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Germany to Iran and back
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Gnarly Adventurer
Joined: Jul 2008
Location: Cambridge, MA
Oddometer: 238
Shiraz to Firouz Abas and back
Shiraz to Firouz Abas and back
I leave Shiraz at 5:30 am. At this time the roads are deserted and it is nice and cold. I watch the sun come up as I drive South into the desert.
Near Firouz Abad, on a bluff just off the road, sits Ghaleh Dokhtar, also known as The Maiden Castle. It was built by Ardeshir I, of the Sassanian Empire, in 209 AD, roughly 500 years after the fall of the first Persian empire.
I climb up the bluff and follow a path that spirals up inside the guard tower into the castle. The ceiling is covered with bats. It looks like the reconstruction work has come to a grinding halt suddenly. Scaffolding is inside the main structure
A mangle of scaffolding hints at a major construction accident.
I continue of a few kilometers past some green fields, thanks to irrigation,
to the Palace of Ardashir, built a few years after the Maiden castle.
The palace is pretty well preserved and quite large at 104m x 55m.
Just past the palace is the Sassanian city of Gur, but all thats left are what is thought to be the remains of a fire temple.
It looks like the town was built in a circular pattern and there are little mounds everywhere. Plenty of work for a few generations of archaeologists.
The fire temple is also the turnaround point for my trip. Ill be going home from here.
I return to Shiraz just in time for my siesta.
Ride Reports:
Germany to Iran
Eastbound, to the Stans
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Clean, comfortable, well-equipped rooms, indoor saltwater pool & hot tub, great value
- Free Wi-Fi, free breakast, free parking
- Numerous guests praised the clean and comfortable rooms
- Caring, helpful staff according to many guests
- All rooms comes with flat panel TVs, mini-fridges, microwaves and Keurig coffeemakers
- Guests liked the continental breakfast with added hard boiled eggs and fresh waffles
- Can be noisy, according to several guests
- Some guests received smoking rooms when they requested non-smoking
Free Breakfast
Free Parking
Updated Jul 7, 2014
This hotel has 78 rooms, offering smoking and non-smoking options. Guest rooms have one king-sized bed or two queen-sized beds. Every room has a mini fridge, a microwave, a coffeemaker, a 37" flat-screen TV, and free Wi-Fi. Pets are allowed at a fee of $10 per night.
This hotel offers free continental breakfast and a free newspaper. There is an indoor salt water pool, hot tub and a fitness centre for guest use. Parking is free and large vehicles can be accommodated. There is a business centre with computer and internet access, and small meeting facilities are on site. There is no restaurant on site, but there are several dining options within a 5 to 10-minute drive from the hotel.
Centennial Park is within a 10-minute drive from the hotel. Georgian College and Georgian mall are within a 10 to 15-minute drive, as is downtown Barrie which hosts many shops, restaurants and local theatre. Park Place (formerly Molson Amphitheatre) is also a 10-minute drive from the hotel. Horseshoe Valley and Mount St. Louis ski resorts are within a 30-minute drive and Georgian Downs is a 15-minute drive from the hotel. (All distances and travel time estimates: Google Maps)
Verified with a front desk agent on November 15, 2012: 78 guest rooms, king or queen beds only, fridge, microwave and coffeemaker in all rooms, smoking and non-smoking rooms
Many guests praised the staff for being helpful and caring. Many of these guests felt the staff members really cared about whether their guests were happy, instead of "just doing their job".
The rooms were said by many to be very clean and comfortable.
Several guests enjoyed the quality and variety of food available at the complimentary breakfast.
Some guests were disturbed in the night by large groups staying in the hotel and gathering in the hallways until after midnight. A couple of guests also complained of being able to hear guests in adjoining rooms taking a shower, or running water, which disturbed their sleep.
A few guests booked non-smoking rooms and were given smoking rooms. When these guests asked the front desk about it, they were told that non-smoking rooms are not guaranteed and must be confirmed before arrival.
Show Sources
Booking.com guest reviews rated this hotel 7.7 out of 10, based on 11 reviews.
