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Infiniti I30 Performance Exhausts
Get the best out of your Infiniti i30 engine with a brand new performance exhaust system from CARiD. Each exhaust system sold at the store is tested in the toughest of terrains and road conditions to ensure that it won't give in under pressure. Aftermarket Infiniti i30 Exhaust Systems are designed differently from the stock exhaust system. They are larger with wider pipes and no twists in their form. Their primary role in the car is to enhance exhaust flow by opening up the exhaust route for increased velocity and volume. With used gases leaving the engine at a faster rate, the engine can freely intake clean air and fuel for power generation. The Infiniti i30 stock exhaust's design sharply contrasts the custom exhaust. Much smaller in design, it has narrower exhaust pipes and numerous bends within its various components which restrict the free flow of exhaust gases, leading to reduced power output. Replacing the entire stock exhaust with an aftermarket one is the only way to optimize exhaust flow and increase power output.
Buy the exhaust system that is built for your engine in order to maximize on the power advantages. You have plenty of options for direct replacement i30 exhaust systems and exhaust headers, mufflers, catalytic converters and tailpipe kits from manufacturers such as Gibson, Flowmaster, MagnaFlow and Weapon-R. Complete Infiniti i30 Exhaust Systems give between 5% and 10% extra horsepower. All exhaust systems at CARiD are custom designed to be an exact match for every Infiniti M35 engine. Perfect fitment and matching specifications to those of the i30 engine give a stress-free installation and ensure streamlined coordination between exhaust system and the engine. You will appreciate the throaty rumble from the new exhaust system, which is far removed from the stock exhaust monotone.
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- MagnaFlow® - Direct Fit Federal Pre-OBDII Catalytic ConverterStarting at: $200.26$200.26
Base • T


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'The Trike has a Safe'
Kiddicare Staff Expert - Peterborough
'This two toned wooden table and 2 chair set is perfectly sized for little-ones and is ideal for bedrooms...'
Kiddicare Staff Expert - Peterbor
'My 2 month old baby loves this product, and really enjoys interacting w'
Kiki - Fife
'Lovely product sturdy construction wish id bought one of these to begin with! Love it'
Katieloughnane - Chester
'my little girl loves fred and she is trying to crawl now to catch him !!!!'
peachy`s mam - northumberland
'My son loves this choo choo train bcos when the chimney is pressed the light flashes and it moves...'
Alfies mummy - Wirral, England
'Ideal that it grows with child, this is why I bought 2 for my grandchildren who are 2 and it's great to be...'
Kate - Leicester
'any youngster will love the happy hoppertz, as well as helping to develop your little ones co-ordination...'
Kiddicare Staff Expert - Peterborough, Cambs
'Good looking item just what I was looking for my Gradson for Xmas this will help with his words. ...'
Mary - Stirling
'I bought this for my daughters 1st birthday and she loves it. She is now racing around and will hopefully...'
Emma - Stevenage, Hertfordshire
'produce is robust - well made - the lad loves it'
tom - ub9
'Suitable from birth'
Kiddicare Staff Expert - Peterborough, Cambs
'Super toy car transporter with additional cars'
kiddicare staff expert - peterborough
'It is exactly as advertised and great for my one year old grandson, I have already purchased one of the 36...'
Squirt - Royston
'The mini cycle is brightly coloured and is wide to keep your little one balanced. The bike also has a...'
Kiddicare Staff Expert - Peterborough
'The Gruffalo is soft and cuddly and will soon become your little ones loveable friend. It is ideal as a...'
Kiddicare Staff Expert - Peterborough
'Not opened yet but looks great'
Bramble - Preston
'We bought one of these for our 3-year-old before a longhaul flight. She loved packing it, riding it at...'
Homeless Mum - Singapore
'Bought this one for my son as a present for his second birthday.He only got it today but he loves it.We...'
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'any youngster will love the happy hoppertz, as well as helping to develop your little ones co-ordination...'
Kiddicare Staff Expert - Peterborough, Cambs
'i have brought this for my sons 5th birthday as he is not very interested in learning to read, its a great...'
cazziz - brighton

subset: commoncrawl


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Requirement 5 of the Eagle Rank application states "While a Life Scout, plan, develop, and give leadership to others in a service project helpful.
goldenarrowbsa.org/.../eagle scout award nomination form 2012.doc


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October 27, 2010
Tags: Specialty
by Tom Berg
Posted @ Wednesday, October 27, 2010 12:26 PM
I will never again complain about hauling an ''Oversize'' load on my 48 foot long flat deckSmile
Great post ! Super pictures ! ..... Boy - and I thought hauling cars could be tough work ! Tks again.Speedloader
Senior Editor
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Michelin X One Multi Energy Tire is SmartWay Verified


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Galveston Carnival Cruise 10/27/5
Drop us a line if you're taking the "cheapy" Carnival Cruise on Ecstasy (Galveston/Cozumel) departing Thursday, October 27.
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Woman accused of leaving kids in car alone in parking lotAugust 22,2013Woman charged with leaving kids in car
BENNINGTON A Petersburgh, N.Y., woman was charged with two misdemeanor counts of cruelty to a child Monday after police said she left her two children, 9 and 4, alone in the car while she went into Wal-Mart in Bennington on July 27.
Elena Grenoble, 42, pleaded innocent to the charges and was released without bail.
In an affidavit, Sgt. Michael Plusch, of the Bennington Police Department, said he was dispatched to the parking lot of Bennington Wal-Mart, on Northside Drive, around 6:35 p.m. July 27.
Plusch said he spoke with the children in the car and they told him they were waiting for their mother, Grenoble, who was in the store.
According to Plusch, about five minutes passed until Grenoble returned to the car. Grenoble told Plusch she was buying clothes for her 4-year-old daughter because the child had vomited on herself after they had been picking blueberries.
I advised Elena that she cannot leave her kids unattended and she responded that it was only for five minutes. I tried to explain the horrific consequences to her about what could happen and her response to this was that we are not in New Jersey, Plusch said.
Plusch said he spoke to a Wal-Mart employee who said he had been told about the children by a customer with a small child who had approached him to complain about it. The employee said he went over to the car and saw that the children were in the car unattended.
One of the conditions of Grenobles release Monday was that she not leave any children younger than 10 in a car unattended.MORE IN This Just InPERU - State police say an elderly Vermont couple has drowned in a small pond in the town of Peru. Full StoryMANCHESTER An idea straight from New York City, Southern Vermonts Restaurant Week will be... Full StoryHalloween is here and with it comes the excuse to binge on candy corn until you enter a... Full Story
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- RICHARD'S POOR ALMANACK: On this day in 1492, Italian explorer, admiral of the ocean sea, Christopher Columbus, sailing for the Spanish crown, 'discovers' Cuba; on this day in 1964, U.S. officials deny American involvement in bombing North Vietnam.
- Video: Fire engulfs house on Pine Street
- RICHARD'S POOR ALMANACK: On this day in 1936, Mrs. Wallis Warfield Spencer Simpson, mistress of King Edward VIII, is granted her second divorce, enabling her to marry the king. The government, the Church of England and the London Times have another idea.
- RICHARD'S POOR ALMANACK: V-2 No. 13, launched this day in 1946 from White Sands, New Mexico, takes first photographs of Earth from the edge of the planet's outer atmosphere; 1947: Walt Disney testifies before HUAC, names employees he says are communists.
- TOMORROW'S HEADLINES TODAY: Vermont's brand discussed at Killington, state's attorney candidates Marc Brierre and Rose Kennedy profiled, Curtis reports about Rutland police chief's new job, and four arrested, charged for heroin, crack sales.


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About a week ago I changed my site back to WordPress from blogger and did it very simply with Godaddy.com. I love it and although its not finished I went ahead and relaunched it. Everynight I work on it a little bit. I also receive notifications that someone tried to login into my site during the week before launched it. I find that crazy. My sites at one time or another have been hacked before because I built them myself. Because I never thought to take extra precautions. I thought my site was safe. And it wasn't and I want to share some precautions on what to do to help prevent yourself from being hacked.
- With your login never use real familiar terms such as admin or administrator.
- With passwords something unique and memorable. Even though it can be a pain in the butt use longer passwords, a cap letter and some digits. Here is an article from 2012 about scary logins: using the worst password.
I also searched for plugins to help increase my security on my site. If you think there is better let me know. So far I am happy with the few I have chose.
- Limit login attempts. You can lock people out of your site who attempts to login without correct login and password.
- I-theme security decrease your odds of getting hacked.
Any other plug-ins for security that you use, please share! It's a horrible feeling when your blog get's hacked. All these people who create plugin-ins must be pretty smart! Thank you!!!


