost-cutting measure or one consolidation," Rell said. "So if we're going to look at more consolidations, let's go back and look at some of those that have been turned down, first-hand."
She said even a DMV kiosk proposal is worth exploring, but security concerns could work against it.
"That's a key issue and that's why I haven't seen their recommendations, just a blurb identifying their idea," the governor said, adding that DMV Commission Robert M. Ward has been working on changing the state license program to comply with federal law.
Thursday's dueling budget documents will most likely rekindle bipartisan negotiations that have languished in recent days as the first month without a new budget has segued into a second month.
Senate President Pro Tempore Donald E. Williams Jr., D-Brooklyn, welcomed Rell's remarks on the potential for new taxes.
"Today could mark a watershed moment in the budget crisis that has gripped Connecticut for more than a year," Williams said. "Fiscal reality has finally caught up with Gov. Rell, the same fiscal reality she should have dealt with in January, not July."
Williams said that in half a year, Rell has led the General Assembly and the people of Connecticut "on a wild goose chase: ignoring deficit projections, and avoiding the toughest decisions."
Legislation that Rell vetoed and that Democrats overrode on July 20, requires both sides to present budgets by Thursday and the key financial committees to agree on revenue projections.
"We look forward to seeing Gov. Rell's proposal tomorrow and then getting back to the negotiating table in order to deliver a fair budget for the people of Connecticut," Williams said. "We hope the revenue increases that Gov. Rell proposes are not focused on working families and the middle class."
Williams said the wealthy "must be part of the budget solution." Rell said she hopes bipartisan budget talks will resume by next week.


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During the darkest days of the Bush era, David Cross seemed like the perfect, hilariously outraged voice of reason, as heard on 2002's fantastic Shut Up, You Fucking Baby! and 2004's It's Not Funny. His new album, Bigger And Blackerer, shows his voice still resonates in the more hopeful Obama era. It's perfectly timed in that regard: When Cross toured in fall '09, the rush of Obama's victory had worn off, while the rancor of town-hall meetings remained fresh. Those are perfect targets for Cross' biting humor, and he spends plenty of time on his favorite go-to punching bag, organized religion. One long track dissects the origins of Mormonism, comparing it to Scientology, but some of Bigger And Blackerer's best bits are more personal and observational. In the third and fourth tracks, the album's highlights, Cross shifts from the show Intervention to the junkies in his neighborhood to a hilarious bit about the perils of going out in public while tripping on psychedelics.
Some bits fall flat (like one about a wish-granting angel), or are more shocking than funny—a problem Cross has had since the beginning, like when he did an impression of a crack baby on his first HBO special. The joke about getting special MLK license plates that say "NGR LVR," or about buying his girlfriend two vibrators ("one for the house and one to take with her in case she's raped") provide the inevitable, somewhat anticlimactic did-he-really-say-that? moments. But the strength of the rest of Cross' material has always outweighed his occasional missteps, and Bigger And Blackerer shows him in fine form—baffled, cynical, and as funny as ever.


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Over one-quarter of public sector employees are not confident they'll have enough money for a comfortable retirement, according to a study by the Center for State and Local Government Excellence and TIAA-CREF.
"If we were forced to condense the results of the study to a single sentence, public-sector workers are anxious regarding retirement income security despite near universal pension" availability, Paul Yakoboski, senior economist for TIAA-CREF, said Tuesday during a webinar discussing the findings.
Defined benefit plans are vastly more common among public sector employees than all U.S. workers. Nearly three-quarters or public employees have a DB plan, compared with 28% of the general population. The gap between public sector employees and the larger workforce who have a defined contribution plan is large, but less pronounced. Over half of all U.S. workers have a DC plan, compared with 31% of public employees.
The "2012 Retirement Confidence Survey of the State and Local Government Workforce," which was released in July, found almost 60% of public-sector workers plan to work past the age they'd like to retire, Yakoboski said. The average preferred age for retirement among public-sector workers is 59, but the average expected is nearly 64.
The good news is that public sector employees appear to be actively working toward a secure retirement. Over 90% say they have saved money outside of their employer-sponsored plan. Of those, between 92% and 96% are currently saving, the report found.
Over half of public sector employees are somewhat confident that they are saving enough for retirement, while 18% are "not too confident" and 13% are "not at all confident." Workers are far more confident about how their assets are invested than their actual savings. Twenty-seven percent said they were very confident about their investments, while 18% said they were either not too confident or not at all confident.
Yakoboski noted that saving and planning aren't the same thing. "Saving is not the same as planning," he said on the call. "Ideally, saving is grounded in planning, but often that's not the case."
Only half of employees have tried to determine how much they'll need in retirement, he said, but even those who have don't have a "realistic idea" about what they'll need. Thirty-seven percent of respondents said they needed to replace less than 60% of their income in retirement.
Although survey after survey has shown health care is one of the largest—if not the largest—expense for retirees, 22% of public sector employees are very confident they can afford medical care and 49% are somewhat confident. Public sector workers are clearly more confident than the general work force (just 13% said they were very confident about paying for health care and 44% said they were somewhat confident), but that confidence could be misplaced. Only 8% of public workers say they have planned and saved "a great deal" for expenses not covered by Medicare. Fifty-eight percent have planned hardly or not at all. Sixty-three percent of workers say they are counting on retiree health insurance to cover medical costs in retirement.
Over half of employees in the public sector have used a professional financial advisor in the last three years, the report found. The most common subject that public workers in their 50s or older sought advice on was when to actually retire. Workers under 45 were most interested in how much to save, and those over 55 wanted to know more about drawing income once the finally do retire.
However, "advice received is not necessarily advice followed," Joshua Franzel, vice president of research for the Center for State and Local Government Excellence, said on the call. Of workers who said they were advised to increase their savings, 34% made no change whatsoever. Just 12% made the recommended change. Forty-one percent followed "most" of the advice they were given, Franzel said.