Hotels.com guest reviews rated this hotel 4.5 out of 5, based on 72 reviews.
Verified with a front desk agent on November 15, 2012: 78 guest rooms, king or queen beds only, fridge, microwave and coffeemaker in all rooms, smoking and non-smoking rooms
8 out of 10 | Rachelle stayed October 12, 2013
"family of 4"
"I had a great stay with 2 adults and 2 teens in conjoined rooms. The teens had a good swim and breakfast in the morning and we were all well rested for our trip back home. I will be coming back again."
10 out of 10 | Darlene stayed July 19, 2010
"Both myself and my family enjoyed our stay. Very clean room and a welcoming atmosphere. Would highly recommend this Days Inn to all my friends and family and also to anyone reading these comments. You will enjoy your stay there. Oh and also excellent breakfast. "HEALTHY BREAKFAST" Thanks to all the staff."
7 out of 10 | Verified Guest stayed May 16, 2010
"Good Stay."
"The hotel was comfortable. The rooms were well kept and the location was ok for the local attractions."
9 out of 10 | Tom and carol stayed April 16, 2006
"this is our second stay and we will stay again. Thanks The only thing they could improve is, whole wheat bagels for breakfast, more pillows available, towel easier to get for the pool."
- Barrie Molson Centre (2.6 km)
- Snow Valley Ski Resort (9.7 km)

subset: commoncrawl


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A. A. J. MarleyThis is a tremendous book that integrates Luce's very important recent theoretical and empirical research on choice under uncertainty with the work of other researchers. Beginning a decade ago, Luce began building a very sophisticated theoretical structure that integrates utility theory with the concept of 'joint receipt', which essentially corresponds to the intuitive idea of receiving two valued items at the same time. In a series of works, culminating in this book, Luce has shown that reasonable properties of this superficially simple concept, in conjunction with somewhat more standard utility ideas, lead to exciting new theories of choice under uncertainty. Importantly, Luce not only develops these revolutionary theoretical ideas, but he tests them with students and colleagues. Anyone wanting to know about contemporary utility theories that are both theoretically and empirically grounded must read this book, as must anyone who will enjoy sharing the obvious delight in his work of an outstanding practitioner of the mathematical behavioral sciences.
—( A.A.J. Marley, McGill University)


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20. Can I hunt with a crossbow during the 2014 deer season?
21. Can I use an optical scope on my muzzleloader during the early muzzleloader season?
22. What are the rules for the special extended firearm season in units 7, 8, 15, 19 and 10A?
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Online assessments in the United States
Almost everyone remembers taking an exam on paper, filling in your multiple-choice answer selection in the oval bubbles with a No. 2 pencil. Ah, the good old days. Before the widespread availability of personal technology we did most of our learning (and teaching) with the most advanced technologies available – paper and pencil. While definitely tried and true, paper and pencil don't enable the level of adaptation to the learning Read more »


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Doody's Review ServiceReviewer: Judith A. Jennrich, RN, PhD, CCRN, CS (Loyola University Niehoff School of Nursing)
Description: This is a comprehensive review book for the critical care nurse studying for the Critical Care Certification Examination for Registered Nurses (CCRN). It is also a valuable reference for use after the examination.
Purpose: The purpose is to help the critical care nurse pass the CCRN examination. The general framework of the book is based on the outline of the CCRN examination as published by the American Association of Critical Care Nurses (AACN). Within individual chapters, specific content areas are based on the material found in the Core Curriculum, also published by the AACN.
Audience: It is targeted for the experienced critical care nurse preparing for the CCRN examination as well as advanced practice nurses and nursing faculty preparing lectures on critical care topics.
Features: There are numerous charts, tables, and illustrations throughout the text that clarify important concepts or highlight key data. A handy appendix lists the drugs most commonly used in critical care nursing and summarizes their actions, indications, and nursing implications. There are two post-tests with questions similar in style and content to the actual CCRN test.
