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Improving Quality and Access to Essential Obstetric Care: The Latin American Maternal Mortality Reduction Initiative (LAMM) Stephane Legros, MD, MPH, MBA QAP/URC-CHS SOTA meeting Miami, FL March 15, 2001
Description of LAMM 3 countries: Bolivia, Ecuador, and Honduras Activities began mid-98 Project area: average of 200,000 inhabitants per country Community and facility interventions Three levels of care: primary, district, and regional MMRs range from 390 to 108/100,000
Components of LAMM initiative 2. Process (Re)design Process 3. Improvement Problem solving 4. Provider performance improvement 5. EOC Standards communication guidelines, job aids 6. Monitoring system EOC indicators, rapid surveys Clinical audit, Maternal death audit Leadership in EOC Local steering committees, community governance 7. Linkages informal/formal providers 1. Community mobilization Presentation Road Map QA interventions within LAMM
Pathway to Maternal Survival From the Community to the Facility: Access and Quality of Care Processes from Mother Care project, M.Koblinski
1. Community Mobilization Key Components Training programs IEC Referral system Monitoring system Emergency access plans Community revolving funds
Impact of Community Mobilization in Ecuador
Training Modules Human body Pregnancy Delivery Neonate In preparation Post partum
IEC IEC Posters Flyers Radio spots Soap operas
IEC IEC Plastic disc to estimate date of delivery
Referral System Specific form used for: Prenatal care Delivery Postpartum Neonate and FP
Monitoring System Specific form developed for mother and neonate Complications Location of delivery Health outcomes
Emergency Access Plan Developed by community Negotiated with drivers Displayed in grocery store
Results at Community Level in Ecuador
Percent of Communities with Emergency Access Plans and Community Revolving Funds for Obstetrical Complications Cotopaxi, Ecuador, 2000
Complicated Deliveries Attended at Home and in Health Facilities Cotopaxi, Ecuador, 2000
2. Quality Design of a New Process Team work, mix of providers and patients Focus on user needs Stepwise methodology Identification, design, and implementation of key elements
Three Waves of Process (Re)design in All LAMM Countries 1st: Achieving access, mid '98- to-mid '99 community transportation, referral, reception/triage, 2nd: Receiving care -- EOC, mid-to-end '99 EOC complications, labor monitoring, normal delivery, prenatal care 3rd: Receiving care -- EOC, Year 2000 maternal waiting home, postpartum care, neonatal care
Impact of Quality Design on Prenatal Care in Ecuador and Honduras
Pathway to Maternal Survival
Improvements in Prenatal Care at Health Center Level, Ecuador and Honduras Patient exam larger room with privacy New appointment system Integrated dental care and vaccination status
Results of New Prenatal Care Design at Health Center Level in Honduras + 49% +36% +11% Number of Visits (Design was implemented in 1999)
Impact of Quality Design on Reception/Triage in Ecuador
2- Improvements in Reception/ Triage at Salcedo Hospital, Ecuador 24-hour guard system Training of personel on IPC Personnel dedicated for triage with specific room New work schedule New outpatient rooms New transportation beds
2- Improvements of Reception/ Triage at Salcedo Hospital, Ecuador Repaired delivery table Repaired anaesthesia and sterilization equipment
Results: Number of Deliveries in Salcedo District Hospital, Ecuador Design was implemented in 1999. 180%
Impact of Quality Design on Normal Delivery Care in Honduras
First New Maternal Clinic Jose Maria Ochoa, Honduras Problem: Over-utilization of referral hospital Solution: Opening of a satellite maternal clinic to reduce burden
New Maternal Clinic, Jose Maria Ochoa, Honduras
Results: Number of Deliveries at Jose Maria Ochoa Maternal Clinic, Honduras, 2000 (Clinic opened in July 2000)
3. Process Improvement, Topics Selected by the Teams EOC drugs availability Medical supplies and equipment availability Waiting time reduction Patient satisfaction improvement
4. Provider Performance Improvement Competency Based Training (8 days duration) in on-site training centers Knowledge of EOC standards and guidelines Clinical skills training with mannequins –prenatal care, normal delivery, prolonged labor, hemorrhages, neonatal care Problem solving methodology Interpersonal Communication