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Some Tasty Bites at the Martha's Vineyard Agricultural Fair
A weekly profile on a favorite New England dish.
There are two truths when it comes to food at summer fairs:
- Eating junk food at fairs is fun.
- Eating junky junk food at fairs is not.
As summer fairs go, the one put on by the Martha's Vineyard Agricultural Society every August isn't huge, but it's great and has everything you'd want: skillet tosses, the watergun game, overgrown vegetables that win ribbons, and, of course, booth after booth of junk food.
I love funnel cake as much as the next kid, but I also like to preface the fried dough with things like protein and vegetables. That probably means I'm getting older. But it's also a testament to the handful of really stellar purveyors that take their food seriously.
Local Smoke
A couple of guys smoking locally raised meat in a vessel they built in Brooklyn. They specialize in pig, but chicken, fish, and even lamb are also available by request if you hire them to cater an event. (Not a brick-and-mortar op; more of a pop-up smoker.) The oak-smoked meat is pulled apart into fine clumps and piled onto a soft-but-substantial bun. They also make some mean sides, particularly their carrot-cabbage-broccoli slaw (available as a sandwich condiment as well as a side) and the tangy, no-mayo potato salad.
The Red Cat
Years ago, this was a restaurant in West Tisbury, and the food was terrific. I did a double-take when I saw their sign at the fair. They don't actually have a restaurant anymore; they just popped up at the fair and got excited when I read the menu: chef Ben DeForest's "Fresca" was a brothy, full-flavored fresh tomato-corn chowder that would have been ideal had it not been a hot soup on a hot day. Instead, I ordered the grilled swordfish skewer—thick chunks of beautifully charred (albeit slightly underdone in the middle) meat with red onion, zucchini, squash, and eggplant—and fresh-squeezed lemonade sweetened fresh sliced strawberries and topped off with fizzy club soda.
Kettle Korn
Terry Huff hauls his cavernous kettle from Eighty Four, Pennsylvania (yes, you read that right) to various fairs around the country. In it, he pops the corn in hot soybean oil, then adds an equal amount of granulated sugar and stirs the kernels with a wooden paddle as big as a boat oar. When it's finished, he pushes the popped corn—now glossy with sugar—over a grate to discard the unpopped kernels, then salts it and bags it up. Even a small bag ($5) looks like a lot until you're mindlessly inhaling the perfectly salty-sweet snack and realize that's it's suddenly all gone.
Local Smoke
46 Stat Road, West Tisbury MA 02575 (map) 508-560-2084; localsmokemv.com
Kettle Korn
Eighty Four, PA (map); 724-355-0996


text: I'll make it right. Bharath Upendra Blog Roll September 27, 2019September 27, 2019 1 Minute My hands are on your necklace Your breath has got me breathless Do you notice my tears?? And the smile that hides my fears? I really love that hairspray I'm gonna miss that mischief Can't we just be nice? Why do we have to sacrifice? I see that mascara, the smudges We're hanging on to edges Come on, push me and fight! I swear I'll make it right. Why were we so reckless? Why don't we sit and confess? Enough of the sleepless nights I'm hating these goodbyes Let these wall be my witness As I stare into nothingness I can still hear your voice Singing to my shattered life Come to me in that blue dress, And the socks you wore on Christmas Come on, push me and fight! I swear I'll make it right. Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Pinterest (Opens in new window)Click to share on Tumblr (Opens in new window)Like this:Like Loading... Related Tagged#loveapologiesbrokenfightspleadingrelationships Published by Bharath Upendra I'm that cynical, sarcastic, hypocritical self loathing masochist you rarely cross paths with. View all posts by Bharath Upendra Published September 27, 2019September 27, 2019


