text:
King of Shaves Antibacterial Shave Gel 150ml
Product Description
Product Information
- Brands: King Of Shaves
King of Shaves
Store in a cool place out of direct sunlight.
Preparation and Usage
Directions: Squeeze gel into hand, massage into a wet beard. Shave in short strokes, rinsing blade regularly. Post shave thoroughly rinse product from face with cooler water and pat skin dry.
Return To Address
0800 0838416
The King of Shaves,
10 Penn Road,
Country of Origin
United Kingdom
The King of Shaves,
10 Penn Road,
Package Type
Recycling Information
Packing - Recyclable
Other Information
Full Product Name:
Antibacterial Shave Gel
Store in a cool place out of sunlight.
Safety Warning:
Keep out of reach of children.
Made in the United Kingdom
Aqua (Water), Aloe Barbadensis (Aloe Vera) Leaf Juice, Sodium Laureth Sulfate, Acrylates / C10-30 Alkyl Acrylate Crosspolymer, Glycerin, Triethanolamine, Melaleuca Alternifolia (Tea Tree) Leaf Oil, Cocamidopropyl Betaine, Sodium Chloride, Benzophenone-4, Salix Nigra (Willow) Bark Extract, Magnesium Nitrate, Benzyl Alcohol, Cinnamomum Camphora (Camphor) Bark Oil, Potassium Sorbate, Citric Acid, Magnesium Chloride, Methylchloroisothiazolinone, Methylisothiazolinone, Limonene, CI 42090 (Blue 1), CI 19140 (Yellow 5)
Customer Reviews
28 July 2016
Perfect shave gel
Easily rubs onto skin, ensures a smooth glide from a razor and smells gorgeous of fresh tea tree oil - lovely and refreshing!
12 January 2014
2 of 2 found this review helpful.
The best
I originally tried this stuff while living in the USA, the appeal being Made In England. But it turned out to be way better than the usual Gillette gloop that I switched for good.
02 March 2012
2 of 2 found this review helpful.
Will never go back
By far the best shaving gel I've ever used. The blades just glide over the skin with this gel. I don't feel any resistance or tugging. I am so glad a friend persuaded me to switch to this gel, it's brilliant!
- Tesco Price Match
- ** Matched to Tesco's standard retail price on 22-Oct-2016 at 01:34. See our Terms and Conditions for full details.
- Disclaimer
- These summary details have been prepared for information purposes only, and are designed to enhance your shopping experience on the Ocado website. While we have taken care in preparing this summary and believe it is accurate, it is not a substitute for your reading the product packaging and label prior to use. You should note that products and their ingredients are subject to change. If you do require precise ingredient information you should consult the manufacturer, whose contact details will appear on the packaging or label.
- Ocado is therefore unable to accept liability for any incorrect information. Where this description contains a link to another party's website for further information on the product, please note that Ocado has no control over and no liability for the contents of that website.
- You should also note that the picture images show only our serving suggestions of how to prepare your food - all table accessories and additional items and/or ingredients pictured with the product you are purchasing are not included.
- This data is supplied for personal use only. It may not be reproduced in any way whatsoever without Ocado Limited's prior consent, nor without due acknowledgement.


text:
It costs nearly $12,000 per year to educate a kid in Albemarle County Schools. This year, the County Schools are facing a proposed funding gap of nearly $7 million and the cry from many parents, administrators and citizens has been to "fully fund the schools. (including emails from the schools' email distribution newsgroups).†Rather than repeat myself, this is a story I wrote three years ago and it's still relevant. Schools matter for housing values. Period. People move to the Charlottesville area all the time for the schools. Schools. … [Read more...]
No High School Rankings in Albemarle County Schools?
Albemarle County is in discussions about whether to stop ranking students. In response to calls from parents to stop reporting class rankings to college admissions offices, Albemarle County Public Schools is in the process of reviewing its policy. Currently, Albemarle reports class ranks to colleges and universities in deciles, but many parents feel that doing so paints students below the top 10 percent negatively in the eyes of selective universities. Questions - - Does *not* rewarding kids for achievement disincentivize them from … [Read more...]
Verify your School District Before you Buy a Home
There's nothing worse than buying a home, a large part of that buying decision being the school district, to then find that you're not in the school district you thought. (hopefully before you close) It happens. "School District" is one of the most important criteria identified by my buyer clients searching for homes - school districts matter. Better schools = higher home prices. Bad data entry happens. To all of us. Trust. Then Verify. A client emailed me the other day about a new listing … great home, great location, great school district … [Read more...]
Redistricting Albemarle's Schools, APFs and Proffers – Take 2
Redistricting, by its very nature tears families and communities apart. And that sucks. But it is what it is. There's quite a conversation happening in Albemarle County right now as many school districts are undergoing redistricting discussions - evaluating current, past and projected enrollment numbers. I've been writing about the proposed redistricting a lot in part because schools matter. Better schools = better housing prices. (and better educated kids, too, presumably) As I've told my clients for years: 1 - The only way to be assured that … [Read more...]
5 Points on School Redistricting and Uncertainty when Buying a Home in Albemarle
Albemarle County is HUGE (PDF) One of the first posts written here was about redistricting schools in Albemarle County; sadly I hadn't yet mastered the art of proper out-linking, so the stories to which I pointed are mostly dead. Today's story by Aaron Richardson in the Daily Progress * succinctly describes the current state of some Albemarle County schools: "School redistricting is a headache for everyone, yet Albemarle County is at it again, considering a shuffle for a second time in as many years." High-quality schools are one of the … [Read more...]
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subset: commoncrawl


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As a member of the NYU alumni community, you can take advantage of simplified and worry-free protection when it comes to securing essential auto, homeowners, life, and health insurance. This protection is available to you at special member-only rates and discounts through Mercer Consumer, a service of Mercer Health & Benefits Administration LLC. To learn more and enroll, click here or call 1-888-560-ALUM (2586).
Learn more about the benefits and services available to new grads.
Become a member of the NYU Club at the Princeton Club of New York! With more than 200 reciprocal clubs worldwide—learn about how membership can be a benefit to you!
The NYU Alumni Travel Program brings alumni and friends together to visit exciting new places and experience new cultures while enjoying a variety of activities.
NYU's Animal Studies Initiative is a six-year-old program within the College of Arts and Science's Department of Environmental Studies. The program acts as a locus for deep, rigorous thinking about animals. Zoöpolis is a current project that images "the city as a space of shared animality."
Nick Jensen (CAS '11) is a fourth year Board member and co-chair of the NYU Alumni Day committee. In addition to being NYU educated and NYU employed—Jensen works as the community and experience strategist in NYU's Office of Interactive Media (the team behind HashtagNYU) he is heavily involved with the NYU alumni community.
Last year, NYU alumni clubs hosted 395 events around the world.
NYU alumni are active in 77 clubs around the world.
More than 20,000 alumni are connected with the NYU Alumni Association on LinkedIn.
Should you require further assistance, please contact us.
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Update your contact information to stay in touch! Fill Out the Address Change form below.
NYU Alumni are active across a variety of social media channels. Follow us for fun contests, NYU trivia, photos, news, and more.


text:
The Hexbug Transformers Warriors assortment from Innovation First are from the Transformers Warriors line of Hexbugs. Each Transformers Warrior is a character from the movie, Transformers: Age of Extinction, and are available as the Autobots: Optimus Prime, Bumblebee, Crosshairs, and Drift. There are also two Decepticons-Galvatron and Lockdown-in this assortment.
Transformers Warriors have flip up badges that reveal whether they are Autobots or Decepticons. They also come with motion weapons that can be attached to them and then sent into battle with other warriors. During battle, they have a damage sensor light that goes from green to red to indicate how much damage they are taking.
Transformers Warriors give kids a new and innovative way to expand the fun of the movie and we think kids will get a kick out of watching the fast-paced, bug-like movements.
Transformers Warriors are for Transformers fans, ages 6 and up. Hexbugs also appeal to robotics fans, but kids who love battling robots, enjoy them the most.
Transformers Warriors require two button cell batteries for power, which is included.
