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If you're thinking about investing in bonds, one of the first things you should do is make sure you are given the key bond information needed to decide whether you want to buy that particular bond. Your broker should have that information, especially the "CUSIP" number so you can do some extra research online. (If they don't have that, get another broker.)
Kind of like a second opinion, even if you trust your broker, take the time to look it up to check out the info given, and also to see what good ole some online snooping tells you about those bonds and the issuing company. The "CUSIP" number will help you look up the bond issue you're considering. Also, remember to look for any company financial news.
A bond's yield…
…is the percent of return (like an interest rate) that you will get from the bond you're buying, regardless of what you pay. The yield reflects current market conditions and interest rates that have already been factored into the price. So the bond's yield is, in effect, the extra money you'll receive regularly as a percent of the exact amount of money you invested.
Note: Bonds can be bought newly-issued or "second hand" from the current owner. The price you pay for an already-issued bond is usually higher [premium] or lower [discount] than the face value or "par" at which the bond was originally issued, usually in increments of $1,000. But, as is happening at present with downward pressure on interest rates, even some newly-issued bonds can sell at a premium (higher than par value) to accommodate the lower rates. It's just the way the math works.
A lower "yield to maturity" means that when the bond finally matures, you'll only get back the original par value, even if you paid a higher price to buy the bond. Again, it's about what current market conditions think is a fair price for the type of bond you are buying, setting the price for older bonds to match what similar newly-issued bonds are yielding. (BOND FACT: as a bond yield goes higher, the bond price goes lower. And vice versa. Again, it's just the way the math works.)
A bond's coupon…
… is the interest rate at which the bond is issued. Unlike the yield, this never changes. If a bond is used at a 3% coupon, that is the amount (based on the $1,000 per unit par value of the bond) that you will always receive, usually semi-annually.
Even if the bond price goes drastically up or down, your payment amount will stay the same. Just the yield (amount you get based on the current value of the bond) will vary. That's why many retirees like having bonds; they count on the steady income — based on the coupon rate.
Of course, if they have to sell the bonds before they mature, then they may not get back what they invested if rates have gone up and therefore prices have come down. But by holding them to maturity, if at all possible, you are guaranteed to get back the face (par) value of the bonds when issued.
Let's say you buy 5 units ($1000 per unit) of a 10-year bond that was issued two years ago with a coupon (issue interest rate) of 3%. The current price of the bonds is now $1020 per unit. Since the price is higher, at the very least we know the current yield will be lower. And when we do the calculation for what the yield is at this moment, it comes out to 2.94%.
To summarize the numbers: You paid $5,100 for 5 units of this bond. Your bond has eight years to go, during which time you will get a 2.94% yield (interest payment) twice a year. When the bond matures, you'll receive $5,000 in cash. Your total earnings from that bond will be $1200 in interest payments minus the extra premium of $100 that you paid when you bought it.
So your Total Return (net profit) will be $1100 which is actually closer to about a 2.7% effective yield to maturity on your money over the 8 years you owned it. (We'll save tax implications and actual price paid if bought between coupon payments for another day.)
More articles you may enjoy
♦ Stock Market: What Exactly Is It and Who Should Invest?
♦ Stock Basics: What You Need To Know About Stocks
♦ The Day I Bought My First Stock


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Driver Held in Fatal Newport Hit-and-Run
NewsRadio 920 WHJJ and the Associated Press
NEWPORT, R.I. (AP) — Newport police say a man was struck and killed by a hit-and-run driver.
The Providence Journal reports that police say the unidentified man was apparently stumbling along the side of a road when he may have fallen into the path of a car Saturday night.
The motorist left the scene, but turned herself in to police early Sunday morning.
Police said they arrested 33-year-old Jessica Gosdoski of Oceanside, N.Y., on charges of leaving the scene resulting in death. She was arraigned and released and is due in court Sept. 11.
It was not known Sunday if she's represented by a lawyer and her home phone number is not listed.
Police are trying to identify the victim and notify his family.

subset: commoncrawl


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Get ready to join GayDays® Orlando 2017 at the only and official host hotel, DoubleTree by Hilton Orlando At SeaWorld!
The DoubleTree allows GayDays® to host the whole 'family' under one roof! Over 25 pool parties free to all registered hotel guests. The GayDays® Expo will be conveniently located at the hotel entrance and hotel lobby. This year the Expo celebrates 17years and is an event on its own and continues to grow each year.
The DoubleTree by Hilton Orlando at SeaWorld is set on 28 lush acres of native palm trees, tropical fountains and sparkling pools. Showcasing a multi-million dollar makeover, the hotel was transformed to a warm and tranquil Balinese-inspired oasis.
Click HERE for hotel information and to book online.
Planning is in progress for GayDays® Orlando 2017! Click below to make your reservation in the
MAIN Wing
10100 International Drive
The Doubletree offers guests and visitors plenty of self-parking. If you wish to valet park, a reasonable convenience fee will be charged. There will be conveniently located satellite parking to handle parking overflow. Get ready to join Gay Days 2017 at the Doubletree! This amazing resort allows Gay Days to offer:
|Bangli Lounge
|Standard Garden View Double
|Bamboo Grille Veranda
|Main Pool
Gay Days Host Hotel
10100 International Drive
Orlando, FL 32887
10100 International Drive
Orlando, FL 32887
Rooms at the Doubletree by Hilton Orlando at SeaWorld can only be booked through GayDayS.com.
Click HERE for hotel information and to book online.
Click HERE for hotel information and to book online.


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Nestled on the shore of East Java, Surabaya is Indonesia's second-largest city. Part of Superblock Tunjungan City, the Four Points by Sheraton Surabaya is conveniently located in the heart of the business district. Tunjungan Plaza—East Java's largest retail mall, with shops, restaurants, cafés, and...
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MySQL Connector/Python v1.1.4 GA
It has been a busy week for the Pythonic MySQL Team at Oracle: MySQL Utilities 1.3.6 and a brand new Utilities 1.4.1 Alpha has been release which includes Fabric. Yes, and of course, the one binding them all: Connector/Python v1.1.4 has been released as GA (General Available). Check out the Change History if you want to keep up with what is being added and changed.
New features found in v1.1:
- Important: Connector/Python will not work with Python v2.4 or v2.5. Yes, I consider this a feature.
- Connector/Python comes with it's own database backend for Django v1.4 and v1.5. It supports Python v3 and also support microsecond precision when using MySQL 5.6 and later.
- MySQL Prepared Statements are now supported.
- Connection Pooling is now available baked into Connector/Python.
- Start transactions using the MySQLConnection start_transaction() method and find out whether the session has a transaction on going using the in_transaction property.
Some useful links:
- Documentation: http://dev.mysql.com/doc/connector-python/en/index.html
- Release Notes: http://dev.mysql.com/doc/relnotes/connector-python/en/index.html
- Downloads: http://dev.mysql.com/downloads/connector/python/#downloads
- Feedback: http://bugs.mysql.com
- Forum: http://forums.mysql.com/list.php?50
If you like to leave a comment, but don't like to use Disqus, please send an email instead. Comments by email might end up as a FAQ here under.
Transferred comments:
I was wondering if you guys are going to update the version that can be installed through PyPI? That is pretty much the standard way to install packages these days for Python, and not having an up-to-date installable version seems like an oversight?
@Chris: Yes, of course. There was somehow a problem logging in yesterday, but seems to somehow work now. I added Connector/Python v1.1.4 while keeping v1.0.12 also available for the folks still on Python v2.4/v2.5.
Note that I'm very concerned about a very weird message when running pip:
"You are installing an externally hosted file. Future versions of pip will default to disallowing externally hosted files.
You are installing a potentially insecure and unverifiable file. Future versions of pip will default to disallowing insecure files."
The fact that files are more secure when hosted at pypi is to me False (yes, with a big F :)),
What about django 1.6 support? Is there any way to make it work?
Yes, we're working on a fix for Django v1.6. Stay tuned.
Can you tell me what's the best version of MySQL Connector/Python that supporting Django 1.5 for now(2014.09)?
I replied privately, but best is to always use the latest Connector/Python. Not sure how long we can keep supporting older Django versions.