Assessment: This is a very useful review book that is organized by body systems for convenient study. Each chapter begins with a review of anatomy and physiology and then outlines the major disorders of the body system under discussion, including pertinent signs and symptoms, key laboratory values, diagnostic tests, and medical and nursing management with rationales.


text: Find this wine Find this wine Montes Cabernet Sauvignon A full-bodied, round, soft and generous red wine with strong spicy character. Ruby red color, leaning to very dark, intense red showing powerful but elegant flavors, with plumy and blackberry hints accompanied by wonderful butterscotch flavors and a slight spiciness that is totally integrated with the subtle notes of vanilla that comes from six months of oak aging. Pin It Tweet 2 years ago by Kretch33 More posts Montes Cabernet Sauvignon 2011 Not uncorked yet. 2 months ago by Hb45040 Montes 2012 Cabernet Sauvignon Left bank $28 6 months ago by Jemer3808 Montes Alpha Cabernet Sauvignon 2008 From Kent 9 months ago by Garytowler Montes Twins Cabernet Sauvignon Malbec 2012 Illatban es izben fa es bor dominal. Savai gyengek, nem finom a bor. 10 months ago by Csetib Mont Pellier 2012 Cabernet Sauvignon Wine Spicy, strong one year ago by Molly G.


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Nelle Harper Lee (Character)
from Capote (2005)
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FilmographyEdit Credits
- Infamous (2006) Played by Sandra Bullock
- Capote (2005) Played by Catherine Keener
- Scandalous Me: The Jacqueline Susann Story (1998) (TV) Played by Tracey Hoyt (as Harper Lee)
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- Truman Capote: Answered Prayers (2006) (V) Played by Catherine Keener
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Nelle Harper Lee: You paid him to say that.
Truman Capote: How did you know?
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It is an established principle of criminal jurisprudence that in the absence of specific countervailing factors, there is a general presumption in favour of bail. This rule is a natural extension of the very foundation of the modern legal system, which proceeds on the assumption that all persons are innocent until proven guilty. The enormous public anger against the scale of corruption and fraud, and the brazenness of the conspiracy, involved in the 2G spectrum scandal is understandable and must be commended. But the 'grave magnitude' of the case should not be allowed to detract from the basic legal principles underlying the grant of bail. But this is what seems to have happened in the CBI special court's denial of bail to DMK MP Ms Kanimozhi and seven others in the 2G case. Given that charges have been framed and the case will go to trial in a few days, why should they remain in jail? The contention that they could tamper with evidence is unpersuasive — the gap between the time the 2G licences were issued and the probe was initiated would have given all accused enough time to destroy or conceal whatever they wanted to. The court maintained that the accused, being influential, could influence the witnesses and prejudice the trial. But the obvious answer would be to place certain restrictions on their movement and activity. The unstated implication of bail denial is that the accused should be in jail until the trial is over — a position that is extreme. The court also ignored the fact that some of the usual grounds for refusing bail — such as the possibility of the accused fleeing from justice or repeating a similar offence — do not apply here.
Unfortunately, the attitude adopted by the CBI vis-à-vis bail for the accused was inconsistent and hard to defend. While it opposed bail to a few high-ranking telecom company executives, it chose not to do so in the case of Ms Kanimozhi and others connected to the alleged payoffs to Kalaignar TV. Ostensibly, this was because the latter were accused in a supplementary charge sheet and under sections where the maximum punishment is five years (as opposed to seven). What this unconvincing argument did was to harden suspicions of political motivation. It is good that high profile cases such as the 2G scandal evoke public outrage, but it is imperative that the criminal justice system is not led by public opinion and emotions. The denial of bail does not presume guilt; nor does the grant of bail imply innocence. The job of the criminal justice system is to do its best to see that all the guilty in the 2G scam are convicted — it is not to make the accused languish in jail as undertrials.
Keywords: 2G scam, Kanimozhi bail


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Find more music / audio with research databases
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Services, reference sources, music serials, scores, sound recordings, videos, software, and help for musicians and music students
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DVDs and streaming online video collection, library laptops, equipment loans, digital media editing lab.