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Newb here. I searched a few pages. I went to bikepedia before here.
I think it's a '99 FSR but I haven't seen the paint scheme anywhere to confirm it ?
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Joe Budden Lyrics
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from No Love Lost
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"All In My Head" is track #7 on the album No Love Lost. It was written by Mccormick, Carl E. / Budden, Joseph Anthony / Honeycutt, Brian / Montgomery, Ryan D..
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I find your lack of faith disturbing.
Mark Shea's Blog: So That No Thought of Mine, No Matter How Stupid, Should Ever Go Unpublished Again!
I find your lack of faith disturbing.
"I am your Father, Luke!"
I'd only be worried if they start playing the Imperial March when the new pope comes out on the balcony. Come to think of it, poor ol' B16 did look a little like Palpatine…
Whoa, talk about an ugly vestment review. At least Darth is properly vested for a Requiem.
He's an Anglican. (Went to the Dark Side.)
At least he's not wearing a toilet seat around his next, like the rest of them.
Crap. Around his NECK.
What in the wide, wide world of sport are those?
(Assuming they aren't toilet seats.)
Frack if I know. Tuder-era ruffles?
I did some "Columbo" work. Turns out they are all part of the Dark Side.
They are Lutherans.
I bet they believe that the Force alone save them.
Yes, they are part of the Evangelical Lutheran Church of Iceland . Here is a photo of the consecration of their first female bishop
I find your lack of faith… disturbing.
Oh wow. I missed him! I was hung up on stole outside chasuble….I need to get out more….
Sola force.
Buttressed by Sola moviea.
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SHEPHERDSVILLE - Claiming negligence and breach of contract, Bullitt Fiscal Court and county treasurer Kenann Bradley have filed a civil lawsuit against First Federal Savings Bank.
The lawsuit results from the loss over $310,000 suffered by the county after a cyber-crime occurred in late June.
The lawsuit, which also listed First Federal employee Gloria Caldwell as one of the defendants, was filed Wednesday in Bullitt Circuit Court.
SHEPHERDSVILLE - While no scores were revealed, Lorraine McLaughlin felt pretty good about her performance on a sample test Tuesday evening.
The member of the Bullitt County Public School Board took a sample of the new Measures of Academic Progress assessment program, which will make its local debut this year.
Taking a reading exam for those in the 10th grade, McLaughlin laughed that the exam re-introduced her to some old friends, such as Shakespeare and Beowulf.
HILLVIEW - Five individuals have been arrested and the police are searching for another man of interest.
The individuals are charged for their roles in allegedly writing and passing counterfeit employment checks under the name of Do It All Floor and Wall Covering.
According to Det. Scotty McGaha of the Bullitt County Sheriff's Department, the agency got a call on Monday from Bullitt County Supermarket on Highway 245 about nine counterfeit checks returned for over $2,000.
The suspects tried to cash more when they were detained.
It was a hot time in downtown Shepherdsville as the classic cars returned for the second annual Hot River Nights/Blastin' Down Buckman Street.
This year's event went from the park to Buckman Street and classic cars and trucks were lined up and down the main drag.
Car owners occasionally cruised through the large crowd that gathered.
Over 150 cars were registered for the event.
See page A-12 of The Pioneer News for more photos, as well as the photo galleries at www.pioneernews.net.
MOUNT WASHINGTON ee" Three Mount Washington city councilmen have devised a proposal that could prevent the city's water and sewer rates from increasing another 17.5 percent in 2010 ee" but it would require a 1 percent hike in the city's occupational tax and reallocating additional funds from water and sewer tap-on fees.
Councilmen Dale Walter, Larry Porter and Dennis Griffin all agree there is an alternative way to fund construction of the city's new $15 million sewage treatment plant other than raising rates again in 2010.
CLERMONT - Two Casey County men were killed in an early morning accident on Interstate 65.
According to Deputy Sheriff Carl Trent, a Chevy Trailblazer driven by Jackie R. Luttrell, 29, of Windsor, Ky., was going southbound.
Just south of the Highway 245 overpass, Luttrell's vehicle struck the back of a flat-bed tractor trailer carrying construction equipment.
Luttrell was pronounced dead at the scene by deputy coroner Morris Proffitt.
Also pronounced dead at the scene was Elijah Akau, 27, of Liberty, Ky. He was in the rear seat behind the driver.
FOX CHASE - The streets of Fox Chase dominated discussions during the city's July council meeting.
Mayor Alice White announced that curb work was ready to begin along Fox Chase Drive during the month of July.
She said the work's original starting point was delayed due to inclement weather.
In June the council accepted a bid from Dirt Design of Shepherdsville to raise the roadway shoulder and add an erosion control mat.
MOUNT WASHINGTON -- A Lawrenceburg man who fell unresponsive after being tasered by Mount Washington police early last week at the scene of a burglary is now in jail on multiple charges.
Det. Buddy Stump said Daniel E. Meade, 26, of Lawrenceburg is the main suspect in a recent rash of burglaries plaguing the city.
KET Day
* The Mrs. Wyndall Smith Quilt Award Presentation
* "Something to Crow About" Rooster Crowing Contest
* Evan Williams Bourbon Cooking Competition
* Paid concert: Journey with special guest Heart
* Free concert: The Commodores
* 4-H/FFA Youth Dairy Cattle Show ee" Jersey & Holstein
* Dairy Goat Show ee" Jr. Does
* 4-H Rabbit Show
* FFA Awards Program
SHEPHERDSVILLE - Richard Miles and other developers should be feeling pretty good - even in the tough economy.
After pleading their case about new impact fees proposed by the Bullitt County Joint Planning Commission for the federal storm water program, their concerns were heard.
Originally planning to charge roughly $1,000 an acre for impact fees to handle future storm retention basins issues, the planning commission turned a complete about face just a week later.
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Centro Maya has Soriana, Mexico's large retail outlet, and a handfull of other shops including McDonald's and a movie theater, but most stores are empty at this writing.
Carretera 307, 2.3 km south of town, Playa del Carmen, Quintana Roo, 77710, Mexico
Updated 03/05/2013


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Book Review
Genre: Inspirational, Contemporary Romance
1996 CONTEMPORARY NOVEL Nominee
Dr. Fiona Thornton, a scientist working in Kenya, clashes with businessman Rogan McCullough, who plans to save his failing air-tour service by conducting tours through Fiona's nature preserve. He doesn't think he'll have trouble charming the woman he pictures as "a mixture of his high school English teacher and his great-aunt Rose." When he meets her, her flame-colored hair and independent spirit force his business goals to take a backseat to his libido.
A unique setting, vividly drawn characters and escalating tensions keep the reader engrossed. I stumbled briefly in the middle, when social recluse Fiona enters Rogan's high-finance world to defend the elephants she studies. The sudden smoothness with which she mingles at a fancy party and pulls off a TV interview seems forced. However, this book earns a place on my shelf for classic romance in a superb setting. (Apr., 330 pp., $9.99)
Reviewed By: Jill Elizabeth Nelson
Publisher: Tyndale House
Published: April 2003