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Millions of people across the globe have problems with substance abuse, yet even more are in denial. For every open addict, there is an addict that has yet to confront their issues. Acceptance is the first and hardest road on the path to recovery. It is hard because no one wants to admit that they have gone down the wrong path. Not only is it embarrassing, but it is also a waste of your time and energy. However, without acceptance, you will struggle to gain control of your life. With that in mind, it is time to decide whether you have a problem. You might think that it isn't easy to spot, but there are telltale signs. If you can relate to any of the below, you could have an addiction of some kind.
Image: thebluediamondgallery.com
Withdrawal Symptoms
Withdrawal symptoms are the first sign that you have a problem. Withdrawal is not a hangover or the feeling of nausea after a heavy night of partying. Withdrawals are much stronger and have a much longer impact on the body. Also, they make you want to use again and again until you satiate the feeling, and it goes away. Even if you have never experienced withdrawals, you will know what they are when they occur. It is like going cold turkey, which is a very unpleasant experience. Most of the time, the symptoms are physical. However, they can manifest themselves in a mental capacity.
Outside Usage
It is quite common for all types of people to overindulge in a certain environment. For example, the most clean cut person can have too much to drink or dabble in drugs at a party. But, they don't use outside of the environment. People that use in a constant setting are people that can't get enough, even if the mood isn't right. It means that their body needs the substance to function. And, their addiction is the reason they use for personal gain and not just to heighten the experience. It is also important to remember that frequent usage at parties and events could be a sign. Those of you that party on a constant basis could be building up their addiction without realizing. What's worse is that the party atmosphere is masking the reality.
Use More For The Same Effect
Most people don't tally up how many drugs they have taken over the course of a week. Still, most people know the extent to their usage even if it is just a rough estimate. Your rough estimate could hold the key to your addiction. If you are using more substances than before for the same high, your body is building a tolerance. A bigger tolerance is a sign that you are using too much because your body is used to the drugs. After a while of non-usage, the tolerance will dissipate. In your case, that isn't happening because you are using on a constant basis. Details from the Alcohol Recovery Centre site show that this is a sure-fire sign of addiction. The next time, monitor how much you use and reference that against the first time you dabbled. And, be truthful. It is a cliché, but the only person you are lying to is yourself, and that is a problem for your health.
Underlying Health Problems
Talking about your health, how do you feel? Addicts are not healthy people because the substances they take are dangerous. Not only do they need them to function, but they also attack the healthy cells in the body. As a result, the smallest issue can escalate out of control. A cold, for example, can make you feel as if you have the plague. The reason for that is that drugs break down your immune system. What is a minor ailment to most people is a big deal to others. It is also easy to see in your complexion as the drugs have a major effect on the skin. For starters, it starts to sag and wrinkle. Unless you are advancing in years, that shouldn't happen. And, you also experience jaundice. Jaundice is a condition that occurs when the kidneys don't work effectively, and they deal with substance issues. A yellow tint to your skin could mean that your kidneys are failing.
Do You Hide It From Your Friends?
Even if you deny it, you will hide your addiction from your family and friends. The reason for that is that you know you have a problem. You might not want to admit it out loud, but you can't hide it from your subconscious. No one that has something to hide does it because they think they are right. That is the entire point of having something to hide. If you feel like you can't tell your closest friends that you like to indulge, it is because you are ashamed. And, you are ashamed because you know that it is wrong. Try and confide in someone the next time you have a conversation. If you can't, you need to consider going to rehab.
Your Friends Are Worried
One or two people that say you have an issue aren't a big deal. But, a handful of people is a sign that you are going too far. It is okay to dismiss an individual because it is only an individual. Even if you are an addict, one person isn't enough evidence to make you question your lifestyle. More than five is a problem, however. It means that at least five people that care about you believe that you have a problem with substance abuse. If that is the case, it is worth sitting down and listening to their reasoning. They wouldn't say it to you unless they thought it was a problem, which is why they want to confide in you. There is no doubt that you will take it poorly, but you should reflect on it afterward.
Always Relapsing
The one person that needs rehab is the person that is always relapsing. All you have to do is be truthful, and you will know whether you relapse or not. A relapse is when you take a substance that you have promised to quit. If you have done that in the past, you might need professional help.


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Color Analysis Seminar: Why you don't need to wear black to look slim?
Maccimize and Jyoti Kapoor Fine Jewelry
Friday, May 4, 2012 at 6:00 PM (EDT)
Event Details
For most of us- when we think of color and fashion we think, black makes you look skinny and if you've got something to hide- don't wear white! Well guess what? In that fashion world, there's a lot more to color than that!
Join HM Image Consulting and Maccimize to fine out more about using color to emphasize and complement your body and skin tone. At the seminar you will learn:
- The message color sends out and the emotions it elicits
- How to add a pop of color to your outfit (especially since Spring is here)!
- What you can do to make your wardrobe look more colorful and still feel comfortable with it
- How to use color to accessorize an outfit
As always, we will be providing food and the first drink is on us! We'll also have some raffle prizes to give away valued up to $200. Stick around after the seminar- we'll be walking around to answer any questions and you're more than welcome to stay for happy hour!
You can purchase your advance ticket above. Tickets will be sold at the door for $15- so be sure to buy yours in advance!
Looking forward to celebrating color with you!
When & Where
Butterfield 8
5 E 38th Street
New York,
Friday, May 4, 2012 at 6:00 PM (EDT)
Add to my calendar
Maccimize and Jyoti Kapoor Fine Jewelry
Maccimize curates a collection of unique hand-picked accessories...to provide you with inventive and fashion forward pieces to accent your individual style without irreparably denting your wallet. Shop our events or on our website. Take our online quiz to determine your personal style profile for a personal shopping approach to buying fashion accessories- it's never been easier! So go ahead- maximize your style with Maccimize!
Jyoti Kapoor Fine Jewelry
New York based jewelry designer Jyoti Kapoor has a long affair with all things beautiful. Inspired by extensive travels, vibrant culture and life in the fashion capital; the handcrafted collection has been mindfully sculpted to be as beautiful as the woman who wears it.


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Al Hanine 88227 Group
Her limited monthly salary is barely enough to cover her daily living needs. She decided to acquire a Group loan from Kiva's field partner Al Majmoua, accompanied by Samira the lady at the center of the picture, and Hanin at the far left side, who's acquired group loan will be invested in developing their social and financial living.
Houeida's loan share from Al Hanine 88227 group loan will be invested in paying for a surgery she has to undergo in her eye.
Additional Information
More information about this loan
This loan product is part of Al Majmoua's efforts to help people in Lebanon who have medical expenses they can't afford. Many Lebanese face challenges in covering health-related expenses, due to the relative high cost of medical care compared to household income in the country. With this product, borrowers can use their loan to cover any costs related to medical treatment or health care, whether for themselves or for a family member. By supporting this loan, you are helping people in Lebanon meet their health care needs.
About Al Majmoua – Lebanese Association for Development
The Lebanese Association for Development – Al Majmoua is Lebanon's leading microfinance institution and the oldest Kiva partner in Lebanon. Al Majmoua's vision is to "be the leader in creating an inclusive financial system where all people in Lebanon have access to affordable services." Given Lebanon's diverse population, Al Majmoua lends to all nationalities, provided legal residency. The strong financial position achieved to date has allowed Al Majmoua to steadily lower its pricing over the years.
Based on the belief that non-financial services play a complementary role in improving the quality of life of the most vulnerable entrepreneurs, Al Majmoua has established a solid Business Development Services program for both borrowers and non-borrowers with a focus on women and youth.
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.


text: SharePoint offers users a place for social collaboration in the form of personal sites. The experience and functionality is very similar to popular social media sites such as Facebook and LinkedIn. The main difference being that it is controlled by the SharePoint Farm and exposure is typically limited to internal networks.


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A detached finca type villa with modern touches situated on the outskirts of Villajoyosa, surrounded by natural beauty and with a fantastic mountain backdrop and sea views to the front, the town of Villajoyosa is just 10 minutes away and El Campello just 15 minutes away where you will find a wide array of services such as shops, supermarkets, café bars and restaurants, medical services and schools plus much more. There are various golf courses, theme parks and sports facilities all within easy reach. The large villa has 6 ample bedrooms, 3 bathrooms (2 wet room type shower rooms), a large, light and spacious living-dining room of approximately 50 m² with a large fireplace feature, hall way entrance, separate kitchen, covered terraces and uncovered terraces of large dimensions, private Jacuzzi area, this villa is totally self sufficient with solar panels, possibility of adjoining a generator, water deposit and septic tank, forget any more bills! There is also the possibility of connecting mains electric! Also this property has a static caravan that sleeps six people included in the price, ideal prospect for bed and breakfast accommodation! The property is of approximately 220 m² build plus approximately 60 m² of terrace, the plot is of 20.345 m², fantastic countryside panoramic views and down to the sea, rustic design and is a one off in this area, a quiet, peaceful and beautiful area, if you want good quality for a reasonable then you have to view this villa, a quiet location with easy access to towns and villages.
We can help you to get a mortgage on favourable terms. A residence permit can be obtained with the purchase of this property. Please ask our team for more information.