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(Don't expect the image to have anything to do with the subject, I just wanted to give you a visual)
Like most people that I know, I have struggled with my self esteem. I am on familiar terms with feelings of inadequacy, perceptions of not being interesting, judging myself as not good enough to be an artist, or as just weird. When I was a young adult, I was arrogant and imagined I was superior to most people. As I got older I realised this was a way of coping with my actual feelings of inferiority. I have tried to heal those sensitivities through therapy, accomplishments and even positive thinking.
I came to not really like the expression 'self esteem'. Not only because I couldn't seem to 'get' it, but because it seemed to have connotations of an almost smugness, as if self esteem and humility are antipathetic. It seemed to have an attitude of 'I can do anything and be anything and have anything.' And as I grew older and a bit wiser it was becoming apparent that this was simply not true.
Instead of what I understood as self esteem I began to work with self acceptance and self forgiveness.
In his book, Robert Ohotto differentiates between what he calls self esteem and soul esteem. I find this contrast illuminating. He says that self esteem has to do with outer confirmation of one's worth, by success, social status, doing well etc. All well enough, but how resilient is anything dependent on others' opinions? - others who even when well meaning are not reliable (meaning that their opinions are not reliable).
My interest is in redefining self esteem (taken from Robert Ohotto's definition of soul esteem). A definition based on what is True and changeless. That all living beings have innate worth, and that worth is unchanging and equal. I am not worth more or less than anyone else.
How about that? A Radical concept. But if I look deeply I see that it is True. If someone is more successful, more beautiful, more stylish, it does not actually effect their or my inherent worth.
My worth (and theirs) remains the same. No matter what I do or they do.
How about that?


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The Filibuster
So the Cubs traded their best lefty (Sean Marshall) for Travis Wood and then Travis Wood doesn't even make the team. Is Theo doing it right?
Harvey, IL
Remember when Barack Obama first came into office and the U.S. and world economies were doing their best impressions of 1929? Well, that's kind of where Epstein sits right now. It would be easier to just burn the place down and start over (which is always an option when you're talking about Chicago) but there's no way anyone would support that. So, he's going to have to make the most of what he has and slowly try to rebuild.
That doesn't necessarily mean simply accepting the situation, though. Normally, when you pay big money for a guy or give up a big name in a trade, the expectation is that new guy is going to play and you'll just have to suffer if he doesn't quite catch his groove right away. Think Carl Crawford on the Red Sox. Think Dontrelle Willis on the Tigers. Think Barack Obama with TARP. But leaders don't always accept that situation. Sometimes they have to make the tough decisions and break with expectations. That's what Obama did with GM and even made the government some money in the process. It appears like maybe that's what Epstein is trying to do with the Cubs, too.
Sean Marshall is a good reliever. According to Epstein, he's maybe the "most valuable left-handed reliever in all of baseball." But what good is having the most valuable left-handed reliever in baseball if your starting pitching is terrible, your defense is atrocious and you can't score runs? Epstein realizes the Cubs aren't going to be a winning ball club this year. He realizes they probably won't be a winning ball club next year either. But he's setting himself up for success three or four seasons down the line.
Remind you of anyone else? Bailing out the auto industry wasn't popular but three years later, after watching the recession crest and slowly subside, we now see hiring going back up and the economy beginning to grow again. That's the difference between guys like Epstein and Obama and wannabes like Hendry. Attempts to implement quick fixes for immediate results more often lead to systemic failure. Epstein, like the president, has to slowly flush that through, suffering short-term difficulties for long-term success.
So, long story short, yeah, Theo is doing it right. But that's not going to stop people from yelling and screaming during the first few painful years. Marshall is gone and Wood got sent to the minors. But they have more money to go after other important pieces, they have a solid prospect in the minors who could work his way back and they didn't try to force someone into a role they simply couldn't handle at this point. When you think about it, Theo seems positively presidential.
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Four former Tim Hortons employees from Mexico are at the centre of a human rights complaint against a franchise owner in Dawson Creek alleging the workers were forced to live in overcrowded housing and subjected to racist and discriminatory treatment.
The complaint was filed Friday by the BC Public Interest Advocacy Centre on behalf of the Mexican workers: Rodolfo Lara, 43; Edxon Gonzales, 35; Eric Dessens, 33, and Ruben Ramirez, 28.
The men came to Canada earlier this year through Canada's temporary foreign worker program to work in two Dawson Creek restaurants owned by Tony Van Den Bosch.
They were coerced by Van Den Bosch to live in one of two houses he owned, where up to 10 people lived two to a room in a five-bedroom, two-bathroom house, the complaint alleges.
"When Tim Hortons advertises the double double, I don't believe this is what ... Canadians had in mind," said Eugene Kung, a lawyer with BC PIAC.
"The complainants felt extremely vulnerable having their employer as their landlord," the complaint says. "This placed them in a position of relative powerlessness right from the start of their stay in Dawson Creek."
The workers signed an agreement stipulating that their rent would be $200 a month, but Van Den Bosch required them to pay an additional $200 mid-month, the complaint says. The workers also claim they had to walk up to 40 minutes to and from work, with shifts ending as late as midnight and starting the next day at 5 or 6 a.m.
The complaint also contains allegations of racist and discriminatory treatment. Van Den Bosch called the Mexican workers lazy, "Mexican idiots" and on one occasion referred to himself as "the owner of their lives," the complaint says. Mexican workers were given menial jobs such as mopping and punished for speaking Spanish on the job while Filipinos were permitted to speak Tagalog, the complaint alleges. The workers also claim they were not given time off for sickness or injury.
They believed that if they complained about their working or living conditions, Van Den Bosch would send them back to Mexico.
Van Den Bosch fired two of the workers and bought them tickets back to Mexico in April 2012, according to the complaint. Two others left voluntarily, not wanting to complain to authorities until they were out of Dawson Creek.
The human rights tribunal has not made any findings of fact with respect to the allegations.
Van Den Bosch, reached by phone in Dawson Creek, called the allegations "absolutely false."
The workers were not charged rent the first month because they didn't have money when they arrived, he said, adding that he also bought them winter clothes. They were welcome to live anywhere, he said, but chose to stay with him because it was the best deal in town and they were charged $200 per paycheque, which they received twice a month.
"What more are you supposed to do for these guys?" he asked.
Van Den Bosch denied making racist comments, claiming the workers, who had limited English skills, misunderstood him. It was not in his interest to alienate his own workers, he added.
The workers tried to intervene in managerial decisions around how the restaurant should be run, he said, and didn't understand when told they were expected to do many different jobs.
"Everybody got treated the same," said Van Den Bosch, adding that he sold the two Dawson Creek restaurants back to Tim Hortons over the summer for unrelated reasons.
The case highlights long-standing problems with Canada's temporary foreign worker program, which allows businesses to bring in employees from abroad to fill short-term labour gaps when qualified Canadians can't be found, said B.C. Federation of Labour president Jim Sinclair.
Because workers' residency in Canada is contingent upon working for one employer, they are vulnerable to abuse and exploitation and have virtually "no rights," a situation that is compounded when the employer is also the landlord, he said.
"This is not about immigration, this is about exploitation," he said, adding that workers who come to Canada on a temporary basis should have the same rights as Canadian workers.
The federal government announced a review of the program on Thursday in response to a public outcry over the decision to bring in 201 temporary workers from China to work in a mine in northeastern B.C.
Tim Hortons spokeswoman Alexandra Cygal declined to comment on the allegations, but said the company works with governments and restaurant owners to ensure compliance with the temporary foreign worker program's practices and standards.
The number of temporary foreign workers entering B.C. has skyrocketed over the last six years, swelling to 46,378 in 2011 from 27,914 in 2005. These workers vastly outnumber those who come to the country as permanent skilled workers.


