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ITSB crossed 90 cr mark in May, informs TRAI
Registering a marginal growth, Indian telecom subscriber base (ITSB) crossed 90 crore-mark in May this year after almost two years. The base grew by 0.34 per cent to reach 90.005 crore, according to Trai data.
Registering a marginal growth, Indian telecom subscriber base (ITSB) crossed 90 crore-mark in May this year after almost two years.
The base grew by 0.34 per cent to reach 90.005 crore, according to Trai data.
This is the second time the subscriber base is breaching the 90 crore-mark. Earlier in June 2012, it had touched 96.55 crore. Since then the base has been shrinking steadily. The first time it crossed the 90 crore-mark was in September 2011.
"The number of telephone subscribers in India increased to 900.05 million at the end of May, 2013 from 897.02 million at the end of April 2013, thereby showing a monthly growth rate of 0.34 per cent," TRAI said in a report today.
Mobile or wireless subscriber base increased from 86.7 crore in April 2013 to 87 crore at the end of May 2013, registering a monthly growth of 0.37 per cent.
Reliance Communications led the growth in mobile business by adding over 12 lakh new customers, followed by Vodafone with over 9 lakh new customers, Idea Cellular 8.67 lakh, Airtel 8.51 lakh, Aircel 2.77 lakh new customers.
New operator Videocon saw maximum growth in percentage terms during the month. The mobile subscriber base of Videocon grew by 6.79 per cent to 22.85 lakhs in May from 21.39 in previous month.
State-run BSNL and MTNL lost 9 lakh and 97,583 customers respectively in May taking their total customer base to 9.80 crore and 48 lakhs respectively.
Bharti Airtel maintained its lead in overall market share with total subscriber base of over 18.96 crore. Airtel leadership was followed by Vodafone with over 15.46 crore customers. RCom and Idea Cellular's total customer base stood very close to each other at 12.48 crore and 12.37 crore respectively.
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Classic wallet. The interior has multiple slots for keeping cards, a compartment for notes and another with a magnetic button which is ideal for keeping coins. Available in various colours. Height x Width x Depth: 9 x 12 x 2 cm. / 3.5 x 4.7 x 0.7″
COLOR: Black

subset: commoncrawl


text: TELE-PRESENCE BY BHABANI SANKAR SENAPATI INTRODUCTION Tele-Presence is a new medium that enables a user to share a virtual space with remote participants. Tele-Presence is the intersection of virtual reality and video-conferencing. DEFINITIONS… Capture of sensory data in 3 spatial dimensions in real time from multiple physically separated spaces,the projection of data into shared virtual environments and the projection of the virtual environment into immersive physical environment, constitute the emerging technology of Tele-Presence. DEFINITION(contd…) Au di o VR Haptics l Au di o s ua Vi l Haptics Haptics l s ua Vi VR VR s ua Vi Au di o Tele-presence is obtained by merging Virtual Reality by Collaboration Technology. ENGINEERING INVOLVED Recognizing human presence Tracking human environment interaction Projecting this in a realistic 3D form on a stereo immersive surface. RECOGNITION Sea of seven cameras 5 separate views are interspersed by a computer algorithm to produce a single seamless 3D image. 2 additional cameras are employed that capture lighting,viewer perspective and depth. TRACKING Hi Ball tracker is strapped to the viewer's head. 'Virtual touch' is the Haptics (touchsimulation) technology that makes it possible to reach out and touch someone. Haptic gloves,a network of exoskeleton tendons is worn by the user. PROJECTION 8 Computer controlled front projectors,a stereo-immersive surface or screen coupled with polarized lens or glasses worn by the user 16 microphones with Projection speakers which give the sound direction. Pictorial view of telepresence APPLICATIONS Connecting Communities Remote Surgery Education Sign language communication CONCLUSION With the eventual nationwide implementation of Internet Tele-Presence will become a public reality and reveal a whole new vista of communication projects. BIBLIOGRAPHY www.wikipedia.com www.graphics.cs.brown.edu www.telepresence.com www.cis.upenn.edu www.iopress.nl www.aaas.org


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The pain was intense.
He's been under intense pressure.
an intense, vibrant red
Festivities began in the intense heat of the midday sun.
an intense stare
This type of work requires intense concentration.
an intense person/personality/nature
an intensely irritating young man
the intensely competitive world of industry


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Product Details
Style: 127332
Please Note: This style is from a previous season
The Spyder Mini Cubby Mitten makes it easier to get your child ready for the snow. There's a big Velcro section that opens wide and makes it easy to get the glove onto little hands. This also makes it easy to right them when they're inside out. This mitten is very waterproof, so he can dig in the snow without getting wet. The Mini Cubby is insulated with warm ThermaWeb, so his hands stay nice and toasty.
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"Hi! What size in the Spyder MiniCubby Mitten for a 4.5 (almost 5) year old boy? thanks!"
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Question by Skibunny Mom on 1/19/2013 - 3:40 pm
"You would need a size medium glove for him."
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Question by Tricia on 2/10/2013 - 9:29 pm
"You would need to measure the circumference around his hand where his knuckles rest. Then match this measurement up with the measurements we give you in the sizing chart. "
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- The "All 4 The Hall" benefit concert for the Country Music Hall of Fame, April 16, features Trace Adkins, Vince Gill, Keith Urban and many more
- Awesome April, with events such as Nashville Film Festival April 18 to 25, nightly concerts, and Country Music Marathon April 27
- Music City Center Grand Opening, May 19 and 20, features musical guests, tours and exciting activities celebrating the long-awaited convention center and museum
NASHVILLE, Tenn., April 3, 2013 /PRNewswire/ -- Continuously regarded as one of the top destinations to visit in 2013 by publications such as Conde Nast Traveler and Business Insider, Nashville is bringing more adventure than ever to the American South. Renaissance Nashville Hotel, a vibrant downtown Nashville hotel conveniently located near some of the most popular attractions, welcomes travelers from all over the world to Music City this spring. Featuring chic, luxury guest rooms, welcoming amenities and stunning event spaces, this hotel is a prime destination for those looking to experience the city's premier upcoming events. Exciting happenings taking place this spring include:


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Product Information
Why Global One?
- Trusted by thousands. Over 26,000 customers in 100+ countries trust Global One Technology to deliver mission-critical HP hardware - including Fortune 500 businesses, schools, hospitals, and federal, state, and local goverment agencies.
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ED Magedson – Founder
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PROGRESS ENERGY299 1ST Avenue No. St Petersburg, Florida United States of America
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This report was posted on Ripoff Report on 03/19/2010 04:13 PM and is a permanent record located here: http://www.ripoffreport.com/reports/progress-energy/st-petersburg-florida-33701/progress-energy-not-responsible-for-their-equipment-failure-st-petersburg-florida-583093. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.
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Mexico City (MEX), the world's third largest City, is for tourists with all tastes. Mexico City is much more than burritos and enchiladas and has one of the world's richest histories, having existed since Aztec times. From UNESCO World Heritage sites to shiny modern glass architecture, from gigantic shopping complexes to traditional markets, from art galleries, theatres and museums to amusement parks: Mexico City has it all. Take advantage of Lufthansa's great deals on flights to Mexico City and book online today! If the frenzy of Mexico City is too overwhelming for you, or you'd rather just stick to Europe, Lufthansa can give you a true taste of the world, flying to over 200 destination in almost 80 countries. Be it for a short-haul City-trip nearby or a long-distance holiday overseas, Germany's biggest airline will fly you there with great low fares.
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Even if you are not planning a trip to Mexico City, Lufthansa flies to a variety of other places throughout Europe, Africa, and Asia. Discover the beauty of Europe's rich cultural heritage with our flights to Europe especially flights to Italy are widely appreciated because they lead to radiant cities with vibrant urban lifestyles. Another great destination is India. Fly to India and discover the spices, colours of the Indian subcontinent. So travelers can enjoy longer trips to far away and exotic destinations. Or book a weekend shopping trip or a simple visit to see your friends and family. Find out how much baggage you can take.
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Matanai Surf Villas / Surf Jasri Beach / Jasri Surf Beach
Welcome to Matanai Surf Villas located at Jasri surfing beach.These absolute beach front villas are just a short walk from a right handed surf break.Villa Matanai,meaning 'eye of the sun' is located at Jasri surfing beach and on one of East Bali's most beautiful bays,nestled in between thousands of coconut palm trees it the perfect location to relax and enjoy the tranquility.
Matanai Surf Villas accommodation varies from budget style hotel rooms with AC to more luxurious rooms overlooking the Lombok Strait and the coconuts that surrounds us.
with tropical gardens,swimming pools and Bales are great places to relax and rejuvinate,whilst listening to the sea roll in.
Matanai surf villas in Jasri have 3 swimming pools with a more up-market restaurant serving local and international cuisines with a massage area with plently of resting and relaxing places.
Jasri is just 15 minutes from the town of Candidasa with its many bars and restaurants.
Matanai surf villas can offer you a great relaxed holiday that you will never forget.
Villa matanai is located 1.5 hours east of Ngurah Rai international airport, just 10 minutes from the bars and restaurants of candidasa and the same from Amlapura the capital city of the regency of Karangasem.
The property is situated on the beach in the village of Jasri, just 400 m from the surfbreak. To reach the villa it is a short drive through the rice paddys and coconut grove to the beach. The bay itself quite secluded and is peppered with just 5 villas which are normally empty, so therefore peace and solitude awaits.


