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Two people shot, killed by law officers in Oklahoma City are identified
A man and his girlfriend were shot to death when they fled authorities trying to serve the man two burglary warrants, officials said Wednesday.
Christopher Lee Stout, 23, and Stacie Stout, 20, were killed during the confrontation that began at a southeast Oklahoma City motel, according to Oklahoma City police.
Capt. Dexter Nelson said the two were dating, but were not related or married despite sharing a last name.
One officer suffered minor injuries, Nelson said.
Members of the U.S. Marshals Metro Fugitive Task Force attempted to serve two felony burglary warrants on Stout about 7:40 p.m. Tuesday at a motel near Interstate 35 and SE 44.
Stout and his girlfriend tried to flee in a pickup, Nelson said. At least one law enforcement vehicle collided with the pickup before officers began shooting, he said.
Nelson said more details will emerge following an investigation by Oklahoma City homicide detectives, but that could take some time.
Seven lawmen from six agencies were listed as involved in the shooting, according to a police news release. Officers involved were from the U.S. Marshals Service, Oklahoma City Police Department, Oklahoma Highway Patrol, state Bureau of Narcotics and Dangerous Drugs Control, Canadian County Sheriff's Department and Pottawatomie County Sheriff's Department.
Forensic ballistics examination may disclose which bullets killed the couple.
"We don't know how many rounds were fired by each officer. We don't know why they fired. We don't know what the suspect was doing. There's a lot we still don't know," Nelson said.
It may be impossible to tell who fired the fatal rounds unless the state medical examiner locates bullets in their bodies.
"We try to account for every round fired," Nelson said. "Sometimes you can't."


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Shortly after 1 a.m. this morning shots were fired outside a 7-11 store in the popular U Street corridor in Northwest Washington, marking the second shooting in a week that has plagued the popular weekend spot.
Two adult females were shot this morning outside on the sidewalk at the corner of 12th and U Street Northwest. The women were sent to a local hospital with non-life-threatening bullet wounds.
The suspect is still at large, but as of tonight the Metropolitan Police Department has no description of the shooter.
U Street resident Andre Carter was across the street on the balcony of his apartment when he heard the shots and saw the scuffle afterwards.
"I heard three pops and I looked to the right in this direction to see what was going on," Carter recalled today, "I saw some people running and I thought 'oh maybe someone got shot.' And seconds later I heard cops and then they were on the street. All on this corner. They sectioned it off. I thought the worst."
Carter says he and his girlfriend cancelled their plans to venture out after observing the shooting.
"We were actually going to go out last night but after the shots, not knowing what was going on we decided to stay in."
This morning's shooting is the second shooting in a week in the area. Last Saturday there was a shooting just one block away on the corner of 11th and U Street Northwest.
Police say no motive has been established in today's shooting so they are not connecting the two incidents.
U Street residents are concerned about the uptick in violence in their area over such a short period of time.
"It's just nonstop violence, you know. It just has to stop," Clarence Faizon said on U Street today.
"It's concerning because it's happened a lot around here lately, "U St resident Brian Ortiz said today "I just think they need to start stepping up patrols or something."
Local businessman Oji Abbott who works in a restaurant on U Street hopes for business much more will be done to make the area safer.
"It could happen anywhere, but unfortunately it's happened here, a couple weekends in a row. So we don't want that to be a natural thing that's going on every week," Abbott said today on U Street after hearing the commotion last night. "We're trying to figure out why all this violence is happening. We hope that people would start to think a little bit before they start pulling out guns
Police say they are "actively investigating" this incident and ask that anyone with information call the Metropolitan Police Department.

subset: commoncrawl


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QUEBEC CITY (AP) — Officials familiar with the negotiations say international and U.S. Olympic leaders have agreed in principle on a new revenue-sharing deal that would end years of acrimony and clear the way for America to bid again for future games.
Two senior officials tell The Associated Press the proposed agreement is contingent on the backing of the governing boards of the International Olympic Committee and U.S. Olympic Committee.
The officials spoke on condition of anonymity because the deal hasn't been announced yet.
The agreement, covering the distribution of billions of dollars in Olympic television and marketing revenues through 2040, could be formally announced during IOC executive board meetings this week in Quebec.


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1 Park near Smiths Falls, Ontario
Merickville, Ontario 9.07 miles E
Carleton Place, Ontario 17.47 miles NW
30 Lombard St Smiths Falls, Ontario K7A 4G2 (map) | (613) 283-5112
Sites: 50+ | Latest Rate: $38.00 | 1 Reviews
|Clean Restrooms:
|Clean Showers:
Aug 2010 - $38.00
Very clean and well kept. Showers are cleaned twice a day but they are small. Half the sites back onto the Rideau Canal and are very nice with boats moving up and down thru the canal from lock to lock. Walking distance to shops and pubs downtown. Only issue is no sewer on sites but a good dump station is available. There are boat docks for vessels traveling the Rideau Canal System available. - jasper0803


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NEW YORK (AP) -- After splitting a day-night doubleheader
Saturday, the New York Yankees and the Boston Red were exhausted.
And on Sunday, they get to do it again.
Jason Giambi's go-ahead double in the seventh inning lifted the
Yankees to a 7-5 win Saturday night that lowered to four the magic
number for New York's ninth straight AL East title. The Yankees
(90-57) and Boston will play another split doubleheader Sunday --
making it four games in a span of about 36 hours.
"I'm just beat up, tired right now," Giambi said.
New York maintained a season-high 11{-game lead over the
second-place Red Sox, who dropped eight games back of Minnesota in
the wild-card race. With a sweep Sunday and a loss by third-place
Blue Jays, the Yankees would clinch the division before they head
to Toronto early Monday for the start of a road trip.
"I think I'm going to focus right now on getting a few hours of
sleep before I get here tomorrow," said Bernie Williams, who had a
two-run double. "It's going to be a long day.
In the opener, David Ortiz was booed repeatedly and responded
with two doubles and three walks, helping the Red Sox to a 5-2
victory behind Josh Beckett.
"We're still trying to win a division, so our intensity level
has to remain up," Derek Jeter said. "It's not like we're playing
and we have nothing to play for. We still have to win some games."
Jeter had hits in both games to extend his hitting streak to 25
games, the longest for the Yankees since Joe Gordon's 29-game
string in 1942. Jeter went 2-for-10 and his average dropped to
.343, one point below AL leader Joe Mauer of Minnesota.
"We've got two weeks left. I'm not even thinking about that,"
Jeter said.
In the second game, Giambi put the Yankees ahead 6-5 in the
seventh with an opposite-field double to left off Craig Breslow
(0-2), a drive just over the outstretched glove of Wily Mo Pena,
who strained his right quadriceps on the play.
Jorge Posada followed with a run-scoring single against Manny
Randy Johnson allowed five runs, eight hits and three walks in 5
2-3 innings, striking out six, and Scott Proctor (6-4) got out of a
first-and-third, one-out jam in the seventh by striking out
Jason Varitek and pinch-hitter Trot Nixon. Kyle Farnsworth pitched the
ninth for his fifth save.
Alex Gonzalez and Kevin Youkilis hit RBI doubles in the third,
and Gonzalez made it 3-1 with a run-scoring single in the fourth,
but Williams' two-run double off starter Julian Tavarez tied it in
the bottom half.
Coco Crisp struck out in his first three at-bats against
Johnson, hacking at sliders, before doubling off the left-field
foul line on a 3-2 pitch with the bases loaded in the fifth. The
Yankees came right back in the bottom half on pinch-hitter Hideki
Matsui's sacrifice fly off Craig Hansen and Melky Cabrera's
run-scoring single.
Ortiz became a focal point in the opener. He was quoted in
Monday's editions of The Boston Globe as saying power hitters
deserve MVP awards, remarks some took as a putdown of Jeter's
qualifications. Ortiz was booed loudly every time he batted and
greeted with chants of "Derek Jeter!"
"I didn't expect it," said Jeter, whose at-bats were marked by
chants of "M-V-P!"
Jeter said Ortiz's remarks were "over with." The Yankees star
joked with the Boston slugger when Ortiz was at second base.
"Nothing any different than we always do," Jeter said. "You
joke around a little bit when you're playing against people."
Ortiz did not respond to questions after the nightcap. Boston
manager Terry Francona spoke about the fans' chants and boos.
"It's the way he reacts to every reception," Francona said.
"He didn't lose his focus, which was good."
Beckett (15-10) allowed four hits and five walks in six innings,
but the only hit that cost him was Robinson Cano's two-run homer in
the second.
"I definitely had to learn the hard way in a few starts this
year," said Beckett, who matched his career-high for wins. "Did I
win enough? No, and most of that was my fault. I need to stick to
my game plan and not be wishy-washy out there."
Mike Timlin finished for his sixth save.
Yankees starter Chien-Ming Wang (17-6) lost for the first time
in six starts since Aug. 13, giving up three runs and nine hits in
five-plus innings. Given that he's 10-3 at Yankee Stadium, he
appears likely to start one of the first two playoff games along
with Johnson or Mike Mussina.
"He, Moose and Randy, as far I'm concerned, I trust them all,"
Yankees manager Joe Torre said.
Boston rallied in the fourth, when Nixon doubled leading off and
Eric Hinske reached on an infield single, with Jeter making a
diving stop and then throwing from his knees only to have the ball
skip past Giambi at first.
Hinske took third on the error -- Jeter punched at the air in
frustration. Doug Mirabelli then had a run-scoring single,
David Murphy an RBI double and Alex Cora a run-scoring groundout.
Ron Villone and Brian Bruney combined to walk four straight
batters in the seventh, including Nixon with the bases loaded, and
Octavio Dotel threw a run-scoring wild pitch in the ninth.
But then the Yankees won the nightcap. Still, Torre didn't want
to think about clinching Sunday.
"That's too far in advance for me," he said.
Game Notes
New York plans to have Gary Sheffield play in a simulated
game before a batting practice on their trip next week before
activating him. Sheffield had wrist surgery on June 13. ... Matsui
will return to left during the final homestand. ... The Red Sox
were 3-for-17 with runners in scoring position in the opener, and
the Yankees 0-for-7.