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Read an Excerpt
By NICOLE BRADDOCK BROMLEY
Moody PublishersCopyright © 2007 Nicole Braddock Bromley
All right reserved.
Chapter OneA LEGACY OF "HUSH"
Some of my early memories are very vivid. Even today, certain sounds or scents immediately transport me back to the picturesque setting of my childhood home. It stood on a hill off an old country road in a small farm town in Ohio. I can still picture myself coming home after school, walking up the long lane to the white three-bedroom ranch-style house with blue shutters.
When I arrived, my crazy little dog, Frisbee, would get so excited he would jump all over me, while my more composed cat, Cotton, would rub against my legs, leaving a trail of white dander to blow in the wind and land on my clothes. Mom would be waiting for me at the sliding glass door of her sewing room, where she crafted dolls to sell at festivals and art shows. It was the perfect home for the perfect family.
I was one of the few kids in my school lucky enough to have a "cool" mom. You know, the kind you don't mind being seen with in public, the kind who buys you clothes you'll actually wear. My mom was hip without even trying to be. It was just who she was. She looked cool. She dressed cool. She talked cool. She was smart and funny. My friends seemed to like hanging out with her almost as much as they did with me.
Mom was a great friend as well as an awesome mother. She was always there for me and always understanding, even when I made those dreaded phone calls from school to say I'd forgotten my basketball shoes or left my homework on the kitchen table. I felt I could talk to her about anything.
My parents divorced when I was only a year old, and my mother remarried when I was three. My stepfather, Vince, was a salesman, and every day he'd go out to scour the countryside for customers. I used to pretend I was going to work just as Daddy V did.
My mom would pack a lunch for me in a brown paper bag. I would kiss her good-bye and head out the kitchen door to the garage. I pretended that my truck was the old gray Ford tractor parked in the corner of the garage. I would climb up on the red metal seat and eat my lunch. I always told my mom not to look at me because, after all, I wasn't really there. I was driving to work! You can imagine how exciting it was when Vince let me sit on his lap and steer the tractor as he drove it around our property.
My mother and stepfather were attentive, loving parents. They were always there to tuck me into my soft pink bed at night, read me a bedtime story, and say a night-time prayer. They encouraged me to discover and pursue my talents, and I always knew they would support me in all my activities, which eventually included ballet, gymnastics, basketball, volleyball, track, and art.
Daddy V was always willing to spend time with me. I never felt like an unwanted stepchild. He treated me as if I were his own daughter. He was always there to push me on the swing or ride bikes down the road and back. When I wanted to play basketball, he dropped whatever he was doing to practice shooting with me. He encouraged me to work hard and play hard, and he was my biggest sports fan. I always knew that he believed in me, and that gave me the confidence to try anything.
This was Vince's second marriage as well, and his three children visited us frequently. Our healthy, loving relationships could have served as a model for other blended families. It was akin to The Brady Bunch-only without the maid! My stepsister Steph and I were the same age and best friends. She spent every weekend and most of the summer with us.
Of course there was also the extended family: grandparents, aunts, uncles, cousins. Our house was where everyone would gather whenever there was a reason to throw a party. The family album bulged with photos of the annual Fourth of July birthday party, where my cousin Mandy, my stepsister Crystal, and I were the guests of honor. At Christmas and sometimes at Easter, our home was the scene of two family dinners, one for each side of the family. The aroma of homemade rolls drifting from the oven, the taste of freshly baked pies, and the warmth of a close-knit family left everyone longing for the next occasion to make memories together.
When I was little, I wanted to know everything. I couldn't understand why I had to wait to know what everyone else already knew. When I was three, I begged Mom to teach me to read; she finally taught me when I was four. I couldn't figure out what the holdup was. Why did I have to wait so long?
I remember spending hours following along with the pages as I listened to books on tape. These weren't the ones you can find at the local library. These were homemade! Mom would record a cassette tape of herself reading one of my books, and when it was time to turn the page, she recorded herself ringing a bell. She must have been obsessed with bells, because she also had a dinner bell she rang every night to call us in to eat. I never knew whether it was time to read or time to eat!
In first grade, my teacher gave each student in our class a paper to fill out for our first visit to the library. It asked what kind of book we wanted. If we found it, we were to write down the title. I was looking for a book that would tell me "all the stuff that grown-ups know." After searching shelf after shelf for this book, I finally gave up and wrote, "They didn't have a book like that." At the bottom of the paper, my teacher wrote, "That's too bad!"
I now know that it was a good thing there wasn't a book like that. From all outward appearances, I had the perfect family and the perfect life. But behind the blue shutters of my perfect home, I was learning things no child should ever know.
I learned a lot from my stepfather. He told me how to build a bluebird house, but he also told me dirty jokes. He showed me how to use a clutch to shift, but he also showed me pornographic movies. He taught me how to grow a big vegetable garden, but he also taught me how to stimulate a man. He made me believe that it was safe to tell him anything, but he also made me believe that it was never safe to tell anyone "our little secret."
As I grew, at times the memories of my stepfather's abuse had a dreamlike quality that made it difficult to know whether it really happened. Though some memories are still shrouded in clouds and mystery, I remember some events as clearly as if they happened yesterday.
One day when I came walking up the driveway after school, I didn't see Mom at the door. I remembered her telling me that she might be late because she had to go to town for groceries, so I headed to the big rock in one of our flower beds where the spare house key was hidden. As I bent over to move the rock, my stepfather came out of the house. I wasn't expecting him to be home early, so he startled me. He told me that the customer he had called on was working out in the fields, so he had decided to meet with him the next morning instead.
I went inside, plopped my books on the dining room table, and got myself a bowl of ice cream to eat while I did my homework. Vince wanted to play slapjack, my favorite card game. I was only in second grade and didn't have much homework to do, so I agreed to play. He wanted to make up a new rule and asked me to come up with one. I didn't have any ideas, so he said that whoever won a hand got to tickle the other person. I hated tickle games, but I loved playing slap jack.
Vince won the first hand. Then the second. And the third. The more he won, the more uncomfortable the tickling became. After the fifth game, he grabbed me from behind, pulled me onto his lap and put both of his hands on my chest. I tried to pull away, but he was strong, and he held me tighter. I screamed for him to stop. He laughed and said, "But I won! I get to tickle you until I'm done." Then he let go.
I didn't want to play anymore, but he said that if we played one more hand and I won, I could do my homework. He let me win the last one, but when I reached for my math book, he grabbed my hand and told me I had to tickle him. I didn't want to tickle him, and I barely touched him. I felt like throwing up.
Vince got mad at me and when Mom came home, he told her that I was acting cold toward him and that I'd hurt his feelings because he thought I would be excited that he was home early. Even though I hated the tickle game, he made me feel bad for pushing him away. I had wanted to tell Mom how I felt about the tickling, but not after what he told her.
I also clearly remember one night when I was about nine or so. For fun our family would throw empty aerosol cans into our outside firepit. (Obviously, there wasn't much to do in our small country town!) Then we'd run for cover and listen. Pretty soon we'd hear it-pop! One evening, Vince came into the house to tell me that he had some aerosol cans to throw into the firepit. Mom was working on her crafts, so I went outside alone with him. He gave me a can to throw, and as soon as I did, we ran as fast as we could into the woods behind our house.
Usually a can would pop in a matter of seconds, but this one didn't. Vince told me to sit down on the ground with him and wait. He sat behind me, with his legs on either side of me and his arms hugging my shoulders. We giggled and whispered, trying to be quiet enough to hear the pop. Still nothing. He kept talking about why it might take awhile for the can to get hot enough.
At the same time he was whispering to me, his right hand was going down the front of my pants and into my underwear. I froze. He was touching me all over down there. I couldn't breathe. I prayed the can would pop so we could go inside the house. I tried to get up. He told me to sit still and enjoy it. I didn't enjoy it. I didn't even know what "it" was, but I wanted whatever it was to be over. I pushed his hand away.
He told me that it was our little secret.
As we walked back into the garage, he told me that it was our little secret and that if Mom ever knew what we did together, she would be very jealous. When we reached the steps leading into the house from the garage, he made me stand on the second step. Then he lifted my shirt and put his mouth on my breast. I felt so dirty. After forty seconds that seemed like an eternity, he reminded me how important it was for me to never tell. He said that if I told and Mom divorced him, it would be my fault and she would never want to see me again.
I turned around and walked into the house, acting as if nothing had happened. Vince came in a few minutes later, doing the same. But whenever he caught my eye, he would wink at me. That night my fear and confusion kept me from telling my mom, and because I kept silent, my stepfather continued to abuse me.
As a child, I believed that Vince loved me and that he would never mean to hurt me. Yet I still felt scared and confused, and I remember times when I wondered if what he was doing was wrong. He kept telling me that I was very special and that what he was doing was okay. He was my stepdad, and I trusted him. I also remember that whenever I became angry with him and pushed him away, he wouldn't talk to me for days. Sometimes it seemed that he was nice to me only before he molested me. Then he would say things like "If you love me, you'll let me." I did love him, and I didn't want to upset him or make him sad.
Vince was a very smart man. He was very careful about the kind of activities and groups we were involved in. Though we were Christians and committed to our faith, there was an unspoken law in our home that we weren't to go to church.
My mom became a Christian when she was eight years old, and my stepdad when he was a young adult. During his first marriage, Vince was a leader in his church. But after his divorce he felt a lot of shame and anger. I think he felt judged because of the divorce, so he basically abandoned the church community and tried to live the Christian life on his own.
While I was growing up, we were always conscious of God in our daily life. Our entire family belief system was based on the Bible. We applied it to our lives. We prayed together and tried to live a Christian life. Family friends and kids at school always considered my family Christians, and even as a little girl I was very conscientious about setting a Christlike example.
At the time, I was never sure why we didn't go to church, but looking back, it's clear that Vince considered church a safe place where our little secret might slip out. Unaware that he was abusing me, my mom went along because she didn't want to rock the boat. Vince directed every moment of her life. He guarded her time more closely than he did his own. She had to account for everywhere she went and how she spent every minute of her day. She felt as if she was always walking on eggshells around him, and she didn't want to do anything to disrupt what she and everybody else considered our perfect family life. Mom told me that there were times she wanted to tell him she was going to go to church on her own, but she was scared of how he would react.
Like my stepdad, abusers are characteristically controlling and overprotective not only of the child victim, but also of the nonoffending parent and anyone else in the child's circle who might one day spill the beans. They often isolate their victims to keep them from realizing that other families don't do these things.
My father, Gary, and my stepmother, Kathy, married when I was six. They have two children: my sister, Amber, and my brother, Garrett. I love them all dearly and enjoy spending time with them at their farm. However, that wasn't always the case.
When I was little, my stepdad often told me that my father was a bad dad and that he didn't really love me as much as I thought he did. He said that the custody rights could be changed when I turned twelve and that my father was going to try to take me away from my mom as soon as my birthday came. Vince did everything he could to make me think that my father didn't care as much about me as he did about getting back at my mom for their divorce. He tried to keep me from spending too much time with my father and made me feel guilty for wanting to go to his house. As I grew older, I began to accept these lies, just as I accepted his lies about the abuse.
One day when I was in fifth grade, the local sheriff deputy came to show our class a video. It was a cartoon. It might sound strange that she would come to a school library to watch cartoons with a bunch of ten-year-olds. But the cartoon wasn't really funny at all. It was about an uncle who took his nephew on a fishing trip. While they were in the boat, the uncle said strange things and touched his nephew in places that made the boy feel very uncomfortable. The deputy emphasized that what the uncle did was wrong. My stomach was tied up in knots. I felt uncomfortable and scared, just like the boy in the video. I really wanted to talk to somebody.
After the video ended, we lined up to go back to class. I cut to the front of the line and whispered to my teacher, Mrs. Webber, that I wanted to tell her something. But then I said, "I'll just wait and write about it during journal time on Wednesday."
When Wednesday rolled around, I wrote a poem about a bear named Mr. Stutter who liked peanut butter. It seemed obvious to me that Mr. Stutter had nothing to do with what I wanted to tell her, and I decided that if my secret was really that important, Mrs. Webber would follow up and ask me what I wanted to talk to her about. But weeks went by, and Mrs. Webber never asked. And I never told.
I remember feeling that I had no choice and no way to get out of my situation. I forced myself to believe that it wasn't that big of a deal. I would just have to suffer through it and not tell anyone. I thought I had to protect my mom and keep our perfect family together.
From looking at me, no one would ever have imagined how much turmoil was going on inside me. Nobody could have known that ! was longing to be someone else, trying to figure out how I could run away from home, and sometimes even wishing my life would end. I was plagued with horrible nightmares, and I would often wake up crying. I was miserable, and I was scared.
Keeping silent was taking a terrible toll. Nevertheless, I thought I would have to live with this deep, dark secret for the rest of my life, for I was too afraid to tell.
Excerpted from hush by NICOLE BRADDOCK BROMLEY Copyright © 2007 by Nicole Braddock Bromley. Excerpted by permission.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.