Center for Instructional Technology Home Page
Specialized resources for faculty who want to learn to use audio, video, and other media in their classes or research; technology classroom support and keys.
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Watch NBC news programming back to 1968 and CNN video back to 1996!


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". . . the 24th of May is the Queen's birthday / if we don't get a holiday,...
Justin Timberlake
The 20/20 Experience (Sony)
Ever since Michael Jackson's death, everyone agrees it's unlikely anyone will ever replace him or replicate his success. Which is true, for myriad reasons. But if anyone is going to come close, it's Justin Timberlake — and this is his Thriller.
Timberlake's appeal is obvious: other than his looks, his dancing and his boy band history ('Nsync) had the biggest-selling album of the 2000s), his elastic, falsetto voice continues to improve, he's pushing himself musically, and he's got his own Quincy Jones — producer mastermind Timbaland — in his corner, turning traditional R&B on its head, nodding to the past and vividly envisioning a bold new future.
Timberlake takes his time: not only did it take him seven years to follow up FutureSex/LoveSounds, but the opening track here, the Al Green/D'Angelo channelling Pusher Love Girl takes eight minutes to unfold — one of three tracks here to do so. Nothing about this album is indulgent, however: songs are suites that shift gears with no shortage of ear candy colouring every corner of the sonic spectrum.
Don't Hold the Wall opens with doo-wop harmony before introducing Indian percussion and samples set to a Southern hip-hop beat and crickets in the background; four minutes later it all breaks down leaving only an Exorcist-style minor piano key motif with a child's voice, before the whole thing halts for a sparse, bass-heavy techno beat that sounds a lot like driving through late '80s Detroit. Let That Groove Get In has a New Orleans groove executed by electronic drums, a tight horn section and a sample of field recordings from Burkina Faso. The one downtempo song, Blue Ocean Floor, features seven minutes of backward-tracked swells and Timberlake in choirboy mode; it's entirely enchanting. Lead single Suit and Tie has a snare drum that sounds like a submarine ping, and harplike piano sweeps run like an ostinato throughout. It's hard to imagine any other modern pop artist attempting such ambition while still making catchy, accessible music.
Much of the credit, of course, goes to Timbaland, who after being ubiquitous in 2006 — behind the boards for Timberlake and Nelly Furtado — managed to fall off completely, being almost entirely MIA in recent years. This is as much a comeback for him as it is for Timberlake, and it sounds like he's been bottling up seven years worth of his best beats. Maybe Timberlake had a contract specifying first right of refusal.
The only place Timberlake stumbles is lyrically. There's nothing wrong with an album of silly love songs, including one about travelling in a Spaceship Coupe — which is no longer science fiction when sung by one of the only pop stars who could actually afford extraterrestrial travel. But Timberlake has more than a few laugh-out-loud moments here: "If you'll be my strawberry bubble gum, then I'll be your blueberry body pie"? And what's with Suit and Tie, where he chants, "I be on my suit and tie / s — t tie, s — t tie"? Thankfully, there's too much else going on to ever notice or care.
Rihanna might be the defining R&B artist of the last 10 years because of her endless stream of No. 11 hits, but you'd never listen to one of her albums all the way through. Timberlake wants and gets pop thrills, but he also knows what it's like to crawl inside a rich musical world for over an hour. Apparently he's ready to release another album later this year, but we're going to absorbing this one for a long, long time. (March 28)
Download: Don't Hold the Wall, Strawberry Bubblegum, Let the Groove Get In
Belle Star
Belle Star (independent)
The Belle Game
Ritual Tradition Habit (Boompa)
Wild Belle
Isles (Sony)
It was almost 10 years ago that every new band seemed to have "wolf" in their name. This month, for whatever reason, the debut albums by Belle Starr, The Belle Game and Wild Belle all came out within a week of each other. Though they couldn't be more stylistically different from each other, it's still easy to get them confused.