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Google Launches Ingress, a Worldwide Mobile Alternate Reality Game – Liz Gannes – Mobile – AllThingsD
What's the wackiest thing you can imagine Google launching? How about a game to fight for control of the minds of everyone on earth?
Or maybe that's not so wacky.
Meet Ingress, a new free mobile app and alternate reality game made by Google launching today (on Android first, available as soon as it makes it through the Google Play release process).
Ingress is a project of former Google director of geo John Hanke and his Niantic Labs, a start-up team wholly inside of Google.
"This grew out of us thinking about notions of ubiquitous computing," Hanke told AllThingsD this week. "The device melts away."
Ingress also aims to get people out in the physical world, both for physical activity and to see their surroundings in a new way.
via Google Launches Ingress, a Worldwide Mobile Alternate Reality Game – Liz Gannes – Mobile – AllThingsD.
Tags: Alternate reality game, android, Dipterologiae Italicae prodromus, Google, John Hanke, Mobile application development, Niantic Lab0


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Must Watch
Rosemary's Baby
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May 15, 2014 09:00 PMTV Network - NBC
On Sunday night (try to remember that far back), we were given the first two hours of the "Rosemary's Baby" NBC mini-series. The two-part special features Zoe Saldana and Patrick J. Adams in the lead roles. Plus, as you may have surmised, there's a baby. Or, there will be a baby. Or, there may be a baby. Certainly, at the very least, much of the tale revolves around Rosemary and her pregnancy. Plus, the devil. Or, that's how the movie went down anyway.


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ISAF Rolex World Sailor of the Year Nominee - Deneen Demourkas
by ISAF on 10 Oct 2013
Deneen Demourkas keeps a watch © Meredith Block
Deneen Demourkas is a Farr 30 sailor through and through but was somewhat a latecomer to the sport. Following an invitation to try out sailing for the first time at the age of 34 on an Andrews 70 in Santa Barbara, California, USA the American was instantly enamored. Sailing quickly became a passion and one she pursued with intent.
Demourkas looks after the day-to-day running of the Class as President and in a class that is dominated by men she is a talented helmswoman on the race course and a force to be reckoned with.
At the 2013 Farr 30 World Championship in Rhode Island, USA Demourkas steered Groovederci to victory in a nail-biting race to become to first triple Farr 30 World Champion.
Demourkas battled with Jim Richardson's Barking Mad and Rod Jabin's Ramrod for every inch and every cross over the 11-race series and it went down-to-the-wire in the very last race.
With positions chopping and changing in Race 11 Demourkas' team on Groovederci held on as the American sealed a memorable one point victory.
Joining Demourkas as a female nominee for the ISAF Rolex World Sailor of the Year 2013 are Jo Aleh and Olivia Powrie (NZL), Erika Heineken (USA) and Raya Al-Habsi
Deneen Demourkas' ISAF Rolex World Sailor of the Year Nominee Page.
The winners are selected by the ISAF Member National Authorities (MNAs), the national governing bodies for sailing around the world. The MNAs are now invited to vote for the male and female nominee they believe most deserves the Award.
The winners will be announced at the ISAF Rolex World Sailor of the Year Awards presentation and dinner, taking place on Tuesday 12 November 2013. The venue for the event will be at the El Bander Hotel, Muscat, Sultanate of Oman.
Each winner will be presented with the prestigious ISAF Rolex World Sailor of the Year Award Trophy and a distinctive Rolex
ISAF website
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In a yet to be published interview in Sail-World, America's Cup Events Authority CEO, Russell Coutts has confirmed that the Arbitration Panel will hold its first Hearing in July. This is the first official indication that the three person Arbitration Panel had even been formed, however Sail-World's sources indicated that it had been empanelled since last January, possibly earlier.
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Yachting New Zealand's refusal to nominate in three classes won in the first round of 2016 Olympic Qualification is without precedent. Subject to Appeal, the Kiwis have signaled that they will reject 30% of the positions gained in the ISAF World Sailing Championships in Santander in 2014.
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Group Therapy: My Ex-Boyfriend Just Died, And I'm Relieved
Over the weekend I found out that my ex-boyfriend (my first boyfriend/love whom I dated when I was 17-20) died in a motorcycle accident. He was a horrible, manipulative boyfriend who cheated on me the entire three years we were together. He disrespected me, made me feel dumb, took advantage of me, and talked negatively about me when I wasn't around. Needless to say our relationship was unhealthy, dysfunctional, and emotionally abusive. Luckily, I have moved on and become a more confident person. However, when I found out about his death, I felt nothing but relief — Now I know I will never have to see him again. People who knew us both are questioning if I will attend his memorial service, but I have no positive memories and want nothing to do with him. Am I a horrible person for not feeling anything but relief about his death? Do I need to honor his memory?
[EDITOR'S NOTE: To read more GROUP THERAPY, click here or submit your own question here.]


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- 4-hour sailing tour around the Palenki Islands
- Travel from Split to Hvar by ferry, and then by yacht around the Palenki Islands
- Experience sailing a yacht, overseen by a professional sailing crew
- Enjoy stops for swimming and snorkeling in the shimmering Adriatic Sea
- Make the most of a stop on the gorgeous island of Palmižana and walk around its botanical gardens
- Hear tips about sailing and learn about the Palenki Islands' wildlife and scenery
Why Our Insiders Chose This Tour
It's a great way to discover incredible scenery without going far from Split. The seafood lunch on the full-day tour is a winner, too!
What You Can Expect
Customer Reviews
July 2015
excellent, highly recommended
July 2015
great expierence, everything worked as described, only meeting the agent in the morning was a bit complicated, as the agency is hard to find and there is no sign on the building.
June 2014
After booking the Split half day tour - we were contacted to take a half day sailing from Hvar instead as there was no longer the Split sail available. This turned out to be fine although there were a number of last minute changes. Since we were staying in Split, it meant however that we couldn't get back to the mainland until quite late - which we weren't informed about until we got to Hvar. So a little disorganised.
But the actual sailing trip was magnificent! Beautiful day for sailing, got the learn the ropes with the lovely and friendly crew members; who provided wine, crackers and Croatian music :)
Great way to get a taste of what sailing is like! We stopped in a gorgeous bay for a (chilly!) swim and relax. The day turned out to be the highlight of the trip. My only advice is wear a LOT of sunscreen!
September 2015
Amazing experience, despite not being exactly as advertised. Our sailing guide, Glorian, was incredible and really made the trip! The opportunity to swim in small, private bays and relax on the boat with wine and water! was wonderful. Thoroughly recommend.
May 2015
This was a fun outing. Our captain was very enjoyable, funny, and personable. He did a good job, especially considering the windy conditions on the day we sailed. The stop at Palmižana was nice. One disappointment was we were looking forward to the swimming and snorkeling aspect of the trip, but with the cloudy day and winds, this was skipped entirely. I wish that we had been notified ahead of time that there was a chance of not swimming/snorkeling because we would have brought different stuff with us in our daypacks.
One other minor complaint is that the description of this tour shows the duration at approximately 8 hours. Our trip was closer to 12 hours. We met a company representative at 8AM in Split and returned to Split at about 7:45PM. The long time was mainly because we had to take slow car ferry to Stari Grad instead of one of the faster catamarans. Perhaps the catamarans run later in the season and make it a faster trip where the 8 hour estimate is more accurate.