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Donna Shelley avait besoin d'un nouveau design de logo et a lancé un concours sur 99designs.
Un gagnant a été sélectionné de 44 designs proposés par 26 designers freelance.
Monolith Software
Monolith Software has a logo we've been using for a few years that has some recognition in the marketplace. We're in need of an upgrade to the logo to enhance the professionalism and credibility of our image representation.
While our original logo should remain somewhat intact, please offer your suggestions regarding how this can be upgraded for a more high-tech, professional look.
We operate entirely in the B2B space, selling to high-level IT executives at large technology companies.
The attached file shows the logo in the format we most often use it. We'd also like to have a version of the logo that can be used in horizontal applications (rather than stacked vertically).
Thank you.


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Skip to comments.Colombia - Right-wing paramilitaries threaten to take up arms following two-month cease-fire.
Posted on 02/15/2003 1:52:11 AM PST by Cincinatus' Wife
BOGOTÁ, COLOMBIA - The El Nogal social club, the site of last Friday's deadly bomb blast, may have been specifically targeted because of its suspected role in Colombia's fledgling peace process.
Since December, left-wing rebels claim, the government has been conducting peace talks at the tony club with the United Self-Defense Forces of Colombia (AUC), a right-wing paramilitary group. The paramilitaries, headed by Carlos Castaño, wanted in the United States on charges of drug trafficking and terrorism, had implemented a unilateral cease-fire.
But on a website friendly to the left-wing Revolutionary Armed Forces of Colombia (FARC), which President Alvaro Uribe Vélez blamed for Friday's car bomb, a message read: "The luxurious club was the frequent site of meetings between political and business sectors with spokesmen for paramilitaries," the Resistance Network site said. "The current process of legalizing paramilitaries is the product of meetings held in different luxury locales in exclusive northern BogotÁ."
Now, in addition to the 32 people killed and 160 wounded in explosion - the biggest terrorist incident here in more than a decade - the most significant casualty may be the peace process itself. The AUC is hinting that it will once again take up arms against the FARC.
Dueling websites
In a letter posted on its website, the AUC said: "If the guerrillas [do not abandon] their practices against the civilian population in their crazy war against the legitimate state, the declaration of peace by the AUC should be revised in letter, if not in spirit." The group added that the leftist guerrillas have taken advantage of the cease-fire to advance their military agenda instead of seeking a negotiated end to the conflict.
The FARC has not taken explicit responsibility for the blast.
Independent Colombian defense analyst Alfredo Rangel says that if the AUC does indeed resume its battle against left-wing rebels, the peace process is in jeopardy, as the government has refused to negotiate without a cease-fire.
"I don't see [the process] broken, but I see it in a situation of very high risk," Mr. Rangel says.
The paramilitaries began as a loose coalition of ranchers protecting themselves against drug traffickers in the 1980s. But in the absence of strong government forces, it soon evolved into a right-wing army to battle the FARC.
Last week, El Tiempo, Colombia's leading newspaper, published a schedule of peace talks that was to conclude at the end of this year with the signing of a peace accord witnessed by former US President Jimmy Carter.
During the first "negotiation" phase, lasting from January to June 11, meetings would take place between government peace commissioner Luis Carlos Restrepo, Mr. Castaño, and Salvatore Mancuso, another paramilitary chief wanted by the US. Topics under consideration are freezing arrest warrants for AUC members involved in negotiations and the return of people displaced by the four-decade conflict to paramilitary-controlled land.
In a surprise move last week, Castaño requested to a local radio program that the government create a "concentration zone" where peace talks could be held in Urabá, in the state of Antioquia. The idea brought to mind the failed demilitarized zone granted to the FARC in 1998 by former President Andres Pastrana as a haven for peace talks. The large zone was revoked a year ago this week after the FARC continued its violent behavior and used the zone to stash kidnapping victims and grow coca.
But Castaño insisted that "it is not the same concept," because the police and the Army would be allowed in the area along with international observers. Furthermore, such a zone would only be two to five miles square, compared with the demilitarized zone that was the size of Switzerland.
Rangel points out that such a zone had worked to help demobilize five illegal armed groups in the past, but says "state control" was the key.
The final phase of "demobilization and reinsertion," to begin on June 11 and end Dec. 31, would call on the 20,000 AUC members to lay down their arms in the presence of Mr. Carter or some other international observer.
But there are many obstacles to real peace, including the abstention of several large chunks of the AUC - including the 1,500 Metro Bloc and the "Bloque Elmer Cardenas," with 2,000 men.
Rodrigo, who did not give his last name, the head of the "Bloque Metro," which holds sway in Medellín, said that the peace process was doomed to failure if all the parties don't participate. "We conceive of the peace process as a stage of national reconciliation and reconstruction, which, if there is not represented all of the actors in the conflict and civil society, won't have validity," he told El Tiempo.
Looking for US help
President Uribe warned that rebels were planning more attacks on Colombia's cities. "Authorities and citizens must be permanently alert," Uribe said Sunday night in nationally televised remarks.
Colombia's defense minister, Martha Lucia Ramirez, flew to Miami on Monday to meet with US military leaders. US officials have vowed to continue to help Colombia fight its illegal armed groups.
o Material from the Associated Press was used in this report.
"We have reliable reports that crew members are being held by the terrorist group the FARC," State Department spokesman Charles Barclay said Friday in Washington. "If these reports are accurate, we demand the crew members be released unharmed immediately." The bodies of an American and a Colombian were found in the wreckage of the plane. Gen. Jorge Mora, chief of the Colombian armed forces, told reporters both were "executed, in an act of extreme cruelty." Both died from the gunshot wounds, said Alonso Velasquez, director of the attorney general's office in Florencia.
The identities of those aboard haven't been released. The single-engine Cessna plane went down Thursday in rebel territory in southern Colombia where the United States has backed a massive campaign in the region to locate and destroy the drug crops with aerial fumigation. Plantations of coca -- the main ingredient of cocaine -- are prevalent in this region of humid plains and jungle-covered mountains. According to one report based on a radio interception, rebels quickly arrived on the scene of the plane crash and captured the survivors. ***
FARC Bomb targeted for Uribe kills 16 in Colombia - IRA and ETA training***At least half of the wounded were children, injured by debris as they slept. Gen. Teodoro Campo, head of the national police, blamed the bombing on the Revolutionary Armed Forces of Colombia, or FARC for the guerrilla group's Spanish initials.
''The home was located in the trajectory of the landing strip,'' said Campo, who arrived on the scene shortly after the bombing. ``All this leads us to think that it was a plan directed at an airplane.'' Colombia's conflict pits the government and an illegal right-wing paramilitary force against leftist rebels. The United States has become increasingly involved in the conflict, sending Special Forces to train Colombian troops and stepping up intelligence-sharing. ***
January 16, 2003 - U.S. Special Forces Arrive in Colombia
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It only takes a minute to get started. Fill out our simple sign up form and login to the website.
This step is up to you but will greatly increase your chances of having members look at your profile. Tell people about yourself, your interests and upload some good photos of yourself.
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Trading plan for Oct. 1
EUR/USD fell to $1.2570 as the euro zone's core inflation surprised to the downside. There are no signs that euro's planning to stop its freefall, while US dollar enjoys broad strength. Support is at $1.2587, $1.2550 and $1.2500. Resistance is at $1.2660, $1.2715 and $1.2750. On Wednesday the pair will be focused on the data due in the US – ADP Non-Farm Employment Change (12:15 GMT) and ISM Manufacturing PMI (14:00 GMT). The approaching ECB's meeting will keep pressuring euro.
GBP/USD recovered back above $1.6200 after hitting Sep.16 low of $1.6160 on Tuesday. Break below the $1.6275 area was a strong bearish signal that confirmed a local peak at $1.6520. Fix below $1.6160 will open the way to $1.6060 (Sep.10 low). Don't miss the UK manufacturing PMI on Wednesday at 8:30 GMT. The index is expected to have grown from 52.5 to 52.6 in August, but is still remains far below the yearly highs.
USD/JPY hit a new 6-year high of 109.85. Global demand remains elevated, so we expect our initial target of 110.60 to be hit on the current week. Short-term support lies at 109.10. Japan will release Q3 Tankan indices tonight – forecasts are downbeat, so USD/JPY could get more growth fuel.
AUD/USD recoiled down from the downtrend channel resistance in the $0.8770 area, but was getting support on the downside. The key support is at $0.8700. Watch whether Australian retail sales data and Chinese official PMI will surprise the market. Risk sentiment isn't positive and we don't recommend longs until the current downtrend is breached.