Each of the Nano Transformers in this assortment is sold separately.
2 cell batteries required
Sky Viper S670 Stunt Drone
from Skyrocket Toys
Air Hogs Altitude Video Drone
from Spin Master
Meccano MeccaNoid G15KS Personal Robot
from Spin Master
Air Hogs Helix Video Drone
from Spin Master
Nerf N-Strike Modulus Flip Clip Upgrade Kit
from Hasbro
Imaginext DC Super Friends Captain Cold & Ice Cannon
from Fisher-Price
Imaginext Ultra T-Rex
from Fisher-Price
Jurassic World Stomp and Strike Tyrannosaurus Rex Figure
from Hasbro
Imaginext T-Rex
from Fisher-Price
Matchbox Jurassic World Desert 5 Pack
from Mattel


text:
Best goalie in the NHL. Hilarious commercial.
Boston Bruins Tim Thomas and Peggy
Written by Jim Dalrymple
- John W Baxter
That reminded me of the Randy Cross commercial for xx beer a few years ago. In a bar, Randy bent over to pick something up at which point a lady behind him said "You're Randy Cross!"
Wow..it must be awful to live in a place so backwater that you are just discovering an advertisement that has been running in The Civilized World for over a month now…
Next week, maybe you'll get daily newspapers! 🙂
signed, Bitter Canucks Fan…


text:
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text:
Vancouver native Ryan Reynolds has married actress Blake Lively, according to a report in People Magazine.
The couple, who began dating while filming the Green Lantern in 2011, tied the knot in a ceremony Sunday night near Charleston, North Carolina, a source told the magazine.
Florence Welch, the lead singer of Florence and the Machine, is said to have performed at the reception.
Reynolds, 35, was previously married to Scarlett Johansson. The couple divorced in 2010 after two years of marriage.
Lively has been romantically linked to Leonardo DiCaprio and her Gossip Girl co-star Penn Badgely
We encourage all readers to share their views on our articles and blog posts. We are committed to maintaining a lively but civil forum for discussion, so we ask you to avoid personal attacks, and please keep your comments relevant and respectful. If you encounter a comment that is abusive, click the "X" in the upper right corner of the comment box to report spam or abuse. We are using Facebook commenting. Visit our FAQ page for more information.


text:
RQ BANK Welcomes You
Now substantially improved and simplified
RQBANK is the third generation Numerous improvements have been made since last 3 years More modern appearance, more page layouts, new drop down menus with sticky hover zones, solid printer support, expanded browser support, fully scalable upwards and downwards when user resizes the default browser font size, and last but not least, a much better and easier code. But there is more than that. Check the navigation menu to discover all about the new CATME
Content Management Systems
Portings for MODx and others
If you want to use Multiflex-3 in combination with a Content Management System (CMS), then you don't need to look any further! Operational portings are being produced.
Extensive browser support
Tested for all major browsers
Multiflex-3 has been tested for all major browsers and functions properly for about 95% of currently used browsers.
The only problematic browsers are Mozilla 1.7+, Netscape 8.1+, Konqueror 3.4+ and IE5.x, together making up for about 5% of browser users. For Mozilla 1.x, Netscape 8.x and Konqueror 3.4 the drop-down menu opens horizontally instead of vertically. For IE5.x the template breaks down. If you are not planning to use drop-down menus, but only want to use the main links in the navigation bar, then you have around 97% browser compatibility, only leaving IE5.x left over as incompatible with Multiflex-3 (but this is a browser on its deathbed anyway, so I will not care to make fixes for this one).
If you know a fix for the Mozilla 1.7+, Netscape 8.1+ or Konqueror 3.4+ browsers to make the drop-down menu open vertically, get in touch with me and let me know, so that I can make an update of the template and post it on Open Webdesign!
To see what the template looks like in various browsers, check the view-links below to see screenshots, or you can download all screenshots in a single ZIP-file. Screenshot files are stored at my personal website.
All screenshots in ZIP-file (6.4 Mb):
Windows 2000
- Explorer - IE6
- Firefox - 2.0
- Mozilla - 1.7(Drop-down menu opens horizontally)
- Netscape - 7.2(Drop-down menu opens horizontally)
- Opera - 9.0
Windows XP
- Explorer - IE6
- Firefox - 2.0
- Mozilla - 1.7(Drop-down menu opens horizontally)
- Netscape - 8.1 (Drop-down menu opens horizontally)
- Opera - 9.0
Windows Vista RC2
- Explorer - IE7
- Firefox - 2.0
- Opera - 9.0
Mac OSX 10.3
- Firefox - 2.0
- Mozilla - 1.7(Drop-down menu opens horizontally)
- Netscape - 7.2(Drop-down menu opens horizontally)
- Opera - 9.0
- Safari - 1.3
Mac OSX 10.4
- Firefox - 2.0
- Mozilla - 1.7(Drop-down menu opens horizontally)
- Netscape - 7.2 (Drop-down menu opens horizontally)
- Opera - 9.0
- Camino - 1.0
- Safari - 2.0
Linux Fedora Core 4
- Firefox - 2.0
- Mozilla - 1.7(Drop-down menu opens horizontally)
- Opera - 9.0
- Konqueror - 3.4(Drop-down menu opens horizontally)
Coding tools
Many people ask me what tools I use. Here is the list:
- HTML-Kit 292 freeware for coding the HTML documents.
- TopStyle Lite 3.10 freeware for coding the CSS documents.
- Browsercam provided the fantastic browsertest screenshots. They even offer services where you can test your templates at a live server. For those who are serious about webdesign, this is the ultimate place to check for compatibility. It is well worth its money (for 24-hrs you can even get a free test account)!
Release Notes
Godekalba / Update-2
- Printer layout and background color
Browser: All / Description: When printing, a gap was created between the header and the content section. Further, no background color was printed for the left navigation sidebar. / Correction: Removed erroneous vertical padding in CSS-class ".header-breadcrumbs in all CSS-files "layoutNN_setup.css". Further, included a printer CSS statement for the class ".main-navigation" in CSS-files "layoutNN_setup.css".
- Template links
Browser: All / Modification: All template links now point to my homepage, instead of to Open Webdesign. This change was done in "index.html".
Godekalb / Update-1
- Drop-down menu items
Browser: IE7 / Description: Misbehavior when hovering main link by showing multiple columns / Correction: Reformulated conditional "if" statements in "layoutNN.html", "headerNN.html" and "index.html".
- Bottom header background
Browser: All / Description: Background gap between bottom header and breadcrumbs when browser font-size reduced / Correction: Added background to the CSS-class ".bottom-header" in "layoutNN_setup.css".
- Rounded corners line
Browser: All / Description: When decreasing or increasing browser font size, a horizontal line appears above the rounded corners for subcontent boxes with boundary. Effect happens when font-size resizes, but page is not reloaded. / Solution: Simply reload the page, and the horizonal line disappears. This is a Safari bug which we have no control over.
- Top search form
Browser: Konqueror 3.4 / Description: Field width available for search form widened, so that "Go" button appears to the right, and not below, the search area. / Modification: CSS-class ".header-breadrumbs" changed in "headerNN_setup.css" and "layoutNN_setup.css".
- Search form layout
Browser: All / Description: Search forms now have their "Go" buttons below the search entry field (only exception is search form below the page header). Reason for this is that design remains consistent when browser font-sizes are resized / Modification: CSS-class ".button" changed in "headerNN_setup.css" and "layoutNN.css".
- Button styles
Browser: All / Description: Default buttons are styled very differently for different browsers. / Correction: To harmonize button appearance we have now styled the buttons explicitly. However, Camino and Safari overrule this style with Mac-specific buttons. / Modification: CSS-class ".button" changed in "headerNN_setup.css", "layoutNN_setup.css" and "layoutNN_text.css".
- Credits for flags
Credits were included for the flags.