Wild Belle is the Chicago brother-sister duo of Elliot and Natalie Bergman, who play an odd, modern hippie/hipster take on roots reggae. Elliot plays baritone saxophone, all manners of keyboards and electric kalimba; Natalie is the disaffected, flat vocalist who also handles some keyboards. How they ended up signing to a major label is a mystery — did they have the same Sony A&R rep as synth-pop weirdos MGMT? The Talking Heads' rhythm section, Tina Weymouth and Chris Frantz, get a shout-out in the Thank Yous, and it's easy to hear the connection with their Tom Tom Club. While the sound is initially intriguing — especially the kalimbas and baritone saxophone clashing with the lo-fi electro reggae rhythms — it wears thin quickly, primarily due to Natalie's limited vocal range.
Vocals are not an issue for Belle Starr, which unites three Canadian fiddle players — one of whom, Miranda Mulholland, has played extensively with Great Lake Swimmers in recent years — who also sing gloriously together and, um, happen to be incredibly easy on the eyes, almost as if someone purposely put these three women together to target the CBC and folk festival demographic. Sadly, New Girl Now is not a Honeymoon Suite cover, though they do tackle songs by Bruce Springsteen and Justin Rutledge — which is a risky venture, because the originals don't approach the same craft.
The Belle Game is a new Vancouver band that sounds like — a Vancouver band. Rainy-day '80s noir pop never dies in that town, and powerful vocalist Andrea Lo soars over low-key instrumentation (pianos, vibes, trumpet, strings) that occasionally swell into the dramatic and anthemic. There's a lazy, hazy air to the recording, not unlike that on recent records by neighbours Brasstronaut or Kathryn Calder. There are elements of equal greatness here, but this is still a band finding its feet.
Download Wild Belle: Keep You, It's Too Late, Another Girl
Download Belle Starr: Tougher Than the Rest, Charity Kiss, Arthur's Air
Download The Belle Game: Wait Up For You, River, Blame Fiction
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29 March 2011 16:12 [Source: ICIS news]
SAN ANTONIO, Texas (ICIS)--The global economy will face rising volatility and prices on many fronts, including in energy and chemicals, the CEO of US-based Huntsman said on Tuesday.
"We see future volatility with an upward trajectory in prices – it will happen in oil prices and well as chemicals," said president and CEO Peter Huntsman, at a speech at the International Petrochemical Conference (IPC).
High oil prices above $100/bbl are unlikely to cause demand destruction in developing countries such as China, India and Brazil, he said.
"The consumption of autos and oil from these countries has risen faster in the last five years with high oil prices. The average consumer there has been dealing with $70-$100 oil – it is business as usual," said Huntsman.
The Huntsman CEO also estimates that spare OPEC capacity stands at less than 500,000 bbl/day based on an annual run rate of about 90m bbl/day based on February world oil demand.
In the chemical sector, capacity constraints are likely to continue as little new major capacity hits the markets in the coming years, he said.
"There is not a great incentive for boards to risk liquidity to build grassroots capacity. Capacity is more expensive to build, permitting takes longer worldwide and so there is a greater risk," said Huntsman.
"You can count the number of announcements of grassroots chemical facilities in the US on one hand. Usually at this point in the economic cycle, such as in 1995, people would already be etching our tombstones with all the planned capacity," he added.
On the demand side, Huntsman said he expects US GDP (gross domestic product) growth of around 3%, and China GDP of 7-8% in the coming years. European growth will be muted, but with Germany leading the way.
Sponsored by the National Petroleum Refiners Association (NPRA), the IPC ends on Tuesday.
For more on Huntsman visit ICIS company intelligence
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Asian Chemical Connections


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Tattoo Removal Center - Joplin, MO
Joplin Dermatologist Doctors for Tattoo Removal
Type of Physician: Dermatologist
What is a Dermatologist?
A certification by the Board of Dermatology; practitioners treat pediatric and adult patients with disorders of the skin, mouth, hair and nails as well as a number of sexually transmitted diseases. They also have expertise in the care of normal skin, the prevention of skin diseases and cancers, and in the management of cosmetic disorders of the skin such as hair loss and scars.