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If your accounts aren't connected, you'll need to connect them through the Capital One 360 website. This can be done by signing into capitalone360.com and either clicking on the Access your Capital One Investing account(s) link on the 'My Accounts' page or the Connect your accounts for instant transfers link on the 'Transfer Money' page. From there, all you will need to do is provide your Capital One Investing username and password.
Tip: If you just created a Capital One Investing account for the first time, it may take up to 2 business days before you see the option to connect your account on the Capital One 360 website.
After your accounts are connected, your Capital One 360 and Capital One Investing account information and balances appears on both websites. If you are on capitalone360.com, you also have the ability to click on a Capital One Investing account and link over to the Capital One Investing website without having to sign in to Capital One Investing again. Find out more about connecting your accounts.
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Dream came true with Dream Dubai plan of Flamingo. I take this opportunity to thank all from Flamingo responsible to our- Dr. K.S.Prajapati
Having enjoyed the flamingo hospitality in our USA tour in 2012,we were looking up for another such great experience, he- Mr.Manish Jivani with Family
Our tour to Hongkong, Macau and Shenzhen was arranged by Flamingo Travels. The arrangements made by Flamingo for Hote- P C Singhi
We had our first experience with Flamingo to travel to Europe. It was 18 days tour. We had a lovely time- All arrangemen- Shiv Ratan Somani
BALI is the perfect place for honeymooners and it was lifetime memorable experience for us. Sight seeing is also very go- Dr Hiren Kaswala
It was very pleasant and memorable experience of ten days with flamingo china tour. The hotels were excellent. The food- Harish Gajjar & Family
It is said that "First impression is the last impression". Our Dubai tour was the first tour with Flamingo and has b- Mr. Jimmy Jagani with Family
Had a wonderful and a memorable trip with Flamingo. Starting with the hotel selection to food, the local tour guide and- Darshak Shah - Bhavnagar
I did a tour with Flamingo Transworld to Hong Kong Shenzhen and Macao. The experience of touring with Flamingo was wond- Mr.Alpesh, Ms.Payal & Drashti
Before tour it was a very hectic schedule for all of my family members as it was Diwali time but we were not at all worr- Shailee S. Shah & Family
The best part of my trip was the arrangements done by Flamingo. There was absolutely no delay or not a single problem in- Mr. Ketul Patel & Family
Our experience for the same was excellent. Initially, we had decided to join with a group tour for Hong Kong & Macau org- Dr Mihir Gandhi & Dr Anuradha Gandhi
Trip was awesome. Enjoyed every moment. Itinerary planned was meticulous. Accommodation at the villa in Ubud with privat- Mr. Raksha shah
Again Flamingo was chosen, and we opted for a five star tour, that is, stay in five star hotels with breakfast and dinn- Ms. Purnima Parikh (Pushtiparivar Group)
I realized that Flamingo had a great role to play in easing me into vacation mode and making me comfortable in an alien- Mr. Nimesh shah


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Benötigen Sie sofortige Unterstützung? Ein Verisign DDoS-Experte wird sich in Kürze mit Ihnen in Verbindung setzen.
oder rufen Sie uns an unte +1‑703‑948‑4299
The Verisign Labs team brings a tremendous breadth of expertise and talent.
M.S. in Information Systems and B.S. in Computer Science from The Johns Hopkins University in Baltimore, MD
Matt is a Senior Data Architect within Verisign's Verisign's Technology Services Group and is a part of the Verisign Labs Affiliate program. He has worked on several of Verisign's value-added services such as Data Analyzer and Name Suggestion. Matt has over 10 years of experience working with large data analysis systems and several Big Data technologies such as Hadoop. His current research is focused on the analysis of DNS traffic as a mechanism to detect malware.
Prior to joining Verisign in 2008, Matt received his M.S. in Information Systems and B.S. in Computer Science from The Johns Hopkins University in Baltimore, MD. He previously worked as a Software Engineer for USinternetworking (now AT&T) in the Annapolis, MD area until moving to Switzerland and joining Verisign.
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Dr. V. Ramachandra, Zonal Head (Tech), UltraTech Cement Ltd., Bangalore
IntroductionConcrete Roads were first built by Romans (300 BC – 476 AD). They were quite innovative in the construction with the use of innovative materials viz., use of 'Pozzolana' cement from the village Pozzouli near Italy, horse hairs as fibres in concrete, admixtures in their primitive form (like animal fat, milk & blood). These roads, scientifically designed and constructed had a long life and thus lead to the adage 'all (concrete) roads lead to Romel.'
Portland Cement Concrete (PCC) overlay on an existing bituminous pavement is commonly known as White topping. The principal purpose of an overlay is either to restore or to increase the load carrying capacity or both, of the existing pavement. In achieving this objective, overlays also restore the ride-ability of the existing pavements which have suffered rutting and deformations, in addition to rectifying other defects such as loss of texture. In our country, bituminous overlays have been popularly constructed in the past mainly due to abundant supply of bitumen, its amenability to stage construction and manageable traffic conditions, in terms of volume and axle loads in addition to the comfort levels of construction methods among engineers. It was also making economic sense to make bituminous pavements as it was relatively cheaper. In recent times all these advantages are reversed viz., petroleum industry is using refined processing technology leading to reduction in the production of bitumen leading to increased imports, favourable cost economics of cement concrete and rapidly changing traffic scenario (in terms of volume as well as axle loads). In addition, rapid developments in concrete material technology and mechanization (both in concrete production & its laying) are favouring concrete overlays as a sustainable option. In recent times PPP (Public-Private Partnership) models are becoming popular in road construction shifting the focus on selection of overlays based on life-cycle costs rather than initial costs. India is currently producing about 240 million tonnes of cement and cement industry is quite matured and equipped to meet the challenges in terms of various grades of cements as well as high quality blended cements suitable for making Pavement Quality Concrete (PQC).
|Dr. V. Ramachandra
Overlay Solutions for RehabilitationType of overlays is chosen depending upon the condition of the existing pavement. Bonded overlays are preferred when the condition of existing pavement is good and the design will ensure that the thickness of overlay is relatively less. This is due to the fact that the pavement system behaves as a composite structure, utilizing the flexural strength of flexible pavement as well. In case the pavement is already deteriorated, it can only be regarded as a base; to separate it from the concrete overlay (in order to avoid reflective cracks), a separation layer is provided.
Concrete overlays have been used to rehabilitate bituminous pavements since 1918 in USA. There has been a renewed interest in whitetopping, particularly on Thin White Topping (TWT) and Ultra-Thin White Topping (UTWT) over Conventional White Topping. Based on the types of interface provided and the thickness of overlay, classification is as follows:
- Conventional White topping – which consists of PCC overlay of thickness 200 mm or more, which is designed & constructed without consideration of any bond between existing overlay & underlying bituminous layer (without assuming any composite action).
- Thin White topping (TWT) – which has PCC overlay between 100 – 200 mm. It is designed either considering bond between overlay & underlying bituminous layer or without consideration of bond. High strength concrete (M 40 or higher) is normally used to take care of flexure requirement. Joints are at shorter spacing of 0.6 to 1.25 m.
- Ultra-Thin White topping (UTWT) – which has PCC overlay of less than 100 mm. Bonding between overlay & underlying bituminous layer is mandatory. To ensure this, the existing layer of bitumen is either milled (to a depth of 25 mm) or surface scrapped (with a non-impact scrapper) or gently chiseled. Joints are provided at a spacing of 0.6 to 1.25 m.
Advantages of White topping
- Reduced thickness – due to thickness of overlay remaining constant for over 2 decades.
- Fast-Track construction – making use of innovations in concrete technology & batch mixing, concretes can be designed to have 3 –days' compressive (& flexural) strength, so as to open the road for traffic within 5 days of construction.
- Reduced maintenance – as the concrete overlays live for over 2 decades, with least maintenance.
- Cost-effective compared to asphalt overlays – when Life Cycle Cost is taken into consideration.
- Improved service life – with better riding quality, improved fuel efficiency of vehicles.
- Little pre-overlay repairs
- Improvement in safety in view of the increased reflection of light – particularly on city roads, it would save 24% less electricity compared to flexible pavements.
- Reduction in operational costs and lower absorption of solar energy
|Concrete roads require lesser illumination during night
Technology Demonstration ProjectIn India, concrete overlays on existing flexible pavement (white topping) have been constructed in recent years in Mumbai, Nagpur, Indore among other places. In South India, several new concrete roads were constructed during the last century which have given excellent service for over four decades, the examples being the Bangalore-Mysore road constructed by the then Maharaja of Mysore, the coastal roads in Kerala etc. Due to lack of experience and expertise in white topping, these roads were converted to flexible overlays in recent times.
With a view to familiarize with the advantages of white topping, a Technology Demonstration Project was undertaken in Bangalore jointly by the Bruhat Bangalore Mahanagara Palike (BBMP), Task Force for Quality Assurance, Govt. of Karnataka and Cement Manufacturers' Association. The objective of this project was to demonstrate the advantages of white topping by making use of the advances in construction equipments and methods.
Characterisation of the existing flexible pavement on the trial stretch on Hosur Road in Bangalore yielded the following data.
|8 to 10
|Commercial vehicles per day
|Temp differential at Bangalore
|17.3 deg C
|Thickness of bituminous layer
|4 to 7 inches
|Base (40 mm metal) thickness
|4 to 9 inches
|Road width
|100 feet
|Length of road
|350 m
|Concrete grade
|Axle load
Design of Pavement and Concrete MixDesign of the overlay was carried out using Westergaard's Equation and warping stress as per IRC:58 -2002 and IRC: SP: 76 – 2008. Total stress (including temperature stress) was obtained as 30.83 Kg/cm2 and corresponding flexural strength requirement was 4.7 MPa. Design was done by M/s L.R. Kadiyali & Associates, New Delhi. Thickness of white topping was 150 mm.
Concrete mix design was arrived at by evaluating trial mixes and the design mix was arrived at with a cement content of 430 kgs, fly ash – 30 kgs, with a w/c ratio of 0.283, achieving a slump of 40 – 60 mm at site.
Details of ConstructionIn order to achieve the desired advantages of concrete roads, three essential conditions need to be satisfied.
- Production of concrete in a RMC plant or in a dedicated batching plant.
- Using either fixed form or slip form mechanical pavers
- Strict quality control at site including testing of fresh, hardened and extracted specimens of concrete and tests on pavement quality.
|Surface preparation and alignment of rails for paver
|Paver machine in operation
|Surface texturing on green concrete
|Spraying of curing compound on fresh concrete
Salient features of Construction
- Surface preparation: In case of TWT, bond between PCC overlay & existing bituminous pavement is atleast partly desirable; in case of UTWT, effective bond is essential. To ensure this any of the following method can be adopted.
- Milling the existing bituminous surface to obtain a uniform surface. Milling can be used to remove surface distortion like cracks in the top portion and adjust cross slopes. Thickness of milling usually is in the range of 25 to 50 mm.
- Surface scrapping is carried out on bituminous surfaces which are quite hard. This can be for a depth of 10 mm and carried out with tools which have vertical impact control, so that the sub-grade is not damaged.
- Chiselling of the surface at regular intervals, if the existing surface is hard.
- Profile correction is carried out with the objective of filling existing potholes, ruts and wide cracks and also to ensure a level surface for resting the pavement. Profile correction and correction of camber can be carried out together with a thin bituminous leveling course or with dry lean concrete (DLC).
- If the existing road surface is good & only a few localized potholes / cracks exist, they can be repaired with a bituminous mix before concreting is done.
- If potholes/ cracks are wider than 3 mm, they have to be treated with bituminous emulsion, slurry seal after trimming them to shape and cleaning out loose fragments with compressed air. Milling of the existing surface also addresses this problem.
- Laying of PQC is quite similar to the construction of new concrete pavement. As mentioned earlier, concrete should be made either in an RMC plant or in a weigh batching plant. Use of either fixed form pavers or slip form paver machines is an essential ingredient for getting a good quality pavement. In the current project, a fixed form paver was used with a fixed side formwork (steel channel box section) with 16mm diameter steel rods of 1 m length as tie rods @ 500mm c/c) and the paver had gang mounted vibrators equally spaced with variable rpm and three integral steel tubes with 8 Tonnes vibratory rollers for screeding, levelling, compaction and finishing.
- Finishing of the surface is mostly achieved by the paver itself. But to achieve uniform finish, a simple hand operated bull float is used when concrete is still in its fresh state. After the bull float operation, uniform surface texture is provided by using steel wire brush.
- To avoid evaporation of surface water from concrete surface (which leads to plastic shrinkage cracks), wax based curing compound is sprayed. As an additional measure, plastic sheets are spread over the pavement surface till normal curing process starts.
- Contraction joints are provided by cutting groves (for a depth of one-third of the depth of white topping, 150 mm in this case) at a spacing of 1.2 m in longitudinal as well as transverse directions. The joints are cut using electrical grove machines within about 8 to 10 hours of pouring concrete. These joints are sealed with high quality sealant (either bitumen or poly sulphides) to prevent moisture and incompressible infiltration into the overlay system.
- To ensure effective load transfer across the longitudinal segments as well as transverse construction joints, tie bars and dowel bars are provided.
|Groove cutting in progress
Test ResultsStrict quality control not only during mix design and production of concrete, but also testing for quality at regular intervals (for every 50 cum of concrete) was carried out. These tests included:
- Tests conducted on fresh concrete (slump test at site)
- Tests on hardened state (compressive strength of cube & cylinder specimens for 1, 3, 7 & 28 days), split tensile strength, flexural strength of concrete beams
- Fatigue and abrasion tests on pavement quality (results awaited).
- Test on extracted specimens of concrete (core tests) would be conducted to assess the long term performance of concrete.
|Compressive Strength of Concrete Cubes (Total no. of samples 936)
|Sample size
|One-day strength (MPa)
|3-day strength (MPa)
|7-day strength (MPa)
|28 – day strength (MPa)
|60 cubes per test
|Max: 24.1
Min: 21.1
Avg: 22.05
|Max: 48.2
Min: 38.4
Avg: 43.2
|Max: 55.2
Min: 48.4
Avg: 51.02
|Max: 67.2
Min: 57.4
Avg: 61.8
Due to advances in the area of mechanization and fast track construction, concrete roads and white topping provide a sustainable as well as cost effective option for pavement construction. This technology demonstration project in Bangalore has evoked positive response from people across the spectrum viz., technical consultants, construction industry, academic & research institutions. The Government of Karnataka, BBMP and other civic agencies have come forward to adopt this technology. On behalf of the cement industry, CMA (Cement Manufacturers' Association) has come forward to assist all those involved in the construction on concrete roads/ white topping by way of several useful publications, user-friendly software for analysis, design and estimation of quantities (and comparative cost), conducting training programs for engineers and providing the necessary technical assistance.
|Compressive Strength of Concrete Cylinders (Total no. of samples 60)
|Sample size
|28 – day strength (MPa)
|60 per test
|Max: 61.4
Min: 43.7
Avg: 52.45
|Flexural strength of Concrete
(Total no. of samples 60)
|Sample size
|28 – day strength (MPa)
|60 per test
|Max: 7.35
Min: 6.2
Avg: 6.3
|Split Tensile strength of Concrete (Total no. of samples 60)
|Sample size
|28– day strength (MPa)
|60 per test
|Max: 4.01
Min: 2.92
Avg: 3.36
- Concrete Overlays – White topping of roads, Cement Manufacturers Association, 2010
- Tentative guidelines for conventional, thin and Ultra-thin white topping, IRC: SP: 76 – 2008, The Indian Roads Congress, New Delhi, 2008
- Handbook on Cement Concrete Roads, Cement Manufacturers Association, 2010
- Michael E. Ayers & Dale Harrington, Selection and use of concrete overlays, The Indian Concrete Journal, May 2010
- Guide to Concrete Overlays – Sustainable solutions for resurfacing and rehabilitating existing pavements, National Concrete Pavement Technology Centre, USA, Sept. 2008.