- Eastern Bay Cruise
- Narrated guiding
- Gratuities (optional)
- Food and drinks
- Hotel pickup and drop off
- Confirmation will be received at time of booking
- Boat crew are trained to provide first aid and CPR support, and first aid kits are readily available on all vessels
- The main deck of each vessel are fully wheelchair accessible
Take a cruise on the San Francisco Bay, and sail under both the iconic Golden Gate Bridge and colossal San Francisco-Oakland Bay Bridge! Explore the city's unique Architecture, Natural History, and Native American Culture on this enriching and educational 90-minute cruise across the San Francisco Bay.
You will sail underneath the breathtaking Bay Bridge, around Treasure Island, pass AT&T Park, home of the San Francisco Giants, and cruise close by Alcatraz Island for incredible views of the surrounding San Francisco skyline.
Chapter 12 » Michael and His Angels
I heard loud noises downstairs very early one Monday morning ... I will never forget the sight in my living room as I went to investigate ... Angelic
warfare was being directed from my home as the Command post ... this attack was serious enough for Michael, the leader of all warring angels, to
appear on the scene. (Additional angel material added in this chapter)
Chapter 13 » Angels On Assignment
What did angels do between those times of recorded appearances ... did they rest ... or what happened to them? "We are busy all the time
scattering God's enemies and putting the pieces of his plan together ... I commanded a heavenly army with orders from God to push the walls of
Jericho into the ground ... and we did!" That's what Chrioni, the great warring angel, told me ... and more!
Chapter 14 » He is Coming Again!
As I think of the return of Jesus, I remember what Gabriel said, "There has never been such excitement and activity in the courts of heaven since
Jesus came the first time, as there is right now!"
Chapter 15 » In Closing Charles
& Frances Hunter
Pastor Buck looked down. Gabriel's feet were about four inches off the floor! ... Then he looked at Cyprion's feet, and they were about eighteen
inches off the floor. ... Then he looked at his own feet, and to his utter amazement, they were also about eighteen inches off the floor!
Chapter 16 » In the Beginning
As the book goes into its third printing before the end of two months, we wondered why God had left the seven empty pages at the end of the book.
Now we know!
Scripture Quotations are taken from:
Unless otherwise indicated, all Scripture quotations are taken from the Holy Bible, New Living Translation (NLT), copyright 1996. Used by
permission of Tyndale House Publishers, Inc., Wheaton, Illinois 60189. All rights reserved.
The Authorized King James Version (KJV)
The Living Bible, Paraphrased (TLB), © 1971 by Tyndale House Publishers, Wheaton, IL
The Amplified New Testament (AMP), © The Lockman Foundation 1954, 1958
JB Phillips, The Gospels, © The Macmillan Company, New York
All references not specified are from the KJV. ISBN 0917726332
Who Is Roland Buck?
Born: Everett, Washington, June 13, 1918
Graduated from Northwest College, Seattle, WA, 1939
Pastored churches in Granger and Yakima, WA, and Gooding and Boise, Idaho.
Pastor of Central Assembly of God Christian Life Center, Boise, Idaho, from 1950 present.
Average Sunday morning attendance in 1978 was about
Married Charmian Jacobson, June 13, 1942
Born Again spiritually in 1929, and received the baptism with the Holy Spirit at the same time.
Charmian was Born Again at age 10, and received the baptism with the Holy Spirit at age 21.
This is the true story of an ordinary man who has experienced an extraordinary series of events.
When we first heard of Roland Buck, we had been sharing the story of how God had placed a special warrior angel with us to protect us from the
fiery darts of the devil until Jesus comes back. A couple asked us, "Have you heard about the pastor in Boise, Idaho, who has been having
visitations from angels? They have been talking to him and bringing messages from God."
Even in these days when the supernatural power of God is more in evidence than ever before, this shocked us; especially when Doug and Ruth told
us that Gabriel was the one who brought the messages! For a moment it sounded like the most wayout
statement we had ever heard, but somehow
or other, there was such a ring of truth to it that we had a hungering created in our hearts to hear more!
Our busy schedule kept us from calling this pastor to find out any of the details, but in God's perfect plan he kept nudging and nudging us to contact
Roland Buck about writing a book. We were still too bogged down with other work, so we didn't do it! Then God really got busy when we continued
being too busy! He brought a couple down to Houston from Sitka, Alaska, who had stopped by Eugene, Oregon, and picked up a series of "angel"
tapes they wanted us to listen to. They were bubbling over because they had listened to these tapes all the way from Oregon to Texas. All they
could say was, "You've got to listen to them you've
got to listen to them!"
And listen we did! Every time we got in the car, the tape player came on with another angel tape. At night when we went to bed, we went to sleep
listening to "angel" tapes, until one Friday afternoon Charles said, "I am utterly compelled to call Pastor Buck to see if we can interview him with the
idea of writing a book. These messages from the angels are so fantastic, the entire world needs to hear them." Frances was equally fascinated with
the idea of angels talking to an individual, so we both went to the telephone to make the call.
Pastor Buck immediately invited us to minister in his church in the evenings and said he would be more than happy to cooperate with interviews in
the daytime. Although he assured us that the heart of the messages the angels had given him were on the tapes we had listened to, he said there
might be some extras we would be interested in hearing. We could hardly wait to get there!
We arrived on a Sunday evening just minutes before the church service, and afterwards we went out for a bite to eat with Roland and Charmian
Buck. If there had been any skepticism in our hearts before then, it was gone as he began to share from his heart some of the beautiful truths the
angels have brought to him directly from God.
That evening was followed by two days of interviews in which we saw the heart of a man who said, "I want God to be in focus and glorified. I do not
want any glory for myself." We asked him many of the questions you might ask: "Was it an unusual day when you had the first experience?" He said,
"No, it was just an ordinary, runofthemill
day before I went to bed that night. Angels are the last thing I would have thought of when I sat up in
We were both fascinated with his knowledge, not only of the Bible, but of the scriptural references as well. It seemed his total conversation was
direct from the Word of God! We asked him if he had always had the good memory which he has had since he returned from the Throne Room. He
said, "I would have to say 'no.' Before this experience I had to use the scriptures that I knew, so I studied and read the Bible over and over again. I
have been in the ministry many, many years, and I always had to use a concordance to look up verses, but for the 2,000 verses God gave me I don't
have to do that any more. I don't even have to read them from the Bible when I speak, because I JUST KNOW THEM!"
PHQ-9 Patient Depression Questionnaire
For initial diagnosis:
1. Patient completes PHQ-9 Quick Depression Assessment.
2. If there are at least 4 s in the shaded section (including Questions #1 and #2), consider a depressive
disorder. Add score to determine severity.
Consider Major Depressive Disorder
- if there are at least 5 s in the shaded section (one of which corresponds to Question #1 or #2)
Consider Other Depressive Disorder
- if there are 2-4 s in the shaded section (one of which corresponds to Question #1 or #2)
Note: Since the questionnaire relies on patient self-report, all responses should be verified by the clinician,
and a definitive diagnosis is made on clinical grounds taking into account how well the patient understood
the questionnaire, as well as other relevant information from the patient.
Diagnoses of Major Depressive Disorder or Other Depressive Disorder also require impairment of social,
occupational, or other important areas of functioning (Question #10) and ruling out normal bereavement, a
history of a Manic Episode (Bipolar Disorder), and a physical disorder, medication, or other drug as the
biological cause of the depressive symptoms.
To monitor severity over time for newly diagnosed patients or patients in current treatment for
1. Patients may complete questionnaires at baseline and at regular intervals (eg, every 2 weeks) at
home and bring them in at their next appointment for scoring or they may complete the
questionnaire during each scheduled appointment.
2. Add up s by column. For every : Several days = 1 More than half the days = 2 Nearly every day = 3
3. Add together column scores to get a TOTAL score.
4. Refer to the accompanying PHQ-9 Scoring Box to interpret the TOTAL score.
5. Results may be included in patient files to assist you in setting up a treatment goal, determining degree of
response, as well as guiding treatment intervention.
Scoring: add up all checked boxes on PHQ-9
For every Not at all = 0; Several days = 1;
More than half the days = 2; Nearly every day = 3
One of the things that spoke to our hearts about the genuineness of these experiences was the fact that they all tied back to the Bible!