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How to meet a musketeerMature
The adventures of some swordswomen working for the Cardinal.
Louise was waiting for her opponent. The blonde girl was wearing a short black latex dress with a nice cleavage, short black latex gloves and knee high black leather boots. Her left hand was on the pommel of her rapier while her right one held a cigarette. The blue eyes of the duellist were looking at the jardins du Luxembourg, not crowded at this moment, just one hour before sunset. Her opponent had told her that end of the jardins was not usually patrolled by Cardinal's guards, so they could settle their matter by duelling without being disturbed, just surrounded by a couple of trees.
Louise heard footsteps and saw two figures approaching : Angélique was coming with her witness. Wearing a white shirt, a dark leather corset and wetlook leggings, Angélique was a medium-sized girl with small breasts. Her long dark hair was free and her green eyes looked like they wanted some excitement. Beside her was a tall man with blonde hair, dressed in brown leather jacket and pants. The musketeers' uniform. Angélique presented the man as being François de Poncy, a member of the King's musketeer regiment and fine swordsman. He agreed to be a witness to Angélique in the matter of her duel with Louise.
"Nice to meet you, monsieur" said Louise. "I'm sorry that I didn't bring a witness, and I am new here so I didn't know anyone. I hope it does not bother you."
"If you feel good that way, I'm not the one to impose you a witness." answered the musketeer. "So mesdemoiselles, you've decided to have a duel to settle an argument. The traditions of duelling require that I asked if any of you is ready to apologize to the other." A quick look at both women show him there won't be such thing. "Now, I need that you show me your blade, to ensure that they have the same length."
The two swordsgirls unsheathed their rapier and François took a quick look at them. Louise notice that he also let his eyes wander on her outfit, which the musketeer seemed to approve.
"Now mesdemoiselles, I'll see if you both agree to the rules : A first blood duel, and mercy can be asked at any moment." Both duellists agreed with a nod. "Then you can take your position. En garde, and let the best one win."
Louise took stance, ready to let Angélique attack first, which she did rather quickly. Louise parried her blade then tried a slash to make her opponent move back before doing a simple lunge, aiming for her stomach. Angélique wasn't an amateur and dodged the blade easily. This duel could be an interesting challenge, I like that, Louise thought.
"What is that ? Isn't it some kind of duel ?"
Both women stopped their attacks and looked at the people who emerged from the trees. Five figures dressed in black latex catsuit and black leather boots. The uniform of the Cardinal's guards. Louise recognized the leader of the group, a redheaded girl named Bianca, famed for being one of the most dangerous guards.
"Given that you're with one of those pretentious musketeers I guess you're perfectly aware that duels are forbidden in Paris and in the whole kingdom. So I'll ask to you to give us your blades and follow us to be put in detention. But if you choose to resist us..."
Bianca tapped the pommel of her rapier with her left hand, showing perfectly what was going to happen in the event that they decided not to cooperate. Louise noticed the look that Angélique and François shared, trying to decide if they should continue their fight. Guys, don't disappoint me. She decided to give them some help in making their decision.
"I'm ready to teach to your boys how to properly use their swords, milady." She said to Bianca.
Louise heard François unsheathing his blade and said "We'll stand our ground as any musketeers do when facing the Cardinal's dogs and bitches".
The five guards unsheathed their rapiers and the fight began.
Louise faced two guards, as did François, while Angelique crossed blades with Bianca. The opponents of Louise weren't too skilled and she managed easily to parry or dodge their attacks. Through the catsuit of her male opponent, Louise saw some shape growing at his crotch, matching the growing smile on his face. She decided to reduce her opponents to a single one and play with the remaining one while looking how things go in the other fights. Her female opponent made a mistake first and the brown hair girl cried out in pain as Louise's blade ran her thru heart mercilessly. The male guard seemed upset to lose his colleague and made it even easier for Louise to play with him, and easier to watch the other duels.
François had already killed one of the two guys facing him and seemed to be in control of the fight. As for Angélique, it looked more difficult. The duellist was talking with her opponent while fighting. Louise couldn't hear what it was about, but it sounded there was something personal between the two women. Anyway, Bianca was gaining ground.
Louise decided to show her opponent how things were going to be for him. First, her blade hit him in the thigh. After the guard resumed the fight, Louise hit him again, this time in his left shoulder.
"It seems you guards don't really know how to properly use a rapier," she said with a laugh.
But fate decided to show that it was possible for a guard to know something about fencing. Louise heard the distinctive sound of a disarming. She pushed her opponent back to have a look at what happened. Bianca had just disarmed Angélique and before the swordswoman could ask for any mercy, the redheaded guard lunged forward and ran her rapier thru Angélique's heart. The duellist placed both hands to the wound as she cried. Angélique's look made Louise wonder if the dying swordswoman was having some pleasure. As for Bianca, there's was no doubt given the smile on her face as she twisted her blade before removing it. Her smile was one of a woman all wet. Angélique tried to step sideways as if leaving could still save her life, then reality won as she fell on her knee then eventually face on the ground. Bianca took a look at the two other duels to decide who she was going to help. Louise settled the matter for her by putting an end to her game with the guard she was fighting. The duellist felt a wave of pleasure inside her as she ran the man thru the stomach, a wound that would take some time to kill, but still deadly nonetheless.
Bianca waited for Louise to face her and to take stance. Both fencers looked each other in the eyes, ready to fight and to win or to die. The duellist decide to let the redhead attack first. With another guard it wouldn't have been really dangerous, but with Bianca that kind of play could cost Louise her life. But she liked a challenge, it made winning much more exciting. Both woman began to try their best thrusts, first at a reasonable pace, then accelerating. After a few attacks and parries, they were locked one against the other, guard against guard.
"I like to fight bitches like you", said Louise, "it makes me so wet." Then she tried to kiss Bianca. The guard reacted and kissed back. The duellist could also feel the free hand of the guard rubbing her crotch through the latex of her dress.
"It seems you're right about being wet like a bitch", replied Bianca, "but I can't ask you to be decent when I'm ready to cum while I kill you."
Louise broke contact with a smile and continued to exchange thrusts with Bianca. She felt pleased with that duel, having a worthy opponent, one who didn't fall for the first feint. And that the guard seemed as excited as her by the duel made it even better. Too bad she hadn't met the woman in different circumstances, perhaps they could have shared some lust.
When Louise heard François finishing his last opponent, she knew it was time to end Bianca's winning record. As the redhead tried to strike back after a thrust by Louise, the duellist put one knee on the ground, letting her opponent's blade pass just over her head, and lunge. The tip of her blade pierced the latex of Bianca's catsuit just under her left breast and penetrated her breast, ran her thru and came out of her back. Louise could see surprise and pleasure on the guard's face. She felt really excited and when she twisted her blade and removed it she released a small cry of pleasure, unheard as Bianca came at the same moment, her free hand on the breast that Louise just removed her blade from, the other hand still holding her rapier.
"You're such... a fucking good... fencer, bitch. Too bad... I didn't... fuck you... before you killed me." said Bianca before she falls, eyes closed and a smile on her face. Louise saluted her with her blade before sheathing it.
"It's sad for Angélique", said a voice behind her, "but I'm really glad you could make it. And with some style."
"You're welcome monsieur", said Louise as she turned to face François. "On your side you seemed to have no problem dealing with your opponents. I guess that's to be expected from a musketeer." She took a step toward the swordsman.
"Well there was only one fencer worthy of a duel in that group and you killed her, mademoiselle. Bianca having killed Angélique before I guess it settled the matter between you two."
"We could say so. Now I'm wondering..." began Louise with a smile
"Wondering what ?" asked the musketeer, curious.
"If you could help me."
"Help ? But you seem in a perfect condition and I see no more enemies around you, I mean living ones." The man put just enough flattering in his voice.
Louise closed the gap between her and François, and takes his hand with her own, leading it under her latex dress, to her crotch.
"I've some wetness that needs to be taken care of, could you do something monsieur le mousquetaire ?" she asked while licking her lips.
A smile spread on François' face as he closed in to kiss Louise.
"At least I can try."
Louise entered her room, a small place suitable for a girl newly arrived in a big city, the kind where you'll stay while waiting to find a proper place and job. Not much place besides a bed, a wardrobe, a table and a chair. She removed the belt holding her rapier and put it on a nail on the wall.
"I know you're there, you can show yourself." said the swordswoman to the wall. As she turned to look toward her bed a man came out of the shadows. Tall and thin, wearing black leather pants, light brown leather jacket, knee high brown leather boots and black latex gloves. Jacques Tallandier, the Cardinal's master spy himself.
"So, how did it happen ?" asked the deep voice of the man.
"As you suggested I defied Angélique and indeed she came with a musketeer, a François de Poncy, as a witness. The duel was a first-blood one and I was planning to do a first blood-last breath one to the girl when some guards interrupted us."
Tallandier raised an eyebrow over his grey eyes and asked : "Who was leading ?"
"Bianca. She was very skilled, she disarmed and killed Angélique. So it was a real pleasure to fight and kill than one."
"And the musketeer ?" Tallandier seemed the kind to do short sentences. He always talked that way, the few times Louise met him. Perhaps it came with the work of master-spy.
"He made it through, wasn't too sad to have lost the girl and now seems quite pleased to have a new fuck mate. Especially one able to kill people like Bianca."
"So you just need to continue that way."
Louise decided to copy the master-spy and try the short sentences way :"And for the guards ?"
"Your only concern is to succeed in your mission. Kill as many guards as necessary, and don't tell me it really bothers you."
Louise just answered by smiling. That spy really knew people. He moved back into the shadows and was almost instantly out of her room. Now she needed to find a way to further gain the trust of François and some other musketeers. She was sure there was a way involving some duelling and running her rapier through some hearts.