Knowledge Improvement in EOC Clinical Skills, Bolivia, 2000 (N= 75) 42% 65%
5. EOC Standards and Guidelines: Communication Training Problem-based learning through case management Job aids: pocket EOC standards manual, use of partographs Clinical audits
Example from Honduras: Pocket Guide of EOC Standards Handy User Friendly New format
6. Project Monitoring Monitoring system, uses existing facility resources –Baseline assessment, pre/post intervention –Rapid facility survey, annual (24-hour care, drug availability, skilled attendants) –Facility level indicators, quarterly met need, c-section rate, referral rate –Community level indicators, quarterly
Results: Percentage of Met Need for Obstetrical Complications in Cotopaxi Referral Hospital, Ecuador
Other Activities Linkages informal/formal providers –workshops, matrices & action plans –community delivery homes with TBA Maternal death audit –pilot with PAHO in Honduras EOC leadership –local steering committees –community governance
7- Linkages Informal/Formal Providers Casa Comunitaria de Parto in Honduras
Casa Comunitaria de Parto 2, Honduras
Ongoing Challenges Maintain team commitment & energy Shorten time to (re)design Increase physician involvement Data collection for monitoring system Leadership at central level Project work load
Lessons Learned and Future Directions Mix of QI & QD with more rapid results Focus on EOC standards and compliance Foster data management EOC skills training from the beginning Simple monitoring systems linked with EOC standards Benchmark the successful activities
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If you know me, or know Ellie, or have ever attempted to make plans with either of us, you know that we spend a lot of time visiting various medical specialists. We visit some due to Ellie's corrected GI blockage and repaired heart defect. We visit others because the list of specialists that kids with Down syndrome visit in their first year of life is about a mile long - Ellie's eyes and ears and thyroid must be checked. And she needs bloodwork frequently. Add those appointments to the general well-baby checkups, immunizations (including the monthly Synagis), physical therapy, speech therapy, and developmental therapy, and you have one very busy baby girl.
I had the opportunity to review the services of 2nd.MD. The concept is fairly straightforward. Clients sign up for the website, type in key words or symptoms, and can schedule an appointment to speak with a physician. Looking through the physician list, I saw names of hospitals I recognized, which gave me confidence that the doctors would prove to be well-equipped to answer questions about my child's medical needs.
I logged onto the website and searched for pediatrics, GI, and genetics, and found a physician who seemed well suited to answer my questions. I clicked on "Dr. Isreal Kochin." He was unavailable, so I requested an appointment. I had some trouble at that point, because I couldn't seem to find available appointments, but an email to customer service was returned promptly and I'm fairly certain the problem was operator error on my part. I set up an appointment and was given the opportunity to upload medical records, summarize my concern, or even request medical records from the hospital to be sent to 2nd.MD. The video setup is easy if you can use Skype, and if you have the newest version of Adobe Flash Player. If (like me) you need to update Flash Player, this is the point at which you will email customer service again because you've been outsmarted by your computer. I never did get the service to work on my Mac, but I could have pursued a phone consult if that was my only computer.
The customer service response time was impressive. I believe in good customer service, and 2nd.MD delivers. My call was returned about three minutes after they opened. I successfully installed the Flash Player, and was off and running after I checked my microphone. Five minutes before appointment time, I logged into my 2nd.MD account and was sent to a virtual waiting room, or "Consult Lobby." Instead of reading outdated People magazines, I sat on my couch and finished a cup of coffee.
|(The virtual lobby also offered random facts and inspirational quotes.)
