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International braz j urol
On-line version ISSN 1677-6119
Int. braz j urol. vol.35 no.4 Rio de Janeiro July/Aug. 2009
Update in the management of penile cancer
Jorge R. Caso; Alejandro R. Rodriguez; Jose Correa; Philippe E. Spies
Division of Genitourinary Oncology Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA
Purpose: The management of penile cancer has evolved as less invasive techniques are applied in the treatment of the primary tumor and inguinal lymph nodes.
Materials and Methods: Herein we review the literature focusing on advances in the preservation of the phallus as well as less morbid procedures to evaluate and treat the groins.
Results: Promising imaging modalities for staging are discussed. New techniques are described and tables provided for penile preservation. We also review the contemporary morbidity of modified surgical forms for evaluation of the inguinal nodes.
Conclusions: Advances in surgical technique have made phallic preservation possible in a greater number of primary penile cancers. The groins can be evaluated for metastasis with greater accuracy through new radiologic means as well as with less morbid modified surgical techniques.
Key words: penile cancer; staging; treatment; lymphadenectomy
In the United States squamous cell carcinoma of the penis is a rarely diagnosed malignancy with an incidence of 0.58 cases per 100,000 (1). This rate has been in gradual decline over the last thirty years (1). In developing countries, the incidence is more considerable, due in part to cultural and hygienic differences (2,3). Several etiologic risk factors have been recognized in the development of this malignancy. Exposure to the human papillomavirus, lack of neonatal circumcision (especially when associated with phimosis), and exposure to tobacco, among other causes, have been implicated (2-5).
In this article, we review the current management of penile carcinoma. An overview of newer phallic preservation techniques, as well as the staging of the inguinal nodes with minimally invasive and non-invasive methods, will be provided.
Staging is usually accomplished via the 1987 TNM classification, most recently released in 2002 (6). It has been criticized for prognostic inadequacies as well as for the difficulty of properly assessing clinical stage using only the physical exam and imaging (7). Indeed, some authors choose to report contemporary series according to the 1978 classification (8,9), due in part to a belief that therapy should be determined only by the prior assignment of a clinical stage (10,11).
With regards to the primary tumor, the initial assessment should be made by physical examination. It has been shown that in experienced hands, its correlation with the histopathologic examination after surgery is superior to that which can be derived from magnetic resonance imaging (MRI) or ultrasound (US) (12). These modalities would be reserved for lesions in which an adequate exam could not be performed, such as in the morbidly obese patient. However, the use of an intracavernosal injection of prostaglandin E1 as an adjunct prior to MRI scan has shown promise in some series by improving its accuracy in assessing the clinical stage of the primary tumor (13,14). The sensitivities and specificities, respectively, for this modality in correctly assessing clinical T1 tumors are 85% and 83%, for T2 tumors 75% and 89%, and for T3 tumors 88% and 98% (14). Additionally, a biopsy of the lesion is necessary to confirm the diagnosis. The clinician must be wary, however, as prognostic pathological clues are not always apparent on superficial biopsy, and the grade and stage may differ from that of the final specimen (15). This latter point is especially important as penile conservation therapies become increasingly promoted, thereby eliminating the chance for more complete pathologic review from an amputation specimen.
Equally problematic is the staging of nodal disease. Here again, the initial assessment is made by physical examination, through palpation of the bilateral inguinal region. If the nodes are non-palpable after an adequate physical exam, there is generally no indication for imaging (16). However, new technologies such as lymphotropic nanoparticle enhanced MRI may enhance or replace the palpated findings. In a series of seven patients a total of 113 lymph nodes were evaluated and 13 found to be malignant on node dissection. The calculated sensitivity was 100% and negative predictive value also 100% (17). A specificity of 97% and positive predictive value of 81% was attributed to false positives secondary to fibrotic nodes (17). This technique not only indicated for which patients should undergo lymphadenectomy, but also specified laterality. High-resolution transducer US, which relies on several morphologic characteristics of malignant nodes (such as shape, echogenicity, and internal structures, among others) may also have a role in identifying patients with metastases (18). These methods should be differentiated from traditional computed axial tomography (CT), MRI, and US imaging, which use size criteria to identify suspicious nodes and are therefore associated with a higher rate of false positives.
When the nodes are palpable, management usually consists of 4-6 weeks of antibiotics commencing after the primary lesion has been treated (19). Almost half of suspicious lymph nodes palpated during the initial presentation are enlarged due to inflammatory changes; however, those that become palpable during later surveillance are malignant in 70 to 100% of cases (16,20). If the inguinal lymph nodes are positive for cancer, evaluation of the pelvic nodes should be carried out with a CT (16) or MRI. The imaging field may be extended to the abdomen if disease is present in the pelvis, and all patients with node positive disease should also undergo a chest X-ray (16). A chest X-ray may also be considered in all newly diagnosed patients, with chest CT follow-up for suspicious findings. Although not standard, positron emission tomography alone or in conjunction with CT has shown promise in detecting metastatic lesions (21,22). In one study of thirteen patients, five of whom had histopathologically proven lymph node metastasis, 15 of 16 lymph nodes were identified as true positives, while 1 of 9 lymph nodes was a false negative (22).
The obvious psychological toll associated with genital disfigurement has prompted the development of organ sparing techniques. Carcinoma in situ has been successfully treated with photodynamic therapy (PDT) and topical agents. In the largest reported series of PDT ten patients-three of which had bowenoid papulosis- received therapy with an average of 4.5 treatments in those who were completely cleared (23). 5-fluorouracil and more recently the immune response modifier imiquimod 5% cream have been used with biopsy proven eradication of the lesion (24-26). Cryosurgery with liquid nitrogen has been reported in superficial, low grade tumors (27).
Mohs microsurgery has had good results in tumors that are not excessively large, deeply invasive, or involving the urethral meatus (28). Radiation, both by brachytherapy and external beam radiotherapy, preserves function and establishes cancer control in select patients (29-31). Phallic preservation is possible in over half to three-quarters of those treated in this manner. It is likely best utilized in tumors smaller than 4 cm with less than 1 cm of invasion (29). Neodymium: yttrium-aluminum-garnet (Nd: Yag) and CO2 lasers have been used primarily in early stage penile cancers, and may be particularly effective for carcinoma in situ or for T1 and T2 lesions that are 3 cm or smaller (8,32-34). Some no longer apply this technology to T2 tumors as there may be a higher risk for nodal metastasis (35). Neoadjuvant reductive chemotherapy using vincristine, bleomycin and methotrexate with peniscopy in concert with CO2 laser has been reported with favorable results (36).
In a recent large, retrospective multi-institutional series laser therapy, local excision, and radiotherapy were compared to partial or total penectomy. Local recurrence rates were higher with penile preservation compared to partial or total amputation (27.7% versus 5.3%) (34). Five year disease specific survival in those who locally recurred was 92%, however, prompting the authors to conclude that there is little impact on survival from utilizing phallic preservation techniques (34).
Modified surgical methods that avoid total or traditional partial penile amputations and remove minimal tissue are also being employed for select tumors. Glans resurfacing has been performed for carcinoma in situ and involves removing all superficial glans and coronal tissue down to the corpus spongiosum. A partial thickness skin graft is then harvested to cover the defect (37,38). "Conservative surgical techniques" consisting of completely removing a tumor guided by preoperative mapping and with frozen section examination of margins preserve uninvolved structures (39). With extended follow-up, the results have been promising (39). Glansectomy has been reported with no local recurrences in select cases (38,40,41). Others have performed partial glansectomy and partial penectomy with reconstruction of the glans (38,41,42). For results of select studies, please see Table-1.
For grade 3 and deeply invasive tumors, particularly those not on the prepuce or glans, partial or total penectomy is the standard therapy (16). Classic teaching holds that the primary penile tumor should be excised with a 2 cm margin (19); however, this has more recently been called into question. In a prospective study grade 1 and 2 tumors were found histologically to extend less than 1 cm and grade 3 tumors less than 1.5 cm from the gross margin (43). It would therefore appear that the limits of resection should be based on the grade of the tumor as determined on biopsy. This has implications for conservative surgery, and indeed in one study where organ sparing techniques were used histopathologic margins were within 1 cm in about half and less than 2 cm in 90% of the resection specimens (44). In light of these findings, some authors have advocated removing a 1 cm margin from the "palpable" (as opposed to the visible) edge of the tumor (45). Only one patient out of thirty-nine experienced a recurrence using this limit (45).
Partial penectomies should leave a 2.5-3 cm penile stump for minimal functionality (19). Large or advanced stage lesions, particularly those at the base of the penis, may be best treated by total penectomy with perineal urethrostomy (19).
Close to 25% of patients with non-palpable lymph nodes on presentation harbor metastatic disease (46). The staging modalities previously mentioned offer hope that this subgroup may be identified in a non-invasive manner in the near future. Identifying patients with occult metastases is important because it has been shown that immediate lymphadenectomy confers a survival advantage over surgery deferred until palpable disease develops (47,48). In a recent series of forty patients, the 3-year disease-specific survival of patients with metastatic nodes detected on surveillance was 35% versus 84% in those who underwent early resection (48). These numbers are very similar to those that have been reported with more extensive (6-7 year) follow-up (47).
Several risk factors for nodal metastases have been identified, and may be used to direct surgical intercession. A direct correlation between tumor grade and the likelihood of the inguinal metastases was first established (49). In one study in which prophylactic lymphadenectomies were performed, clinically negative groins with grade 1 or 2 tumors with no or minimal invasion were cancer free whereas tumors, which invaded the corpora or were poorly differentiated had microscopic cancer in 78% of the removed lymph nodes (50). In a subsequent study tumor stage, vascular invasion, and a proportion of greater than 50% poorly differentiated cancer were shown to be independent prognostic factors for lymph node metastasis (46). More recently a nomogram has been developed which incorporates stage, grade, tumor thickness, histologic growth pattern, vascular/lymphatic embolization, and clinical node status in order to calculate the probability of the inguinal area being pathologically positive (51).
A less morbid approach to early, complete inguinal lymphadenectomy involves staging the groins by first sampling the sentinel lymph node or nodes. This was first performed in a static, anatomical fashion with favorable results (52) which were unfortunately not duplicated in later series (53). The technique is no longer recommended (16,53). Instead dynamic sentinel node biopsy (DSNB) has been adopted. Although there is variability between surgical groups in the exact technique, usually some time prior to the scheduled surgery a radiotracer is injected into the remnant portion of the penis closest to where the primary tumor had been resected. On the day of surgery, dye may also be injected. The sentinel lymph node(s) is thus located visually and with a probe. This has been accomplished via an open technique through skin flaps (54) or by first marking the overlying skin after detection of radioactivity (55-57). A criticism of DSNB is that the false negative rate is a relatively high 15-16% (56,58) with a consequently low sensitivity that has deemed the technique insufficient by some researchers (54). This remains true in cases where the nodes are palpable (59).
Alternatively high resolution US with fine needle aspiration of suspicious nodes may be used to identify occult metastasis and those patients who require complete lymphadenectomy. Criteria for suspicious nodes include a length to width ratio less than 2, a concentrically or eccentrically wide cortex, and a narrow to absent hilum (60). Compared to DSNB, at median follow-up of 18 months the sensitivity per groin was only 39% with a specificity of 100% (60). The authors concluded that the technique is useful in screening patients and avoiding DSNB when the aspirate is positive for cancer (60). These two modalities were used in a complementary fashion in a more recent paper. Sonographic criteria included increased size, abnormal shape, absence of echogenicity in the hilum, hypoechogenicity of the node, necrosis, and abnormal vascularity (57). At a median follow up of 11 months the respective sensitivity and specificity for US compared to DSNB were 74 and 77%; interestingly, US identified two patients with metastasis who were originally considered negative by DSNB (57).
Modification of the traditional inguinal lymph node dissection, popularized through the work of Catalona, is used to decrease the morbidity of inguinal lymphadenectomy (61,62). If cancer cells are found, a full template dissection is completed. Catalona's modified boundary preserves the saphenous vein as well as the subcutaneous tissue superficial to Scarpa's fascia; in addition fewer nodes are removed and the incision is shorter (62). The surgical boundaries are the external oblique aponeurosis and spermatic cord (superior), the fascia lata distal to the fossa ovalis (inferior), the adductor longus (medial) and the femoral artery (lateral) (62). A locoregional recurrence rate of 15% (2/13 patients) was reported in a prospective study utilizing this template (63), similar to a more recent retrospective study where one out of eleven patients (9%) had an out of field recurrence at the base of the penis (64). Slightly different boundaries were proposed by Costa et al. setting the limits at the adductor longus (medial), the medial surface of the femoral and saphenous veins (lateral), and the inguinal arcade (superior), forming a triangle (65,66). With a mean follow-up greater than six years the reported loco-regional recurrence rate was 5.5% of negative groins (or 2 out of 18, or 11% of patients) (65). The possibility of leaving disease behind has dampened enthusiasm for the modified procedures. An interesting study has recently been reported whereby hybrid single-photon emission CT lymphatic drainage patterns were analyzed in a cohort of patients. In 10%, the sentinel nodes were located in the lateral superior zone (based on Daseler's classification) which is not sampled with either modified dissection, providing a rationale for recurrences (67).
Removing all superficial inguinal lymph node tissue for diagnosis provides a more complete assessment for staging, but has traditionally been associated with high morbidity (68,69). However, certain modifications have been introduced to lessen the chances of a severe complication. Many of the issues that arise are wound related complications; the use of a Gibson incision has been advocated by some authors to reduce them (10). Minimally invasive means of performing inguinal lymphadenectomy, via straight laparoscopy or with robotic assistance, have practically eliminated cutaneous complications (70-74). Prophylactic antibiotics, the appropriate use of drains, early ambulation, and modifications in surgical technique, among others, encompass some of the changes that have been applied with success in minimizing morbidity (68,69). For a review of complication rates for recent series of modified, standard, and endoscopic inguinal lymph node dissections, please refer to Table-2.
Penile cancer is a rare disease, which has been studied through relatively small case series from large academic centers. Recently, several paradigms have been altered in the management of this cancer. The drive for decreased morbidity with continued cancer control has lead to penile preservation surgery, better staging modalities, and minimally invasive techniques for the exploration of the inguinal nodes. It is hoped these techniques prove to have equivalent or better oncologic outcomes in order to lessen the morbidity associated with the surgical therapy of this disease.
None declared.
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74. Josephson DY, Jacobsohn KM, Link BA, Wilson TG: Robotic-assisted endoscopic inguinal lymphadenectomy. Urology. 2009; 73: 167-70; discussion 170-1. [ Links ]
75. Nelson BA, Cookson MS, Smith JA Jr, Chang SS: Complications of inguinal and pelvic lymphadenectomy for squamous cell carcinoma of the penis: a contemporary series. J Urol. 2004; 172: 494-7. [ Links ]
76. Milathianakis C, Bogdanos J, Karamanolakis D: Morbidity of prophylactic inguinal lymphadenectomy with saphenous vein preservation for squamous cell penile carcinoma. Int J Urol. 2005; 12: 776-8. [ Links ]
Correspondence to:
Dr. Philippe E. Spiess
Genitourinary Oncology Program
H. Lee Moffitt Cancer Center & Research Institute
12902 Magnolia Drive
Tampa, Florida, 33612-9416, USA
Fax: + 1 813 745-8494
E-mail: email@example.com
Accepted after revision:
February 9, 2009