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text: NEW YORK, April 10, 2013 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue: Biofuels - A Global Market Overview http://www.reportlinker.com/p0180014/Biofuels---A-Global-Market-Overview.html#utm_source=prnewswire&utm_medium=pr&utm_campaign=Renewable_energy The concept of biofuels has existed since the invention of the motor vehicle. For instance, at the beginning of the 20th century, Henry Ford intended to power his Model Ts with ethanol, and initial diesel engines used peanut oil for running. With the discovery of enormous deposits of petroleum, gasoline and diesel was available cheaply, thereby relegating biofuels to the background. However, the recent spurt in oil prices, coupled with mounting concern related to global warming associated with carbon dioxide (CO2), emissions have resulted in the reemergence of biofuels as viable alternatives. This report analyses the global market for Biofuels and the product segments analyzed in this report include Ethanol and Biodiesel. Rich statistical analysis is carried out for the global and the regional markets including the North America, European Union-27 ( Germany, France, Spain, United Kingdom, Poland, Benelux, Sweden and Rest of EU-27), Asia-Pacific ( Australia, China, The Philippines, Thailand and Rest of Asia-Pacific), South America ( Argentina, Brazil, Peru and Rest of South America) and Rest of World. The global market for Biofuels is expected to reach about 59.2 billion gallons by 2020 from 27.4 billion gallons in 2010, registering a Compounded Annual Growth Rate (CAGR) of 8% during the analysis period, 2010-2020. Asia-Pacific is projected to be the fastest growing region in terms of both Ethanol and Biodiesel consumption with CAGRs of 16.5% and 11% respectively during the period 2010-2020. North America is expected to be the second fastest growing region for Biodiesel consumption with 15% CAGR while South America follows with 8.6%. This 270 page global market report includes 140 charts (includes a data table and a graph for each chart), supported with meaningful and easy to understand graphical presentation, of the market. The statistical tables represent the data for the global market by geographic region and Biofuel product segment.


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|Message view
|« Date » · « Thread »
|« Date » · « Thread »
|Garrick Olson <Garrick.Ol...@Aceva.com>
|RE: suggestions
|Thu, 20 Sep 2001 21:11:45 GMT
> > > 2) something that calls one or more targets AFTER a target has > > > completed. for example, in my init target, i often have properties that > > > i need to conditionally set, and currently the only way to easily do > > > that is multiple targets with 'if' attributes. but, i would still want > > > to ensure that the init is completed first, while still ensuring that > > > the other conditional-inits are completed immediately following the init > > > target. > > > > Maybe I'm just not fully awake yet this morning, but -- you lost me. The > > only I know of to start another target before the first one is done is to > > include an <antcall>/<ant> in it, then have additional tasks after that. > > Eg: > > <target name="foo"> > > <echo message="I'm foo..."/> > > <antcall target="bar"/> > > <echo message="I'm foo again."/> > > </target> > > <target name="bar"> > > <echo message="I'm bar..."/> > > </target> > > well, considering all the other problems with variables i've been having > when using antcall, i was looking for some other solution. so, i would > have: > > <target name="foo" depends="before" after="bar"> > ... > </target> > > so, when this target is invoked, the 'before' target will be invoked > first, then the 'foo' target is invoked, and then finally (assuming no > failures) the 'bar' target is invoked. > > this preserves the 'nature' of calling subtargets, and presuming props > are handled in the same way in the 'after' attribute as they are in the > 'depends' attribute, the unique behaviour of ant and antcall can be > ignored. I have a similar situation with running multiple sets of tests. Assume I have the following targets: <target name="init.tests"> ...delete and re-create ${testresults.dir}... </target> <target name="test.report"> ...generate report for all test results... </target> I want to be able to call some.tests, other.tests, or all.tests from the command line and get a test report containing whichever tests executed. You cannot use <antcall> within the some.tests and other.tests targets, because then if you call the all.tests target, the test.report target will be called twice, with the second call squashing the first call's results. Here is what I do: <target name="some.tests" depends="internal.some.tests, test.report"> <target name="internal.some.tests" depends="init.tests"> ... </target> <target name="other.tests" depends="internal.other.tests, test.report"> <target name="internal.other.tests" depends="init.tests"> ... </target> <target name="all.tests" depends="internal.some.tests, internal.other.tests, test.report" /> I think it would be much more elegant if there were an "after" or "postdepends" so I could instead write: <target name="some.tests" depends="init.tests" postdepends="test.report"> ... </target> <target name="other.tests" depends="init.tests" postdepends="test.report"> ... </target> <target name="all.tests" depends="some.tests, other.tests" /> Note that the behavior here is *not* to simply execute another target immediately (as an <antcall> would do). When I call all.tests, the target order should be: init.tests some.tests other.tests test.report (note: executed only once, and immediately after the last target to have a postdepends="test.report") all.tests Confidential Information. This email is for intended recipient only.
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text:
Bart Simpson has apologised to heavy metal band Judas Priest after a recent episode of The Simpsons referred to them as "death metal".
The iconic character used the detention blackboard from the show's opening credits on Sunday night to chalk "Judas Priest is not 'death metal'" in an effort to calm their fans' wrath.
"Steal This Episode", which aired on 5 January, saw the British group perform a rendition of their song "Breaking The Law" as they tried to lure Homer Simpson out of Springfield's Swedish embassy, where he is hiding from the FBI after illegally downloading films and screening them in his backyard.
But a scripting error left Judas Priest supporters offended when the police officer pursuing Homer said: "There's only one surefire way to get fugitives out of a foreign building. Blasting death metal!"
The band themselves have not commented on the inaccurate genre description but fans posted online messages to complain.
A tweet from the Metal Insider website read: "Judas Priest were called "death metal" on The Simpsons, which is like calling The Simpsons a documentary."
The most scathing attack came from Stereogum's Michael Nelson. "I don't care if you want to have fun at metal's expense but if you brazenly mix up black metal and death metal – and the essence of the joke hinges on getting that reference right – well, that's just lazy writing and it deserves to be called out and mocked relentlessly," he wrote.
"Not only do Judas Priest predate death metal by a solid decade, they sound absolutely nothing like any bands in that entire genre."
Other guest stars on "Steal This Episode" included Seth Rogen, Will Arnett, Paul Rudd and Channing Tatum.
Musicians including Smashing Pumpkins, The White Stripes, U2, Red Hot Chili Peppers and Lady Gaga have all featured on The Simpsons in the past.
- More about:
- Actors And Actresses
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- Music
- The White Stripes