The doctor logged on and I felt like I was using Skype for the first time, "Hey, I see that guy!" He had the goals of the appointment (a question about reflux) and we reviewed Ellie's history. Since I've listened to rounds for Ellie frequently, I was able to succinctly list her concerns and needs. "Eleanor is a full-term 8 month old baby girl diagnosed prenatally with...." (I felt like I was on Grey's Anatomy. But I didn't say that out loud, because that would be super geeky.) We had some connection issues with the microphone - Not sure if it was on my end or his, but the physician quickly obtained my number and called so we could continue the appointment.
|(Hello there, doc!)
The doctor answered my questions, and proved to be quite knowledgeable about the specifics of Down syndrome. I'm not sure if that was based on his prior knowledge or research specifically for this appointment, but he was helpful. I'll give him extra points for exclaiming at Ellie's cuteness and using people-first language, calling Ellie a "baby with Down syndrome" instead of a "Downs baby." At the end of the consult, the Dr. Kochin ran through the expected disclaimer that an online consult does not take the place of an exam. He was able to answer my question and met the goal of the appointment.
The services of 2nd.MD aren't cheap, most appointments cost $150-200 for twenty minutes. However, for anyone who lives far away from a specialist, $200 may be a small price to pay for a consult, especially when factoring in time away from work and travel or hotel expenses. I would imagine the same is true for anyone paying out of pocket for specialists, or who is facing a lengthy wait for an appointment. I joked with a friend yesterday that I need a personal assistant to handle Ellie's appointment scheduling, and I cannot imagine if I lived hours from the nearest Children's hospital or Down syndrome clinic.
2nd.MD is on Facebook and Twitter. Their staff is amazingly helpful, and returned calls and emails far faster than most doctors I've contacted. I filled out a survey after my appointment and received a call within hours asking how they could improve the experience. Yes, I had some technical difficulties, but effective troubleshooting made the process overwhelmingly positive.
Thank you again to 2nd.MD for sponsoring this blog post. Please click here to learn more about 2nd.MD. I was selected for this sponsorship by the Clever Girls Collective. All opinions are my own. #Clever2ndMD #spon

subset: commoncrawl


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YP - The Real Yellow PagesSM - helps you find the right local businesses to meet your specific needs. Search results are sorted by a combination of factors to give you a set of choices in response to your search criteria. These factors are similar to those you might use to determine which business to select from a local Yellow Pages directory, including proximity to where you are searching, expertise in the specific services or products you need, and comprehensive business information to help evaluate a business's suitability for you. "Preferred" listings, or those with featured website buttons, indicate YP advertisers who directly provide information about their businesses to help consumers make more informed buying decisions. YP advertisers receive higher placement in the default ordering of search results and may appear in sponsored listings on the top, side, or bottom of the search results page.
24 Hour Laundromat in Hampton, VA
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Blowe's Cleaners has been proudly serving the Peninsula with quality service for over 38 years. Along with all of your dry cleaning needs we also provide tailoring and alterations. At Blowe's you can count on prompt and courteous service. We offer pick-up and delivery service. Call or come by today. Family owned and operated
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This might be the finest laundry service facility I have ever been in! The staff is so friendly and helpful. The environment is comfortable and super clean and the subs next door are out of this world! Keep up the good work!
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Protein Tyrosine Phosphatase-Like Protein Ia2 Antibodies and Glutamic Acid Decarboxylase 65 Antibodies (GADA) are not Associated With Sarcoidosis
This Article
Except where otherwise noted, this work is licensed under Creative Commons Attribution-NonCommercial 4.0 International License.