One night Charles said, "Can you imagine people believing the son of a Jewish carpenter who came up and said, 'I am the way, the truth, and the
life: no man cometh unto the Father, but by me!" (John 14:6).
We find it easier to believe the stories of angelic visitations in the twentieth century than it was for those people to believe that this ordinary young
man was Jesus, the Son of God!
Some people didn't believe that story. Some did! It will be the same way today. Some will believe this story. Some won't. We do! Whether you
believe it or not, this book will cause you to see God's love in a greater way than ever before and it will make Jesus come alive to you! It will give a
feeling of living right now in the limitless dimension of eternity!
Charles & Frances Hunter
A Word From the Wife of Roland Buck
What an exciting day to be alive! Although we have the darkness of wickedness on every hand, we have the assurance of God caring through a
great supernatural renewal in our day.
A spiritual awakening is always characterized by miracles of healing, many conversions and a new touch in lives.
Part of the special work God is doing is a broader revelation of himself through the messages brought by angelic visitation.
To think that our family and church could be a part of this expression of his love is more than I can comprehend.
Two questions people ask me when they know that my precious husband has had many angelic encounters are: "Have you seen an angel," and
"Why did God choose your husband?"
I have not yet had an angelic encounter, but at times when I have gone to bed at night I have experienced such an overwhelming inflow of God's
presence that I have had to go downstairs to praise and worship him. I am very much at peace because I know God does everything right. My
husband is the leader and the one who is ministering to the people, so God has laid his hand especially on him. Who am I to question God? Our
love is so close and we share the ministry so much together that although I have not seen an angel, I have been abundantly blessed as my husband
pours out to me the truths that God has shown to him.
In answer to the second question, "Why did God choose him?" you must understand my evaluations are purely human because we cannot limit God.
In the first place, my husband is not easily swayed. We have pastored in Boise, Idaho, for 29 years. Through the years I have seen such a
confidence and trust in God that he has been like a rock of Gibraltar.
He has maintained a steady, even ministry in spite of socalled
"fads" in religious circles not
"swayed with every wind of doctrine," but weighing
carefully those things which could be of a questionable nature.
He has always been a great student of the Word and in his ministry has built a bridge for the unbeliever instead of a barrier to the kingdom of God.
The angelic encounters have not been his first knowledge of God dealing with him in a special way. Many times he has come to bed in the morning
after God has spoken to him through the night hours regarding truths in the Word, giving him many scriptures to bear out the particular message he
wanted to give him.
His consistency and stability have created within our four children and me a trust in God that is unwavering. He has suffered three heart attacks and
one heart arrest, but through it all the peace of God was felt within our whole family. God has given us a wonderful heritage.
Although my husband has meditated a great deal on the Word, he is not a mystic, but very human and a person I have grown to love and trust.
God can do as he pleases. Didn't he visit many people in the Old and New Testaments? He is still able to do the same in these days God
is the
God of the supernatural who
can deny it?
Encounter (Ch. 1)
The most outstanding and thrilling thing that has ever taken place in my life has been the angelic visitations that have occurred during the past two
God made it very clear to me that I am to share what happened in my life so I am passing on descriptions of what I have seen, experiences I have
had, and messages I have been given.
God is illuminating truths of the Bible in unprecedented ways prior to the return of Jesus. Revelations are being brought forth in all ministries flowing
in the Spirit. In this relation, God quickened my spirit to John 16:1215:
"Oh, there is so much more I want to tell you, but you can't understand it now.
When the Holy Spirit, who is truth, comes, he shall guide you into all truth, for he will not be presenting his own ideas, but will be passing on to you
what he has heard. He will tell you about the future" (TLB). Jesus spoke these words.
I have written these encounters and messages with the limitation of my own human understanding. In doing this, I have made references to what the
angels have said, but not with the thought of quoting them verbatim, except where I have so stated. When you consider that there have been some
fifty hours of angelic conversation which I have condensed with my own words and understanding into this single volume, you can perhaps realize


text:
Former Strikeforce female champion Cris Cyborg issued a statement towards Ronda Rousey Friday night on "Inside MMA."
Cyborg, currently the Invicta FC champion, stated she plans to begin a weight cut to make 135 pounds and wants to "retire" Rousey like she did to Gina Carano.
The UFC and Cyborg were in contract talks before the two sides decided to end discussions. Since that time, Tito Ortiz has stepped down as Cyborg's manager.
Below is Cyborg's complete and unedited statement:
"In reference to Ronda's statement that I am looking for a payday so that I can retire, you're right, I am looking for a payday to retire you like I did Gina Carano. But to show it's not only about money, I challenge you to a fight – winner takes all. Or better yet let's fight for FREE. ANYTIME! ANYWHERE! Ask your daddy Dana to make it happen.
My English is not that great, so sorry if I was misunderstood. I didn't literally mean I would die if I made 135. What I meant was that my doctor recommended that I did not fight the rest of my career at 135, which is what the UFC wanted.
You have fought 154 in the Olympics and 145 in MMA. You can meet me at 140 easier than for me to go down to 135. The only reason you want the fight at 135 is because you feel that is your only chance because you hope the weight cut will affect me. You guys say I'm irrelevant, yet watch my highlights. The true MMA fans not only know me, but know I'm the best. Sad that you give the true MMA fans no recognition by saying that they don't matter.
I'm currently training to fight at 145 on March 28 and in early May. My team has hired a medical doctor to help me make 135. I plan to challenge and win the Invicta 135 Championship in the summer and challenge you, champion to champion, for your 135 belt in December.
Now I know critics will say 'I thought you said you would die if you made 135.' All I'm promising is that I will give 100 percent to try to get to 135 to make this plan happen. If I do, I will still listen to my doctor's advice and fight no more than three times at 135: first to win the Invicta belt, the second time to kick your ass and the third time to kick your ass again so that the world can see it wasn't luck. You can even have me tested every week up to the fight. That way you will not have an excuse after I kick your ass."
Rousey is set to defend her UFC female bantamweight title this evening against Sara McMann in the main event of UFC 170. You can bet with a win, her – and UFC president Dana White – will be asked in the post-fight press conference about these comments from Cyborg. FightLine will have complete coverage of both the card and the post-fight press conference.


text:
Known by locals and old-timers as Elgin Hot Sausage, Elgin Hot Guts, or simply Hot Guts, this is the sausage that started it all. All beef, coarsely ground, in a natural pork casing, seasoned with black pepper and cayenne pepper. It is what we are best known for and is our most popular seller. On any given Saturday, we sell around 1400 lbs.! All of our sausage is made fresh by us, in-house, daily for a level of quality, taste, and enjoyment you can't find anywhere else. Since 1882.
All retail orders are filled using 13.3oz packages.
Wholesale orders (45 lbs.) are filled using bulk 5# bags.
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In Spain, the influenza vaccine effectiveness (VE) was estimated in the last three seasons using the observational study cycEVA conducted in the frame of the existing Spanish Influenza Sentinel Surveillance System. The objective of the study was to estimate influenza vaccine effectiveness (VE) against medically attended, laboratory-confirmed influenza-like illness (ILI) among the target groups for vaccination in Spain in the 2011–2012 season. We also studied influenza VE in the early (weeks 52/2011-7/2012) and late (weeks 8-14/2012) phases of the epidemic and according to time since vaccination.
Medically attended patients with ILI were systematically swabbed to collect information on exposure, laboratory outcome and confounding factors. Patients belonging to target groups for vaccination and who were swabbed <8 days after symptom onset were included. Cases tested positive for influenza and controls tested negative for any influenza virus. To examine the effect of a late season, analyses were performed according to the phase of the season and according to the time between vaccination and symptoms onset.
The overall adjusted influenza VE against A(H3N2) was 45% (95% CI, 0–69). The estimated influenza VE was 52% (95% CI, -3 to 78), 40% (95% CI, -40 to 74) and 22% (95% CI, -135 to 74) at 3.5 months, 3.5-4 months, and >4 months, respectively, since vaccination. A decrease in VE with time since vaccination was only observed in individuals aged≥65 years. Regarding the phase of the season, decreasing point estimates were only observed in the early phase, whereas very low or null estimates were obtained in the late phase for the shortest time interval.