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Dream - March 11, 2011Mature
Just a very detailed dream I had this morning. I don't know what a lot of it means, but it makes me ask questions. I want to know more.
It was just beginning to cool down. The sun was setting behind me and its receding light made the brown bricks glow red. I could feel the promise of winter in the air as the temperature dropped with the sun, but when I started climbing the wall I found the brick was still warm under my palms. The inside of my knees scraped against the jagged parts until I learned to climb with my toes facing away from my body, which also made gripping the spaces between bricks easier. My arms were burning by the time I pulled myself up onto the window sill. I tried opening it, but saw it was locked. The little metal latch hooked into the bottom of the sill, and I realized I should have brought a ruler, or some other flat, long stick to open it. Thankfully I could see Michael behind a desk, his computer screen reflecting light onto his face.
I rapped my knuckles against the glass and received intense pleasure when he jumped in his seat. The wheels of his chair skittered backwards from his reaction, and I stifled a laugh as he struggled to regain his composure. He came to the window and unlocked it. I let him yank it open, and with his help I wriggled into his room.
"What are you doing here?!" Was his substitution for a greeting. All I could do was grin.
"I missed you," I teased, and he rolled his eyes. But I surprised him again by wrapping my arms around him. He was still for a second, but the moment his arms encircled my waist I realized I really did miss him. With everything having happened so quickly, my poor brain didn't have time to think of all the things I couldn't have anymore. I was constantly plagued with the knowledge of what I had to do, that not for one second was I given the chance to grieve the loss of my past.
And now I had that second. All I could think about was Michael and how much he meant to me. How could I forget him? It was only until I realized his skills would be needed in my mission that I thought of him. Was I really turning into a heartless soldier?
Our hug was over too soon when he stepped back, and reluctantly I let go. With the loss of contact came the clarity of why I was here, and I knew the expectant look on his face required a response. I took in a deep breath, preparing myself to ask him to do the impossible.
"I need you to hack into the Olympus mainframe."
The silence that stretched between us felt like years. I braced myself for the 'No' or the 'I can't', but instead it was Michael's turn to surprise me.
I thought about it for a moment. Not about why, because I knew full well why I had to get into the mainframe. But about how much I should tell Michael. If he was compromised, they'd be able to extract information from him. Delicate information regarding me. Not only would he know why I was breaking into their databases, but they could also ask him intimate details of my past. So far, they didn't know who I was. They didn't know anything about me. If I involved Michael, I was giving them the key to discover where I came from, which in turn would endanger all my family and friends. What was I doing here? Surely I could find someone else with his unique computer skills!
"I can see the wheels turning in your head, Skye," He said, a slightly crooked smile stretched his lips wide, "I always know when you're thinking about leaving. But I also know you wouldn't have come if there was any other way. So again I ask; Why do you need me?"
Was it my imagination, or was this question much different than his first? Regardless, he'd just proved how dangerous it was for me to be here. Michael knew me too well - if the authorities discovered him, they'd know me just as intimately. He was a huge risk that I couldn't possibly take.
"Nevermind, Michael," I made up my mind. Coming here was a mistake. I'd have to find some other way to access their personnel database. I turned my back on him and returned to the window, hooking one leg out. I stared down below - was I really that high off the ground? I had a bad feeling that descending wouldn't be the same as climbing up. But as I contemplated how the heck I was going to get back down to that stupid carrot garden, I felt his hand on my arm.
I looked over. but his face was much closer than I anticipated. He caught me off-guard with a soft kiss on the mouth. Aside from grade three when I kissed him on a dare, we'd never shared anything romantic. Sure, there was always a bit of attraction between us - he was gorgeous with his ear-length black curls and square chin, and I wasn't so bad with my long brown hair and high cheekbones - but we'd come to the conclusion that we'd be better friends than lovers. So what if neither of us dated anyone else? We just couldn't find anyone that was right for us. And that didn't mean we were perfect for each other, just because we could stand to hang out together.
But I found my mouth gently working against his, and although it was our first real kiss, it felt like we'd done it a thousand times. It was so natural, it seemed practiced, even though the butterflies dancing in my chest told me it was brand new. I felt the corner of his window-frame against my back when he leaned in, and my foot slipped under the weight-shift. I gasped as I nearly tumbled from the window, but he still had a grip on my arm. He hoisted me back into his room and before I had time to adjust, his mouth crashed against mine again. This time there was more urgency, and with my heart beating a mile a minute from almost falling to my death, I felt a surge of adrenaline that matched his excitement.
We somehow crossed the expanse of his room and my knees hit the bed-frame. All he had to do was lean forward just a bit, and I fell back onto the green covers. His kisses left my mouth to travel down my neck, and it was only when I felt his fingers tug my shirt free of my pants that I realized what we were doing.
"No!" I yelped, jumping out of the bed faster than we'd jumped into it. Michael stared up at me, dazed. His hair was even messier than before, and I tried to remember if I ran my fingers through it. Unfortunately, thinking about running my hands through his hair was not helping with my resolve, so instead I thought about how wrong it was to get involved with him.
"No," I repeated, this time sounding more human than shocked animal, "we can't do this. It was a mistake coming here. I have to go." I wasn't sure who I was trying to convince, Michael or me. Perhaps both. Because I moved back to the window.
"Wait," Michael insisted, and even though I knew I shouldn't, I did. I couldn't bring myself to look back at him as I heard his footsteps when he approached, but I didn't feel his hand on my arm again. When he spoke again, his voice was further away than I expected. I turned in confusion. "I've already accessed the mainframe," He said casually, as though it hadn't been difficult, "If you tell me what you're looking for, I can find it."
He was standing in front of his computer, moving the mouse around the screen. There he clicked on an icon I didn't recognize; one with an electric blue eye peering through a keyhole. I found myself at his side, waiting for the program to load. I tried not to concentrate on his breaths, which grew shallower as I drew closer. I could still feel his lips against mine, burning a path down my neck…
Just then, the screen sprang to life, bathing us in the same eerie blue as the eye icon. He typed in a username (sgtAdion) and password, and despite how rude it was I couldn't help but watch his fingers fly across the keyboard. I thought I saw him hit the Y and E keys a couple times, but he was too fast for me to catch the whole password. Then the entire system opened up for us, and I found myself staring at him in amazement.
"How did you…?" He just shook his head, and I understood. I understood that no matter how he explained it to me, I would never understand. Michael pulled his chair back to the desk and gestured for me to sit in it. I did, and he left me to do what I needed to do. I saw him return to his bed out of the corner of my eye, and simply lie back against the white pillow.
Trying to ignore the strange feeling in my stomach when I thought about Michael on his bed, I retrieved the list of personnel names I needed files on. I stole another paper from Michael's printer and wrote down the information I needed as it appeared on the screen. If I weren't so paranoid, I might have just printed the files, but I didn't want anyone going into his printer and accessing its last print job. A half hour later, I had everything I needed, but instead of signing off like I knew I should, I stared at the computer screen for a long moment. Then, hesitantly, I typed in PROJECT DAEDALUS.
Results started showing up by the hundreds. I had to sit back because the constantly changing lines started giving me a headache. I watched the number indicating the results skyrocket at the bottom of the screen into the thousands. It would take forever to go through all these files, and I certainly didn't have forever. So I clicked the top result; a synopsis and an outline.
The page loaded slowly, so I let my gaze slide from the screen to Michael's bed. I'd been so caught up in my work that I hadn't even noticed him. Again I felt like an inconsiderate bitch when I saw his eyes on me. He was lying on his side now, quietly watching. I felt my cheeks get hot and my eyes darted back to the monitor to escape his piercing stare. But what I saw on the screen drained my face of all colour.
Project Daedalus was me.