Article Information:
Group: 2006
Subgroup: Volume 4, Issue 3, Summer
Date: September 2006
Type: Original Article
Start Page: 147
End Page: 150
- I Papadopoulos Konstantinos Department of Endocrinology, University of Lund, Malmö University Hospital, S-205 02, Malmö, Sweden
- Sundkvist Göran Department of Endocrinology, University of Lund, Malmö University Hospital, S-205 02, Malmö, Sweden
- Borg Henrik Department of Endocrinology, University of Lund, Malmö University Hospital, S-205 02, Malmö, Sweden
- Hallengren Bengt Department of Endocrinology, University of Lund, Malmö University Hospital, S-205 02, Malmö, Sweden
City, Province: Malmö,
Country: Sweden
E-mail: firstname.lastname@example.com
The existence of an association between glu-tamic acid decarboxylase 65 antibodies (GADA) and/or IA2 antibodies and sarcoidosis was evaluated. Materials and Methods: 78 patients with docu-mented sarcoidosis, divided according to the presence (N=37) or absence (N=41) of autoim-mune manifestations were evaluated for GADA and IA2 antibodies using, a radioligand assay with human recombinant 35S-labeled GAD65 and IA2 respectively. Results: Two patients with GADA (2.6%) and one (1.3%) with IA2ab, both in the group of pa-tients with autoimmunity associated sarcoidosis were found. The GADA positive patient had manifest Type 1 diabetes that succeeded sarcoi-dosis. IA2 ab-positivity was seen among patients with isolated sarcoidosis. GADA and IA2ab fre-quencies were not increased compared to refer-ence subjects (2-3%). Conclusions: No clear association between sar-coidosis and GADA and/or IA2ab was found. In patients with sarcoidosis, GADA seem to be as-sociated with type 1 diabetes or other autoim-mune manifestations rather than with sarcoido-sis per se.
Keywords: Sarcoidosis;Autoimmunity;Islet cell antibodies;Glutamic acid decarboxylase;IA2
Manuscript Body:
Sarcoidosis is a systemic disease of unknown etiology, featuring noncaseating granulomas, predominantly in the lymph nodes, lungs, eyes and skin, although any organ may be involved, and by several immunological abnormalities.1 We and others2-7 have also reported of high frequency of endocrine and gastrointestinal autoimmunity in patients with sarcoidosis. The frequencies of Type 1 diabetes and the classical autoimmune marker islet cell antibodies (ICA) were not increased in patients with sarcoidosis.2 ICA, are unspecific antibodies detected with immunofluorescence on human pancreas, and comprise two major components: antibodies against glutamic acid decarboxylase 65 (GADA) and antibodies against a protein tyrosine phosphatase IA2 (IA2 ab).8 Recently two patients positive for IA2ab with sarcoidosis and Type 2 diabetes were reported and an association between IA2 and sarcoidosis was suggested.9 The frequencies of both GADA and IA2ab in sarcoidosis have however never been elucidated. The aim of this study was to examine whether there was an association between GADA and/or IA2ab and sarcoidosis in a well-characterized group of patients with sarcoidosis.2,3
Patients and Methods
Patients: Between January 1980 and December 1991, seventy-eight patients with documented sarcoidosis attending the Department of Pulmonary Medicine, Malmö University Hospital were evaluated (34 females, 44 males, median age at the time of the study 48 years, range 22-81), serum samples were collected in 1991 and frozen in aliquots for later analyses.2,3 The diagnosis of sarcoidosis was based on histological or clinical, biochemical and radiological evidence. The seventy-eight patients with sarcoidosis were divided into two subgroups according to the presence (N=37) or absence (N=41) of autoimmune manifestations (Autoimmune Addison's disease, thyroid autoimmunity, Type 1 diabetes, gluten immune reactivity and gastric autoimmunity).2,3 Twenty-eight of the 78 patients (35.9%) had been treated with corticosteroids (median 42, range 2-240 months) and there was no difference in the length of treatment with corticosteroids between the subgroups of isolated sarcoidosis or sarcoidosis associated with autoimmune manifestations. Type 1 diabetes was diagnosed in patients (n=2) in need of exogenous insulin for avoiding ketoacidosis and maintaining adequate metabolic stability.2 There was no time limit applied for the appearance of insulin requirement as Type 1 diabetes associated with autoimmune disorders may have a rather slow progression of the disease.2 The study was approved by the Ethics Committee of the Medical Faculty, University of Lund.Glutamic acid decarboxylase antibodies (GADA): GADA were measured by a radioligand assay with human recombinant 35S-labeled GAD65. A GADA index >10.2 (>97.5% of 196 adult controls) was considered abnormal.8,11IA2 antibodies: IA2 antibodies were also measured by a radioligand assay with human recombinant 35S-labeled IA2. An IA2 index value >1.1 (>97.5% of 196 adult controls) was considered abnormal.8,11
In 78 patients with sarcoidosis, only 2 had GADA (2.6%, one male, one female, table 1) and 1 (1.3%, one female) had IA2ab. Both GADA positive patients were found in the group of patients with sarcoidosis associated with autoimmune manifestations (n=37) and one had manifest Type 1 diabetes succeeding sarcoidosis, IA2 ab-positivity was seen in the group of patients with isolated sarcoidosis (n=41). The frequency of GADA and IA2ab was not increased compared with that (2-3%) of reference subjects. The associated autoimmune diseases seen in the GADA positive patients in each patient are shown in table 1.