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We heard several complaints (yes… complaints) that Project and Time Tracking is not very useful, as it does not show all the information needed to manage projects. Well, we are addressing these issues with highest priority. To start with, now you'll notice that we have added a new column in Tasks so that you can easily which project does a task belong to. In addition, if you hover over a task or a project, you'll get an unintrusive pop-up providing you more information about the project or task.
We have several enhancements planned for projects and tasks over next few weeks. These include:
- Visibility into time entries for each project/task. Currently, you can only see the total time spent.
- Ability to assign staff to a task.
- Ability to show projects, tasks, and time entries to your clients on a permission basis.
- Add project details to invoices
Please drop me a note if there are other enhancements that you would like for make to projects section.


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Golden Beach Resort and Spa
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TripAdvisor Reviews Apartments Am Altmarkt Dresden
Travel Blogs from Punta del Este
Punta del este for 4 nights
I went to Punta del Este centro and had a little walk around. It was fine but not loads to do. I just went for a walk along the seafront a a little bit in the town and then I went back to La Barra because it was getting a bit sunnier and I thought the sunset would be nice back at La Barra. I went back to the hostel and bought a beer from the shop and some crisps and I went down to watch the sunset, it was lovely. Then back at the hostel ...
Relaxing in Punta del Este
... of the sea) it exhibits local sea creatures and the history of the area. A trip to Isla Gorritti is a 10 minute boat ride from the port of Punta del Este and is definitely worth it. The small unoccupied island takes 2 hours to walk around and contains a variety of trees and beautiful flowers. The beaches are like those from a paradise and although windy its still nice to swim. From here you get amazing views of Punta del Este's growing ...
A quick look at Uruguay, Buenos Aires, then home
... cafes we had passed on the way became trendy restaurants and bars, and souvenir shops started to proliferate. We criss-crossed the old town, and came across the main street, where we headed back north to find the bank to take out $5000 UR$ (pesos, about $A250 worth). At this stage we started looking at the map to find the points of interest, ended up walking west down a side street toward the water, coming across a (once) mobile street hamburger van with a ...
Change of venue; a change of man?
... conversation, the topic of the maximum number of people at the hostel being exceeded had come into play. He did not have much to say about it but I sure did! As it was not his decision, I told him how it looked and that it would be bad for future business. During this time, I took in a solitary coffee. Based on the amount paid and all of the trouble I had been to, a breakfast fit for a king should have been provided. On the contrary, there was no food at all.
The hour of ten ...
Joining Uruguay's Upper Class
... 8216;that guy' who causes trouble in relationships. While I will ask about the relationship, there is nothing in me to 'wreck havoc'. This extends to women who have been in a relationship at the time of us meeting. As some of them have become unattached over time, there is still no longing from me to date them. Regarding the latter, it is very hard to overcome this mindset. Looking back many years from now, there will be no regrets….. I hope.


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The new look of home security not only means having a home security system, it also means having the other things that make a home secure that technology has made possible. Items such as keyless door pads instead of a door lock, that means no more giving keys out to the children and being concerned they might loose them and not be able to get in the house while the adults are not home.
Technology Makes Home Security Systems Smarter Than Burglars
Technology makes home security systems smarter than burglars, since this is the only real thing that protects the house from these criminals getting in and stealing the family's possessions. The home alarm system today has features that make it impossible for a burglar to stop it from alerting police, when it is a home security alarm with monitoring. Any other type of home alarm is just that it is an alarm that sounds loudly in the house, but does nothing else to stop the burglar. This does not do a lot stop burglars, since neighbors don't even blink an eye any longer when an alarm goes off, because so many car alarms go off for no reason. This has made alarm systems ineffective for protecting the residence, plus most families have two working adults, which means if a burglar strikes during the day the neighborhood is mostly empty. This is why the monitored home alarm is best protection against break-ins for every household.
» Read more: Technology Makes Home Security Systems Smarter Than Burglars
Security Systems – Home Security
Home security systems are becoming a vital part of any residence. Crime is always on the increase, and protecting your home with a security system is becoming cheaper and much easier, with user friendly systems – even with do it yourself equipment.


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Medi-Can Steel Step Trash Can - 3.50 gal Capacity - Round - 10" Opening Diameter - 15.8" Height - Steel - Red by Rubbermaid Commercial
Product ID:
Price Quote
when buying in bulk
Medi-can Steel Step Can features a foot pedal that operates the self-closing lid for hands-free waste disposal. Tight-fitting lid provides maximum odor control. Step can offers a rigid leakproof plastic liner and a plastic base ring to protect floor and reduce noise. Carrying handles allow easy transport and placement. Capacity is 3-1/2 gallons. Step can complies with OBRA regulations and OSHA standards. Can is 100 percent recyclable.


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Hopeless Dogs
What you want is a love that consumes the both of you. A roaring fire that was conceived as such. It did not start out as an ember. It did not wait for kindling and oxygen, and the right conditions to combust; no, it had always been a forest fire; it had always been a Hindenburg, of sorts, that, spontaneously, lit up the tranquility of a spring time moon. But be careful. This love cannot engulf just you. If it does, abandon hope of ever grasping complete happiness and prepare to embark upon a journey in which you will return broken. Desolate. Humiliated. Lost. All before you can regain, if you ever manage to, the composure you had before. My advice to you is to never fall in love, or fall close to anything similar to it. Live your life free of sentimental restraints and live it well. Be the hedonist the average man can never be, and become no man's dog, because that is what we who fall in love are: dogs, mistreated ones that are shown cruelty and kindness, each in equal measure; the former of which always follows the latter, but somehow the ecstasy we feel is always worth the anguish. Yet, despite my warning, if you somehow find yourself at the gates of Eden where I, and countless other like myself have visited, and you cannot bear but to enter and see what future awaits you at the hands of your heart's new master, I pray the spirits are kind and show favor towards your cause. I pray you and your lover stand opposites upon each side of the gold and ivory colossus, and when the lock is pierced and the gate parts down its core, you are met with reality and not fantasy. That the all consuming fire takes hold of you, and her, and begins to turn both your bodies into tokens for the gods of your respective loves. For each other. You are immolated for her, and she for you, and when the flame has run its course, and your flesh and hers have been burnt down to the last atom, your ashes dance in the breeze, falling gracefully, and ardently, upon the brows of the dogs that will never share your fate.


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SEJournal Online is the digital news magazine of the Society of Environmental Journalists. Learn more about SEJournal Online, including submission, subscription and advertising information.
Natural Gas Case Sparks Change in Air Pollution Assessments
Dogging the resulting developments of a new EPA policy could lead to many stories that focus on both the specific cases and the underlying principle of cumulative assessments of pollutants.


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Organisers of a hugely popular Florida youth camp themed around the hit sci-fi saga The Hunger Games have denied reports that it imbues young children with violent instincts.
Both the blockbuster film series and the trilogy of young adult novels by US author Suzanne Collins on which they are based present a dystopian world in which child "tributes" are chosen via lottery to fight to the death in the annual titular bloodbath until only one remains standing. A report in the Tampa Bay Times quotes children between the ages of 10 and 14 talking about their intention to "kill" rivals at the unofficial themed camp by stabbing or shooting them. Halfway through the week, with some children discussing whether they preferred to meet their end via sword or arrow, and others designing posters reading "LOSING MEANS CERTAIN DEATH", organisers reportedly decided to change goals so that competitors no longer "killed"' opponents by ripping flags from their waists but instead "collected lives".
Ted Gillette of the Country Day school in Largo, which runs the event, told the Hollywood Reporter that organisers had now excised all violent content from the camp, with youngsters engaging only in a mix of drama, arts, academic competitions and outdoor physical pursuits.
Children's clinical psychology expert Susan Toler of the University of South Florida told the Times the camp idea was "unthinkable" because it brought children too close to the violence they had read about in the novels or seen on the big screen. "When they start thinking and owning and adopting and assuming the roles, it becomes closer to them," she said. "The violence becomes less egregious."
Collins's books have sold more than 26m copies worldwide, while the first instalment in a forthcoming quadrilogy of films, titled simply The Hunger Games, took more than $691m worldwide last year. The first sequel, Catching Fire, once again starring Oscar-winner Jennifer Lawrence as Katniss Everdeen, is due in cinemas this November.


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Abunzubumwe Cb Group
Abunzubumwe Cb Group's story
Abunzubumwe is a group led by Elevanie who is 51 years old. The group name means "Unity" in English. Elevanie is married with three children aged 7 to 22 years. She sells fish and has been doing this business for the past four years. The group members sell different items and they are working hard to improve their standards of living. With the loan, she would like to buy more fish to sell. With the profits from the business, she would like to renovate her house.
In this group: Abigaire, Jeannette, Ernestine, Elevanie, Evelyne, Louise, Sylvie, Emmanuel, Arbertine, Anastasie, Alvera, Alphonsine, Mwamina, Leonille, Josephine*, Concille, Jeannine, Sandrine, Jacqueline, Anne Marie
*not pictured
This loan is special because:
Elizabeth Davidson
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More about this loan
About Urwego Opportunity Bank, a partner of Opportunity International and HOPE International:
Urwego Opportunity Bank (UOB) helps underserved Rwandans by providing its clients with the necessary credit and savings capabilities required for economic transformation. It offers credit products, including group and individual loans, as well as training in business development, financial literacy and health management. UOB loan products leverage social collateral since most group members have little to no collateral.