text:
Download Our Activity Pricing Guide
July 1-October 31- During Open Hours
Bee Barn- Free
Barnyard Zoo- Free
Zoo feed available @ $1.00
Mini Maze- Free
Mining for Gems, Pre-seeded bags of minerals and fossils available @ $5.00 & $8.00
Timber Park Playground- Free
Timber Nature Trail- Free
Timber Park Picnic Areas- Free
Festival Weekends (Saturday and Sunday), 10:30 a.m. - 6:00 p.m., Beginning September 10th
Weekdays (Monday thru Friday), 12:00 p.m. - 6:00 p.m., October 1-31st
Fall Fun Park includes all of the activities listed above in the Timber Park, Plus:
U-Pick Hayrack Ride- $2.00
Daytime Corn Maze- $5.00
Pony Rides- $4.00 (Festival Weekends Only)
Cow Train Ride- $2.00
Corn Cannon- $2.00
Straw Fort- $2.00
Jump House- $2.00
Duck Races- $2.00
Zombie Paintball- Daytime, $7.00 (Festival Weekends Only)
Nighttime Activities are available on the following designated Friday and Saturday Evenings
From 7:00 p.m. to 10:00 p.m.
Two Saturdays in September Only: Sept. 17th and Sept. 24th
October 1st, 7th, 8th, 14th, 15th, 21st, 22nd, 28th and 29th
Flashlight Maze- $7.00
Zombie Paintball- $15.00
Do Both and Save: Combo Ticket- $20.00
Group Rates are available for parties of fifteen or more individuals. (Pre-reservations required).
All prices subject to change.

subset: commoncrawl


text: The New York-New Jersey Trail Conference completed a new trail up the hill behind the Catskill Interpretive Center. Join a guide for the half mile hike up the new trail to the new picnic area with views of Mount Pleasant and the Esopus Creek. Learn about Catskill geology, history, plant life, forest management and threats, and what it took to create the trail you will walk.