The 2011–2012 influenza vaccine showed a low-to-moderate protective effect against medically attended, laboratory-confirmed influenza in the target groups for vaccination, in a late season and with a limited match between the vaccine and circulating strains. The suggested decrease in influenza VE with time since vaccination was mostly observed in the elderly population. The decreasing protective effect of the vaccine in the late part of the season could be related to waning vaccine protection because no viral changes were identified throughout the season.
The viral antigens included in seasonal influenza vaccines are revised annually in anticipation of expected changes in circulating influenza viruses. Vaccine effectiveness (VE) cannot be presumed from historical data [1].
Evidence from trials and observational studies suggests that presently available influenza vaccines can provide only moderate overall protection against infection and illness [2]. However, influenza vaccination remains the most cost-effective public health prevention measure currently available for reducing the morbidity and mortality associated with influenza infection, as vaccination is strongly recommended every year by the international health authorities [3].
Influenza vaccination in Spain is annually offered free of charge to individuals at high-risk of influenza complications and to those over 59/ 64 years of age (depending on the region) [4].
Since the 2008–2009 season, Spain has been participating in the European Centre for Disease Prevention and Control(ECDC)-funded project I-MOVE ["Monitoring the influenza vaccine effectiveness in the European Union and European Economic Area (EU/EEA)"] with the cycEVA study within the framework of the Spanish Influenza Sentinel Surveillance System (SISSS) [5-9]. For at second year, in February 2012, the I-MOVE multicentre case–control study and cycEVA study were able to provide an intra-seasonal influenza VE estimate [10,11]. The results suggested a low-to-moderate protective effect of the seasonal 2011–2012 vaccine in preventing medically attended, laboratory-confirmed influenza in the target groups for vaccination. Final estimates suggested lower values later in the season [12-14]. The duration of the protection provided by influenza vaccines is debated and could be related to several factors, including age and the type/subtype of influenza infection [15].
We aimed to present the overall and age-specific end-of-season effects of the 2011–2012 influenza vaccine on preventing medically attended, laboratory-confirmed influenza-like illness (ILI) in the groups targeted for vaccination. Because the influenza season peaked unusually late in Spain, we also studied influenza VE in the early and late phases of the season and according to time since vaccination.
Seven regional influenza surveillance networks within primary care in different parts of Spain participated in the cycEVA study (test-negative design). The participating sentinel general practitioners and paediatricians (GPs) (231) adhered to a common protocol specifically designed for the European multicentre case–control study [16]. The physicians selected patients according to a definition based on the EU ILI case definition [7,12] and systematically swabbed the first two patients per week aged <65 years and all patients ≥65 years who presented to the GP's office with ILI. Practitioners also collected the following information for each recruited patient: demographic and clinical data, vaccination status for 2011–2012 trivalent seasonal influenza vaccine (date of vaccination and type of vaccine received), laboratory data and data on potentially important confounders (previous influenza vaccination, the presence of any chronic condition, smoking history, any hospitalisation for chronic conditions in the previous 12 months, and the number of outpatient visits for any reason in the previous 12 months [7]. Missing information was not observed for the 2011–2012 vaccination status, and only two records were missing the previous vaccination status. The prevalence of missing data ranged from 0.7% to 1.8% for other variables related to possible confounding factors.
This study started in week 52/2011 (December 25, 2011), during which the ILI rate exceeded the winter baseline level and finished on week 18/2012 (May 6, 2012), which proceeded two consecutive weeks without any ILI cases testing positive for influenza.
Cases were ILI patients who tested positive for influenza virus using reverse transcription polymerase chain reaction (RT-PCR) and/or cell culture. Controls were ILI patients who tested negative for any type of influenza virus. We considered a patient vaccinated if the patient had received the 2011–2012 influenza vaccine at least 14 days before ILI symptom onset.
We restricted the analysis to patients who belonged to the target groups for vaccination and who were swabbed less than eight days after the onset of symptoms. We undertook two analyses of VE: for influenza (all strains) and for A(H3N2) influenza virus restricted to the weeks in which this strain predominated.
To check the effect of the late season on the effectiveness of the vaccine, we estimated influenza VE according to the 2011–2012 influenza season phase, splitting the season into two periods: an early phase before the epidemic peak (weeks 52/2011-7/2012) and a late phase after the peak (weeks 8-14/2012). To characterise a possible waning vaccine protection after vaccination, we also calculated influenza VE according to time since vaccination (the number of days between the date of vaccination and onset of symptoms) using three equal time intervals according to the distribution of the time since vaccination variable to facilitate comparisons between sub-groups. For trend evaluation we treated time since vaccination as a continuous variable in a logistic model to test the null hypothesis of beta=0. We compared the characteristics of cases and controls using a t-test, Fisher's exact test, a chi-squared test or the Mann–Whitney test, as appropriate. The age effect was taken into account by adjustment and by performing a stratified analysis of individuals <65 years and ≥65 years.
We estimated influenza VE as 1 minus the odds ratio (OR). To estimate the adjusted influenza VE, we used a logistic regression model that includes potential confounders that changed the crude OR by more than 10% and were related to both the exposure and the outcome [17]. We also adjusted for calendar time by using the week of swabbing as a categorical variable. Effect modification by age was assessed by likelihood ratio tests. We conducted all statistical analyses using Stata version 11.
A subset of influenza isolates was sent to the National Influenza Centre (WHO Influenza Centre) for influenza-specific gene sequencing and genetic characterisation. The isolates were genetically characterised by sequencing the HA1 fragment of the viral haemagglutinin gene. Phylogenetic analysis was performed to characterise the specific strains of influenza A and B viruses.
We analysed the temporal trend of genetically characterised influenza A(H3N2) viruses in Spain in the entire SISSS using a simple linear regression model in which the logarithms of the relative weekly frequencies of the influenza A(H3N2) viruses, which were distinct from the vaccine virus, were considered as the dependent variable, and time (weeks) was the independent variable.
This observational study was part of Spanish influenza surveillance activities. Only anonymous personal information was collected and patients gave verbal informed consent to participate in the study. Consequently, no ethical approval by the Human Research Ethics Committee therefore was required.
In Spain, influenza activity in 2011–2012 reached its peak in mid-February (week 7/2012), with 251 ILI cases/100,000 people. The influenza season was largely dominated by influenza A(H3N2) with an increasing contribution of influenza B virus, which became dominant after the epidemic period. In the seven cycEVA regions we observed a similar viral circulation pattern and evolution of influenza activity (Figure 1).
In total, 231 practitioners agreed to participate in the study and 197 (85%) recruited at least one ILI patient. From the target groups for vaccination, 382 (27% of all patients) were recruited. All patients had information on their laboratory results and vaccination status, and only four individuals were swabbed more than seven days after symptom onset (Figure 2). After applying the exclusion criteria, we included 99% (378) of the recruited patients belonging to the target groups for vaccination in the analysis: 253 laboratory-confirmed influenza cases [226 A(H3N2), 1 A(H1N1)pdm09, and 26 B] and 125 test-negative controls.
The demographic and clinical characteristics of the 226 laboratory-confirmed influenza A(H3N2) cases and the 116 test-negative controls belonging to the population targeted for vaccination and included into the analysis, are displayed in Table 1. Controls were significantly younger than cases, with median ages of 53 and 63 years, respectively (P=0.011). Compared with cases, controls were more likely to have certain chronic conditions (62.9% vs 51.8%; P=0.049) and included a higher proportion of smokers (19.1% vs 11.2%; P=0.046). Although the median time since vaccination was longer in cases than in controls (116 and 109 days, respectively), this difference was not statistically significant.
The overall crude influenza VE among the target groups for vaccination against any type or A(H3N2) influenza virus was estimated at 8% (95% CI, -43 to 41) and 3% (95% CI, -53 to 39), respectively. The adjusted influenza VE estimates adjusted for age group, smoking habit and week of swabbing were 47% (95% CI, 7–70) against any type of influenza virus and 45% (95% CI, 0–69) against A(H3N2) influenza virus (data not shown).