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Home » Equity and Excellence: Liberating the NHS
Category Archives: Equity and Excellence: Liberating the NHS
'Scroll down' for clinical trials
June 10, 2011 11:41 AM / Leave a comment
To begin with, here's more on that Pfizer story about use of mobile phone technology etc in clinical trials. It seems to have piqued an interest among many of you anyway.
Also on the subject of clinical trials, I was rather perplexed by this story running out of the NHS Confederation this morning. I'm delighted that the NHS Confederation are at last exercising their PR might in the name of research – it must have something to do with Mike Farrer's move there as CEO. As you may know, he was previously the chief executive at the North West Strategic Health Authority which led the hallowed 'NW Exemplar work on clinical trials.'
The overall message of the piece about regulation standing in the way of clinical trials is also good. But I am sure the data/evidence they have put forward to support it, passed its sell-by-date a long time ago. If you look at the latest metrics for trials put out by the NIHR Clinical Research Network (CRN) Co-ordinating Centre, one gets an alternative and more up-to-date picture of an improving situation.
Much work is still to be done though.
The really striking bit in yesterday's MORI survey by the Association of Medical Research Charities (AMRC) was that showing the degree to which patients would be willing to assist in research by participating in trials (72%) or letting researchers access their confidential records (80%). But you have to scroll down the page to see these results.
A bit like we expect patients to ask their GPs to do if they want to turn their willingness to take part in research into action. I am sure I saw an academic paper a few weeks ago which heralded the 39% or equivalent GP practices that were active in recruiting patients for trials in Eastern England. All I could think of was…what about those people living in the catchment areas of the other 61%. Perhaps their GPs still use scrolls instead of prescriptions.
So grist to our mill in making sure the Health and Social Care Bill supports the things that are already being done by NIHR and others to change this.
Flying in the face of an interregnum
June 1, 2011 10:06 AM / Leave a comment
As a self-confessed member of the worried well, I ask that people think carefully before they throw strange words at me. Particularly on the day of a regular visit to my 'prescription-happy' doctor.
A colleague asked me this morning how my interregnum was going. It sent me into a momentary panic. Is it treatable I wondered anxiously? Then I asked myself if I'd been asleep longer than I thought during which time there had been an overnight interregnum akin to other moments in history such as the Spanish Inquisition.
Finally I realised she was referring to my being between two jobs – I start at Ovarian Cancer Action on Monday. Phew.
The final days of the Department of Health's listening exercise have seen a last minute flurry of submissions. I read on BBC News Online that over 15,000 comments have been made and 750 letters received by some poor official who only three months ago had an empty in-tray. The Association of Medical Research Charities' (AMRC) submission on behalf of the charity sector can be found here – and very good it is too. Elsewhere the King's Fund has kept up its usual pace of incisive criticism with a report on accountability in the proposed new NHS set-up.
Indeed, accountability is a theme that has resonated strongly in these final days. Mark Walport, Director of the Wellcome Trust, referred to it in his Times article yesterday. The Daily Telegraph reports this morning that the inclusion of patients and the public in the management boards overseeing GP consortia, is likely to be one of the key recommendations that the NHS Future Forum chaired by Steve Field will make when it reports to the Cabinet shortly.
That has to be right. There seems to be an inherent contradiction between Big Society politics and the NHS reforms if the public are not to be given greater access and opportunity to influence and shape how health care is delivered in their neighbourhood. Of course, that's always assuming you believe in the Big Society mantra.
But I do understand the difficulties for the Government in getting the composition of these bodies right given the equally understandable clamour from all and sundry to be represented. I see the nurses are the latest to make their pitch today. However, patient and public representation should be one of those 'red lines' for charities and the voluntary sector on which we should not give way in the months ahead.
If you are planning a holiday around developments with the NHS reforms then you may wish to take a look at the Financial Times article today which speculates about the timetable from here onwards.
Not long now before we'll find out how much of its original plans the Government decides to alter or whether it is intent on flying in the face of its own self-imposed interregnum.
Footnote: By the way, I heard an interesting bit of 'Whitehall' news last week which is that the Office for the Strategic Co-ordination for Health Research (OSCHR) has moved offices from its HM Treasury base (its home for the last few years) and is now located in the Department of Health. Happy to be corrected if I am wrong.
International clinical trials day and a bit of mopping-up
May 20, 2011 2:16 PM / Leave a comment
It is International Clinical Trials Day today and The Cochrane Library has worked with the UK Medical Research Council's Network of Hubs for Trials Methodology Research to produce a set of new podcasts about clinical trials – well worth a listen.
There was a conference in Vienna this morning organised by the European Clinical Research Infrastructure Network (ECRIN) (Yes, you've missed that), and it is perhaps worth reminding everyone that there is an excellent information leaflet and booklet on clinical trials that was produced by the UK Clinical Research Collaboration (UKCRC) some years ago with AMRC's help.
Some local research centres are also doing special awareness days to highlight their work – for instance, this one in Bath. And I thought this was a rather nice milestone being reported by the Leeds Cancer Research UK Centre to mark the day – it has recruited 2,000 patients to trials in its first year of operation.
And if, like me, you intend to hold a roundtable debate with your family this evening about the way forward for the clinical trial you might wish to use this as fodder.
Yesterday while I was at the INVOLVE meeting saying goodbye to its current Chair, Sir Nick Partridge, Mike Rawlins (Chair of the Academy of Medical Science's Review of Research Regulation), John Bell (President of the Academy) and Mark Walport (Director of the Wellcome Trust) were giving a press briefing on their concerns about the impact of the Health and Social Care Bill. Mark Walport was on The Today programme this morning.
But if you are in danger of going to sleep, have a look at Anaesthesia UK and read the comments made in a speech by Professor Michael Rees, Co-Chair of the BMA's Medical Academic Staff Committee, about how the NHS reforms are the latest in a long line of recent develops which now threaten to destablise 'medical academia.'
The Today programme reported that the Department of Health had issued a statement saying the Wellcome Trust's fears were unfounded. I doubt that very much indeed. Anyway, we'll be going at the issue again in a week or so with some added oomph.
Finally, my deepest apologies to Y-Touring for not getting to their special film showing of 'Mind the Gap.' I was mopping-up loose ends and frayed strands.
Department of Health about to have a Field day taking calls, I believe.
April 6, 2011 4:50 PM / Leave a comment
The NHS seems to be dominating my life this week. Quite apart from the news headlines, it has involved two visits to the doctors and a blood test so far ..but I am on the mend I am pleased to report. All I can say is, a 45 minute wait for a blood test and excellent advice from my GP surgery receptionist (the real power in the NHS as you all know) leads me as usual to a personal conclusion about how good the service is. The conundrum is why we are all so easily convinced that it is not by the time we get home.
In the meantime, as you know, I have a blue and yellow phone in my lounge. This is so I can take direct calls from the Coalition Government Ministerial team at the Department of Health about pressing issues of state (and, yes, I have a red phone as well before people accuse me of bias!). Now that 'The Killing' is over I have found I have more time than ever to provide wise counsel.
So I was pleased that my suggestion of a summit (mentioned in this blog a few days ago) has been so speedily (part) adopted as reported in the FT online this afternoon. It says that a number of 'expert panels' will look at the reforms with a fresh eye. But can anyone tell me why there isn't one on research? Perhaps the phone went out at that moment in the call, I can not remember. Anyway, the Department of Health news release is here. The whole exercise is being called the NHS Future Forum and is going to be Chaired by Birmingham GP, Steve Field.
Looking at the strands, I absoluteoly get the first three. However, the fourth (about health professionals advice influencing patient care) seemed a little thin although it is hard to tell fully without seeing the terms of reference.
So I was going to call the Department when I realised that, as it was set-up some months ago, I can only take incoming calls from them. I'll let you know when it can make outgoing calls as well as part of the new Department listening exercise.
NHS reforms, research and 'localism'
March 18, 2011 3:34 PM / 1 Comment
I really would encourage you to read this morning's article in The Guardian about the impact of the NHS reforms on doctor expertise and research. Its the first article that I've seen thus far which really conveys the message about health research that AMRC has been trying to put across and on which we anticipate stepping up our activity as the Health and Social Care Bill heads into the Lords.
It also feels like a significant piece because of the intervention of the President of the Royal College of Physicians, Sir Richard Thompson. This is the profession's voice as opposed to the 'union' voice as articulated by the British Medical Association (BMA).
At our Science Communication Awards on Tuesday night I got into quite an interesting conversation with some of our guests about the possible implications for research of an NHS reform package which is essentially as much about greater 'localism' as it is about establishing a regulated market.
One of the perennial concerns that AMRC often has to deal with is that of small local charities raising money for research taking place at their local hospital or by a doctor who perhaps cared for a loved-one. It is not the raising of funds that is necessarily the problem. Indeed, it is important that we do not deter such local passion and conviction. No, it is the fact that such money is being raised and then distributed in a parochial way; that such local charities very rarely use independent external review (peer review) to ensure they are funding the best science.
That is why – knowing also that administering peer review is not easy or without associated costs – we try our hardest to encourage such organisations to buddy-up with other charities that do have such systems in place or find some way of routing funds to research charities while retaining some sort of footprint on it.
Who is to say that in the new NHS, we might not see GP consortia actively encouraging such local charity connections in the name of 'so-called research' – superficially beneficial but in the long-term pretty disastrous.
Health and Social Care Bill and other reasons to switch-on
March 2, 2011 6:23 PM / Leave a comment
I begin with a public information announcement….If you are following the debate about the Health and Social Care Bill then you really must come to AMRC's workshop on 29th March to discuss its impact on research and what's to be done about it.
If it is anything like the All-Party Parliamentary Group on Medical Research dinner on 29th March then it will be well worth your while attending. Emma Greenwood from Cancer Research UK has done a quick write-up on the dinner and the 'official' record will follow in due course.
Yesterday I wrote about the HEFCE announcement on the weighting for 'impact' in the Research Excellence Framework (REF). I was pleased today when one of my sharp-eyed team (of which I have several hundred here as you know) noticed this workshop being run by the National Co-ordinating Centre for Public Engagement at the invitation of HEFCE.
It's aim is to inform the the eventual guidance to universities on this part of the REF. If a side-product of REF is the development of public engagement into a more robust discipline it will be a good thing.
I see the Russell Group put out a statement yesterday saying 20% was still too much but The Guardian's article probably gives the best overview of where the sentiments are across the research sector. As I say, personally, I think HEFCE has fallen in about the right place for this first go and I am sure we will learn a considerable amount from it.
And lastly, since I am still loosely on the subject of public engagement I wanted to highly commend an excellent report by NCVO which is out today. Entitled Participation: trends, facts and figures it gives an absorbing and detailed insight into public participation in civic society in the UK. Science is not mentioned but it will give those that believe the British have 'switched-off' something to think about.
Getting touchy over the information revolution
January 14, 2011 4:27 PM / 1 Comment
Over the holidays I caught a BBC Radio 4 item about the days of the touch typist. It was one of those gems of broadcasting which looked through a narrow lens to tell the listener much about how the world has changed. It also brought back many memories of my time as a messenger at the old Department of Education delivering brown envelopes – many of them with a red flag meaning it was from the Minister's office – to the typing pool. About the same time my Dad (who was a schools inspector) got one of the first computers which sat in the corner of his office at the DofE in Arthur C Clarke fashion. Indeed, I am not too sure who was more afraid of it – him or me.
Since then there has been an 'information revolution' of course, And it just so happens that this is the title of the Department of Health consultation about information use and access in the health service to which AMRC has responded today . We have made the following key points:
- Research is central to the information revolution's aspiration of delivering broad benefits to patients and society through improving access to information.
- We welcome the government's ambition that by 2015 "The quality and scope of information available for analysis and research will be considerably higher, more comprehensive and based on accurate recording." and urge the government to work with us to ensure the information revolution can deliver this
- Confidentiality and security must be central to the revolution to underpin patient support for the use of their data
- Issues around the use of identifiable patient information in research must be addressed.
- We urge that the recommendations of the Data Sharing Review and the ongoing work of the Research Capability Programme and Health Research Support Service be included in this strategy.
- More focus is needed on informing patients to understand how their data will be used and supporting them to find out about research opportunities open to them.
The truth of the matteris that good information useage and good communication rely on sound leadership from the top – in this case Ministers.
As we finalised our response this week, the irony was not lost on me that the Department should be seeking views on this issue shortly after a Christmas period in which it was roundly criticised for not pursuing a public information campaign on flu vaccination. Why is it that, in this information age, all Governments wantonly cut back on communications, marketing and information activities? Ultimatelyit can only short-change patients.
I sometimes think that when politicians become Ministers they forget that they have become heads of 'corporate' beings. Good communications is vital to whatever service their Department is delivering. They neglect it at their peril – a lesson learnt by most businesses long ago.
For those wanting to get a grasp of some of the issues around the NHS White Paper 'Equity and Excellence: Liberating the NHS' of which the 'Information Revolution' is just one aspect, I encourage you to read yesterday's House of Lords debate. What would we do without the Upper House I ask myself?
It being the end of the week I should perhaps mention several other interesting bits of news from the last five days…
First, the data sharing agreement announced by the Wellcome Trust and other research funders.
Second, a union of national importance on the scale of William and Kate it may not be, but this week the Association of British Healthcare Industries (ABHI), Association of British Pharmaceutical Industries (ABPI), BioIndustry Association and British In Vitro Diagnostics Association (BIVDA) announced the formation of LifeSciences UK to facilitate joint-working between different parts of the healthcare industry and strengthen their voice with Government.
And, third, this item about Cancer Research UK setting up a c-team of experts composed of four world-class research groups to launch a new blitz on cancer by targeting rogue stem cells that cause tumours to spread and become untreatable.
That's it this week from the A-team.
NHS white paper next steps
December 15, 2010 3:46 PM / Leave a comment
Some of you may know that today was being dubbed 'Super Wednesday' by some because today is the day that the Department of Health has set out its response to the consultation on the NHS White Paper 'Equity and Excellence: Liberating the NHS.'
The National Institute for Health Research (NIHR) has very helpfully published an overview of all the statements in the next steps document relevant to research.
What do I make of it? Well, in the general scheme of policy this was never going to be 'super' anything. This document is functional in tone – it bridges us from what was in the white paper to what will appear in the legislation in the New Year (talk is, it will be January some time). And as you read it is becomes obvious pretty quickly that there is much detail still to be worked through and plenty of opportunity for probing amendments during the passage of the legislation to tease out the 'what' and the 'how.' That's fair enough in a plan this large and I think most will be pleased at the Government's decision to take longer over some of the changes.
In terms of the research relevant bits, it makes ample reference to the spending review settlement and the ongoing regulatory review but does not seem to say a great deal more on some of the mechanics for supporting research through the tarriff system. However, what it does do – and I'm delighted about this – is confirm that the legislation will place explicit duties with respect to research on the new NHS Commissioning Board and economic regulator ('Monitor). This includes, in the case of the former, the promotion of involvement in research which is also good news. That research will be led from the top in this way makes me optimistic that the momentum on research will not be lost in the changes.
In addition, I thought this was a particularly important statement:
"Monitor will also have explicit duties to have regard to the need to promote research and investment by providers, and to the need to secure continuous improvement in the quality of services". (para 6.61)
As a colleague within NHS research recently said to me, if Trusts/providers are to engage with, and consider research as part of, their core role then they must see it as part and parcel of the way they are being regulated and monitored. But more importantly,that making this connection with the quality agenda will resonate more strongly with Trust Boards than arguments about the difference made to their bottom line by undertaking research. It is quality – good or bad – that makes the average director of any service-focused organisation stand up and take notice, they said.
The Public health white paper – a new school of thought
November 30, 2010 3:46 PM / 1 Comment
'Healthy Lives, Healthy People,' the White Paper on public health has been published and is available on the Department of Health website.
The news release sets out the Secretary of State's 'ladder of intervention' – from the rather refreshingly titled 'do nothing' up to 'eliminate choice altogether' – which sound like the different states of readiness one might find in one of the armed services.
Public health will have a ring-fenced budget and the money will be straddled across local authorities (who will be the employers of Directors of Public Health) and a new national organisation 'Public Health England.'