text:
THE 7th Pan Borneo Senior Amateur Golf Championship will come to a close today with a prize-presentation ceremony after three days of competition. Both men and women golfers from Sabah, Sarawak and Brunei are participating in the meet.
His Majesty joins Friday prayer at Kg Mentiri mosque
HIS Majesty Sultan Haji Hassanal Bolkiah Mu'izzaddin Waddaulah ibni Al-Marhum Sultan Haji Omar 'Ali Saifuddien Sa'adul Khairi Waddien, Sultan an...Read more


text:
Welcome to Librarium Online!
Join our community of 80,000+ members and take part in the number one resource for Warhammer and Warhammer 40K discussion!
Registering gives you full access to take part in discussions, upload pictures, contact other members and search everything!
OK Lads, I have an upcoming League, where I am plating against 'Nids, Sisters, Space Marines and Dark Eldar. This list hinges on two Basilisks, which I usually set up in opposite corners of the 4' x 6' boards we play on. If I can't get good enough cover, I park a Russ in front of one, and a Chimera in front of another. The idea is that they have to come out to kill my Basilisks which draws them into my fire zones, as I generally make two bases in the opposity corners. It isn't a very mobile list, but it usually kills the enemy!
Doctrines: Grenadiers, Veterans, Iron Discipline, Close Order Drill and Sharpshooters.
HQ: Command Squad: JO + Iron Discipline, Cameolelene, Mortar and Veteran with Standard. 80pts
Lascannon AT Squad with Sharpshooters and Cameolelene. 130pts
Elites: 3 x Veterans squads. 10 troops, each with Cameolelene, Lascannon and 2 Plasma Guns. 405pts.
Troops: Grenadier Squad. 10 troops with 2 Plasma Guns. Chimera with EA, Smoke and Heavy Stubber. 225pts (Chimera guards Basilisk if need be)
2 x Grenadier Squads. Each with 10 troops and two Plasma Guns. 240pts (Support Basilisks)
Heavy Support: Leman Russ with triple heavy bolter combo, EA and Smoke. 163pts
2 x Basilisks with Indirect fire. 250pts
What do you think?
"A love for tradition has never weakened a nation, indeed it has strengthened nations in their hour of peril."
Sir Winston Churchil
Hmmmm, I'm not sure about that Russ. Just taking one is making it a target basically and will cop all the heavy AT fire. I think I'd grab another cheaper Chimera to use as a shield for the Basilisk.
... only triumph could turn pooing his pants into a good thing..
I know Close Order Drill is a free Skill, but which of your units did you plan to use it with?
You could get like Drop Troops or something instead, that you at least have the possibility to use?
Id drop the cameoline cloaks, and the Mortar in the command squad and maybe replace it with some meltas or flamers? I find Mortars work best in groups soooo maybe a mortar support squad? And the Cameoline cloaks are a waste of points in my opinon. I ran em for a while but in the long run I dont miss them.
dont you still have to use doc. points to be able to use stormies as 'naders and cameleoline as spec. equ.?
Beer, Pipes, and Guns... Dwarves had the right idea.
oh ok thanks, ive been wasting a doc point then hahaha.
Beer, Pipes, and Guns... Dwarves had the right idea.
The first problem with the list is the Doctrines, you have listed:
Grenadiers, Close Order Drill, Iron Discipline, Sharpshooters, Veterans
In the army list you are using Cameleoline which requires a doctrine point. I would advise dropping Close Order Drill for Cameleoline or dropping Cameleoline completely.
Second, I have calculated your army at 1504 points. I'm assuming that your friends don't mind the extra 4 points. You can save 58 points by replacing the Leman Russ with another Duplicated Chimera. After Calculating for the 4 points you are over, you are left with 54 points to spare.
Purchase an Honorifica Imperialis for your JO, this helps with the armies leadership and general hardiness of the officer. You are then left with 29 points. Purchase an additional plasma gun for each of the Vet. Squads taking you to 1501 points. If your friends didn't mind the 4 points over they should be happy with the 1 over.
Nice List.
Last edited by Fenix1776; May 12th, 2007 at 22:17.
What do you call a lasgun with a laser sight?


text:
As the host venue for the Napa Truffle Festival (January 12-15, 2018), the Westin Verasa Napa will be offering special rates to festival goers. The Westin is one of the most luxurious hotels in Napa, and is conveniently located in the downtown area of Napa – within walking distance to restaurants, shops, the Wine Train, Oxbow Public Market and the newly developed Riverfront. For the duration of the Festival, you will be able to take advantage of special rates exclusively available to Festival guests.
We recommend Beau Wine Tours for your transportation needs during the Napa Truffle Festival weekend. Registered attendees of the Napa Truffle Festival will receive 20% off hourly services and 15% off airport transfers. To reserve, please call 707-257-0887 and let them know you are attending the Napa Truffle Festival.


text: While Google TV is still not dead, it may return as early as in the next Google event that is what we are hearing the rumors as of now. After the initial version of Logitech Revue which was pitched as the Official Google TV, Google has unfortunately never expressed their seriousness about the same. After the recent launch of Chromecast ...Read More »


text:
Are you planning to attend a special event this June but is unable to finish work on time? Then we are here with June 2017 Calendars & Hello June Beach featuring the most active designs to keep the summer laziness at bay. Our team wishes you a Happy Summer!
Hello June Beach
Download Hello June Beach from our official website. Keep in Touch!


text:
Every day, my previously stable faith is replaced with a little more hungry curiosity. I consider this progress. Have posted this brief statement on my Facebook and twitter accounts yesterday and promptly received quite a bit of interest in return. Not surprising, really, that my typical readership would resonate with such a claim, but I [Read More…]
Replacing Faith with Curiosity
October 2, 2013 by 5 Comments
When Ministers Get Honest About Doubt
September 30, 2013 by 7 Comments
Following is excerpted from my larger weekly Bible Study, called Heretic's Guide to the Bible. To read more, or to join the study, CLICK HERE or on the banners above or below the text. A friend of mine was a pastor at a church where she admitted to me that her congregation had different ideas [Read More…]


text:
pq600.mp3 17:59
This week's rounds are Music (Lah-Dee-Dah), 600, Minor Capitals, the Natural World and an extra Prize Round!
Prize Round Picture Question:
Which company?
Alistair Calder
2016-09-16 21:48:02 +01:00
Congratulations on #600! I listen every week and love the show!
2016-09-21 02:00:22 +01:00
Congratulations on your 600 episode of Podquiz!!! I have been listening to the show since episode 80 (more or less).
So many years (we used to be so young... LOL)
Keep up the great work with the show for many more years.
2016-09-23 17:53:19 +01:00
Many congratulations on achieving such a milestone and giving many listeners great pleasure on the way!


text:
Are you sure?
This will redirect you to the selected website and the basket will be emptied
Age Suitability:
|EU Warning: Not suitable for children under the age of 3 years due to small parts which could cause a choking hazard
|Supplier Contact Details: email@example.com Supplier Phone: UK 0 1159475200 ROI 0044 1159475200
This set of Top Model Colour Glitter Gel Pen Set contains 5 colour glitter gel pens. Please note: Colours and Styles may vary.


text:
Soft & Slow: A Pale Girl's Best Friend?Tuesday, July 22, 2008
I'm in love with this Neo Sci-Fi Lip Glass! It's a nice amount of color for my pale skin, a light peach/nude color that doesn't wash me out and has a nice amount of shimmer.
MAC Soft & Slow Lip Glass
3 comments
I love comments! Please ask away, provide info on how you liked something, etc. Note that spam, comments with random links (which I count as spam), anything not in english (again, spam) and comments that are completely unrelated to anything will all be deleted.
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text:
Free US shipping on orders over $98. Free returns worldwide.
For the past few months, we've been hard-at-work on an all-new slate of products for Spring. From colorful tees to exclusive Italian button-downs, we think you're going to love the first batch.
We have several more releases on the horizon, alongside some exclusive pre-orders for new products.