Specialty: Dermatology
Common Name: Skin Doctor
Dermatologist Doctors in Joplin *
M & T Dermatology
M & T Dermatology
Ferrell Duncan Clinic
Ferrell Duncan Clinic
Ferrell Duncan Clinic
Troy E Major II MD
Ferrell Duncan Clinic
Ferrell Duncan Clinic
Thomas W Lynch MD PC
Thomas W Lynch MD PC
Mercy Clinic Dermatology
Mercy Clinic Dermatology
Mercy Clinic Dermatology
Mercy Clinic Dermatology
Mercy Clinic Dermatology
Ozarks Dermatology Specialists
Mercy Clinic Derm Whiteside
N Eugene Morrow MD LLC
Michael A Gentry MD
Branson Clinic
Joplin, Missouri
Tattoo Removal
It is estimated that close to 10% of the U.S. population has some sort of tattoo. Eventually, as many as 50% of them want to have laser tattoo removal.
There is good news for those who have an unwanted body desig...
Other Related Tattoo Removal Articles
Emergency Contact for Joplin
Nearby Joplin Hospitals *
Freeman Hospital West
Freeman Hospital East
Mercy Hospital
Mercy Mccune Brooks Hospital
Freeman Neosho Hospital
Maude Norton Memorial Hospital
Via Christi Hospital Pittsburgh
Willow Crest Hospital
Integris Baptist Reg Hlth Ctr
Barton County Memorial Hospital
Oswego Community Hospital
Cox Monett Hospital
Girard Medical Center
*Provider Directory Terms of Use:
The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval.


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Govind Narain, one of the last surviving ICS officers and who was the Home Secretary during Bangladesh war, passed away in the capital, his family said today.
Narain, 95, a Padma Vibhushan awardee, breathed his last at his residence in Chattarpur in South Delhi last night due to old age.
He had refused to be admitted in a hospital and died peacefully at home, his family said.
Born on May 5, 1916, Oxford-educated Narain joined the ICS in 1939 and went on to become country's Home Secretary and Defence Secretary.
Narain, who worked under Jawaharlal Nehru, Lal Bahadur Shastri and Indira Gandhi, was the Home Secretary from 1971 to 1973 and was one of the top officers instrumental in planning the Bangladesh war and setting up of Mukti Bahini.
In 1973, he was moved to the Defence Ministry as the Defence Secretary from where he retired two years later.
He was appointed the Karnataka governor in 1977 and was in the Raj Bhavan till 1983.
Narain is also credited for the setting up of the defence establishment and a tie up with Russia in this regard. In 1968, he was appointed Secretary, Defence Production.
In the early days of his career, Nehru had sent him to Nepal as an adviser to the King of Nepal.
He survived by his two daughters. One of his sons-in-law Yogesh Chandra retired as a senior civil servant in the rank of cabinet secretary to the government of India while his grand son Vikram Chandra is a well known TV journalist.
Narain was tasked by Nehru to build ties with Nepal and he was adviser to the Nepal King between 1951 and 1954.
A post-graduate in science from Allahabad University, he also served as Home Secretary of UP government from 1948 to 1951 and later was the Chief Secretary of the state for three years from 1958.
In UP, he also served as Secretary and Development Commissioner during the period 1954-58.
He was made Chairman-cum-Managing Director of State Trading Corporation of India and Minerals and Metals Trading Corporation of India between 1961 and 66.
In between, he also served as Central Government Liaison Officer in Kolkata with West Bengal government and Army Command in 1964. The next year, he was appointed advisor to Governor of Kerala.
He also had his stints in Health and Planning Ministries.
Post retirement, he was also associated with Pubic Interest Legal Support and Research Trust, Shankara Vidya Kendra, Federation of Indo-German Society in India and an NGO 'Common Cause'.
His essays have appeared in books like "Old Mandarins of India" and "The Governor - Sage or Saboteur". He also published articles on national security.