Public Health England will set outcome measures for public health and a new health premium will be awarded in areas according to progress made. Public Health England will also be the repository of best practice and evidence and negotiate the new responsibility deal on public health between different partners including charities and industry.
You get the picture, if anything this is more about how we organise ourselves to deliver better public health than the interventions themselves.
Last night I said my mind would necessarily be focused on what the document says about public health research. If the NHS white paper is anything to go by, my sense after a quick skim is that the intention is to see research embedded in how the new organisations do things rather than separate from or parallel too.
But, in my opinion, the white paper also expresses a clear intent to beef-up delivery in public health research and strengthen the evidence-base for public health actions with the setting up of a new NIHR School for Public Health Research. A new Policy Research Unit on Behaviour and Health will be established within the National Institute for Health Research (NIHR) and Public Health England will be expected to properly resource research into interventions happening outside the NHS. Finally, it says that NIHR, Public Health England and others will work together to identify research priorities.
All this seems a positive change to the landscape. I'm off to see which 'level of intrusion' I need to implement with my team.
Up a ladder with the public health white paper
November 30, 2010 12:51 AM / 1 Comment
If you refuse to walk under, or indeed climb, ladders then this blog is not for you.
The public health white paper is to be launched tomorrow (Tuesday). There has been much trailing of various proposals that will likely appear in the document – from providing vouchers to school children who walk to school, to a new inclusion board to help improve the public health of marginalised communities and restrictions on cheap alcohol.
The Secretary of State for Health, Andrew Lansley, talked of a 'ladder of intervention' when he was interviewed about the white paper at the weekend. In other words, the regulatory touch will be light and interventions carefully chosen. Nonetheless it will be intriguing to see the balance the Government has decided to strike between 'aunty nudge' and 'nanny state.' The last public health white paper was in 2004 and I seem to remember it being greeted with a chorus of disapproval that Government was veering too much towards the latter. The debate then was dominated by arguments over whether to ban smoking in public places.
Whether intended or not, the use of the ladder metaphor by Lansley is coincidentally rather interesting given what I think will be the tone and style of tomorrow's white paper. Laddering is a methodology used in marketing to identify what attributes in a product appeal to the values of the consumer and attracts them to it. I suspect that the overriding approach in the white paper will likewise be about identifying methods by which to incentivise rather than compel the right behaviour changes. Where interventions are proposed they might well be in those areas that seem more black and white to the public – putting cigarettes into plain packgaing for instance.
However, my day job means I will necessarily search to see what the document says, if anything about public health research. When the UK Clinical Research Collaboration (UKCRC) produced its 2006 Health Research Analysis of the 11 largest public funders in the UK it showed that only 2.5% of spend went on 'prevention.' When the Office for Strategic Co-ordination of Health Research (OSCHR) was set up about 18 months or so later one of its three sub-boards was focused on public health (the others were on e-health and translational research). The public health one took longer to start and I am not clear quite where its work has got too although my understanding is that it has found the going hard. if you want more on the research picture you might want to have a look at this analysis of public health research across the EU available on the Faculty of Public Health website.
Notwithstanding the work of this body, the need for a strategy on public health research open to scrutiny seems long overdue and it is one where the funding and expertise of medical research charities with their knowledge of patients could play a major role. So. here's hoping that the white paper sees public health research climb the ladder rather than snake further downwards in the order of priorities.
Earl Howe's Speech at the AMRC AGM
November 26, 2010 12:29 PM / Leave a comment
I thought you may be interested in this extract from the Health Minister, Earl Howe's, speech to out AGM on Wednesday:
It also gives me pleasure to note [that] AMRC member expenditure on research having exceeded £1 billion for the year for the first time. Given the economic circumstances, I think this is something about which you should all feel immensely proud.
Research history
Indeed, that feeling of pride should be shared by everyone involved in medical research.
Since the NHS was established in 1948, research has brought incalculable benefits for patients. Treatments have been improved. Inequalities have been reduced. Productivity has been increased.
The contribution made by medical research charities in facilitating these benefits has been, and continues to be, enormous. The lives of people with wide-ranging needs – those with mental illness, long-term conditions, dementia – change because of the work done by the organisations represented in this room.
The coalition greatly values the efforts and dedication of all involved: from those who raise money through sponsored activities, to those who plan and implement strategy. For that to still be happening during a time of economic uncertainty is truly heartwarming.
Together with funders and donors in the public and private sectors, research charities have helped place this nation at the forefront of medical research. Currently, the UK ranks second to the USA in share of world citations to clinical papers.
And it is our job to support the research community in its efforts.
In 1991, four years after the AMRC was established, it was a Conservative government that set up the NHS Research and Development programme. I was but a humble transport whip back then.
Now, nineteen years later, the commitment of the coalition government to health research has been emphasised both in the Strategic Spending Review and in our White Paper, "Equity and Excellence: Liberating the NHS".
It's on record. It's there for everyone to see. Because we know how central research is to every aspect of the NHS.
Future direction
But of course, commitment is nothing without actual progress. So what can you, the people in this room, expect to see from us? How will we enable the research community to keep on innovating?
To start off, the coalition will demonstrate its dedication by increasing spending on health research in real terms over the next four years.
Some may question the wisdom of this increase, given funds are so tight. But to them I say – this is precisely the time where innovation, investigation and invention becomes most valuable.
Research saves money. I get the impression I may be preaching to the converted, eulogising medical research with the Association of Medical Research Charities. But it's true. It allows us to identify new ways of preventing, diagnosing and treating disease. It is essential if we are to increase the quality and productivity of the NHS, which are, after all, the best ways of making efficiency savings.
From the extra funding, we will provide support to the National Institute for Health Research so it can play a full role in pulling basic scientific advances into tangible benefits for patients and the economy.
We are also providing £220 million of capital funding for the UK Centre for Medical Research and Innovation. I attended the signing ceremony the other day and am tremendously excited about the venture. The Centre is due to open in 2015. It will help drive forward the prevention treatment of disease by researching biology, developing technologies and engaging with the public.
The Department for Business, Innovation and Skills will ensure that Medical Research Council expenditure is maintained in real terms, ensuring total health research funding will increase across all sectors.
And through the intrinsic bond between the NHS and universities, the National Institute for Health Research – NIHR – is turning laboratory-based discoveries into cutting-edge treatments that make a real difference to people's lives. Through the internationally-recognised Biomedical Research Centres and Units, the NIHR is helping translate pure research into practical success.
That is something particularly relevant to us here today. I know that 37% of all studies supported through the NIHR Clinical Research Network are funded by AMRC members. I applaud your input in this work.
Earlier this year I visited one of these Units at Moorfield Eye Hospital. The quality and inventiveness of the work I saw was quite staggering. Amongst other things, I was shown the projects currently being developed by NIHR-supported teams on glaucoma. They were developing ways to identify glaucoma sooner, treat it better and research it more thoroughly than ever before.
This work is invaluable. So the White Paper explicitly states that we will continue to promote the role of Biomedical Research Centres and Units, Academic Health Science Centres and Collaborations for Leadership in Applied Health Research and Care, to develop research and turn it into improvements in education and patient care.
Innovation pathway
Of course, for this to happen, there need to be efficient ways for innovations to reach the patients that need them. This must be across the NHS.
That is the difference, I think, between invention and innovation – successful application.
It is crucial that best practice, innovative ways of working and new technologies are not only identified and adopted locally, but are shared and spread across the NHS. Our challenge – both mine and yours – is to achieve the systematic adoption and diffusion of innovation at pace and scale. To make the NHS a true champion of innovation.
This means we must not only enable innovation, but also encourage a climate in which adoption of innovation is welcomed. In which people believe innovation will improve their lives and their work.
My department will be focusing on greater decentralisation, greater responsibility for GPs and patients and a Big Society. This will help create incentives to encourage the systematic adoption of innovation, empowering patients and society by putting them in control. It will create a 'pull' – a demand – for new ideas and technologies as well as 'push' – a supply.
We want to encourage the uptake of new medicines. So we have developed new national metrics and more are in the pipeline. These metrics will show clinicians what their international peers are prescribing.
And we will reform the payments and incentives system, concentrating more on outcomes. This will not be easy. Value is not easily defined. But we will work with patients, and we will work with clinicians, and we will work with industry and charities, to define what the incentives will be.
The fact is, innovation is booming.
Regional Innovation Funds generated nearly 2,000 applications this year, with productivity measurements suggesting projects achieving returns on investments of between 60 and 2600%.
A recent independent study from the Kings Fund and Innovation Unit reported that innovation now seen as 'core business' for the NHS, specifically at board level.
And of course there are the Expos. Expo 2009 was a great success and Expo 2011 in March will be even bigger and better.
And yet there is still more we can do.
Recently, the UK has gained something of an unwanted reputation as the regulatory capital of the world. A reputation for complexity. For inconsistency. For convolution.
It is unacceptable to me and to the coalition that research in this country could be hindered by form-filling and box-ticking.
We have asked the Academy of Medical Sciences to conduct an independent review of the regulation and governance of medical research. It will report soon.
When it does, we will look at the legislation and bureaucracy that affects medical research and radically simplify it. To allow you, the researchers, the freedom from paperwork that will best support our shared goals.
We are considering a national research regulator and expect the Academy's working group to make detailed recommendations about that.
We also want to reduce the regulatory burden that charities face when they engage in research. The National Research Ethics Service and the National Institute for Health Research have already made some headway in harmonising different processes. I want to thank them what they have done.
This Government values the input of charities in medical research. It creates jobs, it shares knowledge and it ensures patients receive access to the highest-quality treatment, preventative care and outcomes.
We are committed to a future in which research continues as a core function of the NHS. This commitment is written down in the White Paper, where everyone can see it.
My department already works closely with your organisations. I look forward to that relationship continuing and developing to achieve what is our joint aim – to have health outcomes as good as any in the world.
Thank you.
When good medicine is the casualty of hype and ignorance
November 23, 2010 2:17 PM / Leave a comment
I have just returned from the Financial Times' offices, where I was the guest for their regular science podcast hosted by Clive Cookson and Andrew Jack (it will appear here later today). The theme of the discussion was 'Selling Sickness.' Andrew was reporting on a recent conference of the same name that took place last month in Holland. The programme and presentations from the conference can be found here and they made interesting reading as I was prepping last night.
For those who don't know, 'Selling Sickness' is a term used to describe the way in which the pharmaceutical industry and other companies are said to collude with medicine and science to create markets for new and existing products. The claim is that they do this either by exaggerating the existence of a condition, fashioning a disease out of what one might call the 'unbearable ordinariness of being,' or playing on the anxieties of both the worried well and unwell. Sometimes all three of course, as I am sure many of us have witnessed.
It is a contentious issue and the discussion this morning was interesting. That companies should be able to hop, skip and jump through the established routes of defining disease in order to market and sell products should be a concern to us all.
From a patient and medical research charity perspective the worry is more specific. It is that such antics lead the genuinely-ill down the wrong road with regard to treatment, while encouraging the genuinely-well to believe the worst and follow a path that means taking unnecessary risks with their health. Only through a combination of greater openness, better regulation and also patient champions working with and within companies can we perhaps avoid the worst vestiges of this.
But it also says something about deep trends and changes in our culture and society. One in which the expectation is set that we must all carry some vestige of ill-health or impending sickness if we are to be 'complete,' to be able to exercise choice in its fullest sense in a world increasingly run on fear and neurosis.
The irony of course is that, as individuals, we are not good at taking medicine which is right for us. Also, that people are generally lacking in the support needed to alter their treatment regime if and when their condition changes. The challenge is not so much medicines wastage but how to ensure more effective use of existing medicines. That certainly seems to be the evidence published toay by the York Health Economics Consortium and The School of Pharmacy, UCL.
This study shows that waste from primary care prescriptions amounts to about £300 million a year. As the authors point out, in the context of an £8 billion drugs bill in the UK, that's not bad. Indeed, the report is at pains to say that the NHS is quite robust at tackling waste i.e the stuff that is thrown away. The real issue, it says, is ensuring more effective use of medicine:
'The new research finds that up to £500 million of extra value could be generated in just five therapeutic areas (asthma, diabetes, raised blood pressure, vascular disease and the care of people with schizophrenia) if medicines were used in an optimal manner,' it says.
Pharma Times is reporting today that Earl Howe (who is speaking at our AGM tomorrow) last week backed the idea of a new medicines service attached to pharmacies to help improve medicines adherence when he spoke at the Pharmaceutical Services Negotiating Committee annual dinner (I miss all the best gigs in town).
Moving swiftly on, the research by the York and London teams could not be more timely. For the last six months I have been involved in a fascinating piece of work stemming from the Royal College of Physicians report last year: 'Innovating for health: Patients, physicians, the pharmaceutical industry and the NHS.' Following its report, the College established a 'Medicines Forum' which was charged with looking at how the report's recommendations could be taken forward. This was to be done with the help of some sub-groups focusing on specific streams of work.
I am on what is called the patient sub-group – chaired by Harry Cayton and composed of patient representatives, pharmacists, GPs, regulators and others including Professor David Taylor from the School of Pharmacy at UCL. We have chosen to focus on two issues: medicines concordance and; public involvement in research. We are nearing the end of a series of enrgossing evidence sessions with a wide variety of people and organisations – from Boots the Chemist to the Royal College of Pharmacists, from the Science Media Centre to some of my members such as the Motor Neurone Disease (MND) Association – and will report to the College shortly ahead of a conference it is doing in February.
I feel that we are arriving at a good diagnosis of why people don't take their medicines (it is as much to do with the quality of interaction with a health professional as with the quality of information). We are now turning our minds to some solutions and recommendations. I am sure that the need for more investigation and research into this issue will be one of them, and I hope that my members will take up the challenge as I know some already have.
But it has also highlighted for me that, in the endless discussions about translational gaps in getting science from the bench to the bedside, we have spent far too little energy in the UK exploring how to ensure that it gets from the bedside to the, well, patient's inside? A simple process one would have thought. But many influences can determine whether it happens fully, partially or not at all; I have already mentioned just two. In the drive to create and develop medicines that meet real need, we must not forget the need to pay greater attention to this final, translational gap.
That's a long way from selling sickness I know. But much more in the public interest, wouldn't you say?
'A nation of General Practitioners' and other bits of philosophising
November 4, 2010 6:17 PM / Leave a comment
The news earlier this week that the National Institute of Clinicial and Health Excellence (NICE) is to lose its powers for deciding which drugs should be made available on the NHS (to be replaced by a new system based around GP commissioning) brought an alternative version of Adam Smith's remarks about shopkeepers to mind:
- NICE is a much maligned organisation, but surely we are not intending to lose the skills and expertise that NICE has built up in terms of drug appraisal (plus an international reputation for excellence to boot) for nothing are we?
- If we really are to move to some form of local prescribing then what safeguards will we see in place to stop the same shadow of inequity moving acorss the country much like the Ice Queen managed in Narnia.
- Many of our members seemed to adopt the only sensible response which was one of cautious scepticism but with overriding concern for what it would mean for patients.
AMRC Responds to NHS White Paper 'Equity and Excellence: Liberating the NHS'
October 6, 2010 5:36 PM / Leave a comment
A quick post to say that we have today posted our comments on the NHS White Paper on our website. Our response is the first-listed on the consultations page for 2010 here. If you want to get some idea of the Department of Health perspective on the issues we raise you might like to read my blogs from this week's Conservative Party Conference – particularly those relating to appearances and speeches by the Minister, Earl Howe.