text:
New to PoetrySoup? Introduce yourself here. Tell us something about yourself.
Can't find a poem you've read before? Looking for a poem for a special person or an occasion? Ask other member for help.
Ways to improve your poetry. Post your techniques, tips, and creative ideas how to write better.
For poets who want unrestricted constructive criticism. This is NOT a vanity workshop. If you do not want your poem seriously critiqued, do not post here. Constructive criticism only. PLEASE Only Post One Poem a Day!!!
Ask PoetrySoup Members how to do something or find something on PoetrySoup.
These Funny Food poems are examples of Funny poems about Food. These are the best examples of Funny Food poems written by international PoetrySoup poets
If you don't find the poem you want here, try our incredible, super duper, all-knowing, advanced poem search engine.
I was at my favourite restaurant and had a lovely meal
If I finished all my food then a pudding was the deal
I'd relished every morsel and was pleased as a Cheshire cat
The dessert menu was on its way, Oh I couldn't wait for that
The waitress brought the menus and I rubbed my hands with glee
Oh sticky toffee pudding, now that's the one for me
She came to take the order – we had waited as you do
She finally turned to me and said 'oh Madam what can I get you'
Oh stiffy cockie pudding please was my swift reply
I didn't realise what I'd said till I saw the tears form in her eye
I went as red as a beetroot and the others began to laugh
At my spoonerism which turned into a complete gaffe
The pudding it came quickly but I couldn't wait to leave
I choked on every mouthful and my stomach it did heave
So please take notice of my error on this horrendous day
If you order sticky toffee pudding be careful what you say!
My favourite Poem Contest
Sponsored by Ironic Zinc
This is a true experience! The waitress was a student at the school I work at - I was so pleased when she went to university - I have never ordered this dessert since!
This is a very special poem to me as it was my first one posted on soup and it was my first poem to be published in a book by United Press
Copyright © JAN ALLISON | Year Posted 2014
Is it Love
a simple bowl of ice cream
sweating from the heat
cherries on the top
huddled 'round and looking sweet
two little wooden paddles
pretend that they are spoons
as we sit beneath the stars
in the savor of the moon
your lips are all I see
as they caress them with a passion
the cherries on your tongue
in a delightful playful fashion
with our eyes intent and focused
in a stare of solemn trust
Is this ice cream truly love
or is it merely cherry lust
Copyright © Jerry T Curtis | Year Posted 2015
It bounced off the truck
And then rolled down the highway
Apple turnover
How 'bout them apples
When Jonathan McIntosh
Won the spelling bee
Apple of my eye
Jenny had the sweetest smile
For another guy
Right down to the core
When that apple crossed the plate
An infield dribble
Just one little hole
In that shiny red apple
Just one little worm
Copyright © daver austin | Year Posted 2008
Sandy was a chocoholic,
The worst I've ever seen!
If she didn't eat some daily,
She'd become crazy mean!
It didn't matter what kind it was,
Ice cream, cake, pie or candy,
As long as it was chocolate,
Sandy was fine and dandy!
Then one day the unthinkable happened,
To the chocolate loving miss,
While eating her favorite candy,
She choked on a chocolate kiss!
"Death by chocolate," the coroner concluded,
As to the cause of Sandy's death.
At least she died doing what she loved,
Eating chocolate til her last breath.
11/21/11 for Natalie the Rogue Rhymer's
"Die a fun Death" contest
Copyright © Kim Merryman | Year Posted 2011
C hocolate Candy Emmmm what a treat.
H as sweet ingredients that can't be beat.
O h what delight to put in our mouth and eat.
C hocolate a passionate lovers sweet. (
O nly the lonely will not eat this meat. (
L overs who Love chocolate will find this neat. ^
A ll chocolate will cause lovers to stay in heat. & &
T ake your time and savor this candy. % %
E ach one of you knows it makes you randy. @@@@@
K issing with chocolate covered lips is bliss.
I n your mouth each tongue will entwine with a kiss.
S o get yourself some chocolate today.
S weet chocolate candy will help you to play!
Copyright © Marty Owens | Year Posted 2010
My dear Nacho Cheese Doritos
I love you like an ill,
You fill me with unhealthiness,
Oh but how I crave you still.
My dear Nacho Cheese Doritos,
You are the greatest of the chips.
The corn, oil, and cheese seasonings
are like heaven on my lips.
My dear Nacho Cheese Doritos,
You are breakfast, lunch and dinner.
With every bite of triangle tortillas,
The bag, not me, gets thinner.
My dear Nacho Cheese Doritos,
no chip is to be left behind.
Oh no the bag crumbles empty,
Now I have crumbs to find.
Copyright © Casarah Nance | Year Posted 2014
"I can't find the words I want to say! "
Under the moonbeam and sparkling scattered stardust,
I can feel the dew, which surpasses through the night.
As I speak to you in tongue, this stale flavor becomes overdone.
A taste of what is behind them luscious ludicrous lips.
I finally ask!
"Do you not feel what I feel?
Can you not feel my heart hesitating and holding hectically?
Addressed with attach anticipation on your side!
It is my hesitation, to answer with, "Please?"
The dwelling night disappears, underneath my deepen darken days,
In which makes every day, another night to come.
The wondering and whining worsens a little more.
I ache for seconds more, than my mind begins to mend.
The mornings keep approaching fast, the silences breaks!
Shattered scattered splattered words, finally released.
You start to nurture up around your notable noble nearsighted eyes.
For I have starved, just about all I can take.
Master of this crying slave…
"Your perception burns, the prescription, of persuasive deception."
Your inacceptable improper intention cannot heal me now!
Leaving an awkward awareness feel, which lingers to the lustiness', lost inside of me.
With a wallow with a swallow, soaping and spiting the sight of you.
Meanwhile your thoughts focus on the painful pulsating pleasure.
You will unleash on me…
For leaving all the crummy crumbling crumbs under our silver satin sheets.
I will be smacking and snaking surrendering and yielding, yearning at your will.
Please Master Can I have another, Cracker in bed~~ ?
Copyright © Poet Destroyer A | Year Posted 2012
"The finest poetry
is the most feigning."
—William Shakespeare
Smelling scent soothe my soul
Sits in sleek oven
Simmering Jack-O-Lantern
Smile so nicely
Saliva pours for
Sweet pumpkin
© Joseph, November 2, 2008
© All Rights Reserved
Semi finalist contestant
292 out of 887 submissions
June 1, 2009 International Contest
Joseph S. Spence, Sr., is the author of "The Awakened One Poetics" (2009), which is
published in seven different languages. He invented the Epulaeryu poetry form, which
focuses on succulent cuisines and drinks. He is published in various forums, including the
World Haiku Association; Poetinis Druskininku, Milwaukee Area College, Phoenix Magazine;
Möbius Poetry, and Taj Mahal Review to name a few. Joseph is a Goodwill Ambassador for
the state of Arkansas, USA, a college faculty, and a military veteran.
Copyright © Joseph Spence Sr | Year Posted 2008
I just blew a kiss on a cool summer breeze
Comming from Wisconsin, it's going to taste like cheese
It's for a dear friend who lives quite far away
So I'm hoping she will recieve it, within the next day
I also hope she doesn't mind the flavor of this kiss
But if she loves cheese like me, the taste will be bliss
Floating through the air past all the factories of cheese
The dreamy taste of this kiss, will be sure to please
Though I must warn her not to eat with that blissful kiss on her lips
For all food will taste delightful, which may add a little weight to her hips
Copyright © Dan Kearley | Year Posted 2012
Must make haste
Time for "waste"
Copyright © M. Hussain Effendi | Year Posted 2011
In the middle of the night,
When the moon shines bright,
A creature stirs with a terrible bite,
And his name is Spoonfang.
This vampire with a spoony face,
Has developed quite the taste,
For creatures of the pudding race,
Has the greedy Spoonfang.
So when the stars through dark clouds peek,
Into the kitchen he will creep,
And a tasty snack he'll sneak,
Will the crafty Spoonfang.
Mousse and trifle, cake of cheese,
Ice-cream left in the deep freeze,
He's had a bite of each of these,
Has the naughty Spoonfang.
But tonight he's set his eyes,
Not on mother's tasty pies,
But on Gran's birthday surprise,
A gateau all for Spoonfang.
And so he creeps along the floor,
Tip-toes to the kitchen door,
But someone else is there before,
The bold and daring Spoonfang.
Count Spatula! The greatest Pudding Vampire of them all!
Both the vampires get a fright,
Their screams echo through the night,
And someone switches on the light,
On Spatula and Spoonfang.
Mother tuts and shakes her head,
Sends son and father back to bed,
Neither vampire has been fed,
Not Spatula nor Spoonfang.
Maybe there's a little Pudding vampire in all of us!
Copyright © Sharon Smith | Year Posted 2014
There once was a girl from Arizona
Who could only fit in a kimona
She vowed to lose some weight
But loved all kinds of cake
Even drawn by pumpkin cake's aroma
She vowed that she would be stronger
Would wear kimonos no longer
With cotton up her nose
From the table arose
Now in leggins she does saunter
Sponsor: Gwendolin R.
Contest:A Limerick In My Pocket
Copyright © Sara Kendrick | Year Posted 2013
"Edith! Edith! I didn't find a Twinkie in my lunch bucket today!
What happened, Dingbat? Why do you torture me this way?"
"But Archie, ain't you seen on TV they ain't makin' 'em anymore?
The company is foldin' up and they ain't stockin' 'em at the store!"
"I blame you fer this disaster, Meathead, you and yer pinko friends!
The greedy union reached too far killin' jobs on which people depends!
Yer democrat gov'mint stimulated my tax dollars fer ever' thing in sight!
Instead of blowin' money on green inergy, I'd like some to solve my plight!"
"But, Daddy" - poking his gut - "fast food like Twinkies isn't good for you!"
"Let me tell you somethin', little girl! That may be yer lib'ral point of view!
My life ain't never gonna be the same agin without Twinkies fer a snack!
Them things is as American as yer mother's punkin' pie and I want 'em back!"
"I fought for the flag, baseball, Coca Cola and Twinkies in Dubya Dubya Two!
I slogged through the mud in Italy and was shot in a very fragile area too!
Now, I feel that it was all in vain to pertect all them things I hold dear!
No Twinkies for my lunch? Stifle yerselfs! I'm goin' to Kelsey's fer a beer!"
Robert L. Hinshaw, CMSgt, USAF, Retired
© All Rights Reserved
Copyright © Robert L. Hinshaw | Year Posted 2012
They organized a church bazaar,
To raise money for the poor.
A booth for selling chances
Was set up, outside the door.
When I bought the raffle ticket,
My reasoning was murky,
And I could only just believe it,
When I won that doggone turkey.
Now, the kids were all excited
When we brought the critter home.
So we placed him in the barnyard,
Where he'd have lots of room to roam.
Since the date was late October,
I'm quite sure you understand,
That to have him for Thanksgiving
Was my awe inspiring plan.
Well, the turkey was no birdbrain,
As I was very soon to find.
That bird knew what I was thinking;
Why, I declare, he read my mind.
I let the children care for him,
To my most profound regret--
He turned on his charming manner,
And, quickly, he became their pet.
But that fact did not deter me,
I told myself it didn't matter.
I was dead set and determined
To see that gobbler on a platter.
When the kids perceived my purpose,
They turned on the tears and pleas.
Then, the wife joined in their chorus,
And that brought me to my knees.
So I told my grieving family
They could dry up, and relax.
I concealed my disappointment--
Went and put away the axe.
Came the dinner of Thanksgiving,
Not a sad face could be found.
And our live Thanksgiving turkey
Was the gladdest bird around.
We gathered around the table,
And I humbly asked the blessing--
While Tom gobbled down his corn, outside,
We had hotdogs and dressing.
Copyright © William Robinson | Year Posted 2006
It wiggles and jiggles
and feels fun to the touch,
a cinch to make;
something everyone loves.
There are a million flavours,
many are fat free,
jello has been around
for many centuries.
The colours are as vibrant
as a peacock's quills
just pick your favourite;
add water, and let chill.
For something so simple
to bring such pleasure,
it is one of life's mysteries,
that everyone treasures.
So lets pause for a moment
and give thanks to jello;
for who doesn't smile,
at the options of jello.
Copyright © Lynn Marie | Year Posted 2007
Oh, nicker. Oh, nacker.
I broke my poor cracker
While putting it in my soup.
I just wanted a nibble,
But the soup had to quibble,
And thus all my plans turned to poop.
So now I'm here sittin'
A poor man quite smitten
With no other crackers to spare,
On soup that's unlawful,
So twisted and awful,
That it kills with no thought and no care.
Why can't it relate,
And learn not to hate,
My crunchy, crisp wafers of bread,
It would have much more fun
Not to mention for one,
My crackers won't all end up dead.
I suppose it's too much
To ask soup for such
A commitment to love other food.
But till its attitude mends,
And it learns to make friends,
I believe that my crackers are screwed.
Copyright © Jason Klaiber | Year Posted 2005
Though I ain't a cordon bleu chef as the title might imply,
I can still whip up gourmet fare in the blink of an eye!
And to an oven or a fryin' pan I need not be a slave,
As long I can open cans and boxes and use my microwave!
No need for me to spend hours cookin' on languid afternoons,
Makin' a mess with spatulas, blenders and tablespoons.
I can simply open a box and fix Kraft's macaroni and cheese,
Or thaw Marie Callender's lasagna from a carton in a breeze!
Ah, the variety of Campbell's soups I can extract from a tin,
All prepared to perfection, not too thick and not too thin.
Doesn't take me long to create a scrumptious mulligan stew -
Just open a can of Dinty Moore and heat it up is all I do!
I never bother makin' vanilla waffles anymore from scratch,
When I can thaw Eggo things from a box and enjoy a tasty batch!
Thanks to my handy microwave I can fix Sara Lee frozen pies -
I didn't bake 'em but my gullible guests think otherwise!
My side kick Chef Boy-r-Dee and I make a fine spaghetti,
And also unrivaled ravioli, tortelline and capelleti!
I'm always happy to share with others the secret of my success,
And the proper presentation of fine cuisine with panache and finesse!
Entry for Lewis Raynes' "I Love Food" Contest)
I can die happy, with a great big grin
Knowing that I'm going to submit to this sin
It's salacious, it's scandalous - I'm in a tailspin
Chocolate Mousse Cake
Give it up, give in - Dig in!
Each delectable forkful
An endorphin rush
Serotonin gush
My heart races, my cheeks flush
A decadent delectation
A sweeter than sweet sensation
I succumb to the temptation
A morsel of mousse
So silky, so dreamy
Rich, moist cake
So milky, so creamy
Dark and mysterious
I'm giddy - delirious
My oh so perfect lover
This relationship is serious
I fall into your sensual embrace
And lick the plate clean, there is no trace
My mantra is "Mmmmmm"
So I freely partake
Never get enough
Of this divine stuff
My slice of heaven
Chocolate Mousse Cake
For Linda-Marie's "Dreamy Dessert" Contest
Copyright © Corinne Curcio | Year Posted 2010
Bagels and baguettes
Bap or fried bake,
The fruits of the flour
are easy to make
Chollah, chapatti
Cinnamon bun
These global delights
make eating such fun
Filled with Caribbean sweet meat
like Guava jam,
Scottish smoked salmon;
Or Danish roast ham
Add a fresh fruit salad,
some sparkling wine
A candle, red roses and
you're ready to dine.
Copyright © jo davis | Year Posted 2011
Copyright © Dawn Drickman | Year Posted 2005
When Einstein signed up for cooking school
He made a mistake, against the rules
He dribbled "OLD SPICE"
to season the rice
Not nice to nibble, but fragrant gruel !!
"Anyone who has never made a mistake has never tried anything new."
- Albert Einstein
4/20/15 For The Contest: Famous Einstein Quotes
Sponsored by John Freeman
Copyright © Carrie Richards | Year Posted 2015
Will you,Eat me; eat me,
please, like A piece,
of Reese's Pieces,
chocolate pleasure,
I melt in your mouth,
I am that Kit-Kat,
who will satisfy,
your whatchamacallit,
to make the Skor, on
Your Nutroll,
and go nutritiously,
over my babyruth,
for you are, that mounds,
of full almond joy..
Copyright © Carma Reed | Year Posted 2012
I just can't believe it
I'm addicted to soup
I can't put the spoon down
I continue to scoop
So many flavours
I can't get enough
It's like there's heroin
They put in this stuff
Sure I can quit
Any time I want
But wait a minute
Look at that font
A few more minutes
Perhaps an hour or two
Good thing I kept reading
I got introduced to you
Copyright © Richard Lamoureux | Year Posted 2012
There once was a fight on my plate
In front of my face while I ate
The Broccoli on the left picked up its Spear
And stabbed the Corn on the right, right in the Ear
The Avocado Artichoked the Zucchini
Before the Pepper rang the Bell on that meanie
The Onion went to Bed on the Lettuce and cried
Afraid that the Beets on the side were all Red cause they died
The Okra came in and slimed the whole affair
While the Yams slammed and Squashed the Cauliflower
The Peas ended up with Black Eyes
Next to the Potatoes that were mashed up and fried
The Cabbage brought it all to a head
Which Steamed the Asparagus with all that was said
There once was a fight on my plate
In front of my face while I ate
Copyright © Mike Hauser | Year Posted 2016
The perfect way to avoid overeating this Thanksgiving is to put super glue on your lips.
If you're not able to eat your Thanksgiving dinner, it can't go straight to your hips.
That's the perfect way to avoid overeating this Thanksgiving.
But if you can't get your lips unstuck, one week later you'll no longer be living.
Copyright © randy johnson | Year Posted 2014
We were vegan
with a brain smaller
than a peanut
and then we started eating
our brain got larger
we became higher primates
moving up the food chain
larger brain
smarter men
bigger hearts
higher blood pressure
and now
we moved back
to green
forget the red meat
to the trees
and to grass fields
became vegan again
up and down
the food chain
hopefully the brain
stays the same...
Copyright © Dino Spahillari | Year Posted 2012
Sometimes cakes are upside down,
And brownies are not always brown.
A steak should not be made of wood,
And well done doesn't mean it's good.
Sometimes food is sweet and sour,
Petals are not found in flour.
It's fair to say before they're eaten
Spuds get mashed and eggs get beaten.
Sugar often gets dissolved,
But there's no cruelty involved.
One gastronomic puzzle lingers,
What kind of fish is born with fingers?
Copyright © Rufus Reed | Year Posted 2011
Chef 's Winter dishes are simply delicious, not too much oil or cream.
Rich or plain, taste tested to perfection, tiny portions sometimes steamed
He starts the day with freshly squeezed orange juice,coffee and toast.
And embarks on a fitness journey along the seaside in Adelaide.
Today he is going to create a seafood bisque inspired by his walk.
This morning whilst walking along the beach he noticed the outgoing
Tide and outlet left a long groove with definite honeycombe indentations
snaking parallel to the shore for a distance near a giant swirly starfish.
From an aerial perspective it looked like a Christo dragon , hardened ripples
representing the scales and the sometimes swirling patterns here and there
where the giant Sea-dragon moved, slithered or shifted about in the sand .
The Sea-Dragon must have laid there for some time before he disappeared
as his scales were deeply impressed and clearly embossed in the firm sand.
A clear body of water flowed in the center of this outlet echoing the scales
shimmering and gleaming with sunlight smoothly on the groove's surface.
Upon seeing this ,Chef etched it in his memory and began to mentally gather
ingredients for his creation.How could he give his bisque the dragon flavour?
Grilling the whiting, prawns and scallops with butter laced with honey , chilli,
cardamon + crushed nuts , garlic, a dash of brandy.......
then adding chicken stock , lime , thyme ,cracked pepper , rock sea salt and
finally pureeing the lot with a splash of coconut milk.
Copyright © Mariana pavlich | Year Posted 2006
>I do love food.
When I was young, food was rationed.
So much of this, or that, you were allowed.
Each person had a ration book for adults and a child.
So much butter so much sugar, a few ounces of meat.
If you grew your own produce, fresh veg was a treat.
And what was put on the table, you did love to eat.
Many years have passed, and food is not rationed anymore.
The choice on the supermarket shelf, tells there is no sign of war.
Now we are leaving the EU, what will the supermarkets do?
Will the shelves be empty and bare?
Or will more British produce be for sale there.
I do love food, so hope it's there.
British, nice with a price that's fair.<
Copyright © STANLEY Harris | Year Posted 2016
My wife and I went for a cruise in the Caribbean Sea,
I decided that I would talk like a pirate 'till she got sick of me.
I told her that I was going to steal a look at her treasured chest,
Or get my hands on her booty whichever I liked the best.
And if she'd shiver me timber I told her that I would swash her buckle,
She didn't think too much of my offer but it made me start to chuckle.
I twisted one hand into a gnarled hook and even fashioned for her a peg,
I kept it up until, "Please stop this pirate business," she began to beg.
But it seems I had an enemy trying to thwart me on the cruise,
A buffet line or my beautiful wife, which one would I choose?
And then they fired their big guns at me from the dessert buffet table,
The carbs took the wind from my sails until my libido wasn't able.
When you sail the sea with a fork in hand your love life will be fleein',
Try your best not to surrender yourself to the pie plates of the Caribbean.
Copyright © Tony Lane | Year Posted 2011