In the present study we did not observe any association between GADA and/or IA2ab in patients with sarcoidosis. To the best of our knowledge the frequency of GADA has never been investigated in patients with sarcoidosis and only sporadic cases have been reported.9,10 Of the 2 patients with GADA, however, one had Type 1 diabetes in the context of PGA syndromes (table 1). IA2ab was not seen in that patient, probably because of the long duration of the disease. As we reported in our previous work,2 the frequency of Type 1 diabetes in sarcoidosis was not significantly raised compared to controls and ICA were negative in all patients.
Table 1. Characteristics of 2 patients with sarcoidosis and associated GAD antibodies.
|Age (year)
|GADA index
|Associated entities
|at study
|at diagnosis of sarcoidosis
|AGA-IgA, no clinical coeliac disease
|Type 1 diabetes (29), ATD (35),
Coeliac disease (44), transiently
positive adrenal anti-bodies [PGA
type III]
M: male, F: female, GADA: Glutamic acid decarboxylase antibodies, ATD: autoimmune thyroid disease, AGA: antigliadin antibodies, PGA: polyglandular autoimmune syndrome.; Protein tyrosine phosphatase-like protein IA2 antibodies and Glutamic acid decarboxylase 65 antibodies (GADA) are not associated with sarcoidosis
IA2 was previously noted in 2 patients with Type 2 diabetes and sarcoidosis.9 We studied 78 patients with sarcoidosis and found one patient with IA2ab but that patient lacked diabetes mellitus (her IA2ab titer was 2.0 with an IA2ab index of <1.1) and she did not have other autoimmune phenomena. Moreover, the frequency of IA2 was not significantly raised compared to controls. Hence, it is unlikely that there was any valid/definite association between sarcoidosis and IA2ab.
In conclusion, this study found no clear association between sarcoidosis and GADA and/or IA2ab. If GADA and/or IA2ab are detected in patients with sarcoidosis, these antibodies are more likely to be associated with type 1 diabetes or other autoimmune manifestations rather than sarcoidosis.
Grants from the Albert Påhlsson foundation, the Child Diabetes fund, the Juvenile Diabetes foundation-Wallenberg Diabetes reasearch Program (K98-99JD-128B), Lundström Foundation, Malmö Diabetes Association, Novo-Nordic Foundation, Research Funds Malmö University Hospital, Swedish Diabetes Association, Swedish Medical Research Council (7507 and 5913), and University Funds Lund University supported this study. We thank Ulrika Gustavsson and Christina Rosborn for their valuable technical assistance.
References: (11)
- Bell NH. Endocrine complications of sarcoidosis. Endocrinol Metab Clin North Am 1991; 20: 645-54.
- Papadopoulos KI, Hornblad Y, Liljebladh H, Hallengren B. High frequency of endocrine autoimmunity in patients with sarcoidosis. Eur J Endocrinol 1996; 134: 331-6.
- Papadopoulos KI, Sjoberg K, Lindgren S, Hallengren B. Evidence of gastrointestinal immune reactivity in patients with sarcoidosis. J Intern Med 1999; 245: 525-31.
- Papadopoulos KI, Hallengren B. Polyglandular autoimmune syndrome type III associated with coeliac disease and sarcoidosis. Postgrad Med J 1993; 69: 72-5.