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UCLA stuns California 76-75 in overtime
BERKELEY, Calif. Michael Roll was preparing to go up for a rebound. Instead, the UCLA guard found himself with the ball and a chance to send a message to the rest of the Pac-10.
He didn't waste the opportunity.
Roll scooped up a loose ball and scored from 13 feet with 1.9 seconds remaining in overtime, lifting the Bruins to a 76-75 victory over California on Wednesday night.
"Three seconds left, I'm trying to crash and get in there, and the ball just kind of came my way," said Roll, who finished with a team-high 19 points and six assists. "I just grabbed it, turned around and hit a foul-line jumper. That's what I have to do."
The victory capped a furious comeback for coach Ben Howland's team, which trailed 42-30 early in the second half before rallying. The Bruins, who haven't lost at Haas Pavilion since Jan. 24, 2004, in Howland's first season, also served notice that they still need to be considered a contender for the Pac-10 title.
UCLA, which won the title three straight seasons from 2006-08, was picked third this season behind No. 24 Washington and Cal in a preseason poll of the conference coaches.
That thinking might be changing now.
"This is a huge win for us," said Howland, whose team was coming off a 77-63 loss Saturday at Arizona. "As disappointing and down as our last game was, I thought we showed some good bounce-back to come out here and win on the road."
Roll repeatedly made key 3-pointers for the Bruins in the second half, but it was his alert play with the clock winding down that sealed it for UCLA.
Jamal Boykin had given the Bears a 75-74 lead with a 15-foot jumper that banked in with 21 seconds left, then tipped away a pass from the Bruins' Jerime Anderson that was intended for freshman forward Reeves Nelson under UCLA's basket. But Roll grabbed the ball just beyond the free throw line, turned and made his game-winning shot.
"The ball was there; should have been ours," Cal coach Mike Montgomery said. "We didn't come up with it, Roll shoots it opportunistically and here we are."
Nelson finished with 15 points and Nikola Dragovic added 18 for UCLA (7-8, 2-1 Pac-10), which won its sixth straight game at Berkeley.
Theo Robertson matched his career high with 24 points and had seven rebounds while Patrick Christopher added 14 points and nine rebounds for California (9-5, 1-1), which was coming off an impressive 26-point win over Stanford.
"I didn't think we played with enough of a sense of urgency," Robertson said. "We never got into a flow like we're accustomed to. There's going to be games like this where you have to grit it out, but we didn't make enough plays to win."
The Bears led nearly the entire first half and were ahead 42-30 with 15:30 left in regulation before the Bruins came from behind to hand Cal its first home loss since a 72-68 defeat to UCLA on Feb. 28 of last season.
It didn't help the Bears that their leading scorer, Jerome Randle, was mired in a 5-for-16 slump. Randle finished with 11 points, four in overtime.
Both teams missed chances to win in regulation. The Bruins had the ball with 38 seconds left after Robertson's short jumper had tied the score 65-65 and were looking for the last shot before Christopher stole the ball from Nelson under UCLA's basket. But Christopher's desperate 3-pointer at the buzzer glanced off the front of the rim, setting up the frantic finish.
Cal was playing without sophomore guard Jorge Gutierrez, who injured his knee in the conference-opening win over Stanford. Gutierrez, who is expected to be sidelined at least a week, has been Montgomery's best defender all season coming off the bench and was second on the team in assists behind Randle before getting hurt.