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Psychology Major
The psychology curriculum is designed to acquaint students with the broad spectrum of divisions within the discipline of psychology and to deepen their awareness of the interdependence of those areas. The mission of the St. John's University and College of St. Benedict Joint Department of Psychology is to produce graduates who have a high level of critical thinking skills derived from knowledge of basic psychological principles and methods, and a clear understanding of the role of psychology in the liberal arts curriculum. Courses expose students to the theoretical and technical principles central to the discipline of psychology, allowing them to adapt to future trends and changes within the field. This breadth of exposure produces graduates who are well qualified for graduate education in psychology or related fields, who are prepared to work in a variety of applied areas, and who can apply the relevant principles in any work environment. Students in disciplines such as education, pre-law, theology, pre-medicine, nursing, social work, nutrition, and management also find many relevant courses within the psychology curriculum.
The psychology faculty promotes critical thinking in the evaluation of research literature and popular ideas about psychology. The department also engages in a process of assessment in order to continuously improve its ability to offer a quality learning experience. In addition, students are required to relate academic course material to moral and ethical concerns of the profession and the community at large.
Ample Facilities For Classroom/Laboratory Work
Many members of the department are actively engaged in research and work closely with students on these projects. The department maintains facilities for an active research program that include rooms for instructional lab exercises, student/faculty research projects, a learning lab, and an animal suite. Both mainframe and microcomputers are being used in statistics, research and lab courses.
Curriculum Allows For Applied Experience
As one progresses in upper-division psychology courses, one's learning becomes more experimental in nature. Many upper-class students are chosen as teaching assistants for introductory courses. In addition, students participate in seminars and work on a one-to-one basis with professors in directed learning projects. Recent student projects have investigated how to access critical thinking skills, relational patterns of college students who are survivors of parental divorce, and mate preference in both heterosexual and homosexual dating patterns .
Counseling experience can be gained through the Peer Resource Person program through the counseling center as well as through internship placement at regional institutions such as the St. Cloud Children's Home, and other institutions in the area. In addition to internships at service facilities, many students do internships in corporate offices or professional settings, such as legal offices, to gain more business-oriented experience.
Psychology: A Basis For Many Careers
Career opportunities for psychology majors are diverse. Recent CSB and SJU graduates have found jobs directly related to their study of psychology as social workers, family counselors, employment counselors for large companies, crisis line therapists, mental health associates for hospitals, teachers, chemical abuse tutors and registered nurses.
Others have established themselves in careers which appear to be unrelated to the psychology major but actually draw on skills they acquired through their undergraduate study. Examples of such CSB and SJU psychology graduates are a computer analyst, home finance administrator, manager of a commercial bank, tax auditor for the Internal Revenue Service, sales representative for Proctor and Gamble, president of a business college, assistant director of admissions at an eastern university and an actuary. Each year a substantial number of CSB and SJU graduates choose to continue their psychology training in graduate school. Others find psychology to be a useful background for professional study of law, medicine or business administration.