- Papadopoulos KI, Hornblad Y, Hallengren B. The occurrence of polyglandular autoimmune syndrome type III associated with coeliac disease in patients with sarcoidosis. J Intern Med 1994; 236: 661-3.
- Nakamura H, Genma R, Mikami T, Kitahara A, Natsume H, Andoh S, et al. High incidence of positive autoantibodies against thyroid peroxidase and thyroglobulin in patients with sarcoidosis. Clin Endocrinol (Oxf) 1997; 46: 467-72.
- Mc Cormick PA, Feighery C, Dolan C, O'Farrelly C, Kelliher P, Graeme-Cook F, et al. Altered gastrointestinal immune response in sarcoidosis. Gut 1988; 29: 1628-31.
- Borg H, Fernlund P, Sundkvist G. Protein tyrosine phosphatase-like protein IA2-antibodies plus glutamic acid decarboxylase 65 antibodies (GADA) indicates autoimmunity as frequently as islet cell antibodies assay in children with recently diagnosed diabetes mellitus. Clin Chem 1997; 43: 2358-63.
- Yamada K, Yuan X, Inada C, Hayashi H, Koyama K, Ichikawa F, et al. Combined measurements of GAD65 and ICA512 antibodies in acute onset and slowly progressive IDDM. Diabetes Res Clin Pract 1997; 35: 91-8.
- Takahashi T, Kazama Y, Shimizu H, Yoshimoto M, Tsujisaki M, Ishiguro A, et al. Association of idiopathic thrombocytopenic purpura and type 1 diabetes mellitus in a patient with sarcoidosis. Nihon Rinsho Meneki Gakkai Kaishi 2001; 24: 81-6.
- Borg H, Fernlund P, Sundkvist G. Measurement of antibodies against glutamic acid decarboxylase 65 (GADA): two new 125I assays compared with [35S]GAD 65-ligand binding assay. Clin Chem 1997; 43: 779-85.


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Separate names with a comma.
Discussion in 'After Hours Lounge (Off Topic)' started by David McGough, Jan 8, 2009.
6 weeks before he died
Forgets the words
YouTube - Elvis forgets the words
I think E often messed up that song on purpose. He did it often, including a famous performance nearly a decade earlier:
I remember exactly where I was in 1977 when he died. He and I share the same birthday. And Elvis is my father's all-time favorite singer, which is kind of nice.
This makes me realize I am now older than Elvis was when he died. When I was a kid I thought he was fairly old!
He wasn't very old when he died, at least chronologically but he was sure old physically. It was all very sad.


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"For the writer wanting flexibility"
- Work/Life Balance
- Culture & Values
- Career Opportunities
- Comp & Benefits
- Senior Management
I have been working at Examiner newspapers part-time (More than 3 years)
Work outside of an office environment, literally from anywhere in the world during part of the year.
Diverse group of colleagues.
Opportunity to expand writing skills and topic areas.
Fantastic when needing to network to expand insider contacts and knowledge.
Schedule can be up and down as depending on your topic some months are slower than others.
Monthly payment varies depending on amount of published articles.
Advice to Management
Line managers should be appointed to groups of writers rather than having writers go to the general troubleshooting page and have to wait a longer length of time as seems very impersonal.
I have been working at Examiner newspapers part-time (More than 3 years)
If your a beginner this is one way to learn and get some exposure. Now I been writing on and off with examiner for more than a year and eventually publishing company and school are actually contacted me and make an offer. What I've learn in this trade you have to make sure you review the offer and put everything on writing before you start working in that way you don't waste your time.
I been writing for almost 10 or more articles and never get paid. So I stop writing article for more than a year. Got a little exposure and had some good and bad comments on my articles. Then they contacted me again and offer me a good deal and I take it.