Adjusted influenza VE estimates against A(H3N2) according to time since vaccination were 52% (95% CI, -3 to 78), 40% (95% CI, -40 to 74) and 22% (95% CI, -135 to 74) for 3.5 months, 3.5-4 months, and >4 months since vaccination, respectively (data not shown) (p for trend=0.109).
The analysis of influenza VE according to time since vaccination and age group is shown in Table 2. Among individuals ≥65 years the adjusted VE against A(H3N2) decreased from 85% (95% CI, 18–97), for patients vaccinated three months before the onset of symptoms to a null estimate for individuals vaccinated more than four months before the onset symptoms (p for trend=0.211). Decreasing VE with time since vaccination was not observed in patients <65 years (p for trend=0.335) (Table 2). Regarding effect modification, there was no evidence that VE varied by age (p=0.80).
In the early influenza phase the adjusted influenza VE against A(H3N2) was 52% (95% CI, 4–76), compared with 28% (95% CI, -124 to 77) in the late phase (data not shown).
Analysis according to time since vaccination in the different influenza phases showed that in the early influenza phase, adjusted VE estimates against A(H3N2) decreased with time since vaccination from 95% (95% CI, 45–99) at three months since vaccination to 36% (95% CI, -71 to 76) at more than 3.5 months since vaccination (Table 3). This decreasing trend with time since vaccination was not statistically significant (p for trend=0.119). In the late influenza phase, adjusted influenza VE estimates were very low or null in the three studied strata (Table 3).
Sequence analysis of the product of amplification targeting the full-length HA1 segment of hemagglutinin showed that most of the studied influenza A virus strains clustered into three genetic groups defined by specific amino acid mutations compared with A/Perth/16/2009 (Figure 3). Among the 127 A(H3N2) sequenced strains, 40% clustered into the group A/England/259/2011, 36% clustered into the group A/Victoria/361/2011 and 22% clustered into the group A/Iowa/19/2010. The remaining two A(H3N2) viruses (1%) clustered into the group A/Stockholm/18/2011.
The weekly proportion of influenza A(H3N2) viruses distinguishable from the vaccine virus in Spain was similar during the entire study period, ranging from 91%-100%, with a not significant weekly percentage change of −0.21% (95% CI, -0.64 to 0.22).
The only characterised A(H1N1)pdm09 virus clustered into A/StPetersburg/100/2011. Regarding influenza B, the Yamagata lineage (n=16, 94%) viruses predominated over those of the Victoria lineage (n=1, 6%). Most of the Yamagata lineage viruses clustered into the B/Bangladesh/3333/2007 genetic clade, and only one clustered into the B/Brisbane/3/2007 group.
No specific amino acid differences were observed in virus strains among age groups patients or between vaccinated and non vaccinated patients.
The results for the 2011–2012 season of the cycEVA study show a low-to-moderate protective effect for the 2011–2012 seasonal trivalent influenza vaccine against medically attended, laboratory-confirmed influenza in the target groups for vaccination, consistent with Spanish and European estimates [11-14]. In a late influenza season with a limited match between vaccine and circulating strains, we may suggest waning protection of the influenza vaccine 2011–2012 in the elderly with time since vaccination, although the trends were not statistically significant [12-14].
Although this study runs within the framework of the current SISSS, it is an observational study that followed a common protocol to be part of the European multicentre case–control study I-MOVE. Using the EU ILI case definition, GPs performed systematic sampling and collected high quality information on the main confounding factors described in the literature, thus reducing possible confounding bias.
By restricting the study to the epidemic period we also reduced the possible bias resulting from the inclusion of ILI patients when influenza viruses are not circulating [18]. During this period of intense influenza activity, influenza positivity was higher than 50%, such that a higher number of cases than controls was included in the analysis.
The test-negative study design is becoming an increasingly well-established approach to measuring influenza VE and generates the highest estimates of VE [18-22]. This design avoids confounding by the propensity to seek care within the control group, which is negative for influenza, thus providing better comparability with the confirmed cases [23-27]. In addition, study participants were selected by practitioners according to a systematic sampling procedure before either the patient or the physicians knew the case and control status of the patients. This protocol should minimise selection bias [23]. By restricting our analysis to ILI patients swabbed less than eight days after the onset of symptoms, we tried to minimise the possibility of misclassification because of false-negative RT-PCR results that could contribute to an underestimation of influenza VE. In addition, adjusting for swabbing week helped to overcome another possible limitation of the test-negative design by controlling the analysed data for calendar time [18]. Nevertheless, as with any observational design, we cannot rule out residual bias and confounders [23,28].
The 2011–2012 influenza season was characterised by several noteworthy aspects in Spain. First, this season was notably late, as in most of the northern hemisphere's temperate zone with the exception of North Africa [29]. The epidemic peak was not reached in Spain until mid-February 2012, whereas peaks are usually in late December or early January [30]. Second, there was a predominant circulation of A(H3N2) influenza virus with a minimal contribution of the A(H1N1)pdm09 influenza subtype, which has been the predominant subtype since the 2009 pandemic. Third, there was a limited match between the vaccine and circulating A(H3N2) strains [29,31].
Our global adjusted influenza VE estimate against A(H3N2) influenza infection, 45% (95% CI, 0–69), was consistent with the VE estimated in Australia for the 2011 season against influenza A(H3) (58%, 95% CI, -53 to 89) [32] and with the results of previous studies in years with a predominant circulation of seasonal influenza A(H3N2) virus, which determined influenza VE to range from 10% to 68%, depending on the degree of antigenic match [20,21,24,33]. Although the effectiveness of the influenza vaccine is often less pronounced during seasons with antigenic mismatch between the vaccine and the circulating strains [34], in certain influenza season's, antigenic changes occur without resulting in any apparent loss of influenza VE [35].
Several factors might have contributed to the low to moderate protective effect of the 2011–2012 trivalent influenza vaccine. Firsly, the circulating A(H3N2) influenza viruses in Spain clustered into several genetic groups that were reported to be antigenically and genetically distinct from the vaccine virus A/Perth/16/2009 [31]. This limited match was observed globally in the northern hemisphere [31], resulting in a change in the WHO recommended A(H3) vaccine strain for 2012–2013 in the northern hemisphere [36].
Second, in an unusually late influenza season [29,30], with a time lag between the vaccination campaigns and the start of the epidemic that was longer than in previous seasons, our results suggested a decrease in the protective effect of the 2011–2012 trivalent influenza vaccine with time since vaccination. This pattern was also observed in other studies [12-14].
A decreasing influenza VE over time could be related to increasing changes in circulating viruses towards the end of the season and/or potentially waning immunity in the months following vaccination [12,29]. Phylogenetic analyses of the circulating influenza viruses in Spain did not support the hypothesis of an increased emergence of antigenically drifted A(H3) variants during the influenza season in Spain. There was a presence of mismatched influenza viruses since the beginning of the 2011–2012 Spanish influenza season, with a similar weekly proportion of circulating changed A(H3N2) influenza strains throughout the entire study period.
Re-analysing influenza VE data for the preceding season 2010–2011 [7] we also observed decreasing influenza VE against A(H1N1)pdm09 in target groups for vaccination, from 62% (95% CI, -1 to 85) to 44% (95% CI, -122 to 86) for those vaccinated within three months or more than three months before the onset of symptoms, respectively. This lower decrease in VE over time (26%) observed in the previous season relative to the VE in our study for the 2011–2012 season (46%, data not shown) highlights the possibility that even in a usually timed season with a predominant circulation of a well-matched A(H1N1)pdm09 influenza virus, the influenza vaccine exhibits a degree of waning immunity.
To further explore the decrease in the protective effect of the vaccine with time since vaccination, we determined influenza VE by the phase of the season. We observed a decreasing influenza VE with time since vaccination during the early phase, from a high influenza VE of 95% (95% CI :45–99) at three months since vaccination, to a lower influenza VE point estimate of 36% (95% CI: -71 to 76) at more than 3.5 months since vaccination.