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TOYGIANTS ~ Daniel & Geo Fuchs
by far the best looking book on toys.
Killed Adolf Hitler is funny, astonishing and touching, one of the best graphic novels I've read. Would love to see it as an animated short. Share it with someone you love.Tags: funny, graphic novels, Romantic, comicbooks, hitler, jason, science fiction, I Killed Adolf HitlerAdded 5 Years Ago from Fantagraphics
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Read about the early life and rise to power of the modern world's evilest dictator.Added 8 Years Ago from Amazon.com


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Marts & Lundy clients, the University of Rochester and Princeton University, honored by CASE for exceptional campaign communications.
Date: 06/28/2012
The Council for Advancement and Support of Education (CASE) has awarded the University of Rochester the Grand Gold CASE Circle of Excellence Award for its Meliora Challenge: Campaign Collateral Package. The Grand Gold award is the highest honor given by CASE. In 2012, CASE received more than 2,800 entries for consideration in 40 categories by nearly 600 higher education member institutions. Only 19 institutions received the top prize of a Grand Gold Award in a particular category.
University of Rochester's collateral package included the University-wide case statement; the first issue of Endeavor, Advancement's quarterly Campaign newsletter; the Campaign's portfolio, stationery, launch e-blasts; and the Campaign website.
"This is great recognition for the University," said Jim Thompson, senior vice president and chief advancement officer at the University of Rochester. "It is also a testament to the hard work and talent of a core creative team and enhanced by insights that came from a large, highly collaborative group that spanned academic, administrative, communication, and volunteer leadership."
CASE has also awarded Princeton University a Gold Award for its fundraising video campaign "Faces of Aspire." The videos support the University's Aspire Campaign and feature Princetonians—such as creative writing professor and Pulitizer Prize-winning author Jeffrey Eugenides—who embody Aspire's goal to make the world a better place.
Marts & Lundy is grateful to have played a role in these impressive projects and congratulates the University of Rochester and Princeton University on their success! To learn more about Marts & Lundy's strategic communications offerings, click here.
Posted In Client News


text: MELBOURNE, AUSTRALIA - JUNE 13: 1992 Melbourne Cup winning horse Subzero, held by Clerk of the Course, Graham Salisbury licks the 2013 Emirates Melbourne Cup trophy at the VRC's 2013 Emirates Melbourne Cup Tour Destination Launch on June 13, 2013 in Melbourne, Australia. The Victoria Racing Club revealed the 34 successful destinations that will host the iconic Emirates Melbourne Cup Tour on its three month Australasian journey. (Photo by Scott Barbour/Getty Images for the VRC)


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26 Mar to 12 Jun
reGeneration3 brings together 50 artists with 25 different nationalities, representing some 40 art institutions. Their work is distinguished by their multidisciplinarity, ranging from printing and photographic series, artists' books, multimedia installations, videos, projections, films and performances, to on-site installations. FORMAT presents the first UK showing of this exhibition, curated by Musée de l'Elysée, Switzerland.


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After several days of being offline MMO company Sony Online Entertainment says that users wanting to play games like EverQuest II, Free Realms, and DC Universe Online will have to wait a "few more days." The company took down its various MMO's after it realized that it had suffered a security breach at around the same time the PlayStation Network was hacked into – over three weeks ago.
In the latest update to the official SOE site, the company also detailed what it will do to make all this up to players:
Sony Online Entertainment has said it'll likely be "at least a few more days" before its online gaming services are restored following the recent security breach. In an update on its site, it also outlined the compensation PC and PS3 users will receive for the down time.
SOE said it is currently in the process of "an extensive upgrade" to its network to further protect users' information from future attacks, and that it's "committed to compensating" its loyal player base. All impacted players will receive 30 days of game time added to the end of the current billing cycle in addition to one day for each day the system is down.
Several SOE games will feature a "variety of in-game items and special events to welcome players back" once the games resume. From the site:
– DC Universe Online: Batman and Two-Face Inspired Masks and 30 Marks of Distinction
– Free Realms: Free daily items (7 to collect)
– Clone Wars Adventures: Count Dooku v2 Outfit
– EverQuest: A series of events, including Double XP, Double Rare Mob Spawns and Double Faction Gains
– EverQuest II and EverQuest II Extended: A series of events, including Double XP, Double Guild XP, Loot Bonanza, and City Festivals
– Vanguard: Saga of Heroes: A series of Double XP events
– Star Wars Galaxies: Bounty Hunter Statue, a miniature model of Boba Fett's ship, the Slave I
– Magic: The Gathering – Tactics: Four of each of these spells: "Ivory Mask", "Duress" and "Angelheart Vial", plus 500 Station Cash
– PoxNora: Limited edition Carrionling, Welcome Back 5K Gold Award Tournaments and two Draft Tournaments, plus 500 Station Cash
SOE plans to give lifetime subscribers in-game currency (20,000 coins for Free Realms, 7,500 Galactic Credits for Clone Wars Adventures and 10 Marks of Distinction for DC Universe Online). Station Access subscribers will receive 500 Station Cash, in addition to the subscription time and previously mentioned items.
SOE customers will also get access to identity theft protection just like PSN users:
"Additionally, we announced today that SOE will provide its U.S.-based Station Account holders with complimentary enrollment in an identity theft protection program through Debix, one of the industry's most reputable identity protection firms. For Station Account holders who live outside the U.S., SOE will be offering similar programs, if and as available, and will provide details as they're confirmed for each country or territory."
Source: C&VG


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Riffe, Daniel, Journalism and Mass Communication Quarterly
"What roles do mass communication content and processes play in the development and maintenance of individual and collective identity?" has been an implicit question underlying a great deal of social science research. "Identity" is at the core of early works ranging from Herzog's1 study of how women relate to characters in daytime radio serials to Berelson's2 exploration of what "missing the newspaper" means," Merton's3 designation of "localités" and "cosmopolites," and Lippmann' s4 description of how learning the news of a war that had actually begun six weeks earlier changed how English, French, and German island residents viewed one another ("For six strange weeks they had acted as if they were friends, when in fact they were enemies.").
More recent work - including in the area of cultivation, the "construction of social reality," third-person perception and social distance, and body image and social comparison theory - continues to address implicitly how individual and collective identities are shaped.
People learn social and gender roles from mass media portrayals and images that help them define their personal identity. Through comparison with characters in media content and modeling of mediated behaviors and attitudes, they learn to become who or what they want to be, as well as what is admired, undesirable, or unacceptable.
Those same media portrayals help individuals identify with larger groups, cohorts, "generations," communities, societies, and cultures. Unfortunately, though, media portrayals can sometimes make individuals and groups painfully aware of their marginalized status.
Just as often, those portrayals have impact beyond one's own personal or group identity, and function to illustrate, create, or maintain the identity of other groups. Perhaps lacking close, first-hand experience with other groups, people may rely on media portrayals to develop images and schema about how others behave and believe. Some of those images may be positive and illuminating, while others may be dysfunctional and destructive.
Several articles in this issue have conceptualized - and addressed empirically - different influences of mass communication in the construction and maintenance of individual, collective, and professional identity. Dalisay and Tan explore experimentally how exposure to television portrayals of "model minority" Asian Americans led to later positive judgments about Asian Americans and, more important, negative judgments about African Americans.
Chia and Poo study Singaporean young people's media use and their involvement and identification with celebrities, finding several aspects of that involvement - entertainment-social values, intense-personal feelings, and borderline-pathological tendencies- that were associated with the adolescents' materialistic values, self-esteem, and life satisfaction.
A study by Ragas and Roberts applies agenda-setting theory and the agenda-melding hypothesis to a different kind of identity: the virtual brand community. The agenda-melding hypothesis posits that when individuals join groups - whether the groups are based on civic, social, or political causes; on hobbies or interests; or even on product or brand preference or loyalty - they "meld" their individual agendas with the agendas of the group.
In "Gender Mainstreaming in International News," Geertsema examines a five-year effort by the global news agency Inter Press Service (IPS) to implement a gender mainstreaming policy in its newsrooms to improve women's access and representation in international news. …


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Is anyone else creating a lesson plan for their infant? If you are interested to get one started, I found this very helpful template/site.


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The deadline is approaching for the Don and Gee Nicholl Fellowships in Screenwriting, a program of the Academy of Motion Pictures Arts & Sciences, which awards up to five $30,000 fellowships to new screenwriters. The deadline for the award is Monday, May 2, 2011.
Alum of the fellowship include Ehren Kruger ("The Ring," "Transformers"), Kurt Kuenne ("Dear Zachary"), Andrew Marlowe ("Air Force One"), Randall McCormick ("Speed 2"), Annmarie Morais ("How She Move"), Eric Nazarian ("Mongol"), Mike Rich ("Secretariat"), Rebecca Sonnenshine ("Happily Ever After"), Victoria Arch ("Dirty Dancing: Havana Nights"), and Doug Atchison for his "Akeelah and the Bee" script. Submissions are due by May 2, 2011.
The full release follows...
Deadline Approaching for Academy's 2011
Nicholl Screenwriting Competition
Beverly Hills, CA – The deadline to submit entries for the Academy of Motion Picture Arts and Sciences' 26th annual Don and Gee Nicholl Fellowships in Screenwriting competition is Monday, May 2, 2011.
The Nicholl competition is open to any individual who has not earned more than $5,000 from the sale or option of a screenplay or teleplay, or received a fellowship or prize of more than $5,000 that includes a "first look" clause, an option or any other quid pro quo involving the writer's work. To enter, writers must submit a completed online application, upload one PDF copy of their original screenplay in English and pay the US$45 entry fee before 11:59 p.m. PT on May 2, 2011.
Entry scripts must be feature length and the original work of a sole author or of exactly two collaborative authors. The scripts must have been written originally in English. Adaptations and translated scripts are not eligible. Up to five $30,000 fellowships are awarded each year.
For additional information, the complete rules and the online application, visit www.oscars.org/nicholl.
"The Academy is extremely proud that the Nicholl competition continues to identify talented but as yet undiscovered screenwriters," said Academy President Tom Sherak. "I'm sure that this year's fellowship recipients will exhibit the same great potential as so many of our past winners."
Since the program's inception in 1985, 118 fellowships have been awarded. Several past Nicholl fellows have gone on to successful screenwriting careers, including Oscar® nominee Susannah Grant ("The Soloist, " "Erin Brockovich," "Pocahontas"), Doug Atchison ("Akeelah and the Bee"), Mike Rich ("Secretariat," "The Rookie," "Finding Forrester"), Ehren Kruger ("Transformers: Dark of the Moon," "The Ring," "Arlington Road") and Andrew Marlowe (ABC's "Castle," "Hollow Man," "Air Force One").
Fellowships are awarded with the understanding that the recipients will each complete a feature-length screenplay during their fellowship year. The Academy acquires no rights to the works of Nicholl fellows and does not involve itself commercially in any way with their completed scripts.
Several other Nicholl fellows have had success in the film industry; to read more about them, visit http://www.oscars.org/awards/nicholl/fellows/notable.html