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Navajo Nation Fights Urban Outfitters Over 'Disrespectful' Clothing Line
Urban Outfitters' line of Navajo-branded clothing and accessories has set off a firestorm online and within the Navajo Nation government, with allegations of trademark violations and criticism of the products -- particularly underwear and a liquor flask -- that many tribal members consider disrespectful.
Bart Cartwright cant give a definite answer as to who discovered the Americas. But one thing hes sure of: It wasnt Christopher Columbus.
The 53-year-old Lenape Indian insists we were here first, meaning natives already populated the Americas North, Central and South before Columbus arrived in 1492.
South African football's recent poor luck may be down to the anger of a local shaman.
After missing out on a place in the African Cup of Nations by miscalculating the results required to qualify, the South African FA has been embroiled in more controversy this week after a local shaman claimed he was owed 90,000 Rand (about 8,000) for providing the 'magic' behind their success over France in last year's World Cup.
First-time flyer Nick Lewis says travelling into the Peruvian jungle was nerve-racking, but his return to Sarnia was a gentle voyage following a three-week, mind-altering experience with traditional 'medicine.
"I was relaxed," said Lewis, 22.
He chose a personal retreat in Peru based on Internet research, believing it would help with his mental turmoil.
Despite having completed six years of Chinese history classes at high school, Shen Di had to once again bury her nose in history after signing up as a tour guide at the Old City of Hetu Ala. Her mission: to delve deeper into the birth of China's last imperial dynasty.
"We didn't study this in such detail in school," the 21-year-old Shen says, during a tour through a 500-meter-long covered walkway, its walls painted with scenes depicting the rise of the Qing Dynasty (1644-1911), as well as its traditional Manchurian culture.