In the late phase, influenza VE estimates were compatible with null vaccine protection since shortly after vaccination. This finding is consistent with the finding that patients included in the late-phase subgroup had a median time since vaccination that was nearly one month longer that that in individuals in the early phase (128 days, range: 39–166 days vs 103 days, range: 45–135 days, respectively).
Together, these findings could reinforce the hypothesis of the possibly waning protection of the influenza vaccine. However, these results must be interpreted with caution because the study was limited by its small sample size. Therefore, although point estimates showed a substantial decrease with time since vaccination in the early phase, we could not demonstrate a significant decreasing influenza VE trend over time.
By age group, a decline in influenza VE with time since vaccination was also observed only in patients ≥65 years, although interpretation is limited by small sample size, which likely precluded the observation of a significant trend with time since vaccination [37].
A significant reduction in antibody titres 5–6 months after vaccination and, therefore, waning immunity following seasonal vaccination has been demonstrated in the elderly [38,39].
However, in our study, we also obtained a higher influenza VE point estimate shortly after vaccination among the elderly compared with aged <65 years patients: 71% (95% CI: 6–91) and 45% (95% CI: -114 to 87), respectively [40]. Conflicting results have been reported concerning the association between older age and the response to influenza vaccines. Several authors have found a reduced response in aged subjects, but others have reported no difference or even better results compared with younger control subjects [15,41]. Other studies showed that subjects vaccinated in every epidemic season for several years were protected against influenza despite low titres of anti-haemagglutinin antibodies [42]. Recently, studies performed during 2010–2011 influenza season demonstrated a higher influenza VE in patients vaccinated with both the current 2010–2011 and the previous 2009–2010 influenza vaccines in all age groups [7,43] and in a population with major chronic conditions [44]. In our study, a higher proportion of the elderly population (59%) compared with individuals <65 years (15%) was vaccinated with both the 2011–2012 vaccine and previous 2010–2011 seasonal influenza vaccines (p = 0.000). This factor could explain the higher influenza VE estimate obtained in the elderly relative to the younger group.
It is worth noting that currently there are few studies analysing influenza VE according to the time when the vaccination was given [12-14]. In addition, although levels of antibodies to seasonal inactivated influenza vaccine decline in the months following vaccination, this phenomenon does not necessarily reflect clinical VE [15]. Consequently, although limited by their statistical power, our results contribute to the currently available scientific evidence on influenza VE, which have been poorly studied so far. Nevertheless, how antigenic drift in circulating influenza strains could affect influenza VE in a late season remains unclear. Further studies are needed to elucidate the impact of these and other possible factors on the protective effect of the influenza vaccine.
Our results were also limited by low vaccine coverage (VC), especially in individuals <65 years. In addition, we cannot extrapolate influenza VE estimates for older people to all elderly populations [5] because influenza VE in the ≥65-years-old test-negative controls was higher than VC in the same age group belonging to the GPs' catchment area (70% vs. 56%). Another limitation of our study arises from the recommendation of swabbing to all ILI patients ≥65 years, a subgroup of the population targeted for vaccination that was included in our study, what could have introduced a selection bias that affected the influenza VE estimates. However, we believe that the target group for vaccination is a homogeneous study population with regard to vaccination, the main exposure of interest, because the study participants had more equal access to vaccination than the total population.
Because annual influenza vaccination is recommended by public health authorities, it is crucial to annually evaluate influenza immunisation programs and issue recommendations. This study has fulfilled this mission over the past four years by developing and implementing a sustainable system for annually assessing of influenza VE vaccination in Spain and Europe, as part of the I-MOVE project. Over two consecutive years, preliminary and end-of-season influenza VE estimates supported the feasibility of generating and disseminating preliminary influenza VE estimates while virus circulation is ongoing [11,45].
The low-to-moderate protective effect of the 2011–2012 influenza vaccine in Spain that was observed in this study is in line with evidence from trials and observational studies to date [2]. This finding highlights suboptimal vaccine performance in most years within the presently available influenza vaccines, with performance seldom exceeding 60%, thereby underscoring the urgent need for better and longer-lasting protective vaccines [22,46]. Moreover, results on influenza VE, together with virological studies, should contribute to decision-making for the annual selection of influenza vaccine strains.
After five editions, the test-negative design of the cycEVA study has provided reliable information on annual influenza VE in Spain and may have important implications for the design of control influenza strategies.
In conclusion, the 2011–2012 trivalent influenza vaccine in Spain showed a low-to-moderate protective effect in the groups for whom vaccination was recommended.
Influenza VE estimates in the early phase of the season, for patients vaccinated within three months of the onset of symptoms reinforce the importance of official recommendations for annual influenza vaccination. Decreasing influenza VE over time in the elderly population has been suggested, but it is not possible to disentangle the respective roles of the waning protection of the influenza vaccine, changes in the circulating viruses during the season and other unknown factors.
Our findings have important implications that can guide national policy makers in the design of influenza control strategies when facing future late influenza seasons. Moreover, the data support an urgent need for the development of new influenza vaccines providing better and longer-lasting protection.
The authors declare that they have no competing interests.
All the authors participated in the design, implementation and interpretation of the study. SJ-J wrote the first draft of the article and had full access to all the study data and take responsibility for the data and accuracy of the data analysis, as well as the interpretation of the results obtained revising all drafts of the article. AL had full access to all the study data and take responsibility for the data and accuracy of the data analysis, as well as the interpretation of the results obtained revising all drafts of the article. SM discussed analyses and interpreted the results. CD-S discussed analyses and interpreted the results. FP collected and interpreted virological data. IC collected and interpreted virological data. MGC collected and interpreted epidemiological data. JC collected and interpreted epidemiological data. EP collected and interpreted epidemiological data. VG collected and interpreted epidemiological data. CR collected and interpreted epidemiological data. TV collected and interpreted epidemiological data. CQ collected and interpreted epidemiological data. EM collected and interpreted epidemiological data. JMV collected and interpreted epidemiological data. JG collected and interpreted epidemiological data. DC collected and interpreted epidemiological data. MCS collected and interpreted epidemiological data. JMR collected and interpreted epidemiological data. All authors critically reviewed the manuscript and approved the final draft. SJ-J and AL are equally responsible for this article.
The pre-publication history for this paper can be accessed here:
We are grateful to sentinel GPs, paediatrician and virologist participating in the cycEVA study, as well as to all professionals participating in the Spanish Influenza Surveillance System. We thank Aurora Limia (Health Promotion and Epidemiology Section, Department of Public Health, Quality and Innovation (Ministry of Health, Social Services and Equality) for the information provided on influenza vaccination. We also thank the EpiConcept team and I-MOVE network for their fruitful discussions and comments on the cycEVA results.
This work was supported by the European Centre for Disease Prevention and Control (ECDC) through the I-MOVE (Influenza Monitoring Vaccine Effectiveness in Europe) project and by the Carlos III Institute of Health (Influenza A(H1N1)pdm09 Programme (GR09/0017)).