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Jamie Sams
Jewellery; Jewellery and imitation jewellery; Jewellery and precious stones; Jewellery and watches; Jewellery boxes; Jewellery cases of precious metal; Jewellery chain of precious metal for bracelets; Jewellery chains; Jewellery findings; Jewellery foot chains; Jewellery of yellow amber; Jewellery plated with precious metals; Jewellery, clocks and watches; Jewellery, including imitation jewellery and plastic jewellery; Jewelry; Jewelry and imi...
Perfect for these industries
Words that describe this mark
This is a brand page for the MEDICINE CARDS trademark by Jamie Sams
in Taos, NM, 87571.
Write a review about a product or service associated with this MEDICINE CARDS trademark.
Or, contact the owner Jamie Sams of the MEDICINE CARDS trademark by filing a request to communicate with
the Legal Correspondent for licensing, use, and/or questions related to the MEDICINE CARDS trademark.
On Thursday, May 19, 2016,
a U.S. federal trademark registration was filed for
The USPTO has given the MEDICINE CARDS
trademark serial number of 87043509.
The current federal status of this trademark filing is ABANDONED - NO STATEMENT OF USE FILED.
The correspondent listed for MEDICINE CARDS is
DAVID CARSON of
The MEDICINE CARDS trademark is filed in the category of
Jewelry Products
The description provided to the USPTO for MEDICINE CARDS
is Jewellery; Jewellery and imitation jewellery; Jewellery and precious stones; Jewellery and watches; Jewellery boxes; Jewellery cases of precious metal; Jewellery chain of precious metal for bracelets; Jewellery chains; Jewellery findings; Jewellery foot chains; Jewellery of yellow amber; Jewellery plated with precious metals; Jewellery, clocks and watches; Jewellery, including imitation jewellery and plastic jewellery; Jewelry; Jewelry and imitation jewelry; Jewelry armoires; Jewelry boxes; Jewelry boxes not of metal; Jewelry boxes of metal; Jewelry boxes of precious metal; Jewelry brooches; Jewelry cases; Jewelry cases not of precious metal; Jewelry cases of precious metal; Jewelry caskets; Jewelry caskets of precious metal; Jewelry chains; Jewelry clips for adapting pierced earrings to clip-on earrings; Jewelry dishes; Jewelry findings; Jewelry findings, namely, clasps, closures, charms; Jewelry for attachment to clothing; Jewelry guard chains; Jewelry in the nature of armbands; Jewelry in the nature of identification tags for wear by humans for decorative purposes; Jewelry incorporating a computer storage device containing medical information for medical alert purposes; Jewelry made in whole or significant part of all metals; Jewelry making kits; Jewelry of yellow amber; Jewelry organizer cases; Jewelry organizer rolls for travel; Jewelry ornaments; Jewelry pins for use on hats; Jewelry ring holders; Jewelry rolls; Jewelry rolls for storage; Jewelry rolls for travel; Jewelry safety chains; Jewelry stickpins; Jewelry that fits over the front teeth; Jewelry that incorporates technology for rebalancing the human energy field; Jewelry to be affixed to bikinis; Jewelry watches; Jewelry, namely, amulets; Jewelry, namely, anklets; Jewelry, namely, arm cuffs; Jewelry, namely, bracelets, wristbands and necklaces that also provides notification to the wearer of a pending medical related task; Jewelry, namely, collar tips of common metal; Jewelry, namely, collar tips of precious metal; Jewelry, namely, crosses; Jewelry, namely, dog tags for wear by humans for decorative purposes; Jewelry, namely, magnetic necklaces; Jewelry, namely, magnetic pendants; Jewelry, namely, precious metal plated real leaves and flowers; Jewelry, namely, stone pendants; Agate as jewellery; Amulets; Beads for making jewellery; Beads for making jewelry; Beads for use in the manufacture of jewelry; Beard jewelry in the nature of jewelry for use in a beard; Body jewelry; Bracelets; Bracelets and jewelry featuring electronic chips for attracting energy to the body wherein the electronic chips increase in power in the presence of electromagnetic fields, for the purpose of re-balancing the human energy field; Broaches being jewelry; Bronze jewelry; Brooches; Cabochons for making jewellery; Cabochons for making jewelry; Cameos; Charms; Charms for collar jewelry and bracelet; Charms for snap jewelry; Children's jewelry; Clasps for jewellery; Clasps for jewelry; Corporate recognition jewelry; Costume jewelry; Diamond jewelry; Fitted jewelry pouches; Fitted covers for jewelry rings to protect against impact, abrasion, and damage to the ring's band and stones; Gemstone jewelry; Gold thread jewelry; Hair jewelry in the nature of jewelry for use in the hair; Handmade snap jewelry; Identification bracelets; Imitation jewellery; Inexpensive non-jewelry watches; Jade; Key chains as jewellery; Key chains as jewelry; Lapel pins; Leather jewelry and accessory boxes; Memorial jewelry; Metal wire for use in the making of jewelry, namely, jewelry cable; Musical jewelry boxes; Necklaces; Ornamental button covers being jewelry; Ornaments of precious metal in the nature of jewelry; Paste jewellery; Paste jewelry; Pearls; Pet jewelry; Pet jewelry for all animals; Pins being jewelry; Plastic bracelets in the nature of jewelry; Precious and semi-precious crystal stones and beads for use in jewelry; Precious metals for use in manufacturing jewelry; Presentation boxes for jewellery; Presentation boxes for jewelry; Real and imitation jewellery; Rhinestones for making jewelry; Rings; Rings being jewelry; Sautoir necklaces; Scarf clips being jewelry; Small jewellery boxes of precious metals; Snap jewelry; Stainless steel jewelry bracelets; Threads of precious metal; Watches and jewellery; Watches and jewelry; Watches, clocks, jewellery and imitation jewellery; Watches, clocks, jewelry and imitation jewelry; Women's jewelry; Wooden jewellery boxes.
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From the early days of synthesized speech comes this 1963 Bell Telephone Labs recording, which explains how the computer imitates human speech using punched cards and includes examples of synthesized speech, and even some singing. From the album liner notes:
Knowledge developed through such research programs may be useful in devising new techniques for transmitting speech more efficiently over communications systems. In the near future, for example, a person may be able to type on a keyboard and cause a typing machine thousands of miles away to speak for him. There is also the possibility that talking machines may be built for people who are unable to speak.
Bell Labs is credited with developing the C and C++ programming languages, UNIX, the transistor, the laser, and, in the 1930s, the vocoder ("vocoder" is short for "voice encoder").
I think I'm going to wake up in the middle of the night with that computer voice in my head, singing this creepy, oddly compelling, and somewhat congested-sounding rendition of "Daisy, Daisy, give me your answer true…" (@2:12)
[via Coudal Partners]