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AdvoCare V100 Bowl2013-12-31T09:30:00-08:00
Shreveport, LA
Independence Stadium
Independence Stadium
3301 Pershing Blvd
Shreveport, LA 71109
More: AdvoCare V100 Bowl - Football
Arizona football takes part in AdvoCare V100 bowl pre-game events
The Arizona football team has some fun leading up to Tuesday's Advocare V100 Bowl in Shreveport, LA. (Courtesy of the University of Arizona)
Arizona Football Arrives in Shreveport
The Arizona football team arrives in Shreveport, LA ahead of the Advocare V100 Bowl. (Courtesy of the University of Arizona)
Advocare V100 Bowl preview: Arizona vs. Boston College
Pac-12 Networks' Mike Yam and Yogi Roth preview the Arizona vs. Boston College matchup in the Advocare V100 Bowl. The Wildcats and Eagles square off on Tuesday, Dec. 31 at 9:30 a.m.
UA-UTEP Game Moved to Friday Night ESPN Broadcast
The Cats and Miners will kick off at 8:15 p.m. in El Paso (7:15 p.m. in Tucson) on Sept. 15 with live television coverage on ESPN.
Fans Invited to Spring Showcase at Arizona Stadium
Fans are invited to the Wildcats' spring football practice on Thursday, March 2. Admission is free and gates open at 5 p.m. with the practice beginning at 6 p.m.
Theron Aych Named Receivers Coach
Aych comes to Tucson after spending the 2016 season at UTEP and the 2015 season at Angelo State, where he was a finalist for the Division II American Football Coaches Association (AFCA) Assistant Coach of the Year award.


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Our silk line dryer/line winder was designed to be small and portable, but large enough to quickly handle any job.
This design originated due to the number of lines we are swapping out in the shop, and my lack of workbench space to dedicate to a large bench top model. I fish left-hand retrieve, but have two lefties in the house so I often reverse lines for them to use. We also need to reverse reels or change lines for customers to demo our rods in the field and at shows.
This winder is small enough that I always have one in my gear bag and the jaw capacity is large enough to clamp on a tail gate (this way valuable fly lines are not spooled off on to the ground when someone "bird's-nests" a spool). Now you can travel with your silk fly lines, and dry them right in camp or the hotel to be ready for the next day.
$29.95 each


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XAU/USD - Daily technical Analysis
The pair is rebounding after clearing the 1129 pivot point, trading right now at 1132.57. The Spot is over the upper band of Bollinger, indicating a possible correction to the middle band (1127.5), while the CCI is clearly overbought. If it clears 1134.9, the pair will focus on the 1134.1 dollars per ounce ceiling. A few moments ago, the precious metal hit a new monthly high at 1135.18. Below, the support to watch is at 1133.1.


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Our love will eclipse the sun ...
_DUCHESS_, 26 y/o
Each day is a miracle to share with beloved one!
Tasha_Nikita, 43 y/o
Let me show you the way to love
Lady_inRed, 32 y/o
Ready to be your dancing queen!
Irina_BB, 33 y/o
Tasty Buns for real
Natural_Buns, 39 y/o


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What are the biggest boxing matches that could still be made this year?
The Watford-born boxer shared his latest workout with fans on Instagram
The 29-year-old is back in training and ready to take on British heavyweight rival
Who are the top ten big men in boxing?
The Gypsy King himself even joined the conversation as the duo spoke on air during their training camp in Marbella
Colin Hart has seen a number of big bouts but he says Anthony Joshua v Wladimir Klitschko is up there with the best
Promoter says heavyweight boxer to break new boundaries after epic victory over Wladimir Klitschko
The 27-year-old triumphed against the Ukrainian in the 11th round
Speaking on talkSPORT's Extra Time show Heavyweight Boxing Special
The Brit is set to face Wladimir Klitschko at Wembley tomorrow night
The Wembley bout will rival some of the biggest ever seen
Former world champion boxer fears for British heavyweight against a 'dangerous' Wladimir Klitschko
Simon Clare joins the Alan Brazil Sports Breakfast to round up the latest sporting odds
The unbeaten heavyweight was a special guest on the Alan Brazil Sports Breakfast on Friday
Klitschko was in a philosophical mood when the heavyweights spoke for the final time before they finally meet in the ring at Wembley Stadium on Saturday
The three-time super-middleweight world champion has given his expert view ahead of Saturday's huge heavyweight showdown
The former three-time world heavyweight champion tells talkSPORT the youngster has the 'tenacity, stamina, strength and mental capacity' to be undisputed champion
Tyson Fury's uncle and trainer joined the Alan Brazil Sports Breakfast on Wednesday
The current IBF champion suffered his only career knockout against the Romanian fighter
The duo clash at Wembley on April 29
The Ukrainian will return to the ring after a 15-month absence
The current WBO heavyweight champion will be watching the duo's clash on April 29th
Fury has not fought since beating Wladimir Klitschko in November 2015
Is Bellew's best win now better than Joshua's?
The heavyweight champion of the world seen out and about
The duo clash on April 29 at Wembley Stadium
The 40-year-old is relishing doing battle with his young rival at Wembley, but admits he has a big task on his hands to win
The 27-year-old convincingly beat Eric Molina at Manchester Arena
The BBBC could cancel Saturday's night title bout between the British pair after hot-headed Chisora threw a table during a recent press conference
The IBF belt is up for grabs on Saturday
WBC cruiserweight champion Tony Bellew was speaking to Drivetime
The 22-year-old joined the Alan Brazil Sports Breakfast
Brit must beat Eric Molina in Manchester on December 10 for the Klitschko clash to go ahead
British heavyweight will take on the Texan in Manchester in the second defence of his crown
The boxer displayed some nimble footwork for the cameras
The Ukrainian has a reported calf problem
If the WBA stand in the way of Joshua-Klitschko, who would the IBF allow the Brit to face instead?
The world champion relinquished his belts on Wednesday night to fully focus on his treatment and recovery from depression
The Watford-born boxer has a November bout pencilled in at the Manchester Arena
Watch the 26-year-old training in a car park


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another artwork that should be by the yard. Fantastic. Psychedelic Romanesque 2 by *Artwyrd
23. My mani inspiration. How great is this twist on the classic french manicure? Swap the neon yellow for a port shade for a classic fall look. #MyDayInStitchFix
Makeup Hacks Every Girl NEEDS To Know! These tips and tricks are all about finding new and better uses for products you already have! Seriously, most of these hacks are life-changing-ly good. Must pin!
Crockpot BBQ Chicken 1 cup BBQ sauce 1/4 cup Italian dressing 1/4 cup brown sugar 1 tbsp Worcestershire sauce salt to taste
RunwayFashion.In : Various Types of Skirts via http://www.pinterest.com/myrunwayfashion/
creamy coleslaw. A really good traditional sweet coleslaw. Everyone loved it. This is a keeper. lma
Name: Eva Age: 6 Power: ice and weather Story: her parents couldn't handle her because she would freeze everything she touched!! (ADOPTED)
FREE Online Class: Learning Kitchen Knife Skills! {chopping tips and tricks to make you a superstar in the kitchen!}
DIY Crafts for Home Decor