text: Sorry, this property is not available anymore. Photos Map 0 0 Property Place We bought here Features Bedrooms0Bathrooms0 Property Description Detached stone and slate cottage, lies in the countryside, with no close neighbours, with a garden area of 1 000 sqm. The garden is part of the continuation of the terrace. The little road in front of the cottage is very rural with no traffic at all. About 10 minutes drive from a nice village with all the necessary shops. A 30 minute drive from the coast. It is habitable, the structure is fine, it will need some improvements inside but has got a new roof. Heating : wood and electricity(also used to heat the water). Attached on the side of the property is a shed for storage. On the other side is a terrace with the possibility to create a conservatory. Ground floor : kitchen area, dining space and the lounge with a fireplace and wood burner will heat the whole cottage. First floor : one bedroom and a bathroom with bathtub and toilet. Request details This property listing (ref: KERADENM1600.2914509) is an advertisement supplied by JB French Houses and does not constitute property particulars. While aplaceinthesun.com (APITS Ltd.) requests all advertisers supply correct details, it does not carry out checks on the information supplied and cannot be held responsible for any inaccuracies. Aplaceinthesun.com recommends seeking independent legal advice prior to any overseas property purchase.


text:
The Lodi Flames varsity girls water polo team placed ninth out of 32 teams at the Central Valley Showdown this past weekend at Clovis West High School.
Lodi went 3-0 on Saturday. The Flames beat Monache 8-2, getting five goals from Lauren had five goals, Molly Bria had two and Karlyln Bertsch added one.


text:
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text:
By Chuck Raasch, Gannett News Service
Two days before celebrating his 20th anniversary on national talk radio, Rush Limbaugh got into an on-air argument with a woman from Colorado who accused him of causing her high blood pressure.
"I'm constantly enraged," the woman, who called herself Jennifer, told America's most famous conservative radio voice, "because every day it seems that you find a way, by innuendo or any other means, to put women down."
"It's not by innuendo, I do it directly," Limbaugh replied. "I put down liberals. If they happen to be women, I put 'em down."
That's Limbaugh in a sound bite. Twenty years into what is still the most listened-to political talk show, Limbaugh still enrages, entertains and — here comes the e-mail — enlightens.
Twenty years ago this month, a now-retired ABC executive named Edward McLaughlin pulled the Missouri native out of local-market obscurity in Sacramento. It was pre-Newt, pre-Bill and Hill, long before Gore, Perot, Monica and Bush II. In this post-9/11 age, 1988 seems eons ago.
Along the way, Limbaugh made a strategic decision to ride his own roller coaster. Unlike most in his genre, he generally doesn't invite politicians on his show to spew talking points, although there are exceptions, like when President George W. Bush, former President George H.W. Bush and ex-Florida Gov. Jeb Bush surprised listeners with a live, on-air call on Aug. 1, the actual anniversary date.
Regular listeners draw the distinction between Limbaugh the conservative and Limbaugh the Republican, which has granted him license to criticize presumptive GOP nominee John McCain, sometimes harshly. When Limbaugh mocks McCain, he does it in the voice of Popeye.
Limbaugh's bombast — the "talent on loan from God" claim — is just outrageous enough to let regular listeners discern between shtick and serious commentary. He often appears to outrage for outrage's sake, like his tendency to call Barack Obama "Barry," the Democratic presidential contender's childhood nickname; or "The Messiah," to mock what Limbaugh says is "drive-by" media's adulatory coverage.
There have been stumbles along the way, including a problem with prescription painkillers, which have given liberal critics ample punch lines.
But if successful politics is all about consistency and repetition, no one has been better over the last 20 years. If radio is entertainment, no one has surpassed Limbaugh on that front, either. As "Jennifer" illustrated, Limbaugh attracts those who hate him as much as the "dittoheads" who support him. Left, right or center, audience share is the bottom line.
Limbaugh claims 20 million regular listeners, although "Talkers" magazine publisher Michael Harrison puts it closer to 14 million. But on a broader point, there is little dispute.
"Rush Limbaugh has been the leading political talk show host in America, and talk radio has been one of the leading forces in American politics," said Harrison, whose magazine covers the industry. "Limbaugh is to talk radio what Elvis Presley was to rock and roll. (Presley) was its biggest star, but he was not its only star."
Over 20 years, Limbaugh has certainly fired enough salvoes across the ideological divide. But McLaughlin said he hired Limbaugh because he was an entertainer first, conservative second.
"I didn't hire Rush Limbaugh or put him on the air in New York to be a conservative talk show host," McLaughlin said. "I brought him to be a talk show personality. The fact that he was more conservative than liberal was not of interest to me, other than the fact that I saw an opening there. ... I realized if I was all liberal, all day, I was not reaching the vast, total audience."
Harrison said "Limbaugh is just off-the-charts talented. And after that, there was a need for a real conservative. And so conservatives rallied around him, and liberals rallied to hate him."
Why has he survived, with no end in sight?
"He is no longer just the populist mouthpiece. He is not someone who takes talking points from the White House or Newt Gingrich," said John Baick, a history professor at Western New England College in Springfield, Mass. "He is the center of gravity — or at least close to it — of conservatives, but not the Republican Party."
McLaughlin, asked about how he separates Limbaugh's shtick from conviction, remembered an early meeting with Limbaugh and Limbaugh's brother, David, a conservative lawyer, author and commentator.
"Does he believe he has talent on loan from God? No. That was part of the shtick that he did," McLaughlin said. "The part that he takes very seriously are his convictions about politics, or about government, or about society. ... I did have people who were sort of pseudo conservatives, who last week would have been liberals, who would have done anything that you wanted them to do on the air. I was convinced, when I met (Limbaugh) and his brother, that they were the real deal."
Contact GNS Political Writer Chuck Raasch at email@example.com.
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text:
If you can get all the way through this video without spewing your coffee, let me know:
I'm speechless right now, but I'll have more later.
Tuesday, November 24, 2009
"You are going to hear a lot of United States government propaganda."
Posted by Pat Austin at 10:27 AM
Labels: 9/11, Khalid Sheik Mohammed, national security, Scott Fenstermaker, WTF
1 comment:
- Lynn said...
In all honesty, I cannot subject myself to even one second -- my head might explode.
- November 24, 2009 at 12:38 PM
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text:
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It was registered by JOSHUA JONES , who can be reached at . The site is owned by SOLOFLEXX DESIGNS. Registration details show that it was registered on 10 Jan 2016 through eNom and will expire on 10 Jan 2017.
The site is being served through Microsoft-IIS/8.5.