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Neodymium Iron Boron (NdFeB) are great for a variety of crafts! Great way to keep your hands busy during a variety of chores or integrate into your creations. Simple yet addictive, these magnets can be used for thousands of other helpful tasks around the house.
- 20 disc nickle plated neodymium magnets
- Good for magnetic latches and catches, magnetic keyring holders or science experiments
- Used in magnetic toys, such as travel games, magnetic fishing, magnetic racing cars, etc.
- Used in magic tricks to achieve a marvelous effect
- Could also be ear studs for people without pierced ears
- Measurement (D x T): Approx. 1 /4 x 1 / 16 inch (6 x 1.5mm)
- Material: Neodymium Iron Boron (NdFeB)
- Coating: Nickel (NiCuNi) coating
- Grade: N35
- Shape: Disc
Package Includes:
- 20 x Neodymium magnets
WARNING: CHOKING HAZARD -- Small parts. Not for children under 12 years.
Keywords: Neodymium magnets, disc, 1 / 4 x 1 / 16", 20pcs


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The Department of Labor's Employee Benefits Security Administration (EBSA) has given industry trade groups until Feb. 24 to fulfill the department's request regarding what impact the conflicts of interest faced by brokers who advise on IRAs have on IRA investors.
The EBSA recently launched an expanded "regulatory impact analysis" to assess the impact of the department's reproposed fiduciary rule on ERISA plans and IRAs. Industry trade groups were asked by EBSA's Office of Policy Research on Dec. 15 to voluntarily assist EBSA in its fact-finding mission.
Applying a fiduciary standard to IRAs is one of the more controversial aspects of the reproposal.
Industry trade groups recently received a letter from Joseph Piacentini, director of EBSA's Office of Policy Research, stating that EBSA would like to receive any data the trade groups had by Feb. 17. But an EBSA spokesman told AdvisorOne on Thursday that EBSA had extended the period for response to Feb. 24. This correspondence, the spokesperson said, "is part of a larger dialogue which the department is pursuing to ensure that it has the best available data to support its assessment of the economic impacts of the initiative."
But industry trade groups say they are limited in what information they can provide.
Susan Waters, CEO of the National Association of Insurance and Financial Advisors (NAIFA), told DOL in a Feb. 17 letter that because of the nature of NAIFA's membership, "it is not feasible for us to obtain any of the data enumerted in your December 15, 2011 letter. The relationship of our members to their clients and affiliated companies is such that they would not have the right to share the clients or company's data even if they have some access to it." NAIFA would, however, she said, "be pleased to answer qualtiative questions about the diverse ways in which our members serve their clients, and the motivations involved in their relationship-driven business model."
Lillian Vogl, director of Federal Relations for the NAIFA, told AdvisorOne after the trade groups met with EBSA on Jan. 24 that while NAIFA is "encouraged" that "DOL is trying to perform a very thorough data collection, there are inherent difficulties in providing a comprehensive view of a person's financial decisions in the way [DOL] would like to have."
Despite the difficulty in getting such data, however, Vogl says the DOL "made it clear that they want to move forward quickly," and wants to know what information the trade groups' members can provide.
The groups—which included the Financial Services Institute, NAIFA, the Financial Services Roundtable, the Securities Industry and Financial Markets Association, the American Council of Life Insurers, the Insured Retirement Institute and the American Bankers Association—told EBSA in a Jan. 12 letter that it would be impossible for them to provide the data to DOL by the original Jan. 15 deadline and requested the Jan. 24 meeting to "clarify and refine" DOL's original request so they could reach out to their members to determine what information the industry is able to provide.
Vogl told AdvisorOne that the problem is that DOL is trying to compile "very detailed statistics about individual account attributes, like how [account holders'] advisors got paid, if people received advice—all sorts of demographic information about them." However, she says, there's no "way to provide that [data] in a systematic way," one reason being that people may have multiple accounts—in IRAs and 401(k)s—"and there's no way to connect across, especially for privacy concerns, their Schwab account with their Merrill Lynch account," for instance.