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Supernovae—the final explosive efforts of dying stars—are the most beautiful of astronomical phenomena. Usually occurring in higher-mass stars than our sun, a supernova produces an explosion so bright that its luminosity can rival that of the galaxy.In astronomy, supernovae are used as standardized candles to understand dark energy and the expansion of the universe. Scientists can predict the distance of a supernova from earth, given average supernova brightness. If a supernova is dimmer than expected, it is farther away. When a supernova is observed moving farther away, it is said to be redshifting. This is evidence of the acceleration of the universe. However, astronomers at the University of Toronto have recently put the validity of the supernova average brightness into question.Supernovae occur in stars with masses great enough to turn hydrogen and helium into heavier elements. Bigger stars burn more rapidly and their hydrogen fuel eventually runs out. At this point, the shell of the star begins to contract, increasing the star's pressure and temperature and starting a reaction in which helium produces carbon. The same chain of events occurs until carbon turns into heavier elements. Each time this chain of events takes place, the star becomes more and more unstable, eventually leading to the implosion of its core. The implosion has enough force to create an outward explosion, which can be brighter than the light of ten million suns. These kinds of explosions provide an environment for the birth of new stars.U of T researcher Andrew Howell explained in a recent interview that there are two recognized kinds of supernovae, one brighter than the other. The brighter kind has a greater rate of occurrence in galaxies where more stars are created, whereas the dimmer supernovae are more prevalent in older galaxies.Howell and other U of T researchers from the Department of Astronomy and Astrophysics measured the brightness of a supernova and quantified it by constructing a stretch distribution.A stretch distribution is a graph that compares the brightness of a supernova over the amount of time it takes for the explosion to subside. The greater the width of the graph, the brighter the light, because it takes longer for that light to subside. Using this technique, Howell and his team made a key discovery in their 2007 paper: they found the stretch was getting larger with greater redshift, as one moves further away from the earth.Since light takes time to travel to Earth from far-away supernovae, the light that we see now is, in reality, from a time far in the past—closer to the beginnings of the universe and the big bang. The further we look, the further back in time we are seeing, but supernovae from earlier in time bear different characteristics from more recent ones. Supernovae have evolved so that the average ratio of bright to dim supernovae today is different from that in the past. In fact, the average supernova now is becoming dimmer as compared to a supernova from earlier in the universe's history, when there was a much higher rate of star formation.Howell concluded, therefore, that the averages used by cosmologists for predicting brightness will change over time. This discovery is important for the study of dark energy and the expanding universe, as a change in the average opens up possible inaccuracies in former conclusions.Howell chose to study astrophysics because of dark energy, a substance that composes over 70 per cent of the entire universe. The nature of this substance is largely unknown. In a field with very little a priori knowledge, Howell's discovery is important, though the bias noticed in the stretch distribution has always been corrected for, despite not being understood. However, Howell explains that in future research in this mysterious area of astronomy, even the slightest changes are sure to make a difference.
Fast Facts: Supernovae
Chinese astronomers observed the first recorded supernova in AD 185
After the invention of powerful telescopes, it became easier to observe supernovae. The 1885 discovery of S Andromedae (in the Andromeda galaxy) heralded this new age of astronomy
The core of a supernova collapses in on itself at a velocity close to 70,000 km/s
After a supernova is discovered, it is reported to the International Astronomical Union's Central Bureau for Astronomical Telegrams and named
Amateur and professional astronomers discover hundreds of supernovae every year–367 in 2005 and 551 in 2006
After exploding, a supernova can emit the same amount of energy over a period of a few months as the sun would put out over 10 billion years
In a galaxy the size of the Milky Way, supernova occur on average once every 50 years


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Full Job Title: Sr. Manager, Provider Relations
Job Number: 1701471
Location: Columbia, SC
Date Posted: 6-1-2017
Plans and directs activities in the Provider Relations functions. Produces revenue for the corporation through the effective coaching and developing of Representatives to build relationships and manage the accounts of their Providers.
Essential Functions:
• Leads and develops a team of Provider Relations Reps.
• Conducts and directs provider service functions.
• Performs data analysis and develops specific actions to manage medical cost trend.
• Actions have impact upon multiple functional areas.
• Brings resources together in creative ways.
• Conducts ride-alongs with Reps in the field to develop skills and behaviors and document progress/provide formative feedback through timely and consistent Field Trip Reports.
• Ensures adherence to contractual obligations and to regulatory requirements.
• Analyzes the provider network for trending issues involving provider access, satisfaction and process improvement.
• Assists in developing practices to assist risk partners in managing financial risk. Identifies areas to improve provider service levels.
• Educates/enhances relationships within the provider community.
• Performs strategic planning for membership growth, retention, and to affect sophisticated or complex provider relationships.
• Provides training, mentoring and guidance to new managers.
• Special projects as assigned or directed.
Candidate Skills:
Technical Skills:


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A series of unrelated, super short pieces on death....
The Matchmaker
- by undone
- Rating:
- Published: 12 Feb 2012
- Updated: 12 Feb 2012
- Status: In Progress
FOR THE VALENTINES DAY COMPETITION. INCOMPLETE RIGHT NOW. READ COMMENT LIKE FAVOURITE Jenny got dumped by her boyfriend, and now it's my mission to get her with someone by Valentine's Day. Now, I'm thinking Crowe Ridges; well-liked, rather unintelligent, good-looking Crowe Ridges. Problem is, he has his eye on ME.
Join MovellasFind out what all the buzz is about. Join now to start sharing your creativity and passion
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Starting August 1st, landlords won't be able to set just any price for your rent in Paris. Through the decree of the housing law ALUR applied on this date in Paris (and planned to be in Lille in 2016), rental prices will be capped in the French capital. Why? To regulate rent increases and to provide better transparency between property owners and tenants. But does this new measure really spell out good news for tenants?
Our friend Camélia Pierre from Happy Place Paris tells us more… click here to read her full post and find out how you might be affected.


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An overcast morning signalled the start to our fourth annual dog show, Bark in the Park, held at Markeaton Park. We had faith in the weather forecast that assured us the sun would pay a visit later on, and we weren't disappointed! Last year the weather was scorching and it was just too hot, but this year the weather was almost perfect. The wind allowed relief from the heat of the sun and, with plenty of water bowls and our dog hydration station, all of the dogs coped well with the heat.
This was our biggest year to date, with 50 stalls, including inflatables, mini-landrovers for children, doggy-based stalls, face painting and a variety of craft stalls. There was something for everybody - even if you didn't bring a dog along!
Dogs, dogs, dogs!
The first dogs arrived at 10am to have a look and by 11am the dog show registration tent was busy, busy, busy! Dogs of all breeds, shapes and sizes turned up to the event. We had very very large dogs, like a handsome Leonberger called Thor, down to very very small dogs, like Frank the pug puppy.
All of our dog show classes were designed to be fun and family-friendly, so they included classes such as 'Waggiest Tail', 'Handled like a Pro' and 'Dog who most resembles owner'. All classes were popular but Waggiest Tail and Best Inbetweenie proved particularly popular. In those, our judges had their work cut out deciding who to award rosettes to!
The Dog Show
We were so pleased to see so many of our ex-residents at the event, including Walter the Labradoodle, Lana the Labrador, Heidi the Whippet cross, Gonzo the Saluki cross and Billy the Rottweiler. Billy came second in 'Handled like a Pro', Heidi won 'Rescue Dog of the Day' and Lana won our coveted 'Dog of the Day'!
Our wonderful judges were two of our Inspectors, Sarah and Chris, Stu Peck (our Branch Manager's husband) and Sandra Clark (one of our volunteer dog walkers). They thoroughly enjoyed chatting to all the owners and learning about the dogs at the event. Some of the stories, particularly the Rescue Dog of the Day, stories were quite touching an brought a tear to the eye. Others were funny and heart-warming! All the dogs on site were so well behaved and we were really impressed with them. It was a great opportunity to socialise young dogs and we witnessed blossoming friendships all around, including between Nala (previously Bourbon whilst with us) and a young puppy:
Thank you!
We'd like to say a huge thank you to everybody who came to, and participated in our event. We could not exist without the support and generosity of the public. A big thank you as well to the sponsors of our event, Ruffle No Feathers and Cosmetic White Smiles. All proceeds from this event will come straight to our Centre on Abbey Street and help to rescue, rehabilitate and rehome needy animals in Derby and the surrounding areas. I'll leave you with some lovely pictures of the day. To see more of these, have a look at our album on Facebook here.