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3120 Texas Avenue, Saint Louis Park, MN 55426
About the Listing
All new kitchen with stainless steel appliances, new cabinets, countertops, and flooring! Updated main floor bath. Great location and neighborhood! Easy access to freeways for commuting in Metro area. Hardwood floors in living rm and 2 bedrooms. Family room has built-in bookshelves, bar, & electric fireplace w/blower. Full lower level bath. Flat yard with garden space and screened porch. Leaf Guard gutters. Newer windows. One year home warranty provided!
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Property Details for 3120 Texas Avenue, Saint Louis Park, MN 55426
Bedrooms: 3
Bathrooms: 2 Full
Lot Size: 0.15 Acres
Lot Dimensions: 50x129
Year Built: 1951
Garage Dimensions: 2 car
Garage: Detached Garage, Driveway - Asphalt, Garage Door Opener
Style: (SF) One 1/2 Stories
Water: City Water/Connected
Sewer: City Sewer/Connected
Square Feet: 1539
Above Ground Sq Ft: 1154
Below Ground Sq Ft: 385 (approx)
Room Information for 3120 Texas Avenue, Saint Louis Park, MN 55426
Main Floor
Living Room: 12x14
Kitchen: 12x12
Bedroom 1: 12x12
Bedroom 2: 12x12
Screened Porch: 10x12
Lower Floor
Family Room: 28x9
Upper Floor
Bedroom 3: 10x28
Dining Room Description: Eat In Kitchen
Family Room Characteristics: Lower Level, Family Room
School Information for 3120 Texas Avenue, Saint Louis Park, MN 55426
School District: St. Louis Park
School District Phone: 952-928-6000
Interior Features for 3120 Texas Avenue, Saint Louis Park, MN 55426
Appliances: Range, Microwave, Dishwasher, Refrigerator, Washer, Dryer, Disposal
Air Cond: Central, Window
Heating: Forced Air
Fireplaces: No
Basement: (385 sq Finished) Full, Finished (Livable), Concrete Block
Exterior Features for 3120 Texas Avenue, Saint Louis Park, MN 55426
Lot Description: Tree Coverage - Medium
Lot Dimensions: 50x129
Roof: Asphalt Shingles, Pitched, Age Over 8 Years
Zoning: Residential-Single
Financial Considerations for 3120 Texas Avenue, Saint Louis Park, MN 55426
Tax Amount: $2,257
Taxes w/Assessments: $2,257
Tax/Property ID: 1811721110073
Tax Year: 2016
Monthly Payment = $0
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Calculate Your Drive Time From This Property
Similar Listings For Sale
The data relating to real estate for sale on this web site comes in part from the Broker Reciprocity Program of the Regional Multiple Listing Service of Minnesota, Inc. Real estate listings held by brokerage firms other than the owner of this website are marked with the Broker Reciprocity logo or the Broker Reciprocity thumbnail logo and detailed information about them includes the name of the listing brokers.


text: Doc Lounge screens previews of the best new documentary films, alongside an inspiring programme of music, special guests, Q&As, performances, talks, and surprises. Our special film screenings take place at dedicated Doc Lounge clubs across four nordic countries, all based in alternative venues. We also work with a range of collaborators from festivals, to cinemas, libraries, conferences, youth groups and more to bring the right films to the right audiences at the right time.


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The Avenue Hotel
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TripAdvisor Reviews The Avenue Hotel Leeds
Travel Blogs from Leeds
First 6ish weeks in Sheffield
... Avery and I paid egregious amounts for coffee at cafes just to use the wifi. Next, you will see several photos of streets and buildings around our apartment and along the way to our classes. Getting to campus involves a relatively steep grade uphill 20 minute walk. The area is quite hilly and thus it is something to get used to. Plus when I'm older I can tell people I walked uphill both ways to classes or something.
About three weeks ago, Avery and I took a walk to ...
First stop ....Wetherspoons!
... it! You have to commit and go for it apparently!! Anyway, got a train and two planes to go before we get there! I really enjoyed writing my blog when we went to Sri Lanka and a lot of you said you enjoyed reading it so that's why I'm doing it again! Hopefully the wifi will be good throughout the trip so I can update you all on our Asian adventure! Kirsty ...
A flying visit to York
... thinking and doing and hoping for...and fearing... The ruined abbey is there as a result of the beloved king I keep hearing about all over England and Scotland - Henry VIII and his order to demolish abbeys - we can only imagine the impact of the demolition of a whole lifestyle for so many people right here in York. I headed to the museum for some education, contributed to the donation box as usual and, as I walked through the entry, ...
Did you say you're 101???!!
... remembers that the mill was sold by the last of the Waltons to Joseph Carson in around 1920. He's not sure when the mill moved from the river into a warehouse - probably somewhere in the 1930s or 40s. He knows Byard's Lodge and Stockwell Lodge, but has not known that Waltons ever lived there and has never socialised with any Waltons except Ronald Walton, who was the same age as Dennis, went to the same school and played cricket ...
Day 3
... spinning, and we exit the loose bit and my heart starts working again. In summary it would seem that 4WD on Citroen hybrids is not like 4WD on my Land Rover (i.e. it doesn't bloody work!)
Once the pulse rate returns to normal, and with a great chunk of the morning gone for just 70 miles of travel, we decide on a drastic change of plan. Instead of crawling through roadworks for the next 200-odd miles along the south coast to catch just two sights in the last ...