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Same day visa for Indian biz, no cap on students: Cameron
Feb 18 2013 , Mumbai
Move aimed to attract more active participation in Britain
"We have the biggest visa operations anywhere else in the world right here in India. I announce that we are going to introduce for businesses a same-day visa service to those who want to come to our country and invest...," Cameron told India Inc at Hotel Taj.
On the issue of Indian students in Britain, he said there is no limit on the number of Indian students who can come and study in universities there and also no cap on the length of time they can stay and work in graduate-level jobs after they qualified.
Cameron, who is accompanied by the largest-ever trade delegation, also said India should continue to reduce trade barriers to create better opportunities for British companies.
"Britain is looking to take down the (trade) barriers ...We want the Indian government to continue to open up trade barriers and make it easier to do business here...We have to make sure that just as we welcome Indian investments into Britain, it is easier for British companies like banking, retail to invest in this vibrant and fast growing economy," he said.
The British premier also said there are great opportunities for Indian companies to invest in Britain.
"When I see Indian investment into Britian, I only see hope...Investment like Jaguar and Land Rover, which is a massive international success story...We welcome that sort of investments," Cameron said, adding his country seeks to be the most investor-friendly market.


text:
PubMed Submission Abstract PDF Feed Back Click Count: 2737 DownLoad Count: 977
Dubravko Smud, Goran Augustin, Tihomir Kekez, Emil Kinda, Mate Majerovic, Zeljko Jelincic, Department of Surgery, Division of Abdominal Surgery, Clinical Hospital Center Zagreb, Zagreb, Croatia
Correspondence to: Goran Augustin, Clinical Hospital Center Zagreb, Department of Surgery, Division of Abdominal Surgery, Kispaticeva 12, Zagreb 10000, Croatia. firstname.lastname@example.com
Telephone: +385-1-6196030 Fax: +385-1-2421845
Received: 2007-02-23 Accepted: 2007-03-21
We present a case of a 25-year-old female with diagnosed familial adenomatous polyposis and elevated carcinoembryonic antigen with negative family history. The suspicion of Gardner's syndrome was raised because extirpation of an osteoma of the left temporo-occipital region was made 10 years ago. Restorative procto-colectomy and ileal pouch anal anastomosis was made but histology delineated adenocarcinoma of the rectum (Dukes C stage). We conclude that cranial osteomas often precede gastrointestinal manifestations of familial adenomatous polyposis or Gardner's syndrome and such patients should be evaluated with genetic testing followed by colonoscopy if results are positive to prevent the development of colorectal carcinoma. If the diagnosis is positive all family members should be evaluated for familial adenomatous polyposis.
© 2007 WJG. All rights reserved.
Key words: Gardner's syndrome; Familial adenomatous polyposis; Restorative proctocolectomy; Ileal pouch anal anastomosis; Cranial osteoma
Smud D, Augustin G, Kekez T, Kinda E, Majerovic M, Jelincic Z. Gardner's syndrome: Genetic testing and colonoscopy are indicated in adolescents and young adults with cranial osteomas : A case report. World J Gastroenterol 2007; 13(28): 3900-3903
Familial adenomatous polyposis (FAP)[1] and Gardner's syndrome (GS)[2] were originally described as two different syndromes. The incidence of FAP is between 1 in 8300 and 1 in 14 025 live births affecting both genders equally, with a uniform worldwide distribution[3]. The incidence of GS is lower and is characterized by Gardner's triad: intestinal polyposis and various bone and soft-tissue tumors, including osteomas, epidermal inclusion cysts, lipomas, fibromas, and desmoid fibromatoses[4-8]. Congenital hypertrophy of the retinal pigmented epithelium (CHRPE)[9], dental malformations[10], benign cystic lung tumours[11], mesenteric fibromatosis, dental abnormalities, gastric polyps, duodenal polyps, lymphoid hyperplasia of the terminal ileum and ileal adenomas represent facultative signs. If left unchecked, patients with GS inevitably develop intestinal carcinoma at a much younger age than those with sporadic intestinal carcinoma[12]. It is important, therefore, to identify GS early. Typically, the soft-tissue lesions occur first, alerting the clinician to the possibility of GS, because they are often numerous, superficial, and occur before the development of intestinal polyps. Because of variable expression of adenomatous polyposis coli (APC) gene mutations associated with GS, a wide range of phenotypes are observed clinically, with some patients having few soft-tissue lesions. The presence of desmoid fibromatoses, normally uncommon in young patients, should signal the presence of underlying GS[4-7]. The clinical spectrum of the disease presentation is variable and often diagnosis is delayed, despite the presence of clues for a significant amount of time.
We present the case of a 25-year-old girl with Gardner's syndrome that was diagnosed due to the finding of FAP and cranial vault osteoma resected 10 years before the diagnosis of FAP.
A 25-year-old female presented with abdominal cramps, especially after defecation, lasting for 10 years. From August 2005 abdominal pain was more severe, occasionally with blood in the stool. In August 2006 she was examined by the gastroenterologist. Colonoscopy delineated numerous polyps carpeting the entire colon and rectum, mostly sigmoid colon and rectum which was consistent with the diagnosis of FAP. Polypectomy of 4 polyps showed low grade dysplasia. Carcinoembryonic antigen was 10.38 ng/mL, the normal values being < 3.4 ng/mL. The clinical suspicion of GS was raised because extir-pation of an osteoma of the left temporooccipital region with osteoplastic craniotomy was made in 1995. That lump was present from the early childhood but in 1995 it grew larger and then she sought medical attention. Skull X-ray showed bone thickening and then CT showed 4 cm bone thickening without intracranial extension (intact inner table). Soft tissue thickening above this lesion was also evident (Figure 1A). The diagnosis of cancellous, trabecular type osteoma was confirmed histologically. No family history of colonic carcinoma or polyposis was found. She has two sisters who recall that she is the only sister who have had an abdominal cramps from the early childhood. Esophagogastroduodenoscopy and small bowel follow through were normal. The next step was a restorative proctocolectomy with ileal pouch anal anastomosis (RPC/IPAA) and mucosectomy. One suspicious transmural lesion was marked with a stitch for more detailed examination (Figure 1B). Pathology of the colon specimen confirmed the diagnosis of FAP. Colonic polyps were tubular adenomas with low grade dysplasia. Part of the rectum marked with the stitch was adenocarcinoma (Dukes C stage). 5-FU/leucovorin based chemotherapy was initiated after 3 wk because there were no postoperative complications. On discharge, it was recommended that all first-degree family members should be evaluated for FAP.
GS is considered a variant of FAP, in which certain extracolonic manifestations (e.g., osteomas and fibromas) develop. GS is caused by truncating mutations in a portion of the APC gene (codons 1403 and 1578) that differs from classic FAP (codons 169-1600), attenuated FAP (amino terminal to codon 157), and congenital hypertrophy of the retinal pigmented epithelium (codons 463-1387)[13]. Nonetheless, there is evidence that even patients with identical mutations may have different phenotypic expressions for reasons that are not clear[13]. The majority of individuals have a family history of this pathology, but 25% of patients can present with a new dominant mutation (de novo mutation) and be the first member of the family affected[14]. These patients are generally not under medical survaillance before they have bowel symptoms, and 67% of them will have developed colorectal cancer[15]. In 100% of all untreated patients, cancer of the large intestine develops before the age of 40. Hence, prophylactic colectomy is indicated[16,17], although desmoid tumors of the mesenteric and abdominal wall may develop after surgery[18].
The frequency of osteomas noticeable by sight or palpation after clinical examination are found in 21%-24% of polyposis patients from families with GS[19,20]. The majority of osteomas remain occult; the incidence in the general population is 0.014%-0.43%. The incidence is higher in female patients, predominantly in the 2nd and 3rd decades of life and is rare in puberty[21,22]. Cranial vault osteomas are less frequent than skull base osteomas and can be either enostotic (inner table) or exostotic (outer table)[23,24]. Mandibular osteomas are the commonest and largest[25-27]. The CT is the best imaging technique for the diagnosis of an osteoma. Histologically, the osteomas are normally formed by trabeculas of bone laminated with fibroadipose tissue. In the case of enostosis, these consist of compact islets of mature laminated bone[28]. Osteomas in the facial bones and cranium are common in patients affected by GS in contrast to the general population. Osteomas often precede the diagnosis of FAP, the fact that is important for early detection of these patients[27].