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Ally Pally says 'hello' to megastars and people who have more money than me
London's Alexandra Palace was the venue last night for the 2006 UK Music Hall of Fame, the annual ceremony that annually inducts the world's most important and influential musicians into a virtual 'hall of fame' on an annual basis.
This year's victims were as follows: Prince, Bon Jovi, Led Zeppelin, James Brown, Dusty Springfield, Brian Wilson and Rod Stewart.
In addition, Sir George Martin received this year's honourary memebership to the hall of fame. Gordon Brown was carefully selected to induct Sir George and was victim to a large amount of booing and disresepct. Do people not realise that politicians are better than us serfs and should be respected? I mean, no one booed Bon Jovi, despite the fact that their music has caused more damaged worldwide than the war on Iraq.
I digress... HALL OF FAME! It's on TV! Thursday night at 9pm on Channel 4! Mega! Now, look at an advert.


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Search by tag «facilitating»Entries found: 1
European Federation of Professional Circus Schools
The sixth and final partnership meeting of the INTENTS project was held on Thursday 20 April 2017 at the Teatro Circo Price in Madrid, as part of the FEDEC Internal Conference organized by its member, and partner of the INTENTS project, Escuela de Circo Carampa.
The meeting was attended by 39 participants, including 26 representatives of the project partners. Together they commented on the 2017 "Balancing and support" training organized at the Scuola di Cirko Vertigo in Turin (March 6-11, 2017), considering important for teachers to keep on mutualising knowledge in the framework of sessions that are better prepared each year, and deepening reflection on the development of teaching skills rather than purely "circus technique" skills. The need to set up a training of trainers or coordinators for teachers at all stages of the training engineering process was highlighted. (En Français à la suite…) Lire cet Article


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Intasure's holiday cottage insurance can provide peace of mind as well as flexible yet extensive cover.
Intasure specialise in holiday home insurance for a wide range of property types both here in the UK and abroad.
To find out more request a quote online today or call our friendly customer services team!
There is something quintessentially British about holiday cottages, which is why they are always in high demand. If you are lucky enough to own a holiday cottage then you will naturally want to ensure that your property is protected now and in the future.
By choosing Intasure to protect your holiday cottage you could receive a range of benefits including:
As we have years of experience in providing holiday home insurance we are also able to help with policies that require more extensive or unusual cover. We also provide cover for holiday cottage owners who choose to let their properties, meaning they are protected against potential loss or damages caused by tenants.
Here at Intasure we understand that no two holiday cottages are the same, which means each one requires a certain amount of cover. Our team will always do their best to help you find protection for your holiday cottage, both in terms of buildings and contents cover.
You may also want to consider cover for additional elements of your holiday cottage such as swimming pools or outbuildings. If this is something you are interested in all you have to do is fill out our online quote form and we will do our best to help!
Get a Quote Now
*This provides you with a summary of the cover. For precise details of cover, including the conditions and exclusions that apply, the policy document itself should be referred to.
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Holiday Cottage insurance, View and download Insurance product information document - Click here
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Holiday Cottage insurance, View and download policy wording - Click here
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Intasure ® is a trading name of Arthur J. Gallagher Insurance Brokers Limited, which is authorised and regulated by the Financial Conduct Authority. Registered Office: Spectrum Building, 7th Floor, 55 Blythswood Street, Glasgow, G2 7AT. Registered in Scotland. Company Number: SC108909 | UK Privacy Notice | Legal & Regulatory Information | Cookies


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Papyrology & Epigraphy Reading Room
The Papyrology and Epigraphy Reading Room, on the sixth floor of Columbia University's Butler Library, offers primary source collections, journals, and important secondary resources of use to papyrologists and epigraphists in the University's Classics and Ancient History Departments.
Links to useful visual and bibliographic digital and print resources, as well as links to related scholarly societies:
The Papyrology and Epigraphy pages are each divided into three parts: Primary Source Materials, Secondary Source Materials, and Professional Societies.
The Related Resources page is a list of other resources, many geared specifically towards study at Columbia University, that support interest in these disciplines.


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Listen To The Latest From Lana Del Rey, "Mariners Apartment Complex"
"Kind of girl who's gonna make you wonder, who you are and who you've been"
September 12, 2018
On Wednesday, Lana Del Rey released the first of two new songs, called "Mariners Apartment Complex". The second is slated to be released on September 18th.
The singer has also announced an expected studio album for 2019.
Related: Cat Power Releases "Woman" Featuring Lana Del Rey
The woozy, end of summer single was produced by Jack Antonoff, who has recently become the go-to guy for artists like Lorde, St. Vincent, and Taylor Swift.
Alongside some 8mm visuals of Del Rey in black and white, Lana sings about someone taking her "sadness out of context" and being the kind of girl who will make you wonder, "who you are and who you've been."
Her upcoming album in 2019 would be her first since 2017's Lust For Life.