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Weekly paclitaxel plus trastuzumab in metastatic breast cancer pretreated with anthracyclines-a phase II multipractice study
Clinical and radiation oncology
The 3-weekly combination of trastuzumab and paclitaxel has been approved for the treatment of advanced breast cancer based on a large pivotal study. However, mono and combination chemotherapy trials suggest that weekly paclitaxel has a better therapeutic index, especially in the palliative setting. The present trial examined the efficacy and safety of weekly paclitaxel over a limited duration combined with continued trastuzumab in HER2+ patients.
Patients with histologically confirmed metastatic breast cancer overexpressing HER2 were eligible if pretreated with anthracycline in either the adjuvant or palliative setting. Treatment consisted of weekly trastuzumab (2 mg/kg/week for up to one year after a loading dose of 4 mg/kg in week 1) and paclitaxel (90 mg/m², administered in weeks 1–6 and 8–13).
Twenty-seven German centers enrolled 121 patients. The median number of metastatic sites was two (range 1–5); 38% of patients had received chemotherapy for advanced disease. After a median 42 weeks of trastuzumab treatment, limited by disease progression in roughly half the patients, a best objective response rate (complete response + partial response) of 76% was achieved, including complete remissions in 29%. 74% of patients lived without tumor progression at six months. Median progression-free and overall survival were 9.4 (95% confidence interval [CI]: 8.1–11.3) and 22 months (95% CI: 17–46). After alopecia, Common Toxicity Criteria grade ≥2 toxicity was predominantly hematological (leukopenia [31%] and anemia [41%]); however, thrombocytopenia occurred in only 5%. Neurotoxicity was remarkably low. Two cardiac events (grades 2 and 3) were presumed treatment-related.
Weekly paclitaxel plus trastuzumab allows an increased dose density and offers an attractive and effective alternative to the conventional schedule. Limiting the duration of cytotoxic therapy to 3 months seems to be an option to reduce neurotoxicity without impairing long-term outcome.
Recent advances in understanding cancer biology have spurred the development of a plethora of targeted agents that have revolutionized the treatment of a number of malignancies. Their mechanism of action often depends on specific molecular features allowing for individualized strategies, in contrast to the non-selective approaches of the conventional chemotherapy era. The best known and most successful example was the discovery that 20 to 25% of advanced breast cancer patients overexpress human epidermal growth factor receptor type 2 (HER2)
Nevertheless, based on preclinical evidence of synergy
During the same period evidence emerged that weekly (rather than 3-weekly) paclitaxel achieved high antitumor activity thanks to a considerably increased dose intensity and/or densitiy, yet with no apparent increase in overall toxicity
The non-commercial multicenter study was conducted according to the principles of the Declaration of Helsinki (1996 version). Approval was gained from the institutional review boards of all 27 participating centers and each patient gave prior written informed consent.
Eligibility criteria
Patients with histologically confirmed metastatic breast cancer overexpressing HER2 were eligible if pretreated with anthracycline in either the adjuvant or palliative setting. HER2 positivity was defined as 2+ or 3+ overexpression using the DAKO HercepTest™, confirmed by fluorescence in-situ hybridization (FISH) if 2+. Non-inclusion criteria were >1 chemotherapy for advanced disease, taxane or trastuzumab pretreatment, brain metastases, Eastern Cooperative Oncology Group (ECOG) performance status >1 at screening, pregnancy or lactation, childbearing potential without reliable contraception, clinically significant cardiac disease, neutrophils <1500/μl, platelets <75,000/μl, and total bilirubin and creatinine >1.5 × the upper limit of normal.
Study treatment
Patients received an intravenous (iv) loading dose of trastuzumab 4 mg/kg body weight on day 0 over an infusion duration of 90 min, followed by an infusion of paclitaxel 90 mg/m2 over 1 hour on day 1. From day 8, the same paclitaxel regimen and infusions of trastuzumab 2 mg/kg body weight were administered on the same day every week. The cytotoxic drug was given over two 6-week blocks separated by a 14-day break, with optional prolongation at the physician's discretion; the antibody was continued weekly until disease progression. Premedication (all iv) was dexamethasone 10 mg, clemastine 2 mg, and ranitidine 50 mg.
The paclitaxel dose was reduced to 75 mg/m2 in the event of grade 3/4 hematotoxicity, and stopped completely in the event of grade 3 neurotoxicity or severe hypersensitivity reactions. Termination of trastuzumab was considered in the event of persisting asymptomatic deterioration of left ventricular ejection fraction or symptomatic heart disease.
Evaluation of safety and efficacy
Baseline documentation included demographics, medical and treatment history, cardiac function, and HER/2neu status. Vital signs, ECOG performance status, and complete blood counts were recorded at baseline and each weekly visit, serum chemistry at baseline and 4-weekly. Tumor assessment comprised physical examination and radiology at baseline, after each paclitaxel treatment block, and 8-weekly thereafter. Tumor response and progression were evaluated using World Health Organization (WHO) criteria. Time to progression was defined as the period between study enrolment and progression or death, whichever occurred first. Cotreatments and adverse events (graded using National Cancer Institute Common Toxicity Criteria NCI-CTC) were recorded continuously throughout the study. Electrocardiography and echocardiography were repeated 12-weekly.
Statistical aspects
The primary objective of this phase II study was the progression-free survival (PFS) rate at 6 months. 115 patients were required to discriminate a promising 50% PFS rate from a futile finding of 35% with both type I and II errors of 5%
Twenty-seven German centers in the FAKT Study Group enrolled 121 patients from February 2001 to July 2004. Ten proved ineligible: eight had not received anthracycline pretreatment, one had been pretreated with paclitaxel, and one was found to have been enrolled retrospectively. A further three patients were removed from the analysis due to missing documentation or serious protocol violation (radiotherapy to the only site of disease), leaving 108 cases for the baseline and safety analyses. Between one and three patients had insufficient data for the analysis of the respective efficacy parameters. Disease was aggressive in most patients, with a median of two organ sites involved and visceral lesions present in about 80% (Table
The recommended duration of paclitaxel treatment was followed in most patients. Cycle numbers were 12 (median) and 12.6 (mean); 16% of patients received fewer than 12 cycles due to early progression or toxicity; 73% and 12% received 12 and >12 cycles. The median number of trastuzumab doses was 42; antibody therapy lasted ≥1 year in almost half the patients (48%). Treatment withdrawal due to severe toxicity (6%) or patient preference (12%) was uncommon. Tumor response was assessable in 105 patients. The overall objective remission rate was 76% (95% confidence interval [CI]: 67–84%), with 30 (29%) complete responses (CR) and 50 (48%) partial responses (PR), equivalent to a response rate of 74% based on an intention-to-treat population of all eligible cases. Only 7% of patients had direct progression with no period of at least stable disease while on study treatment. Based on a follow-up period of up to more than 4 years and 85 observed events, median PFS was 9.4 months in the total population (Figure
Figure 1
Time to progression in the total population
Time to progression in the total population.
Figure 2
Overall survival in the total population
Overall survival in the total population.
Prognostic factors
The impact of several prognostic characteristics on the primary endpoint was analyzed. PFS was significantly longer in the absence of hepatic involvement (
Figure 3
Time to progression by hepatic involvement
Time to progression by hepatic involvement.
Figure 4
Time to progression by number of metastatic sites
Time to progression by number of metastatic sites.
Leukopenia occurred in most cases, but reached NCI-CTC grade 3/4 in only 14% (Table
Discussion and conclusions
As the first therapeutic antibody approved for solid tumors, trastuzumab was introduced into the first-line treatment of advanced breast cancer based on a pivotal randomized study assessing its efficacy in combination with cytostatic drugs: combination with 3-weekly paclitaxel clearly outperformed chemotherapy alone, achieving an overall response rate of 41%, a median time to progression of 6.9 months, and overall survival of 22 months
Weekly paclitaxel proved a dose-dense alternative to the 3-weekly regimen, achieving at least similar activity in breast and lung cancer, and showing some advantages in terms of feasibility and decreased toxicity. The results of our trial, notably a median PFS of 9.4 months and an overall survival of 22 months, compare favorably to the phase III findings mentioned above, despite including 37% of patients with previous palliative chemotherapy. The intention-to-treat response rate of 74% is considerably higher, but this may be due to the more rigorous focus on remission confirmation in pivotal studies. A number of smaller phase II studies have also investigated the weekly administration of both drugs, likewise reporting high response rates of 56 to 74% in patient populations with varying amounts of pretreatment
Two phase II studies adding carboplatin to paclitaxel and trastuzumab suggested even greater efficacy with response rates >80% and median PFS markedly exceeding 1 year
As for safety, the randomized CALGB trial
We consider our schedule combining two 6-week courses of paclitaxel with concurrent and continued trastuzumab to be a highly effective option feasible in the vast majority of patients despite anthracycline pretreatment. The finding in a recent meta-analysis that continuation of first-line chemotherapy until disease progression has at best a marginal effect on overall survival in most patients
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
All authors have made substantial contributions to the conception of the trial and the acquisition of data; they participated in the critical revision process of the manuscript and approved the final version. MJ was the principal study coordinator; he designed the trial and its protocol, and was involved in manuscript writing. AH was involved in the protocol development and manuscript writing, managed the database and was responsible for the biostatistical planning and analysis. All authors read and approved the final manuscript.
The conduct of the trial was supported by unrestricted grants from Roche Pharma AG, Grenzach, Germany, and Bristol-Myers Squibb GmbH, Munich, Germany. These sponsors were not involved in the writing of the manuscript, but were allowed to comment on the draft versions.
Human breast cancer: Correlation of relapse and survival with amplification of the HER-2/neu oncogene
Trastuzumab – mechanism of action and use in clinical practice
Phase II study of weekly intravenous recombinant humanized anti-p185HER2 monoclonal antibody in patients with HER2/neu-overexpressing metastatic breast cancer
Multinational study of the efficacy and safety of humanized anti-HER2 monoclonal antibody in women who have HER2-overexpressing metastatic breast cancer that has progressed after chemotherapy for metastatic disease
Results of two open-label, multicenter phase II studies of docetaxel, platinum salts, and trastuzumab in HER2-positive advanced breast cancer
Use of chemotherapy plus a monoclonal antibody against HER2 for metastatic breast cancer that overexpress HER2
Cardiac dysfunction in the trastuzumab clinical trials experience
First-line trastuzumab plus epirubicin and cyclophosphamide therapy in patients with human epidermal growth factor receptor 2-positive metastatic breast cancer: cardiac safety and efficacy data from the Herceptin, Cyclophosphamide, and Epirubicin (HERCULES) trial
Dose-dense therapy with weekly 1-hour paclitaxel infusions in the treatment of metastatic breast cancer
Multicenter phase II trial of weekly paclitaxel in women with metastatic breast cancer
One-sample multiple testing procedure for phase II clinical trials
Nonparametric estimation from incomplete observations
Asymptotically efficient rank invariant test procedures
Randomized phase III study of trastuzumab, paclitaxel, and carboplatin compared with trastuzumab and paclitaxel in women with HER-2-overexpressing metastatic breast cancer
Randomized phase II trial of the efficacy and safety of trastuzumab combined with docetaxel in patients with human epidermal growth factor receptor 2-positive metastatic breast cancer administered as first-line treatment: the M77001 study group
Superior long-term survival benefits of trastuzumab plus docetaxel compared to docetaxel alone in patients with HER2-positive metastatic breast cancer: patients surviving more than 4 years in the M77001 study
Trastuzumab plus docetaxel with or without capecitabine in patients with HER2-positive advanced/metastatic breast cancer: First efficacy results from the Phase II MO 16419 (CHAT) study
Weekly paclitaxel as first-line chemotherapy and trastuzumab in patients with advanced breast cancer. A Hellenic Cooperative Oncology Group phase II study
Preliminary clinical results of a randomized phase IIb study of weekly paclitaxel +/− trastuzumab as first-line therapy of patients with HER-2/neu positive metastatic breast cancer
Weekly trastuzumab and paclitaxel therapy for metastatic breast cancer with analysis of efficacy by HER2 immunophenotype and gene amplification
Phase II study of weekly paclitaxel and trastuzumab in anthracycline- and taxane-pretreated patients with HER2-overexpressing metastatic breast cancer
Randomised phase III trial of weekly compared with every-3-weeks paclitaxel for metastatic breast cancer, with trastuzumab for all HER-2 overexpressors and random assignment to trastuzumab or not in HER-2 nonoverexpressors: Final results of Cancer and Leukemia Group B protocol 9840
Two concurrent phase II trials of paclitaxel/carboplatin/trastuzumab (weekly or every-3-week schedule) as first-line therapy in women with HER2-overexpressing metastatic breast cancer: NCCTG study 983252
Phase II trial of trastuzumab followed by weekly paclitaxel/carboplatin as first-line treatment for patients with metastatic breast cancer
Clinical efficacy of taxane-trastuzumab combination regimens for HER-2-positive metastatic breast cancer
Duration of chemotherapy for metastatic breast cancer: a systematic review and meta-analysis of randomized clinical trials
Pre-publication history
The pre-publication history for this paper can be accessed here:


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Chaweng Park Place
Select your stay dates to check availability
Chaweng Park Place
About the hotel
Property Location
With a stay at Chaweng Park Place in Bophut (Bo Put), you'll be minutes from Silver Beach and close to Big Buddha Statue. This hotel is within close proximity of Central Festival Samui and Top Supermarket Chaweng Beach.
Make yourself at home in one of the 41 individually furnished guestrooms, featuring minibars and flat-screen televisions. Your room comes with a Select Comfort bed, and all rooms are furnished with single sofa beds. Rooms have private balconies. Complimentary wireless Internet access keeps you connected, and cable programming is available for your entertainment. Bathrooms have showers and hair dryers.
Don't miss out on recreational opportunities including a nightclub and an outdoor pool. Additional amenities at this hotel include complimentary wireless Internet access, babysitting/childcare (surcharge), and a hair salon.
Quench your thirst with your favorite drink at a bar/lounge. Breakfast is available for a fee.
Business, Other Amenities
Featured amenities include dry cleaning/laundry services and luggage storage. Free self parking is available onsite.
Hotel Facilities
- Picnic area
- Outdoor pool
- Rooftop terrace
- Breakfast available (surcharge)
- Parking (limited spaces)
- Luggage storage
- Number of floors - 3
- Free WiFi
- Babysitting or childcare (surcharge)
- Free parking nearby
- Airport transportation
- Hair salon
- Number of buildings/towers - 1
- Babysitting or childcare
- Free self parking
- Nightclub
- Barbecue grill(s)
- Garden
- Dry cleaning/laundry service
- Tours/ticket assistance
- Bar/lounge
- Total number of rooms - 41
- Front desk (limited hours)
Room Facilities
- Balcony
- Free WiFi
- Sofa bed size single
- Cable TV service
- Premium bedding
- Sleep Number by Select Comfort mattress
- Day bed
- Daily housekeeping
- Private bathroom
- Flat-panel TV
- Rollaway/extra beds (surcharge)
- Ceiling fan
- Iron/ironing board (on request)
- Individually furnished
- Hair dryer (on request)
- Minibar
- Cookware, dishware, and utensils
- Desk
- Shower only
- Free bottled water
- Sofa bed
- Air conditioning
- Phone
Hotel Policy
Know Before You Go
- Reservations are required for massage services. Reservations can be made by contacting the hotel prior to arrival, using the contact information on the booking confirmation.
- Only registered guests are allowed in the guestrooms.
- No pets and no service animals are allowed at this property.
The following fees and deposits are charged by the property at time of service, check-in, or check-out.
- Breakfast fee: THB 500 per person (approximately)
- Airport shuttle fee per child: THB 150.00 (one way), (from 4 to 12 years old)
- Rollaway bed fee: THB 500 per day
The above list may not be comprehensive. Fees and deposits may not include tax and are subject to change.Show all hotel policy Show less hotel policy


text:
Home >> Sky Blue Black Leopard Pattern Elastic Band Zip Closure Cellphone Wrist Bag
|Product Name
|Phone Wrist Bag
|Main Material
|Main Color
|Sky Blue, Black
|Flat Size
|11.5 x 6.5cm/4.5'' x 2.6'' (L*W)
|Fit for Phone Max. Size
|10.5 x 5.5 x 1.5cm/4.1'' x 2.2'' x 0.6'' (L*W*T)
|Elastic Wrist Band Girth
|Package Content
1 x Phone Wrist Bag
- Leopard pattern, zippered compartment, elastic band allows for wear on wrist.
- 2 pockets with easy zipper closure, Perfect for keeping cell phone, Mp3 Mp4 player, keys, coins or other small valuables handy.
- Please measure your cell phone size before you ordering this item.
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text:
Vintage Stage Show (1963 softcore) (UPDATED See description)
Duration: 7min 33sec Views: 1 852 Submitted: 9 months ago Submitted by:
Description: Simple and sweet two-woman stage show. I especially like the little maid. I'm re-uploading improved versions of a few of my early posts, content unchanged. See comments for particulars if interested.


text:
Theme: 080 - In the moonlight; for 100_chances
Genre: Angst/introspective
Rating: G
Pairings: Atemu/Yugi implied
Warnings: None
Spoilers: None
Summary:Someday, Yugi will be glad he's gone, and that hurts him worst of all.
The ceremonial battle itself is the only thing they've talked about. In the middle of the night, sitting on the bed in the glow of the moonlight, they have discussed it countless times, as if the sting might fade if they talk about it enough. What will happen, when it will happen, what it will be like. But in all that time, as the weeks turned to days and the days turned to hours, neither of them spoke a single word about what will happen after it.
Yugi will live without him. That's what will happen.
Of course, Atemu thinks as he sits awake at night, he wants Yugi to survive the loss. To desire anything else would be dishonorable, immature, wrong. Yet it still hurts, knowing they have no time left; because Yugi will win the final battle when the sun arises. Atemu has known that from the beginning.
And when he is gone, Yugi will keep living.
He'll keep smiling.
He'll keep laughing.
He'll fall in love.
He'll grow up and graduate and have a career and a family.
He'll move on.
And Atemu wonders if someday Yugi will look back on their time as just another scene from his life. Nothing special, nothing important. Just a long-ago memory among hundreds of others.
He wonders if Yugi will forget him. If someday his partner will be able to go for days or weeks or even months without thinking about him. If the memories that feel so razor sharp now will someday blur in Yugi's mind, into things that resemble dreams more than reality, until he believes that maybe they never really happened at all.
Fifty years from now, will he even care about that strange puzzle? Will he still mourn a man who was already dead when he met him? Will he ever think I miss you or will he be happy, deep down, that those surreal days are nothing but memories now?
And it terrifies Atemu, to face the truth. To face that this world, this world that is not his, will go on without him. And that Yugi, who is also not his, will not be irreparably wounded by his loss.
Everything he knows, everything he loves, doesn't need him. Just as it did three thousand years before, his death will be quiet and unrecorded, his legacy lost again, this time forever. Someday even Yugi will think of him as nothing more than a memory.
Someday, when he realizes all the things in life he wouldn't have had if he were still playing host to a spirit, Yugi will be glad he's gone.
That hurts him worst of all.
Notes: Yay, leap-year post!
I wanted to write something very solemn and numb for this theme. I know the whole Yami's-thoughts-before-the-ceremonial-battle theme has been done to death (by me as well), I still wanted to attack it from another, quieter angle. I hope you liked it!


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text:
Grantham Hospital, Hong Hong, Hong Kong PRC
INTRODUCTION: Tracheal stenting is an accepted treatment for benign and malignant bronchial stenosis. However, the application of Gianturco self-expandable metallic stents in benign stenosis has been questioned as serious complications including massive hemoptysis, tracheobronchial perforation, and esophageal perforation have been reported.We report, herein, a patient who had Gianturco stent insertion for benign bronchial stenosis complicated by tracheobronchial and esophageal erosion.
CASE PRESENTATION: A 46-year-old man had a known history of endobronchial tuberculosis with left main bronchial stenosis requiring repeated dilatation. A Gianturco self-expandable metallic stent was inserted in May, 1999. The patient was well until he noticed on and off blood-stained sputum in October, 2002. Fiber-optic bronchoscopy was performed and showed evidence of stent migration with protrusion of its struts out from the left main bronchus into the right main bronchus. Subsequent contrast CT thorax confirmed migration of the left main bronchial stent into the right main bronchus [fig 1]. There was also evidence of stent erosion into the esophagus. Esophagoscopy confirmed erosion into the esophagus by the bronchial stent. Under general anesthesia, right posterolateral thoracotomy was performed. Intra-operatively, erosion of the lower trachea, left and right main bronchi by the metallic stent was found. Fragments of the bronchial stent had eroded into the esophagus at the level of the azygous vein. Esophagectomy, cervical esophagostomy and gastrostomy were performed.One month later, a left-sided posterolateral thoracotomy was performed. The superior and posterior parts of the bronchial stent were found to have eroded out of the left main bronchus, with one of the struts impinging on the posterior aortic wall. The strut was removed and the aortic impinged site was repaired with pledgetted 4/O prolene purse-string sutures. At the distal end of the stent, three struts were found protruding out of the bronchial wall, facing the descending thoracic aorta. All the protruding struts were removed. Gastrointestinal continuity was restored by gastric pull-up two months later. The stomach conduit was brought up to the neck via the retrosternal route. Recovery from these operations was smooth with no complications. Interval reassessment CT thorax 3 months later showed no evidence of further migration of the residual stent fragments.
DISCUSSIONS: Insertion of Gianturco self-expandable metallic stents is considered permanent. Its spikes frequently embed into the bronchial walls, making removal difficult. Progressive expansion of the bronchial stent may eventually erode through the trachea or bronchus and injure adjacent organs. Fatal complications including tracheobronchial wall erosion, esophageal perforation and aortic pseudoaneurysms have been reported in the literature and have deterred their use [1, 2]. Not infrequently, salvage procedures are difficult, if not impossible, and the patients do not survive these complications.Although esophagectomy and subsequent gastric pull-up reconstructive procedure is a major undertaking, this aggressive approach is considered indicated in patients with benign disease that is likely to have a favourable long-term outcome. Early recognition of potentially fatal complications and a multidisciplinary approach have enabled successful salvage of this patient.
CONCLUSION: Self-expandable metallic stents are nowadays not commonly recommended for palliation of benign bronchial stenosis because of their relative difficulty in removal and their potential fatal complications. Regular surveillance imaging and a high index of suspicion are required for early recognition of potential problems. Aggressive management, including extensive surgical resection is indicated for treatment of these complications.
DISCLOSURE: Flora Tsang, None.
Wednesday, October 25, 2006
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