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Treatment of central nervous system (CNS) diseases can be difficult because the blood brain barrier (BBB) limits or blocks delivery of drug molecules to the brain. Direct interstitial infusion is a technique that aims to deliver therapeutic agents to targeted brain tissue in both small and large areas, thus bypassing the BBB. One technique for infusion is convection-enhanced delivery (CED); with this technique drugs can be directly delivered to the tumor or area of the brain region via pressure infusion. The technique has been proposed for treatment of brain tumors, Parkinson disease, epilepsy and other brain disorders.
Each benefit plan, summary plan description or contract defines which services are covered, which services are excluded, and which services are subject to dollar caps or other limitations, conditions or exclusions. Members and their providers have the responsibility for consulting the member's benefit plan, summary plan description or contract to determine if there are any exclusions or other benefit limitations applicable to this service or supply. If there is a discrepancy between a Medical Policy and a member's benefit plan, summary plan description or contract, the benefit plan, summary plan description or contract will govern.
Blue Cross and Blue Shield of Montana (BCBSMT) considers interstitial infusion of therapeutic agents directly into the brain through an infusion catheter experimental, investigational and unproven.
No randomized controlled trials have established superiority of blood brain barrier disruption (BBBD) techniques over the use of chemotherapy. Although these techniques have been used for over twenty years, their efficacy has not been established. Chemotherapy with BBBD has been associated with a higher risk of complications that include seizures, focal neurologic deficits, obtundation, cerebral herniation, stroke and death. These complications are then multiplied by the side-effects related to the chemotherapy itself. The Centers for Medicare and Medicaid (CMS) issued a National Coverage Determination that states that the use of osmotic BBBD is not reasonable and necessary when it is used as a part of a treatment regimen for brain tumors.
A search of the literature was completed through MEDLINE database through November 2008. There is limited scientific data to permit conclusions regarding the use of direct brain infusion catheter(s) in the brain for delivery of therapeutic agent(s), and for the treatment of brain tumors, Parkinson disease, epilepsy or other disorders of the brain. Although the ongoing clinical trial data is promising, further study is needed to demonstrate whether the use of this therapy leads to improved outcomes.
2011 Update
A search of peer reviewed literature was performed through November 2011. The following is a summary of the key literature to date.
Bruce, J.N., et al. carried out a prospective, dose-escalation phase 1b study to assess the safety profile of convection-enhanced delivery of the chemotherapeutic agent, topotecan, for the management of recurrent malignant gliomas, as well as evaluate radiographic response and survival. The reported results indicated "Significant antitumor activity as described by radiographic changes and prolonged overall survival with minimal drug-associated toxicity was demonstrated." The study established the maximum tolerated dose for future phase II studies. "The potential for use of this therapy as a generally effective treatment option for malignant gliomas will be tested in subsequent phase II and III trials" was noted by the authors.
Although the study is promising, further studies are needed. This update failed to identify any additional information that would change the coverage position of this medical policy.
Disclaimer for coding information on Medical Policies
Procedure and diagnosis codes on Medical Policy documents are included only as a general reference tool for each policy. They may not be all-inclusive.
The presence or absence of procedure, service, supply, device or diagnosis codes in a Medical Policy document has no relevance for determination of benefit coverage for members or reimbursement for providers. Only the written coverage position in a medical policy should be used for such determinations.
Benefit coverage determinations based on written Medical Policy coverage positions must include review of the member's benefit contract or Summary Plan Description (SPD) for defined coverage vs. non-coverage, benefit exclusions, and benefit limitations such as dollar or duration caps.
Experimental, investigational and unproven for all diagnoses.


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5 posts tagged with tax and income.
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Tax Facts Hardly Anyone Knows
9 Things The Rich Don't Want You To Know About Taxes - "4. Many of the very richest pay no current income taxes at all: Paulson made himself $9 billion in fees in just two years. His current tax bill on that $9 billion? Zero... 9. Other countries do it better: no one in Germany or the rest of the modern world goes broke because of accident or illness" (via) [more inside]
entrepreneurial paradise
In Norway, Start-ups Say Ja to Socialism - We venture to the very heart of the hell that is Scandinavian socialism—and find out that it's not so bad. Pricey, yes, but a good place to start and run a company. What exactly does that suggest about the link between taxes and entrepreneurship?