text:
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Monica: (About Leslie) Wow, she must have hurt you pretty bad, huh?
Phoebe: Well, yeah. You know, we were best friends, ever since we were little, our Moms worked on the barge together.
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Phoebe: You never run on a barge!


text:
Badshahi Mosque July 1 2005 pic32 by Ali Imran (1)
Working Committee
Minar e Pakistan
Pakistan airforce FC-1 Xiao Long
Pakistani F2000
Pakistan Navy Ship (PNS) Shahjahan & Tippi Sultan
K2 2006b
Swat Valley
Pedrengo cedro nel parco Frizzoni
Karachi downtown
Nagan Ch Karachi
NUST Business School
Pakistan population density
Kalasha women
Chicken Tikka
Syed Gillani - World Economic Forum on the Middle East 2008
Benazir Bhutto
Lahore Fort
Murree, Part of Pakistan
Night View of India-Pakistan Borderlands (NASA, International Space Station, 08/21/11)
Pakistan First [ Explored ]
Dedicated to all hi- fi gals ; kuch seekho
Pakistan - Sindh - Thatta - Shahjahan Mosque
Badshahi masjid arcs
Pakistan Monument | Shakar Pariyan, Islamabad, Pakistan
Grass 01
UAV over Pakistan
Badshahi Mosque
Love Karachi & Love Pakistan Banners
Pakistan flood relief
Long Live Pakistan
Pakistan Monument
Grass 02
Karakorum Highway, Pakistan
A Window to Wildlife of Pakistan
K2 from Concordia
Surveying damage in Pakistan
Region Hit by Large Pakistan Quake as Shown by NASA Spacecraft
The Magic of Balochistan, Pakistan
think positive
Mud Volcano Emerges from the Arabian Sea
Mountains in pakistan
Pakistan's Flood Victims in Makeshift Shelters
Islamic Art in Wazir Khan Mosque
Gadani Man, Pakistan
Northern Pakistan
Pakistan Day: Building a Nation
Murree, Part of Pakistan
Trees cocooned in spiders webs, an unexpected side effect of the flooding in Sindh, Pakistan
Pakistan Humanitarian Aid
A girl studying in Pakistan's flooded area.
Pakistan muslim praying
Shyok River
Landslide Lake in Northwest Pakistan
Saiful Muluk Hills - Pakistan
Happy Pakistan Day
Trees cocooned in spiders webs after flooding in Sindh, Pakistan
Pakistan National Monument
Art click
Murree, Part of Pakistan
Butterflies Herd
one day afternoon
Northwest Pakistan Affected by Heavy Floods
Endless Beauty of Naran
Sehwan Sharif in Sindh Province, Pakistan
House in old city
Path to Peace: Pakistan wins Twenty20
i have lost my legs
The Magic of Balochistan, Pakistan
The 'Time-Keeper'... Gulberg, Main Market, Lahore
Wazir Khan Mosque
Karakorum Highway, Pakistan
Manora Beach, Karachi, Pakistan
Pakistan-India Border
Only Israel, India & Pakistan. HTTP://RETHINK AFGHANISTAN.COM!
Dentist, Peshawar, Pakistan
2000 years old Sree/Siri Sharada Devi Temple, Sharada, Kashmir, Pakistan
Murree, Part of Pakistan
Trees cocooned in spiders webs after flooding in Sindh, Pakistan
on the way to khaplu - Skardu
Injured Pakistan Earthquake Victim
Pakistan Disaster Relief
Rebuilding lives and hope in Pakistan, a year on from the floods
Hunza Pakistan
Flooding in Pakistan August 4, 2010
Task Force Denali: reflecting on flood relief efforts [Image 7 of 15]
River Fishing
Entrance of Badshahi Mosque
Lahore Museum
Mandi bahauddin
Trees cocooned in spiders webs after flooding in Sindh, Pakistan
Karakorum Highway, Pakistan
CH-47 Chinook in Pakistan
A Marine Corps CH-53E Sea Stallian Launches from the Flight Deck Aboard USS Peleliu (LHA 5)
Pakistan Disaster Recovery
Overstromingen Pakistan
Injured in Pakistan Earthquake
Passing a truck Karakoram Highway
Refugee Camp in Pakistan
Karachi Airport at Dawn
Zero Point, Islamabad, Pakistan at night_1256
Black flower lence
Moonlit Gate, Lahore, Pakistan
This is called 'a smile'
Happy Birthday Pakistan!
Trees cocooned in spiders webs after flooding in Sindh, Pakistan
Balakot - Pakistan
Portrait of Earthquake Victim in Pakistan
A Pakistani Legend, (Late) Moin Akhtar
Roshan Ali, 60, stands in front of the remains of his flood-damaged home, in Pakistan's Sindh Province
Girls Learning to Weave at a School in a Community Centre in Karachi
Pakistan Floods Devastated Children
Going to Hunza
Kaghan Valley - Pakistan
Baltit Fort, Pakistan
Flooding near Kashmor, Pakistan August 2010
Islamabad, Pakistan
Refugee camp
Man and Boy, Gadani, Pakistan
Trees cocooned in spiders webs after flooding in Sindh, Pakistan
Glimpse into Raahgiriday organized by Times of India in Connaught Place Delhi-027
Rohtas fort
Raising the flag in Swat
Pakistan cricket captain Abdul Hafeez Kardar waves to the crowd in 1954
Paiju Peak- Baltoro Glacier, Pakistan
Salam Pakistan
Pakistan Flood Humanitarian Aid
Lahore Museum
A female doctor with the International Medical Corps examines a woman patient at a mobile health clinic in Pakistan
Pakistan Floods: Evacuation
Maize field in Pakistan
Pakistan National Monument
Flooding in Punjab Province, Pakistan
Kaghan Town - Pakistan
UNFPA Sends Mobile Units to Help Women, Children in Quake-hit Pakistan
Secretary Kerry Watches the Pakistani Delegation Depart
Truck (Islamabad, Pakistan)
House in Lahore Old City
Pakistan floods in scale to UK
Sitting on perfect composition lines :)
Secretary Kerry Meets With Pakistani Party President Imran Khan
Al Bakistan...
A child stands amongst the remains of buildings destroyed by the floods in Sindh province, Pakistan.
Pakistan Flag
Pakistan Disaster Relief
Shazia Bhatti (11), student in Pakistan
Karakoram Highway, Pakistan
The smiling man from Pakistan
Overbooking in Pakistan
Attari India Pakistan
Hunza river, Pakistan
Lake Saifulmalook Pakistan
Pakistan floods: Children playing in a relief camp
Improved wheat growing in Pakistan
Badshahi arch
The Magic of Balochistan, Pakistan
Pakistan mountains
Faces of Pakistan Karimabad, pretty in pink
Secretary Kerry Conducts Pakistani TV Interviews
Secretary Kerry Meets With Pakistani President Zardari
Tomb of Data Ganj Bakhsh inside Data Durbar