text:
All French-Canadians are related as they are descended from about 2.500 people. They also have some of the best kept records in the world. Please feel free to post queries, events, pictures, tell stories, etc.
Members: 196
Latest Activity: Mar 5
Notary records are another good source for discovering information on your ancestor. They are the civil legal records that are sometimes a good substitute if a marriage record is missing. For…Continue
Started by James P. LaLone. Last reply by James P. LaLone Oct 22, 2016.
Here is a link to free books on "History of Nova Scotia or Acadie"-(actual titles of the books by Beamish Murdock, Esq. books were written in 1865 and 1866. I have a tendency to read and research…Continue
Started by Arorasky Sep 6, 2016.
Attached here is an updated listing of surname sites. I am going through Tanguay's listing of "dit" names & spelling variations he has listed in the back of vol.7 to better cross reference my…Continue
Started by James P. LaLone. Last reply by Jacqueline G. Aug 18, 2016.
Anyone have any information regarding him. Believe born in 1850 in Montreal, Married Hattie Lebore eith in Vermont or New HampshireContinue
Started by Charles Robert flett Jun 13, 2016.
A couple of history books I really want to recommend are THE WHITE AND THE GOLD: THE FRENCH REGIME IN CANADA, by Thomas B. Costain & DAILY LIFE IN EARLY CANADA FROM CHAMPLAIN TO MONTCALM, by Raymond Douville & Jacques-Donat Casanova. While being history they are not dry reading and they mention a lot of the early settlers (you ancestors!)
Another book which I have not read yet but comes highly recommended is Willa Cather's SHADOWS ON THE ROCK. It is historical fiction and gives a good flavor of life in New France.
Diane, that one more generation did it, here is Isaie's lineage:
1. Isaie LALANDE.
Hi Looking for birth of Charles Crawford born about 1815 Father John
Thank You
According to the www.bms2000.org database (transcribed records)
At the parish of "St-Joseph, Montreal (Bordeaux)", Ile-de-Montreal, Quebec on the 18th of Sept. 1911 were married:
Georges Jean-Baptiste ROY, son of Ferdinand Roy and Georgiana Chabot, and
Marie-Reine Blanche LALANDE, daughter of Isaie Lalonde (deceased) and Zephirine Paiement.
I could not find the corresponding parish registers in Ancestry.com's listing of Drouin microfilms. I'm sure the church is listed, it's just not something I can find for some reason.
Best regards,
Shari Strahan
Thanks for the links - I will follow up on those. In the meantime, you posted before I had a chance to get back in here - I did find the ships list for Olivier Charbonneau and his family. They arrived on the Saint-Andre on 7 September 1659.
Now to check out the links you just posted! thanks again!
Diane B.,
I do not have your couple in my LALONDE/LALANDE database. You apparently have her baptism? Not sure what info you are looking for. Do you have the marriage date & place? Try looking in the Rivest & Loiselle marriage indexes if you don't, or if you can get access to the "blue" Drouin marriage index. Then use FamilySearch (free) or if you subscribe to Ancestry you can then look at the parish records to find marriage, baptisms and burials.
Patricia Q.,
Not that many passenger lists exist. You may want to read about the time period and what the passengers had to go through (also check out the bibliography for leads) in Gilles Proulx's BETWEEN FRANCE AND NEW FRANCE: LIFE ABOARD THE TALL SAILING SHIPS (BTW CHARBONNEAU was not mentioned in the index).
See also:
The zonecousinage.com site is great! Just found a whole bunch of little tidbits that I was having problems locating before. Thanks Jim!
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"Taylor Anderson has brought a fresh new perspective to the tale of crosstime shipwreck."—S.M. Stirling, author of The Lord of Mountains
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Lieutenant Commander Matthew Reddy, along with the men and women of the battleship Walker, are once again at war. Having sided with the peaceful Lemurians against the savage, reptilian Grik, they now find themselves scrambling to prepare for the attack that is sure to come. Meanwhile, the Japanese juggernaut Amagi, also trapped in this strange world, is under Grik control. Soon, they will have amassed a force that no amount of fire-power and technology will be able to stop. Reddy, his crew, his allies, and his loved ones face annihilation. But if there is one thing they have learned about their new world, it is that hope-and help-may just be over the horizon...
With its power and weaponry, the Walker?s very existence could alter the balance of power. And for Reddy and his crew, who have the means to turn a primitive war into a genocidal Armageddon, one thing becomes clear. They must determine whose side they?re on. Because whichever species they choose is the winner.
Lieutenant Commander Matthew Reddy, along with the men and women of the USS Walker, have chosen sides in a war not of their making. Swept from the World War II Pacific into an alternate world, they have allied with the Lemurians?a mammalian race threatened by the warlike reptilian Grik.
The Lemurians are vastly outnumbered and ignorant of warfare, and even the guns and technology of Walker cannot turn the tide of battle. Luckily they are not alone?Reddy finally finds Mahan, the other destroyer that passed through the rift. Together, the two American ships will teach the Lemurians to make a stand. Or so they think.
For the massive Japanese battleship Amagi, the very ship that Walker was fleeing from when the rift took them, has followed them through. And now the Amagi is in the hands of the Grik.
View our feature on Taylor Anderson's Distant Thunders. The fourth thrilling adventure in the Destroyermen series.
After the battle in which the men of the destroyer Walker and their Lemurian allies repelled the savage Grik, Lieutenant Commander Matthew Reddy is shocked by the arrival of a strange ship captained by one Commodore Jenks of the New Britain Imperial Navy-an island-nation populated by the descendants of British East Indiamen swept through the rift centuries before.
With the Walker undergoing repairs, Reddy already has a great deal on his hands. For the Grik will return, and Reddy will need all hands on deck to fight them off when they next attack. But Jenks' uncertain loyalties make Reddy question whether he can trust the man.
As tension between the Allies and the Imperials mount, Reddy will come to realize that his suspicions are not misplaced-and that a greater danger than the Grik is closer than he ever suspected...
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Lieutenant Commander Matthew Reddy and the crew of the USS Walker find themselves caught between the nation they swore to defend and the allies they promised to protect. For even as the Allies and the Empire of New Britain Isles stand united against the attacks of both the savage Grik and the tenacious Japanese, the "Holy Dominion"-a warped mixture of human cultures whose lust for power overshadows even the Grik-is threatening to destroy them both with a devastating weapon neither can withstand.
Designated Supreme Commander of the Allied Forces, Matt Reddy must now contend with a new threat; the Dominion—humans whose lust for power matches the Grik. But even though the Grand Alliance recognizes the danger of the Dominion, it must deal with the land-based Grik first, leaving the Imperial navy—and USS Walker—with little assistance.
As war rages, more Japanese ships come through the time-space maelstrom that the Americans call The Squall. One is a "Hell Ship," carrying prisoners of an Imperial Japan that is growing ever more ruthless in the face of looming defeat. Escorting it is a new, state-of-the-art destroyer, whose officers recognize no rules of war.
Fighting on two fronts, Reddy is plunged into a firestorm of loyalty, betrayal, and sacrifice. But nothing can prepare him for a devastating new Grik weapon—a weapon that could wipe out all who oppose them…
View our feature on Taylor Anderson's Rising Tides. In Taylor Anderson's acclaimed Destroyermen series, a parallel universe adds a extraordinary layer to the drama of World War II. Now, as Lieutenant Commander Matthew Reddy and the crew of the U.S.S. Walker continue their battle for both freedom and survival, the stakes become much more personal...and much more perilous.
Matt Reddys old Asiatic Fleet destroyer USS Walker has been mysteriously transported to an alternate version of earth. Here WWII is no longer raging, and Reddy and his crew have been trying to find a new place for themselves in this strange new world.
Now, along with the felinoid Lemurians and Imperial allies, they fight to keep the reptilian Grik, a race growing in supremacy, from reconquering the Lemurians ancestral home on Madagascar. Reddy and his crew are exhausted, far from reinforcements, and wildly outnumbered, so the odds seem greater than ever before. As for the fate of the Americas, Don Hernan and the evil Dominion have gathered to annihilate the forces behind the walls of Fort Defiance as a shadowy power with an agenda all its own rises with chilling resolve.
As the war teeters on a knife-edge, a tipping point may have been reached at lastand cold steel and hot-blooded valor will remain the ultimate weapons.