Why value the donations of rich people more than those of the poor?
How Private Is 'Private Charity'? Private charity may be more accurately described as "private donations coupled with involuntary, tax-financed public subsidies." And it's not fair: "very low-income people paying only payroll taxes get hardly any leverage for their donations. Very high-income people in states with high income-tax rates – such as New Jersey and New York – can through the tax code virtually double the money funneled to a charity per dollar of their own sacrifice." (previously)
Treasury: Income Mobility Substantial. Pew: But Not Enough.
A new U.S. Treasury Report (press release) reports that tax returns from 1996 to 2005 show that income mobility in the U.S. is "considerable," with rising earnings, and top earners who often stumble. The WSJ crows. Pew releases its own research (reports, press release) on income inequality today with a multi-decade outlook, but summarizes the findings as that American families' income mobility is still highly dependent on their parents' position. Forbes and a The New Republic blog try to reconcile the reports. Meanwhile, blacks appear to be downwardly mobile.
Freedom to Fascism
Aaron Russo releases America: Freedom to Fascism on the net!
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Yasmin Alibhai-Brown: Licentiousness breeds extremism
By YASMIN ALIBHAI-BROWN - THE INDEPENDENT
Added: Mon, 11 Jan 2010 00:00:00 UTC
Thanks to Ivan for the link.
Last week I once again condemned the burkha and will do so till the end of my days. By that time, with the unstoppable rise and rise of Wahhabi Islam, they will probably have incarcerated me in black polyester and turned off my voice.
I unconditionally hate fanatical proselytisers – male and female – what they do to my faith and the faithful. The way they ban pleasures and progress, fill young minds with strictures to paralyse the will and suppress god-given desires in lands of freedom and autonomy. Their inner lives are stormy, psychological dramas which turn dangerously unstable. Some of the resulting turmoil and sexual unrest may be swelling the seething brain of the next terrorist manqué.
On blogs now thought to be written by Umar Farouk Abdulmutallab, the Nigerian accused of trying to blow up a plane over Detroit, you are given the impression from news reports that he was a lonely boy, unhappy with his peers who drank and partied. At university he apparently cut himself off, tried to hold on to Islamic Puritanism in a country of no shame, no restraint. Millions of Britons of all backgrounds are alarmed by the dissipation and debauchery that now defines Britain.
For Umar Farouk and many other Muslim men like him, living in such a landscape is literally intolerable. He confesses that he does try to lower his gaze in front of females, wonders if he should get married because he is getting too aroused. You could make a movie, a Taxi Driver for our times, about just such an anti-hero, the hormonal male who is expected to live a life of total abstinence in the middle of licentiousness.
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text:
Will Nadal's accomplishments be better than Sampras when he is done ?
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90's Clay
Join Date: Apr 2012
Posts: 6,974
Originally Posted by
Federer deserves to be the GOAT more than either of them...for all he has done to promote the sport (that your boy Petros NEVER did) for his utter dominance of the field for 4 years, and his amazing playing style. Not to mention he owns most of the important records in this sport.
Nadal has been a great ambassador to the sport as well. What are u talking about? Utter dominance? He couldn't dominate Nadal.. He dominated everyone BUT Nadal.. And to a lesser extent Nole.
If there is anyone who deserves to be GOAT its Nadal and it isn't even close. He proved the world wrong.. Most thought he would never never do anything off of clay, he beats your boy at wimbledon.. Then they said he wouldn't anything on hard courts (Myself included), he goes out and wins BOTH hardcourt slams (beating Fed twice at the AO) and the olympics. He could have continued to get down on himself and let Nole continue to run over him? (Like Fed let Nadal).. Nope.. Nadal took Nole out 3 straight times last year.
Nadal has the upper hand on his main rivals for his career (Fed couldn't do it)
Nadal has also been the hardest working player BY FAR in the history of this game.. His training sessions are one of legends
Nadal has less talent then guys like Sampras and Fed and Laver Yet put himself into that same level of greatness due to his desire hard work and dedication
Last edited by 90's Clay; 01-21-2013 at
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