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Steyn on Canada and the Commonwealth
The Bickering Genocides
The Canadian Mausoleum of Human Rights (as Scaramouche calls it) finally opened this weekend. Canadian officialdom, from the Queen and the Governor General down, is fully on board with the world's first atrocity resort, while everyone else is flouncing around in a big queeny huff. Joseph Brean's report for The National Post provides a useful update on the most recent additions to the ranks of the disaffected, among them:
~Hiba and Safa Choudhury, who feel the Palestinian Naqba has been "minimized" by the mausoleum;
~Dr Lubomyr Luciuk of the Ukrainian Canadian Civil Liberties Association which feels their own suffering has been minimized as part of an hierarchical "Olympics of genocide";
~Canadians for Genocide Education, who feel every genocide has been minimized in order to prioritize the Jews' "emotionally manipulative indoctrination" - and anyway the mausoleum's built on "stolen land";
~A Tribe Called Red, pioneers of First Nations electronic dance music, who pulled out of Saturday's opening gala at the last moment;
~The Manitoba Metis Foundation, who are boycotting the mausoleum after their proposed musical performer was rejected for being too old;
~The White Buffalo Spiritual Society, who were not invited.
Very little of the above is anything to do with "human rights", but they do illustrate the ongoing comedy of Canada's spirited attempt to inaugurate Club Dead tourism. The opening festivities more than lived down to what I had to say about the project in National Review:
Justin Bieber, my successor as Canada's teen heartthrob, is currently touring Europe. Passing through Amsterdam, he was taken to visit the Anne Frank House and afterwards signed the guest book. "Anne was a great girl," he wrote. "Hopefully, she would have been a belieber" — the term used by devoted fans of young Justin. Miss Frank did not live to become a belieber because she was shipped off to Belsen concentration camp and died of typhus in 1945. But had she lived I feel it safe to say she would have regarded Justin's oeuvre as complete bilge: As a teenager, she liked Liszt, so she was a beliszter; she belonged to the franz club. Anyway, Justin's poignant message set off a Twitterstorm of criticism at what the Washington Post called "the insensitivity and the sheer ego" of it.
I'm inclined to cut him some slack here. As the years go by, Anne Frank's supposedly inspiring story makes me a little queasy. Europe venerates its dead Jews even as a resurgent anti-Semitism chases out its living ones. Everyone loves Jews as victims. In other roles, not so much.
I can't wait for Justin to get back home and write in the visitors' book at Canada's own bazillion-dollar monument to victimhood. My sometime boss the late Izzy Asper was a media magnate whose lifelong dream was a world-class Holocaust memorial in his home town of Winnipeg. For the usual diversity-celebrating reasons, it evolved into a more general "Canadian Museum for Human Rights," and is now lumbering toward its opening date under the aegis of Izzy's daughter, Gail. Having been put through the mill by Canada's "Human Rights" Commissions, I naturally despise any juxtaposition of the words "Canadian" and "human rights." But if you have to yoke them, this is the place: To paraphrase Justin's fellow musician Joni Mitchell, they took all the rights and put 'em in a rights museum, and they charged the people a dollar-and-a-half just to see 'em.
But I've warmed up to what the blogger Scaramouche calls the Canadian Mausoleum for Human Rights. It could have been just the usual sucking maw of public monies had it not descended into an hilarious, er, urinating match of competing victimhoods. For those who thought "human rights" had something to do with freedom of speech, freedom of religion, and so forth, it turns out to be about which guy's genocide is bigger. The Ukrainian-Canadian Congress was wary of the mausoleum from the get-go, suspicious that it would downplay the Holodomor, Stalin's enforced famine in the Ukraine 80 years ago. The mausoleum assured them that they were going to go big on the Holodomor, but to guarantee the UCC came onboard offered to throw in a bonus exhibit of Canada's internment of Ukrainian immigrants during World War I. This would be part of "Canada's Journey," a heartwarming historical pageant illustrating how the blood-soaked Canadian state has perpetrated one atrocity after another on native children, Chinese coolies, Japanese internees, Jews, gays, the transgendered, you name it. And, of course, the Ukrainians. Per Izzy's wishes, the Holocaust would have pride of place in a separate exhibit, because, its dark bloody history notwithstanding, Canada apparently played a minimal role in the murder of six million Jews. However, the Holodomor would be included as a permanent featured genocide in the museum's "Mass Atrocity Zone."
Oh, you can laugh at the idea of a "Mass Atrocity Zone" tourist attraction in Winnipeg, but there isn't an ethnic lobby group that doesn't want in. The Polish-Canadian Congress complained that lumping all the non-Jew genocides in one Mass Atrocity Zone meant they'd have to be on a rotating schedule, like revolving pies on the lunch counter. The Armenian genocide was felt to be getting short shrift, considering it was the prototype 20th-century genocide. On the other hand, the Rwandan genocide, the last big 20th-century genocide, and the Congolese civil war don't appear to have got a look-in at all. The Poles wanted room made for the Germans' ill treatment of the Poles, which did not seem to be a priority of the mausoleum.
The floor plan has now emerged, and the Ukrainian-Canadians are furious that their people's suffering has been "ignored or minimalized." The Holodomor has been relegated to "a small obscure gallery near the museum's public toilets." Don't you hate it when that happens? When your genocide gets the lousy seats at the back by the bathroom while those Jews are all at the big power table up front? Adding insult to injury, the bonus exhibit about the internment of Ukrainian-Canadians turns out to be one measly photograph — whether a respectable distance from the toilets or not, I cannot say.
Meanwhile, the Holocaust remains primus inter pares of human-rights atrocities because, said Gail Asper, it had led to the U.N.'s Universal Declaration of Human Rights. So the two events would be conjoined in the museum in "an inspiring relationship between violation and response." Unfortunately, Dr. Clint Curle, the mausoleum's "head of stakeholder relations," was forced to break the news to the Winnipeg Jewish Review that "as content development moved forward, the Museum, with the input of experts in this area, realized that" Ms. Asper's thesis was not true. "In its present conceptual articulation," reported Dr. Curle, "the museum has delinked a direct causal relationship between the Holocaust and the Universal Declaration." They're putting something in between — the Ukrainians, or the toilets, or Canada's systemic discrimination against whoever's left.
I'm sure Canadian schoolkids will be schlepped along in sufficient numbers to keep this thing in business for a while. My advice is stay home and listen to Justin Bieber: He's less trivializing and his "conceptual articulation" is more articulate, too.
~from National Review, May 6th 2013
from Steyn on Canada, September 21, 2014
Happy Dominion Day!
To all my fellow sons and daughters of the Great White North, a happy and glorious Dominion Day to you
Doing the Jobs Canadians Won't Do
Being confined for a week to a Canadian courtroom, I have been taking a keen interest in the many laws it's possible to run afoul of up here. For example:
Trudeau, Reagan and taking jokes seriously
Why banning the burqa is boffo biz in Quebec
Vivat Regina
Mark returns to the pages of The Spectator upon the occasion of Her Majesty's jubilee
A "Canadian" "family" goes on trial in Kingston
Over at Lilley's Pad, the eponymous proprietor draws my attention to a "Canada Day" piece by Tim Naumetz, who writes for The Hill Times in Ottawa. Mr Naumetz makes the argument that Stephen Harper is "changing the face of Canada". I use the word "argument" loosely. By "changing the face of Canada", he means Harper is changing it from "the face of Canada" Pierre Trudeau imposed on the nation 40 years ago. Which was, in effect, M Trudeau's own face. (See my Liberace analogy here.) There was a ...
On Tuesday Mark launches his new book The [Un]documented Mark Steyn live coast to coast on Kilmeade & Friends at 9:30am Eastern Time
~ At noon Eastern Time Mark joins Varney & Company for a full hour on Fox Business Network.
~ Later Mark will appear on Wilkow Majority on Sirius, Janet Mefferd, Steve Deace, Hannity on Fox News, The Source with Ezra Levant, Mark Levin and The Independents on Fox Business.
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© 2014 Mark Steyn Enterprises (US) Inc. All rights reserved.