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Can hospital audit teams identify case management problems, analyse their causes, identify and implement improvements? A cross-sectional process evaluation of obstetric near-miss case reviews in Benin
Maternity care and sociological aspects of pregnancy and childbirth
Obstetric near-miss case reviews are being promoted as a quality assurance intervention suitable for hospitals in low income countries. We introduced such reviews in five district, regional and national hospitals in Benin, West Africa. In a cross-sectional study we analysed the extent to which the hospital audit teams were able to identify case management problems (CMPs), analyse their causes, agree on solutions and put these solutions into practice.
We analysed case summaries, women's interview transcripts and audit minutes produced by the audit teams for 67 meetings concerning one woman with near-miss complications each. We compared the proportion of CMPs identified by an external assessment team to the number found by the audit teams. For the latter, we described the CMP causes identified, solutions proposed and implemented by the audit teams.
Audit meetings were conducted regularly and were well attended. Audit teams identified half of the 714 CMPs; they were more likely to find managerial ones (71%) than the ones relating to treatment (30%). Most identified CMPs were valid. Almost all causes of CMPs were plausible, but often too superficial to be of great value for directing remedial action. Audit teams suggested solutions, most of them promising ones, for 38% of the CMPs they had identified, but recorded their implementation only for a minority (8.5%).
The importance of following-up and documenting the implementation of solutions should be stressed in future audit interventions. Tools facilitating the follow-up should be made available. Near-miss case reviews hold promise, but their effectiveness to improve the quality of care sustainably and on a large scale still needs to be established.
Maternal mortality in sub-Saharan Africa stagnates at a high level, its contribution to the global maternal death toll increasing from 23% to 52% between 1980 and 2008
Audits may have potential to address case management problems (CMPs) in hospitals
In this paper we report the experience of introducing audits in hospitals in Benin, West Africa, and document the extent to which audit teams could identify CMPs, analyse their causes, agree on solutions and put these solutions into practice.
The audit intervention
In 1999 we introduced obstetric near-miss case reviews in five hospitals in Southern Benin. A near-miss case was defined as a woman suffering from a life-threatening complication during pregnancy or six weeks after delivery, whose "immediate survival is threatened and who survive by chance or because of the hospital care they receive"
In each hospital a core audit team was constituted, consisting of a senior physician involved in obstetric care and a senior midwife; both received a financial incentive for assisting the research activities. Staff members of maternity units and other relevant hospital departments (laboratory, pharmacy, anaesthesiology, intensive care, hospital administration) and from referring health centres were invited to attend audit meetings on a case-by-case basis, and received a small amount for transport and refreshments. Audit teams received an initial five days training on objectives and conduct of audits, and a three day refresher training after 12 months. All hospitals received a small financial contribution for their running costs.
Audit teams in each hospital were requested to identify near-miss cases continuously, choosing one per month for discussion during the monthly audit meeting. We advised the teams to choose particularly informative cases, making sure that the scope of major pathologies was represented over time. A staff member prepared a summary of the selected case's management on the basis of clinical records. The hospital's social worker conducted an in-depth interview with the woman, preferably at home, sometimes involving relatives, to obtain additional information from the woman's perspective, possibly not apparent from clinical records.
The audit meeting was chaired by a member of the core audit team. Participants were reminded of the meeting's objectives. The staff member who had prepared the case summary presented the case, and the social worker reported on the interview with the woman and her relatives. Subsequently the participants were invited to identify and discuss the positive aspects of the case management, and the CMPs. The discussion followed the course of events chronologically: from before admission to hospital to admission, diagnosis finding, near-miss treatment, further case management and discharge ("gate-to-gate" approach)
The type of audit we implemented could be labelled "hospital-based multi-professional patient-centred near-miss case review". Choosing this type of audit was based on the following assumptions: "case review" - discussing authentic examples of severe obstetric complications interests and engages health workers; "hospital-based" - having the hospital teams carry out the audit themselves enhances their sense of ownership and their willingness to make an effort in implementing solutions; "multi-professional" - involving staff from different professions improves communication between them and thus the quality of care; "patient-centred" - interviewing women provides additional information and an opportunity to confront professionals with women's experiences and views, a possible eye opener for the humane dimension of emergency obstetric care; "near-miss" - discussing complications that have been survived includes, by definition, positive aspects, thus facilitates frank discussions and bears less risk for depression or unhelpful attribution of blame. Since near-miss cases occur much more often than maternal deaths, reviewing them offers learning opportunities for staff more frequently.
Benin's health system
Benin is a francophone West African country with a population of about 6 million. In 1999, the maternal mortality ratio was estimated at 498 maternal deaths per 100.000 live births
Participating hospitals
The five participating hospitals vary in size, ownership and position in the health system pyramid (Table
Hospitals performed between 7 and 17 audits between October 1999 and March 2001. Due to different local policies the percentage of audits moderated by a physician as opposed to a midwife varied from 6.3% to 100%.
Audit process evaluation
To carry out an audit, various documents were established: participants' list, case summary with extracts from clinical records, summaries of the women's interviews, and structured minutes of the audit meeting. For research, verbatim minutes were produced from audio-tapes of women's interviews, and audit meetings were observed by social scientists, who did not intervene in the discussions but gave feedback at the end of the meeting and produced reports on their observations. Information was extracted from all these documents, and coded based on criteria as they appeared in the documents. Original clinical records were not available. The extracted information included: women's age; obstetric history; date and time of the near-miss onset, admission, obstetric interventions, discharge, audit; type of referral and transport; type of near-miss complication and underlying cause; type of obstetric interventions; neonatal outcome if appropriate; woman's satisfaction; number and profession of audit participants; and difficulties observed during the audit meeting.
Two external assessors (MB and TD, physician and obstetrician, respectively, both with experience in practising obstetrics in West Africa) used project guidelines, WHO guidelines
From the minutes of the audit meetings one author (MB) assessed the performance of the audit team by constructing a score based on marks for the following achievements: 20 marks for ascertaining a valid CMP, regardless of whether the external assessors had identified the CMP from case summary or interview minutes; 10 marks each for analysing the causes of this CMP in a plausible way, in appropriate depth (profound enough to facilitate finding a solution
We analysed the performance of audit teams by individual CMP and by audit meeting. When analysing the performance by individual CMP, we either insisted on a valid analysis of the cause, or were satisfied when an appropriate solution was proposed regardless whether a valid cause had been identified. We used Chi2-tests or Fisher exact tests for comparing proportions as appropriate, and F-tests for comparing means. We used multiple linear regression and t-tests to verify the independence of determinants of audit team performance.
Ethics approval
The ethics committee of the London School of Hygiene and Tropical Medicine approved the study (12 November 1997, no. 470), and the Ministry of Health in Benin gave permission to carry it out. Hospital managers were approached and agreed to let their hospitals participate in the study.
Patients, complications, treatments
During the study period, 77 near-miss cases were reviewed. The analysis is restricted to 67 cases, for which case summary and audit minutes could be retrieved. The age of these women ranged from 16 to 46 (median 28); 18% were primigravidae, 18% grand multipara.
Seventy percent of the women had entered the hospital as emergency, either referred by another health facility (56%) or on their own initiative (14%, Table
Audits took place on average one month after admission (Table
Factors facilitating patients' survival
The most important facilitators for women's survival identified by audit teams were those linked to human resources (95%), with commitment, willingness and availability (73%) ranking before competence (67%) and good teamwork (9%). Financial resources came second (73%), with patients having funds available (57%) mentioned more often than hospital funds for destitute patients (16%); in three cases, staff reported having paid for patients from their own pockets. Material resources ranked third (54%) and included the availability of blood (12%) and drugs (10%) from emergency kits in the hospital (
Case management problems
During 67 audit meetings, the audit teams identified 413 case management problems (CMPs), of which the external assessors found 376 (91.0%) to be valid; invalid CMPs included women not attending antenatal care, families not providing moral support to the woman, and health workers using outdated medical terminology for the diagnosis. As mentioned before, audit teams consistently missed certain CMPs, being presumably unaware of the relevant clinical standard; these CMPs were exempt from further analysis (Table
Problems in the treatment of near-miss complications contributed most to the total of 714 CMPs (35%, Table
Audit teams identified 53% of all 714 CMPs classified as valid by the external assessors (Table
Audit teams were able to attribute causes for 83% of 354 CMPs they had identified (Table
Audit teams recorded their suggested solutions for 202 (54%) of the CMPs they had identified (Table
Almost all solutions were plausible (Table
Audit teams recorded having identified a staff member as responsible to implement the solution for 37% of all solutions; this proportion did not vary by type of CMP (p=0.5) nor by severity (p=0.6). We have found documentation on whether or not solutions have been implemented for only 97 of 202 CMPs with proposed solutions (48%). For 44% of these, solutions have been reported to have been implemented, without variation between types and severity of CMP (Table
A comprehensive definition for handling a CMP overall appropriately requires that the CMP is recognised as such,
Figure 1
Performance of near-miss audits, requiring that a valid cause* has been identified for each CMP
Performance of near-miss audits, requiring that a valid cause* has been identified for each CMP. *For a cause to be valid it had to be plausible, profound and within reach of the audit team. **For a solution to be appropriate it had to be plausible, profound and within reach of the audit team.