The Spanish Influenza Sentinel Surveillance System includes
Physicians of the influenza sentinel surveillance networks of: Andalucía, Aragón, Asturias, Baleares, Canarias, Cantabria, Castilla la Mancha, Castilla y León, Cataluña, Comunidad Valenciana, Extremadura, Madrid, Navarra, País Vasco, La Rioja, Ceuta and Melilla; Epidemiologists from: Servicio de Vigilancia Epidemiológica y Evaluación, Consejería de Salud, Junta de Andalucía; Servicio de Vigilancia en Salud Pública, Dirección General de Salud Pública, Aragón; Dirección General de Salud Pública y Planificación, Consejería de Salud y Servicios Sanitarios, Asturias; Servicio de Epidemiología, Dirección General de Salut Pública, Baleares; Servicio de Epidemiología y Prevención, Consejería de Sanidad de Canarias; Sección de Epidemiología, Consejería de Sanidad, Trabajo y Servicios Sociales de Cantabria; Servicio de Epidemiología, Consejería de Sanidad de Castilla la Mancha; Dirección General de Salud Pública, Consejería de Sanidad de Castilla y León; Servicio de Vigilancia Epidemiológica, Dirección General de Salud Pública, Departament de Salut, Generalitat Catalunya; Àrea d'Epidemiologia, Conselleria de Sanitat, Comunitat Valenciana; Subdirección de Epidemiología. Dirección General de Salud Pública. Servicio Extremeño de Salud. Junta de Extremadura; Dirección Xeral Saúde Pública de Galicia; Dirección General de Atención Primaria de la Comunidad de Madrid; Servicio de Epidemiología. Consejería de Sanidad de la Región de Murcia; Instituto de Salud Pública de Navarra; Servicio de Vigilancia Epidemiológica, Consejería de Sanidad del País Vasco; Servicio de Epidemiología, Subdirección de Salud Pública de La Rioja; Sección de Vigilancia Epidemiológica, Consejería de Sanidad y Bienestar Social de Ceuta; Servicio de Epidemiología. Dirección General de Sanidad y Consumo, Consejería de Bienestar Social y Sanidad. Ciudad Autónoma de Melilla; Virologists from the following laboratories: National Influenza Reference Laboratory, WHO Influenza collaborating Centre (National Centre of Microbiology, ISCIII, Majadahonda-Madrid); WHO Influenza collaborating Centre, Facultad de Medicina de Valladolid; WHO Influenza collaborating Centre, Hospital Clínico de Barcelona; Hospital Virgen de las Nieves de Granada, Andalucía; Laboratorio del Hospital Miguel Servet de Zaragoza, Aragón; Laboratorio del Hospital Nuestra Senora de Covadonga de Oviedo, Asturias; Laboratorio del Hospital Son Dureta de Palma de Mallorca, Baleares; Laboratorio del Hospital Dr. Negrín de Las Palmas de Gran Canaria, Canarias; Laboratorio del Hospital Universitario Marqués de Valdecilla de Santander; Instituto Valenciano de Microbiología, Valencia, Comunitat Valenciana; Hospital San Pedro de Alcántara de Cáceres, Extremadura; Servicio de Microbiologia del Hospital Universitario Ramon y Cajal. Laboratorio de la Clínica Universidad de Navarra, Pamplona, Navarra; Laboratorio de Microbiología. Hospital Donostia, País Vasco; Hospital San Pedro de la Rioja de Logroño, La Rioja; Laboratorio de Microbiología del Hospital de INGESA de Ceuta; Laboratorios de Microbioloxía CH de Vigo y de Ourense (Galicia), and Hospital Virgen de la Arrixaca de Murcia.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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Mike Clark: Summertime
"Summertime," a personal favorite, is treated to a harmonic makeover. Using darkness and mystery, a quintet with Clark, Childs, Chris Potter, Jack Walrath and James Genus presents this gem as it's never been shown before. Their exciting arrangement, however, lacks some of the emotion that this Gershwin tune has always harbored naturally.
From a brief listen, you get a pretty good idea of the crisp leadership this drummer provides for each of his ensembles. Trading fours on "U.T.," he remains as conversant as his front line does on other tracks. Walrath and Potter, who pair off for "Summertime," "Dolores" and "Three Pawns," provide an ordinary scene. The quintet's passion seems to fade when they're brought together.
Three quartet tracks, however, were recorded at a different studio and make up for any lapse in direction. With those three, and the steady reliability of pianist and drummer, the uneven session nevertheless succeeds in its quest to shore up the modern mainstream.
Audio samples are available at mikeclarkmusic.com.
Track Listing: Brujo; Fee Fi Fo Fum; Summertime; For Duke; U.T. ; Prince of Darkness; Angelica; Three Pawns; Dolores.
Personnel: Mike Clark- drums; Billy Childs- piano; Chris Potter- tenor saxophone, soprano saxophone added on
About Mike Clark
CD/LP/Track Review
- Blueprints of Jazz, Vol. 1 by Dan Bilawsky
- Blueprints of Jazz, Volume 1 by Elliott Simon
Live Reviews
Wide Open Jazz and Beyond
CD/LP/Track Review
- Summertime by Riel Lazarus
InterviewsRead more articles
Mike Clark Events
Jared Pauley W/middle Blue & Mike Clark
Brooklyn, NY


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Afar People Lifestyle And Culture
A selection of articles related to afar people lifestyle and culture.
Original articles from our library related to the Afar People Lifestyle And Culture. See Table of Contents for further available material (downloadable resources) on Afar People Lifestyle And Culture.
- Our Pagan Village: The Importance and Persuit of Honor
- Candlelight flickers over the Beltaine revels. Food is laid out in the circle for the feast. Only one rule – no one can feed themselves. Each is dependent on friends and loved ones for sustenance, joy and delight. After an hour of laughter and revels and way...
Paganism & Wicca >> Daily Life
- What is hypnotic trance? Does it provide unusual physical or mental capacities?
- 2.1 'Trance;' descriptive or misleading? Most of the classical notions of hypnosis have long held that hypnosis was special in some way from other types of interpersonal communication and that an induction (preparatory process considered by some to be...
Parapsychology >> Hypnosis
- The Religious Experience: A Wiccan Viewpoint
- What is religion? Religion is a set of beliefs which allow us to understand and categorize our world and our place in it. A set of beliefs which define our culture, our expectations, our views of people and behaviors we expect. I have found several different...
Religion & Philosophy >> Religions
- Survivalists' Guide for the New Millennium: Chapter 6
- AS THE WORM TURNS Health and well being are part of the natural birthright of the human being. With all of its organs intact, the right diet, exercise and mental focus, a human body can overcome any disease. Even so, the effects of living in this...
Philosophy >> Survivalists Guide for the New Millennium
- Pagan Mythology
- Is the traditional story presented as an historical event that serves to illustrate part of the world view of a people or explain a practice, belief, or natural phenomenon. The mythological beliefs a culture shares gives shape to its actions and choices....
Paganism & Wicca >> Holidays
- Survivalists' Guide for the New Millennium: Chapter 7
- MAKING FRIENDS WITH NATURE AND NATURAL LAW The fall of human society has not occurred overnight. It has taken many centuries, many millennia in fact, for the Divine potentials and inherent genius of the human being to degrade into the modern...
Philosophy >> Survivalists Guide for the New Millennium
Afar People Lifestyle And Culture is described in multiple online sources, as addition to our editors' articles, see section below for printable documents, Afar People Lifestyle And Culture books and related discussion.
Suggested News Resources
- MRT's 'The Realness:'A rapping, hip-hop love story
- While he adores the music, he's only observed the culture from afar. He lands in the city, hoping to immerse himself in the hip-hop lifestyle and suddenly faces questions about what it means to live authentically.
- Hong Kong's Wucius Wong delivers riposte to 'derivative' Chinese contemporary
- "So Zhang Xiaogang has painted a few people sitting in a row and that's a masterpiece? So Yue Minjun's ... Over many years, I have seen the struggles of China from afar – from Hong Kong or the US – but I never forget my closeness to China and its culture.
- Nancy Campbell: Why I gave up a life in London to become a writer on a speck
- Once children were warned to beware of qivitoq – people who had turned their backs on society and gone to live in the wilderness, becoming monstrous beings, half-animal and half-human, with malevolent powers. ...
- Quietish achievers
- Such publicity offers a focus wider than the group itself, shining a light on a Dunedin music scene in rosy health, according to various industry types, including those who document its pulse from afar (e.g.
Great care has been taken to prepare the information on this page. Elements of the content come from factual and lexical knowledge databases, realmagick.com library and third-party sources. We appreciate your suggestions and comments on further improvements of the site.
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Hot road work
PAVING PROGRESSES: Blessing Construction of Kearney is about halfway through paving the east end of graveled Road 768 that takes motorists to Wild Horse Golf Club and a housing development. Because paving has been completed on the west end, drivers must now travel east on Highway 30 and north on Road 409 to get to the course or to homes built nearby. Pictured is work Tuesday near the intersection of Roads 768 and 410. The project, which started around June 20, was expected to take 30 to 45 days.
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