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Elle Women in Hollywood Awards honor Garner, Fey, Banks, Bening, Lange
When introducing her bestie and tablemate Fey, "Parks and Recreation's" Poehler took note of the number of women in the room and called the event the "open casting call" for the all-female "Ghostbusters 3" reboot. The wise-cracking Golden Globes co-host then got sincere about her "SNL" compatriot.
"Tina is so Hollywood that she doesn't even live here. She lives in New York City," she said. "She can do so many things well … she knows how to light up a room. Literally. She's also a gaffer …
"It's harder to be funny than be serious," Poehler emphasized.
She shared that Fey, who's "the real deal" and "a real person in the real world," had gifted her a portrait of her sons Archie and Abel made out of Legos as a wrap gift for completing "The Nest" over the summer.
"I cried because I knew that my gift to Tina was a heart-shaped pillow with the word 'butts' on it," she said.
"You're unapologetically the boss. You're always the funniest person in the room," she added, speaking directly to Fey. Poehler also noted that it was no coincidence that their buddy comedy would be hitting theaters the same weekend as the next episode of "Star Wars."
"Tina is the only one who can beat 'Star Wars,' you guys!" she exclaimed. "She's my Han Solo and I'm her Chewbacca, because she's the only one who can understand me sometimes, and I will destroy anyone who tries to hurt her."
Fey, 44, whose introductory video montage earned her applause for saying that she does everything men do but she does it in heels, thanked Poehler and "SNL" alum Rachel Dratch and teased the audience about their dirty, unpublished "SNL" moms text chain. (She joked that she'd publish it when she turned 50.)
The actress-writer-director said that when she started at "SNL" in 1996, she knew she was brought there to write for the women in the cast, to try to help get them onto the show.
"I guess what I'm trying to say is that I want points on [Kristen Wiig and Maya Rudolph's] 'Bridesmaids' even though it had nothing to do with me."
She also shared her "deep sadness" over the loss of "SNL" alumna Jan Hooksearlier this month.
"Jan deserved a big movie career, a bigger one. Certainly a bigger one than … Rob Schneider," she said, earning the room's laughter before she recalled how glad she was to have cast Hooks on "30 Rock" in 2010 to play Jenna Maroney's mother.
(Source: apocalarious, via helenaoftroy)