A less challenging definition for overall appropriate handling requires that a CMP is recognised by the audit team,
Figure 2
Performance of near-miss audits,
Performance of near-miss audits,
We found the performance of audit teams to vary between hospitals (p=0.028, Table
After introducing near-miss case reviews in five hospitals in Benin, we performed a process evaluation to assess to what extent audit teams were able perform near-miss case reviews according to the rules, that is, to identify CMPs and underlying causes, propose solutions, define responsibilities and document the implementation of solutions. Our study attempts to assess neither enhancements of quality of care, nor improvements of health outcomes.
Hospital teams readily adopted the audit intervention, organised meetings regularly and with appropriate frequency, and participated in large numbers – meetings were rather too large than too small, possibly resulting from incentives offered to participants, albeit modest (3 EUR). To preserve a frank exchange of views in large hospitals it may be necessary to restrict participation to those who were directly involved in the audited case's management, and to brief the rest of the team on proposed solutions separately. The composition of participants was appropriately multi-professional. Midwives and nurses played crucial roles in the meetings by often moderating them and virtually always presenting the case summary. Not surprisingly, there was an important potential for conflict in these meetings, which underlines the importance of the moderators' skills
Audit participants acknowledged the overwhelming importance of health workers' attitudes and competence for a positive patient outcome. Health workers are aware that available resources allow providing life saving obstetric care, if used by motivated and skilled health workers. The importance of financial arrangements for the poor and of the availability of blood and emergency drugs was acknowledged, which points to possible targets of interventions to improve the capability of Benin's hospitals to respond to obstetric emergencies.
Most CMPs discussed by the audit teams merited auditing. Worrisome, however, is the high proportion of CMPs related to the treatment of complications (70%) that was missed by the audit teams. It appears that audit teams were more able or willing to discuss managerial shortcomings than medical ones. As most treatment decisions are either taken or approved by physicians, it is possible that the majority of participants did not feel competent or entitled to challenge these decisions. This may be an inherent limitation of internal case reviews when carried out in district hospitals with few physicians involved in emergency obstetric care; possibly the involvement of a higher level, e.g. the obstetrician from the regional referral hospital, could help, but one would have to look out for any threatening or intimidating effect this may have on the audit team. The lack of detailed evidence-based guidelines on the management of obstetric complications at the time of the study has probably contributed to the under-representation of therapeutic CMPs in the audit meetings. In the meanwhile WHO has published such guidelines
Many causes recorded by the audit teams appeared to be too superficial to be of value for identifying the most appropriate solution: to note that something has not been done because of "negligence" without analysing where motivational problems come from hardly points into the direction remedial action should take. It is possible that the discussion had more substance than what has been recorded in the minutes. In any case the "why? why?" root cause analysis described by Weeks
Audit teams proposed solutions for only half of the CMPs they identified themselves. It is not clear whether this represents an oversight, a decision to focus on some CMPs and not to seek solutions for others, or a failed attempt to find and agree on solutions. In any case, the high proportion of CMPs identified but not tackled by the audit teams is worrying. As reported from neighbouring Burkina Faso
A sobering finding is the low proportion of CMPs with implemented solutions. Solutions were at best implemented for 19.3% of the CMPs, while the proportion of CMPs for which implemented solutions have been documented was 8.5% only. We may have underestimated this proportion by not following up for long enough; in Burkina Faso it was found that it may take several months to implement a solution
The number of participating hospitals (N=5) was too small for a meaningful analysis of hospital factors determining the variable performance of audit teams. We have found that audit teams perform better if moderated by physicians, which may be due to their more profound medical knowledge and their greater authority, but we cannot rule out confounding by other hospital factors we were unable to elicit.
The variety of case reviews carried out in Benin included interviews with patients and their relatives, whose results were than reported back to the audit team. Whether these interviews had an overall engaging or disruptive effect on the discussions of the audit team remains unclear and merits further research. A considerable variation in quality, from rich to superficial, from encouraging and respectful to confrontational and judgemental, transpired from the interview transcripts. This demonstrates that training and supervising staff carrying out these interviews, e.g. social workers, is essential.
Another open question is whether near-miss case reviews should complement or replace maternal death reviews. The exclusion of maternal deaths from case reviews is likely to facilitate the audit process, as the question of guilt is less burning when the woman has survived. Certain shortcomings in case management, e.g. unacceptable delays, may only be recognisable from maternal deaths but not from near-miss cases; if maternal deaths concentrate during certain times of the day or the week this may point at underlying causes, which will be missed by excluding maternal deaths from review. Operational research should investigate whether experienced case review teams can cope with the additional challenge to review a maternal death and remain faithful to the principles of frankness and non-accusation.
Finally, the question of sustainability of audits arises. Often, while there is special funding, audits tend to be implemented and conducted, but without that funding audits are less likely to happen. Once the effectiveness of audits has been demonstrated hospital management, with the support of the Ministry of Health, should advocate that they are an internal quality improvement technique and as such part of the staff's duty, and not an optional activity that needs to be paid extra. When Hutchinson
Limitations of the study
This study has several limitations. Most importantly, no primary data like clinical records or tape recordings of patient interviews or audit meetings were available; the data sources were limited to documents produced by health workers to prepare and document the audits. We are likely to have missed some CMPs if they have not transpired from case summaries or patient interview transcripts. We may also not have fully captured the audit teams' reasoning on causes of and solutions for CMPs if it is not reflected in the audit minutes. We may have missed solutions that were implemented but not documented. Because of the difficulty to distinguish between shortcomings in the audits' conduct and weaknesses in their documentation, their quantitative assessment should be interpreted with caution, but we have confidence in the principal patterns that have emerged.
The presence of researchers as observers, i.e. social scientists and epidemiologists, in many audit sessions may have positively influenced the way audits were conducted, but audits were still far from perfect and allowed many shortcomings to be identified.
It may be argued that the observation time was too short, and that audit teams would have learned to perform audits better over time. However, our data do not support this assumption, and we doubt that, without further training, audit teams would by themselves have been able to improve significantly.
Because of the purposive sampling of audit cases by the audit teams, selected cases do not constitute a representative sample of all near-miss cases treated in the participating hospitals. The audit teams may have chosen patients with particularly poor case management to maximise learning, or those who were relatively well looked after to limit embarrassment. No conclusion can be drawn on the relative frequency of type of near-miss, admission, CMP etc. in those hospitals. However, the validity of our analysis of how well the audit teams dealt with the cases they have selected is not compromised by this non-representativity of the sample.
We have not studied hospital environment or team dynamics in detail. It is therefore difficult to conclude to which extent the results are specific to these five hospitals or can be generalised to hospitals in similar settings. We have some confidence in the external validity of our results, as the participating hospitals represent various levels of the health system pyramid and both public and private sectors.
The data of this study are now 10–12 years old. However, we have continued working on the quality of obstetric care in this setting and believe that the results are still relevant for current efforts to implement audits.
Quality assurance approaches based on near-miss morbidity remain highly topical
CMP: Case Management Problem; WHO: World Health Organisation.
Competing interests
Matthias BORCHERT is Principal Investigator of the AUDOBEM trial. Sourou GOUFODJI, Eusèbe ALIHONOU, Thérèse DELVAUX and Lydie KANHONOU are Co-Investigators of the AUDOBEM trial.
Authors' contributions
MB analysed and interpreted the data and drafted the article. SG, EA, JS and LK substantially contributed to the acquisition of data and revised the draft critically for content. TD substantially contributed to the analysis of the data and revised the draft critically for content. VF conceived and designed the study, substantially contributed to interpretation of the data and revised the draft critically for content. All authors read and approved the final manuscript.
We are grateful to the health workers who participated in this research for their openness and patience. We thank Oona Campbell for her comments on the analysis strategy, Simon Cousens for statistical advice, and Carine Ronsmans (all LSHTM) for advice on analysis strategy and comments on earlier drafts. This study was funded by the UK Department for International Development (DFID) (fieldwork and analysis) and the European Commission (fieldwork).
Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5
WHO analysis of causes of maternal death: a systematic review
Responsiveness to life-threatening obstetric emergencies in two hospitals in Abidjan, Côte d'Ivoire
"Good obstetrics" revisited: too many evidence-based practices and devices are not used
Audit and feedback: effects on professional practice and health care outcomes
Obstetric audit in resource-poor settings: lessons from a multicountry project auditing 'near miss' obstetrical emergencies
Reviewing audit: barriers and facilitating factors for effective clinical audit
WHO working group on Maternal Mortality and Morbidity classifications: Maternal near miss–towards a standard tool for monitoring quality of maternal health care
Introducing criteria based audit into Ugandan maternity units
The difficulty of questioning clinical practice: experience of facility-based case reviews in Ouagadougou, Burkina Faso
Exploring the sustainability of obstetric near-miss case reviews: a qualitative study in the south of Benin
Pre-publication history
The pre-publication history for this paper can be accessed here:


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