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Rajasthan University Result 2017, RU B.A./ B.Com/ B.Sc 2017 Exams Result:- University of Rajasthan (UoR) is the most famous and popular university in the state of Rajasthan. It is the completely government governed university to deliver quality education to all of the coming students. For the every academic session, there are organizing RU Exams for each of the part like Part I, Part II and Part III. Very lots of students are going to be enrolled with Rajasthan University under different streams into different parts. Check out more and more essential and related details in the respect of Rajasthan University Result here with proceedings.
Students are going to get educated with UoR in two different ways i.e. as a private student or as a regular student. University offers several Undergraduate and Postgraduate type courses with honors and regular. Their is going to declares out RU BA Part I/ Part II/ Part III Results on the successful completion of exams. For more updates visit at examsresult24.com
Rajasthan University Result 2017, Uniraj Results 2017 Download Online
From the main designed website all of the students who were appeared into exams fetches out respective RU B.Com Part I/ Part II/ Part III Result Online after the announcement. Mostly there are going to proclaims out for all of you RU B.Sc Part I/ Part II/ Part III Result in the month of May.
Before to this there are running long period in which there are taking RU Exams for a long period. All of the other necessary information in the way of Rajasthan University Result 2017 such as Expected Result Date, Passing Marks, RU 2017 Score Card, UoR Exam 2017 Mark Sheet etc. are going to be specified underneath.
|Exam Conducting Body
|University of Rajasthan (UoR),
Rajasthan University (RU)
|Name of Examination
|Annual University Exams, 2017
|Official Website
|Exam Date
|Feb to March, 2017
|Result Date
|May, 2017 (Expected)
|Result Status
|Released Soon
Rajasthan University Result 2017, RU Results 2017 Name Wise @ result.uniraj.ac.in
About University of Rajasthan:- Rajasthan University was established in the year of 1948 and it is situated at Jaipur city, the capital of Rajasthan, India. Rajasthan University is affiliated with the University of Grants Commission (UGC), and Associations of Indian University. In the state, University of Rajasthan (UoR) is the oldest university which offers education in Under Graduate and Post Graduate level. It has several facilities like Arts, Commerce, Science, Education, Management, Law, Technology and Social Sciences etc. The exams are conducted in both ways i.e. semester wise and yearly wise. Recently Rajasthan University Jaipur Results declare for UG courses.
How to Download Raj University 2017 Exams Result Online:-
- Log on to the official website or use the link given by us.
- On the home page, click on the result section.
- After that choice your desired stream and year.
- Now, enter your exam roll no or name into designed fields.
- Submit it.
- Your Result of Rajasthan University will be there on screen.
- Download/ save this RU Results 2017 into your computer or mobile.
- Takes hard copy of this to use in further references.


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Alex Jones - HD Commercial Free - Thursday (4-27-17) William Jasper, Craig Richardson - YouTube
Thursday, April 27: North Korea Puts White House in Crosshairs - A new North Korean propaganda video depicts a simulated attack on the United States and the White House, amid escalating tensions with the Communist nation. And China conducts live fire drills days after similar North Korean drills, and subsequent joint South Korean-U.S. drills Wednesday. On today's show, senior editor for The New American William F. Jasper discusses the possibility of all-out war breaking out on the Korean peninsula. Dr. Edward Group also joins the show to break down exciting new health developments. And Energy & Environment Legal Institute President Craig Richardson examines climate change activism and Trump's energy agenda. We'll also take your calls on this worldwide transmission.
Follow me on TWITTER to get all my uploads...
Humanity on the Precipice; Reverse the Depopulation Agenda/Or face Extermination level Genocide. The "Elite" plan to carry out another 9/11 style mass casualty false flag terror attack, depopulate the planet with bio and chemical weapons, and imminently wage hellish global Thermonuclear War. These threats will remain indefinitely until the eugenicists, warmongers, and aggressors on the diplomatic and covert front are routed out of positions of power across the globe completely and permanently.
Thursday, April 27, 2017
Alex Jones - HD Commercial Free - Thursday (4-27-17) William Jasper, Craig Richardson
Posted by dogcicle
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The Critic's Choice Awards are happening this Friday, January 15, and Hollywood Crush will be live blogging from the red carpet starting at 8:30pm EST! The line-up is sure to impress, with A-list presenters including Adam Lambert, Zac Efron and Zoe Saldana, to name a few.
Kristin Chenoweth's hosting the show, and Nick Jonas and the Administration will serve as this year's house band. One of the most anticipated highlights of the show will be the tribute to John Hughes. John Krasinski and Amy Poehler will pay homage to the late director of such iconic films as "The Breakfast Club," "Ferris Bueller's Day Off" and "Weird Science." The tribute will be followed by a musical performance by Death Cab for Cutie, who will play Simple Minds' "Don't You (Forget About Me)" from the soundtrack to "The Breakfast Club." This is sure to be memorable!
Noms for leading films for Critics' Choice Awards include "Avatar," "An Education," "The Hurt Locker," "Inglourious Basterds," "Invictus," "Nine," "Precious," "A Serious Man," "Up" and "Up in the Air."
Other presenters set to appear are Will Arnett, Jason Bateman, Kristen Bell, Emily Blunt, Bradley Cooper, Rob Corddry, Abbie Cornish, Josh Duhamel, Vera Farmiga, Heather Graham, Ed Helms, Samuel L. Jackson, Ken Jeong, Tobey Maguire, Tracy Morgan, Craig Robinson, Susan Sarandon and Sarah Silverman.
Talk about star-studded! You won't want to miss Hollywood Crush's live blog of the CC red carpet — so make sure to come right back here this Friday at 8:30pm EST! Afterward, the MTV Movies blog will be live blogging the ceremony!


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About the Artist
Trevor Kyle Carter was born in London, Ontario in 1981. He has studied art at London's Bealart, University of Guelph, and Ryerson University; he also received a diploma in Multimedia Design & Production from Fanshawe College. His paintings, prints, & drawings have been exhibited and sold in Canada & internationally. His expressionistic & abstract style emphasizes texture, layers, mark-making, & text. Thematically, his work reflects his love of birds, books, travel, music, and urban life. He currently resides in London, Ontario, and works in digital advertising at Arcane (arcane.ws)
The dates and sizes of the artwork on this site are approximations. The majority of this work has been sold and is in the possession of private owners.


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A few months ago, the prospect of an executive order from President Donald Trump on drug pricing would have been the cause of high anxiety in biopharma. After all, Trump settled into the White House loudly complaining of just how badly the drug industry has been ripping off the American public.
Now there are a variety of reports that an EO is coming — and the industry could be in for a mid-year boost if in fact Trump does as expected and keeps the directive limited in scope and impact.
According to The Hill and a number of analysts, there isn't much that Trump can do with the flourish of a pen. At the top of the list is value-based purchasing on the part of the federal government. Apparently what's off the table are things like requiring Medicare to negotiate prices — with a formulary that would threaten exclusion to leverage significant discounts — or reimportation of cheap drugs from ex-US markets. All that would require Congress to pass new laws, which is something that Congress is not good at.
Biopharma has already eagerly embraced the value-based pricing model, looking to work with payers on a pay-for-performance plan. This process has helped blunt drug prices without, well, killing the goose that laid the golden egg, so to speak.
The Hill notes that there's also interest in shoring up IP through new trade policies, which is a gift.
Evercore ISI's Umer Raffat notes that value-based contracting may not even be on the table. Instead, he's focusing on the potential of some low-hanging fruit:
• Copay assistance
• Greater passing of pharma rebates to the consumer
• Since FDA is actively involved, I wonder if some of Scott Gottlieb's recent ideas on expediting complex generic approvals etc are touted as part of this executive order
• Some feedback out there that 340B hospital discounts could come under pressure
All of this would be a tonic for a badly rattled industry that found itself in the unusual position of defending its pricing practices from a series of presidential bombshells.
Some reports suggest an executive order could come today, though Raffat doesn't think it's likely for a few more weeks.
The way this discussion is continuing, there's less and less bite behind Trump's old bark. In the end, the industry may wind up with a new commissioner they largely love and some fresh initiatives that will fundamentally leave the industry alone on prices.
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text:
Hindi translation of 'birthplace'
Word Frequency
birthplace /ˈbɜːθpleɪs ˈबअथ़्प्लेइस्/
Word forms: birthplaces
2. countable noun
1. countable noun
Your birthplace is the place where you were born.[written]
ज्न्म स्थान mn
2. countable noun
The birthplace of something is the place where it began or originated.
उद्भव स्थल mn
Athens was the birthplace of the Olympics.
Copyright © 2014 by HarperCollins Publishers. All rights reserved.
Example Sentences Including 'birthplace'
How the simple fact that Trinity was the birthplace of the bomb fitted into this story he didn't know, but perhaps Tesla would.THE GREAT AND SECRET SHOW (2001)
'Our Portland guys went down to Corvallis, Mrs Pavane's supposed birthplace.YESTERDAY'S SHADOW (2002)
He had no love for London, his accidental birthplace , or for the British for that matter.A Song at Twilight
Trends of 'birthplace'
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'birthplace' in Other Languages
- Arabic: مَحَلُّ الوِلادَة
- Brazilian Portuguese: local de nascimento
- Chinese: 出生地
- Croatian: mjesto rođenja
- Czech: rodiště
- Danish: fødested
- Dutch: geboorteplaats
- European Spanish: lugar de nacimiento
- Finnish: syntymäpaikka
- French: lieu de naissance
- German: Geburtsort
- Greek: τόπος γέννησης
- Italian: luogo di nascita
- Japanese: 出生地
- Korean: 출생지
- Norwegian: fødested
- Polish: miejsce urodzenia
- Portuguese: local de nascimento
- Romanian: loc de naștere locuri de naștere
- Russian: место рождения
- Spanish: lugar de nacimiento
- Swedish: födelseort
- Thai: สถานที่เกิด
- Turkish: doğum yeri
- Ukrainian: місце народження
- Vietnamese: nơi sinh
Translation of birthplace from the Collins English to Hindi Dictionary
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text:
I'm a keen amateur photographer of trees, forests and treescapes. I occasionally sell and exhibit under the name of The Tree Photographer: www.thetreephotographer.com
My photographic exhibition at the Sylva Wood Centre in 2016 is entitled Wittenham Treescapes. It features images of trees and forests captured over a five year period, all within one mile of the villages of Little and Long Wittenham.
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