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Friday 17 October 2014, 11:50
Amazing news! The Voice UK has been nominated for a coveted National Television Award 2015 for 'Best Talent Show'. On top of that, our very own superstar coaches Sir Tom Jones, will.i.am and Ricky Wilson have been nominated in the 'TV Judge' category, and you can also vote for Marvin Humes and Emma Willis as 'Best Entertainment Presenter'.
All the winners are chosen exclusively by YOU and we need your help! So if you love The Voice UK, get voting ASAP!
Many millions of votes are cast each year via post, telephone, online and social media, and this year's results will be revealed during a glittering ceremony at the O2 London on Wednesday 25th January 2015, which will be broadcast live on ITV.
Click here to vote for The Voice UK and celebrate with us when we win!
Tuesday 23 September 2014, 07:58
We are ridiculously excited to share our exclusive breaking news with you, that the gorgeously talented Rita Ora has been confirmed as our brand new coach for the fourth Series of The Voice UK!
Sitting alongside our other returning coaches will.i.am, Sir Tom Jones and Ricky Wilson, Rita has taken the baton from our Series 3 coach, Kylie Minogue, for her seat in the famous twirling red chair to coach her very own 12 acts.
How lucky are we, to have one of the most sought-after popstars on the planet? In less than two years Rita Ora has shot to international stardom with four number one singles in the UK, a multi-million selling debut album and countless, chart-smashing collaborations. On top of all that, her movie career will kick off in 2015 with a featured role in the highly anticipated Fifty Shades Of Grey… Oh, we can't wait!
Rita will soon join the other coaches as they head to Salford in Manchester for the blind auditions for our next series, which launches in January 2015, and we know that our 'Radioactive' pop star is the perfect fit to keep her fellow coaches (and acts) on their toes!
Speaking about her new role as a coach on The Voice, Rita Ora said: "I'm so excited...
Read more about SOOOOO hot right now: RITA ORA, welcome to The Voice UK!
Friday 11 April 2014, 12:05
Today Kylie Minogue confirmed on Twitter and Facebook that she won't be returning to her coaching role for series four of The Voice UK.
Kylie said: "Hi Lovers, thanks to all of you for your incredible support throughout this past season of The Voice UK.
"I'm sad to say that, due to the timing of my European Tour, I won't be back for season four. I absolutely loved my time on the show, and I'll miss all of the incredible people who were a part of my experience."
Moira Ross, Executive Producer at Wall to Wall, said: "Kylie has brought her own very special magic to The Voice UK and we have loved having her on the show. We wish her well for her tour and hope to welcome her back in the future."
Discussions for series four are ongoing and the line-up will be announced in due course.
Fare ye well Kylie, we have loved having you, good luck with your tour from all your online Voice fans x
Saturday 5 April 2014, 21:01And so we've made it to the LIVE FINAL. And what a journey! But there was no time to get emotional as the show was kicked off in rocking style with the coaches rocking out to the Primal Scream classic rocker ROCKS! Where else in the world would you get to see such diverse artists as Sir Tom Jones, Ricky Wilson, Kylie Minogue and will.i.am performing together? Well, the Voice Obvs!
Will.i.am was tweeting as usual, this episode he got the #selfieTOAST trend going. Go check it out!
If you played our game, Guess Who Will Be Singing What in the Live Finals (or GWWBSWITLF for short)...
Friday 4 April 2014, 16:41
It was another early morning for Sally, Jermain, Jamie and Christina as the were guests on Nick Grimshaw's breakfast show on Radio 1. Their superstar coaches Sir Tom, Ricky, will.i.am and Kylie were also on hand for support. You can listen again HERE.
Whilst over on Radio 2, Kylie and Ricky chatted with Chris Evans on his morning radio show. Then Ricky and his band, the Kaiser Chiefs, performed acoustic versions of their classic hits RUBY and I PREDICT A RIOT plus their new single COMING HOME. Christina also popped in to say hello at the end of the show.
Also on the Chris Evans show...
Thursday 3 April 2014, 15:56
As the title suggests the four The Voice Finalists were on The One Show last night. We got the lowdown on the backstage antics:
• Christina got a celebrity taxi bike to the studio. Jamie wound her up as she waited for it to arrive, telling her they go really fast and to remember not to lean into the corners! See the pics HERE.
• Sally's train broke down en route. After a bit of panic, she made it to the studios just in the nick of time... and sang wonderfully, seemingly unfazed by the ordeal.
• Jermain spent the entire recording of The One Show tweeting pics and comments - obviously...
Thursday 3 April 2014, 13:30
Today let's play Guess Who Will Be Singing What in the Live Finals (or GWWBSWITLF for short):
Did I mention they're all tearjerkers?!
Also on the LIVE FINALS, the four finalists will be singing their Song of the Series (or SOTS):
Thursday 3 April 2014, 11:31We've compiled a list of our favourite facts about the four finalists for you. Enjoy!
Wednesday 2 April 2014, 17:04
Ricky Wilson made a guest appearance with the Kaiser Chiefs on Blue Peter last week – you may have seen Chris and Christina watching backstage in the Team Ricky VT in the Semi Final show last Saturday. The three of them also did an exclusive online interview backstage with Blue Peter presenter Lindsay Russell, which you can watch HERE. Enjoy!
Tuesday 1 April 2014, 18:27
It's a busy week for the four finalists, their superstar coaches and The Voice team as we gear up for the LIVE FINALS on Saturday. As well as rehearsing, Christina, Sally, Jermain and Jamie will be appearing on various other TV shows throughout week...
On Wednesday they will be singing live on The One Show...
On Thursday they will be up early to appear on BBC Breakfast on BBC1...
On Friday the acts will be up early again (!) and chatting with Nick Grimshaw AND their coaches on Grimmy's breakfast show on Radio 1...
We hope they manage to fit in some early nights!
PLUS Ricky will be with Chris...


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Snitch 2013
Amazon Instant Video
|Drama, Thriller, Action
|Ric Roman Waugh
|Dwayne Johnson, Barry Pepper
|Supporting actors
|Jon Bernthal, Susan Sarandon, Michael Kenneth Williams, Rafi Gavron, Melina Kanakaredes, Nadine Velazquez, Benjamin Bratt, Lela Loren, JD Pardo, David Harbour, Harold Perrineau, Kyara Campos, James Allen McCune, Tanya Ballinger, Ashlynn Ross, Spencer Miller, Jayson Floyd, Benjamin Blankenship
|MPAA rating
|PG-13 (Parental Guidance Suggested)
|Captions and subtitles
|English Details
|Purchase rights
|Stream instantly and download to 2 locations Details
|Amazon Instant Video (streaming online video and digital download)
not a bad movie I thought it wasn't going to be any good but turned out to be a good moviePublished 2 days ago by D
EnjoyedPublished 26 days ago by karen. e. Do not work well on my kindle. More difficult to delete mail after reading.
I liked this movie. I think the rock is actually a great actor. I would have done the same if I were in his shoes. Certainly kept me on my toes. ReccommendedPublished 1 month ago by NicoleG
Didn't go see this movie on the big screen when it first came out ,wish I had. Dwayne Johnson delivers his best performance .Published 1 month ago by John Randall Jr.


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Beautiful design
Great ambiance
Wi-Fi did not work
Staff was very helpful
Excellent location
Beautiful hotel
Tasty breakfasts
Nice pool area
Room was rather small
Great reception
2004-2014 trivago v8_10_3. - All rights reserved.
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Columbus Gun and Knife Show
- -
- Saturday 9:00am - 5:00pm
- Sunday 10:00am - 5:00pm
The Columbus Gun and Knife Show will be held on Feb 14th - 15th, 2015 in Columbus, Georgia. This Columbus gun show is will be held at the Ironworks Convention and Trade Center and hosted by Gun Shows of the South of Georgia. All federal, state and local firearm ordinances and laws must be obeyed.
With over 20 years of experience you will be able to enjoy the highest quality gun shows. There will be a large amount of guns and knives available to buy, sell and trade.
For more information about the Columbus Gun and Knife Show contact Gun Shows of the South. All inquiries should be made directly to the Columbus gun show promoter. Including vendors and dealers looking for tables at the gun show.
- Phone: (563) 927-8176
- Phone: (563) 927-8207
- Email: email@example.com
- Website: http://www.rkshows.com
Columbus, Georgia 31901
350 Tables
$65.00 EA Prepaid
Elec $35
Dealer Setup:
Fri 12PM-8PM
Sat 730AM-8:30AM
Please Confirm All Gun Shows
Shows are liable to change dates, times or possibly cancel without notice to the Gun Show Trader. Make sure to check with the Gun Show Coordinator for accurate dates, times and information.
Directions to Columbus Gun and Knife Show
Related Gun Shows: Marietta Jim Miller Park Gun Show, North Georgia Clarksville Gun Show


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Solomon's Smarties! by 1st Grade Smarties - about 1 year ago
"Our first field trip to Zoo Atlanta! Our class t-shirts make keeping up with everyone easy and the kids love being "smarties" all year long! :)" view full details
Road Trip! by Oliver Family - about 1 year ago
"We took a "road trip" to Atlanta, Georgia in celebration of our family reunion. We visited the Georgia Aquarium, the World of Coca-Cola, Chuck E Cheese (for the kids), and the Cumberland Mall (wher..." view full details
Just a lil luggage... by Southern Spice Naughty & Nice - about 1 year ago
"5 women, 4 birthdays, 1 night! Our Birthday Weekend Atlanta 2013 (and we all got along the Whole time! Victory! That deserves another shirt!)" view full details
2013 Brown Family Reunion by Marcia Bertrand - about 1 year ago
"Members of the Brown Family were acquainted w/the Atlanta, GA members of the Brown Family for the very 1st time. It was a fun-filled event with lots of bonding and the building of new relationship..." view full details
Celebrating Thirty-One Gifts in Atlanta by Thirty-One Gifts Team Westerhoff - about 1 year ago
"This was a national conference with our Thirty-One team of consultants! We got a lot of compliments on our fun shirts! They were super comfortable, too, and many have worn them again post confere..." view full details
Maine Thirty-One Ladies by Custom Ink & Thirty-One - about 1 year ago
"The shirts were made for our National Conference in Atlanta last week! We work for Thirty-One gifts, a company that helps women make their lives a bit easier everyday and gives us opportunities far..." view full details
Jaime's Atlanta Braves Bachelorette Weekend by Erin - about 1 year ago
"My best friend in the whole entire world is getting married November 29, 2013 and I am her maid of honor. She wanted to have her bachelorette party up in Atlanta so we could all go to a Braves game..." view full details
We Work Hard For Our Six Packs by Lazy Sux Running Group - over 1 year ago
"Bill, Harry, Wendy, Jane, Kris & Yoshi are part of the Lazy Sux Running Group in Atlanta, GA. We have been running together for 10 years. Our motto is to "Live Life Well" through an active lifest..." view full details
Walker Excursion 2013 - Taking our feet to the street by Carl - over 1 year ago
"Every year we take our family on an "Excursion", part mission, part vacation, part exploration. This year we are going to serve at Church on The Street in Atlanta, GA. We do our shirts every year..." view full details
Walk Now for Autism Speaks- Atlanta by cstreets - over 1 year ago
"This is the brave group that ignored the rain and came to walk for our daughter in Atlanta! Our shirts looked so great that a pic of our backside (while we were taking this photo) ended up on the ..." view full details