Genetic testing is the most efficient mode of identifying gene carriers in a FAP relative. In cases where the exact sequence of a mutation is known in one family member, direct sequencing directed at the region of the APC gene thought to be affected has been shown to be 90% cost effective and accurate[29]. Linkage analysis to markers on chromosome 5q, protein truncation testing, direct sequencing, conformation-sensitive gel electrophoresis, and single-strand, conformation-sensitive gel electrophoresis all have accuracies 70%-90%[30]. Splice site defects or gross genomic alterations may have been underestimated by the older testing methods and require cDNA screening and gene rearrangement testing[31]. Genetic risk assessment should precede the initiation of regular endoscopic screening[32]. Screening colonoscopy should begin at age 10-12 years for patients who are known to have APC mutations[33].
Congenital hypertrophy of the retinal pigment epithelium (CHRPE) refers to the presence of characteristic pigmented fundus lesions that occur in 70%-80% of patients with FAP[9]. These ophthalmic manifestations are usually present at birth, largely preceding the development of intestinal polyposis, and are asymptomatic with no malignant potential. They are specific to FAP, as opposed to other hereditary or sporadic colonic cancers[34]. The diagnostic criteria with the highest specificity/sensitivity for CHRPE include the detection of four small pigmented lesions, or two lesions of which one is large (> 25% of disc surface), using bilateral lens fundoscopic examination[35]. The presence of multiple bilateral lesions appears to be a highly specific marker for FAP (95%-100% specificity)[36]. This makes ophthalmological examination an attractive noninvasive and early diagnostic test for at-risk family members, aside from genetic testing.
conclusion, we presented a case of GS with a typical clinical
presentation, unfortunately unrecognized in the early stage. Cranial
vault osteoma preceded significant gastrointestinal manifestations
for 10 years. Successful RPC/IPAA was made with excellent immediate
postoperative results with early institution of chemotherapy.
According to the oncologic principles, the RPC/IPAA should not be
performed in cases of histologically confirmed carcinoma because
postoperative complications associated with IPAA would lead to
significant delay in institution of chemotherapy. Seventy-six to 93%
of patients with FAP having no clinical signs of Gardner's syndrome
have osteomas[37,38]. The rarity of the osteomas, their
presentation at the same age as FAP and their often earlier
presentation than gastrointestinal symptomatology in patients with
Gardner's syndrome should lead to adoption of the rule that all
diagnosed cranial osteomas should be followed by ophthalmic and/or
1 Lockhart-Mummery P. Cancer and heredity. Lancet 1925; 1: 427-429
2 Garder EJ,
Richards RC. Multiple cutaneous and subcutaneous lesions occurring
simultaneously with hereditary
3 Wennstrom J,
Pierce ER, McKusick VA. Hereditary benign and malignant lesions of
the large bowel. Cancer 1974; 34
4 Garder EJ.
Follow-up study of a family group exhibiting dominant inheritance
for a syndrome including intestinal polyps,
5 Gorlin RJ,
Chaudhary AP. Multiple osteomatosis, fibromas, lipomas and
fibrosarcomas of the skin and mesentery,
6 Pierce ER,
Weisbord T, McKusick VA. Gardner's syndrome: formal genetics and
statistical analysis of a large Canadian
7 Staley CJ.
Gardner's syndrome: simultaneous occurrence of polyposis coli,
osteomatosis, and soft tissue tumors. Arch
8 Weary PE,
Linthicum A, Cawley EP, Coleman CC Jr, Graham GF. Garder's syndrome.
A Family group study and review.
9 Traboulsi EI,
Krush AJ, Gardner EJ, Booker SV, Offerhaus GJ, Yardley JH, Hamilton
SR, Luk GD, Giardiello FM, Welsh SB.
10 Chang CH,
Piatt ED, Thomas KE, Watne AL. Bone abnormalities in Gardner's
syndrome. Am J Roentgenol Radium Ther
11 Torok L, Fazekas A, Domjan L, Budai S, Kasa M. Gardner syndrome. Hautarzt 1990; 41: 83-86 PubMed
12 Bussey HJR.
Historical developments in familial adenomatous polyposis. In:
Familial Adenomatous Polyposis. Herrera L,
13 Vogelstein B,
Kinzler KW. Colorectal tumors. In: Vogelstein B, Kinzler KW. The
Genetic Basis of Human Cancer. New
14 Bisgaard ML,
Fenger K, Bulow S, Niebuhr E, Mohr J. Familial adenomatous polyposis
(FAP): frequency, penetrance, and
15 Bulow S. Results of national registration of familial adenomatous polyposis. Gut 2003; 52: 742-746 PubMed
16 Watne AL, Core SK, Carrier JM. Gardner's syndrome. Surg Gynecol Obstet 1975; 141: 53-56 PubMed
17 Gingold BS,
Jagelman D, Turnbull RB. Surgical management of familial polyposis
and Gardner's syndrome. Am J Surg
18 Soravia C,
Berk T, McLeod RS, Cohen Z. Desmoid disease in patients with
familial adenomatous polyposis. Dis Colon
19 Leppard B, Bussey HJ. Epidermoid cysts, polyposis coli and Gardner's syndrome. Br J Surg 1975; 62: 387-393 PubMed
20 Bisgaard ML,
Bulow S. Familial adenomatous polyposis (FAP): genotype correlation
to FAP phenotype with osteomas
21 Gupta OP, Samant HC. Osteoma of the mastoid. Laryngoscope 1972; 82: 172-176 PubMed
22 Denia A,
Perez F, Canalis RR, Graham MD. Extracanalicular osteomas of the
temporal bone. Arch Otolaryngol 1979;
23 Eppley BL, Kim W, Sadove AM. Large osteomas of the cranial vault. J Craniofac Surg 2003; 14: 97-100 PubMed
24 Haddad FS,
Haddad GF, Zaatari G. Cranial osteomas: their classification and
management. Report on a giant osteoma
25 Ziter FM Jr. Roentgenographic findings in gardner's syndrome. JAMA 1965; 192: 1000-1002 PubMed
26 Plenk HP,
Gardner EJ. Osteomatosis (leontiasis ossea): hereditary disease of
membranous bone formation associated in
27 Jones EL,
Cornell WP. Gardner's syndrome; review of the literature and report
on a family. Arch Surg 1966; 92: 287-
28 Sayan NB,
Ucok C, Karasu HA, Gunhan O. Peripheral osteoma of the oral and
maxillofacial region: a study of 35 new
29 Cromwell DM,
Moore RD, Brensinger JD, Petersen GM, Bass EB, Giardiello FM. Cost
analysis of alternative approaches to
30 Powell SM,
Petersen GM, Krush AJ, Booker S, Jen J, Giardiello FM, Hamilton SR,
Vogelstein B, Kinzler KW. Molecular
31 Mihalatos M,
Apessos A, Dauwerse H, Velissariou V, Psychias A, Koliopanos A,
Petropoulos K, Triantafillidis JK,
32 Mak T,
Speake D, Lalloo F, Hill J, Evans DG. Familial colorectal cancer
referral to regional genetics department--a single
33 Cruz-Correa M,
Giardiello FM. Diagnosis and management of hereditary colon cancer.
Gastroenterol Clin North Am
34 Traboulsi EI,
Maumenee IH, Krush AJ, Giardiello FM, Levin LS, Hamilton SR.
Pigmented ocular fundus lesions in the
35 Tiret A,
Taiel-Sartral M, Tiret E, Laroche L. Diagnostic value of fundus
examination in familial adenomatous polyposis. Br
36 Morton DG,
Gibson J, Macdonald F, Brown R, Haydon J, Cullen R, Rindl M, Hulten
M, Neoptolemos JP, Keighley MR. Role
37 Utsunomiya J,
Nakamura T. The occult osteomatous changes in the mandible in
patients with familial polyposis coli. Br
38 Bulow S,
Sondergaard JO, Witt I, Larsen E, Tetens G. Mandibular osteomas in
familial polyposis coli. Dis Colon Rectum
39 Spigelman AD,
Williams CB, Talbot IC, Domizio P, Phillips RK. Upper
gastrointestinal cancer in patients with familial
40 Iida M,
Aoyagi K, Fujimura Y, Matsumoto T, Hizawa K, Nakamura S. Nonpolypoid
adenomas of the duodenum in patients
41 Galiatsatos P, Foulkes WD. Familial adenomatous polyposis. Am J Gastroenterol 2006; 101: 385-398 PubMed
42 Galle TS, Juel K, Bulow S. Causes of death in familial adenomatous polyposis. Scand J Gastroenterol 1999; 34: 808-812
43 Burke CA,
Beck GJ, Church JM, van Stolk RU. The natural history of untreated
duodenal and ampullary adenomas in
S- Editor Zhu LH L- Editor Wang XL E- Editor Liu Y


text:
Forrest and Grace are a pair of P20 folders I got a few years ago and while Forrest has become infamous for being one of a handful of folding fixed gears (and the only one in these parts) Grace's path was a little different.
I built her up with a dual drive on her SA 3 speed and other than replacing her fenders she remained pretty much stock... she was very utilitarian.
I sold her last year and while she was in Toronto she was mugged and then given back to me and she has just been sitting around in a rather sad and forlorn condition.
Grace... before the mugging.
I love Forrest and we have travelled many glorious miles but every once in a while I'd like to go a little faster than his gearing allows and perhaps descend into the valley and be able to climb out with a little more ease.
So to that end I have gathered up a new suspension fork (cause we're gonna run some high psi slicks), a new Nitto technomic stem, new Tange headset, Shimano 600 cranks, drop bars and levers, bar tape, and a new bottom bracket.
I got her up and running tonight by using her old stock wheels and am stuck in 3rd as her shifter cable was destroyed (but I have spares at my shop).
On Monday I will retap her bb and install the new cranks and might just get the drop bars installed.
Stay tuned.