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Italian Marines Held In India Return Home To Vote
Two Italian marines charged in India with killing two fishermen while on anti-pirate duty a year ago arrived home on Saturday to vote in parliamentary elections this weekend.
"We are happy to be back home. This has been possible because India's Supreme Court ... has shown itself to be very democratic by recognizing our right to vote," Massimiliano Latorre said on arrival at Rome Fiumicino airport with his colleague, Salvatore Girone.
The two sailors, part of a military security team protecting the tanker Enrica Lexie, are accused of shooting the two fishermen they say they mistook for pirates off the southern Indian state of Kerala in February last year.
The incident has caused a serious diplomatic dispute between Italy and India, which have traditionally had good relations.
India's Supreme Court said in a long-awaited ruling last month that India had jurisdiction to try the marines, setting the stage for a criminal trial that could further sour ties between the two nations.
Italy had challenged India's right to try the two, arguing that the shooting had taken place in international waters.
The men were welcomed at the airport by outgoing Prime Minister Mario Monti. They will be allowed to stay in Italy for four weeks.
The Italians also spent Christmas in Italy, after a Kerala court allowed them to join their families for the holiday, on condition they returned to India by January 10, which they did.
The marines are held at the Italian embassy in New Delhi and report to a police station once a week.


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My complaint about the 3DO start game exit screen setup.
All general 3DO chat here please.
Moderators: 3DO Experience, Devin, Bas, 3DOKid
Post Reply
2 posts • Page 1 of 1
My complaint about the 3DO start game exit screen setup.
Many times I find the exit exit screen start game functions confusing and frustrating for the system. For instance Shockwave assault I love the game. However the way that 3DO is set up for starting a game or exiting a screen is confusing and frustrating. And stops me from playing the game many times even with the instructions. Has anyone run into this with video games or is it just me? I think it's the way they try to set it up like a VCR.
What came after the Jaguar was the PS1 which for all it's greatness, ushered in corporate development and with it the bleached, repetitive, bland titles which for the most part we're still playing today. - David Wightman
- Martin III
- Posts: 1003
- Joined: Fri Feb 11, 2011 12:32 am
- Location: United States of America
Re: My complaint about the 3DO start game exit screen setup.
I can' think of any game where I've had a problem with this, though I haven't played Shockwave Assault. The one thing that threw me for a while is that A, the leftmost action button, is used as the main action button in most 3DO games. I'm more used to the Saturn, NES, Game Boy Advance, etc., for which the rightmost action button is usually the main action button.
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2 posts • Page 1 of 1


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Wednesday, February 11, 2015
Put these on your plate for the Wednesday feast
Go out to dinner on Valentine's Day? Why would we do that? It's so much more fun to skip the hype and the reservation fight to stay home and cook. Here's what we've got for your plate this week at www.charlotteobserver.com/food:
Those towering biscuits pictured at the top are on my plate when I went to Pamela Duvick's house for a biscuit lesson. After years of "hockey pucks," Duvick conquered the method for making tall, layered (AKA flaky) biscuits. Crisp on the outside, moist and tender on the inside, they are the ideal of biscuits. Read my column for how she does it, and watch the video I put together to see her in action.
Nothing says loving (well, OK, a lot of things say loving, but work with me here) like a jar of your own, homemade version of Nutella. Did you know that the original name for Nutella was Pasta Gianduja? Nutella is really a convenient version of the classic hazelnut/chocolate spread called gianduja. Andrea Weigl has a recipe and a video, and more recipes for making a great Valentine's dessert with Nutella.
For a great dinner, I invest in great pork chops from local farms. So I was tickled to see thekitchen.com's story on searing and roasting pork chops -- that's the same way I make them. Seriously, it's hard to ruin a pork chop once you know this trick.
To go with those pork chops, how about a no-fuss shortcut version of orzo risotto? Linda Gassenheimer's recipes are always sized for two, which will be perfect for this weekend.
Finally, after all that chocolate indulging, you could use a little help with your healthful eating the rest of the week. This very easy sweet potato broth is a great staple to keep on hand for cooking quinoa or making a low-fat vegetable soup.
What can I say? You'll love it.
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Modern science is giving us even more windows into this enigma of antiquity. The more we learn about the origin of species, the more hints we gain into Noah's vistas. The stamp of the Flood reverberates all the way down to the present day—in the form of genetics.
For detailed research on this topic, see the following Answers Research Journal papers:
No results found in The Origin of Species After the Flood.
Answers in Genesis is an apologetics ministry, dedicated to helping Christians defend their faith and proclaim the gospel of Jesus Christ.


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From the Associated Press:
All the single ladies will be watching the upcoming Super Bowl along with football lovers. That's because Beyonce is the halftime show performer.
Do you get it? See, one of Beyoncé's most well-known songs is called "Single Ladies (Put A Ring On It)." Do you know that song? It's the one that is playing every time you are at a party and all of the girls there start doing a weird dance where they stick out the back of their left hand and repeatedly rotate their wrist. You know what I'm talking about.
Anyway, you get it, right?
Homemade Infographic: What Were The Gayest (And Straightest) Super Bowl Halftime Shows?
The Gayest (And Straightest) Super Bowl Halftime Shows