text:
- MexicoHousingFunding via Kubo.financiero
Paulina Nat...MexicoHousingFunding via Kubo.financiero
Flor De LisMexicoHousingFunding via SGS Soluciones Patrimoniales SAPI de CV SOFOM ENR
Colores Group
She started selling candy outside her house 8 months ago and then started selling frozen pops and then opened a grocery store; all of this was thanks to the loans. Now the current loan will help her open a stand to sell grilled chicken. She will buy a grill and start to build a structure for the new business.
Carmela is moving step by step. She wants to lay a slab for the business because it's currently in a lean-to and when it rains and the weather is bad it tends to get very wet.
This group has outstanding members who are very responsible and want to get ahead for their families.
Additional Information
This is a Group Loan
In a group loan, each member of the group receives an individual loan but is part of a larger group of individuals. The group is there to provide support to the members and to provide a system of peer pressure, but groups may or may not be formally bound by a group guarantee. In cases where there is a group guarantee, members of the group are responsible for paying back the loans of their fellow group members in the case of delinquency or default.
Kiva's Field Partners typically feature one borrower from a group. The loan description, sector, and other attributes for a group loan profile are determined by the featured borrower's loan. The other members of the group are not required to use their loans for the same purpose.
About Mexico
37View loans »
Success!! The loan was 100% repaid
- Repayment Term
- 6 months (Additional Information)
- Repayment Schedule
- Monthly
- Pre-Disbursed:
- Oct 11, 2012
- Listed
- Nov 7, 2012
- Currency Exchange Loss:
- Possible
- Ended:
- Mar 28, 2013


text:
Prison shelled in Aleppo battle
BEIRUT - Shells smashed into a central prison in the embattled Syrian city of Aleppo, killing prisoners, a rights group said Sunday, part of a long battle for control of the ancient city.
The explosions killed six prisoners, said the British-based Syrian Observatory for Human Rights, which communicates with a network of activists on the ground. The explosives hit on Friday night, the Observatory said. It was not clear who fired the shells.
The Observatory reported about 70 soldiers and fighters were killed on Sunday, as well as 40 civilians, in fighting across Syria.
Venezuela seen best for Snowden
MOSCOW - An influential Russian parliament member who often speaks for the Kremlin encouraged NSA leaker Edward Snowden on Sunday to accept Venezuela's offer of asylum.
Alexei Pushkov, who heads the international affairs committee in Russia's parliament, posted a message on Twitter saying: "Venezuela is waiting for an answer from Snowden. This, perhaps, is his last chance to receive political asylum."
Venezuelan Foreign Minister Elias Jaua said Saturday his country hasn't yet been in contact with Mr. Snowden, who Russian officials say has been stuck in the transit area of Moscow's Sheremetyevo Airport since arriving on a flight from Hong Kong two weeks ago. He has been unable to travel further because the U.S. annulled his passport.
Greece, creditors to finalize reforms
ATHENS, Greece - Greece's talks with its creditors ended Sunday without a final agreement on a reforms package, but both sides said such a deal is likely to be finalized in Brussels, before today's Eurogroup meeting.
Poul Thomsen, the International Monetary Fund representative at the talks, and Finance Minister Yannis Stournaras told journalists after the talks they were "hoping" for a final agreement before the meeting of the eurozone's finance ministers.
At stake is an $10.4 billion installment of bailout aid that keeps debt-strapped Greece afloat. It is the first time Greece heads into a crucial Eurogroup meeting without a prior agreement.
Castro speech scolds islanders
HAVANA - Raul Castro spent the lion's share of a prominent speech Sunday scolding his countrymen for all kinds of bad behavior.
Speaking before legislators at one of parliament's twice-annual sessions, the Cuban president railed against decaying morals, a deteriorating sense of civic responsibility and vanishing values like honor, decency and decorum.
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text: Does anyone know about Greasemonkey? Today I was just surfing for some new Firefox addons and came across Greasemonkey 0.8.20090123.1. According to the site, it says it allows you to customize the way a webpage displays using small JavaScript. So does that mean that I can download flash videos safely from Youtube kind of sites? If yes then can you provide me some script that works for me?


text:
ROME, Sept 28 (Reuters) - All ministers from former primeminister Silvio Berlusconi's centre-right party resigned fromthe coalition government on Saturday, said a spokesman forDeputy Prime Minister Angelino Alfano.
Berlusconi had earlier told ministers from his People ofFreedom (PDL) party to consider stepping down in protest atPrime Minister Enrico Letta's order to freeze all decisionsahead of a confidence vote in parliament.
"The ultimatum sent by the prime minister and his DemocraticParty at their government allies ... seems inadmissable andunacceptable," Berlusconi said in a statement on Saturday.
- Politics & Government
- Government
- Berlusconi


text:
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text:
I was riding some new single track I discovered. Pretty standard for this part of the country: tight, heavily wooded with immeasurable amounts of roots and lying branches.
Anyway I'm riding along and my right grip gets caught by a hanging vine from one of the approximately 2 quadrillion trees bordering the edge of this trail. As it catches, it also snags my brake lever (rear lever). Simultaneously, I'm just about to go over some tree roots. Nothing difficult, but considering what is now happening it became pretty precarious.
It twisted my handlebar almost fully perpendicular to the frame. I HAVE NO IDEA HOW but I didn't go down. Every ounce of my experience riding bikes for as long as I've known how (since, oh, about 4 years old), told me that I was about to go down hard onto some tree roots.
But...it just straightened itself out and off I went. I have zero explaination for it. I haven't a single clue. I was even off balance when the bars caught. Maybe it's good karma for something I did.


text:
Have fun storming the castle!
See the Oscar-nominated musical tonight for free at Central Park.
Being the true (though somewhat altered for tension) story of a daring escape from Iran!
Twelfth Night, a Shakespearean comedy, opens up Kentucky Shakespeare's summer season.
KY Shakespeare presents the free show Measure for Measure this weekend.
Follow along as the men of constant sorrow set out to find 1.2 Million big ones.
Love and deception take place in the Kentucky Shakespeare production of Much Ado About Nothing.
Previewing Kentucky Shakespeare Festival's 2012 summer season.
The Olmsted Parks Conservancy hosted an evening of good wine, treats and conversation with Justin Martin, author of Genius of Place: The Life of Frederick Law Olmsted.
Two Gentlemen of Verona begins tonight in Central Park.
Kentucky Shakespeare Festival presents a tale of love, wrestling, and escape in performances of As You Like It, which begin tonight.
Shakespeare in all of its glory...or an abridged version of it anyway.
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text:
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text: I know there's the 'achievement trading' thread but everyone who posted there has already paired up with someone else and got the achievements, and I'm starting this for a faster reply. I really need someone, preferrably someone who already has the achievements and knows what map to go on etc to help me get the two Xbox Live kill achievements. My GT is the same as my user name. A message or friend request is preferred. So can anyone lend a helping hand?


text:
Mrs. Sim Sarin's Village Bank Group
To illustrate, Mrs. Sim S. is the village bank president, though she also sells fruit at the local market. Since her business has been doing well, she wants to expand it, so she decided to ask for a loan to buy different kinds of fruit to meet her customers' demands. Mrs. Sim S.'s husband, Mr. Chea Sun, is a construction worker who makes approximately $3.50 per day to support their family. Mrs. Sim S. is 45 years old, and she is the mother of five children. One of her children is employed at a garment factory and earns approximately $65 per month, three of her children attend school, and her youngest child (a 2-year-old) is too young to work or study.
Additional Information
About AMKAngkor Microfinance Kampuchea (AMK) is a leading microfinance institution in Cambodia with a wide reach of operations. AMK works with over 6,000 villages and serves clients in every Cambodian province. With an average loan size of US$115, AMK's focus is to provide credit and savings products to the very poor in rural areas. For more information, please visit AMK's website.
This is a Group Loan
In a group loan, each member of the group receives an individual loan but is part of a larger group of individuals. The group is there to provide support to the members and to provide a system of peer pressure, but groups may or may not be formally bound by a group guarantee. In cases where there is a group guarantee, members of the group are responsible for paying back the loans of their fellow group members in the case of delinquency or default.
Kiva's Field Partners typically feature one borrower from a group. The loan description, sector, and other attributes for a group loan profile are determined by the featured borrower's loan. The other members of the group are not required to use their loans for the same purpose.
About Cambodia
69View loans »
Success!! The loan was 100% repaid
- Repayment Term
- 13 months (Additional Information)
- Repayment Schedule
- Monthly
- Disbursed:
- Sep 24, 2008
- Listed
- Sep 10, 2008
- Currency Exchange Loss:
- Covered
- Ended:
- Sep 15, 2009


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