Advice to Management
What I've learn in this trade is..It takes a lot of your time, effort and exposure to really get into this business. Most of the writers, journalist, bloggers are actually writing for free or under paid. That's why I never really depend on this business as my bread and butter. But I'm still here in this kind of business trying very hard to get notice and waiting for the best offer. You know why? I have a passion for it. I love what I'm doing even I have to pay for my on pocket . At one point, I can barely walk because of my injury and my surgery but I still have to get there if I can just to get the scoop of that event. I will try to learn more , gain more exposure and go back to school to educate myself that someday it will paid off ..
I have been working at Examiner newspapers as a contractor (More than 3 years)
There are few entry barriers. You must submit a writing sample but if it's decent, you will get work. An additional advantage is you can write on a wide variety of topics. It is a legit writing credit, and can be seen by potential employers/publishers. Great web visibility, flexible, highly independent work.
Examiner uses a horrible pub tool. It does not auto-save, the limitations for photos sizes are very inconvenient, and the site often malfunctions or does not load properly, losing work or messing up formatting. Examiner gives poor compensation. There is lack of staff support. I have asked for resolution to numerous issues with no follow-through.
Advice to Management
Improve the publishing tool and support your writers when they need access to events/shows/stories. Change the jpg file requirements for photos to accept more sizes.


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Danni might have a point there...
And today's incentive is a quick sketch showing what Danni probably did right after Kleya beamed out:
I see a lot of potential in this comic, and I'm not easy to please! Please keep at it.
Oh, I will! No worries about that!
Thanks for reading!
Awesome…this is really starting to get good! I blew through the last half of it…can't wait to see the coming fight! What will Kleya do?
Thanks! And you're going to love what Kleya does next ^_^
I had a dream last night about how this match went, but I don't think it will be how it turns out, as it involved low level pokemon. I'm excited to see how you do it.
Ha ha! Pokemon! Yeah, that's definitely not gonna happen… ha ha!


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People who are putting their face out there and declaring their bisexuality are helping demystify it.
"No, it's a cow with a crumpled horn—two crumpled horns—and daddy's pushing its face out of the tent," added Sue.
And those are the things that always stare me in the face out there.
Mrs. Carlson lifted her face out of the shadows of the floor at the sound.
He was hanging on to my bunk, staring into my face out of his sou'wester.
Sez he, "I could make your hair out of white silk grass, and your face out of red pop-corn mostly."
Suddenly he stopped, but he dared not lift his face out of the bedclothes.
If only he could—he raised his head sharply and turned to face out on the beam.
Everybody was popping his or her face out to learn the cause of such clamor.
I made a straight run for home now, but somehow felt rather melancholy, and could not get the young lady's face out of my mind.
late 13c., "front of the head," from Old French face (12c.) "face, countenance, look, appearance," from Vulgar Latin *facia (cf. Italian faccia), from Latin facies "appearance, form, figure," and secondarily "visage, countenance;" probably related to facere "to make" (see factitious).
Replaced Old English andwlita (from root of wlitan "to see, look") and ansyn, the usual word (from the root of seon "see"). In French, the use of face for "front of the head" was given up 17c. and replaced by visage (older vis), from Latin visus "sight." To lose face (or save face), 1876, is said to be from Chinese tu lien. Face value was originally (1878) of bank notes, postage stamps, etc.
"confront with assurance, show a bold face," mid-15c., from face (n.) Related: Faced. To face the music is theatrical.
"confront with assurance, show a bold face," mid-15c., from face (n.) Related: Faced. To face the music is theatrical.
face (fās)
The front portion of the head, from forehead to chin.
To insult; embarrass; humiliate; burn •This sense probably originated in basketball, where aggressive players put their hands in front of other players' faces: face, which means to embarrass (1980s+ Students)
Related Terms
bag your face, dollface, feed one's face, get out of someone's face, go upside one's face, have a red face, have egg on one's face, not just another pretty face, laugh on the other side of one's face, let's face it, paleface, pieface, poker face, red face, she can sit on my face anytime, shit-faced, shoot off one's mouth, a slap in the face, straight face, suck face, till one is blue in the face, what's-his-name, white-face


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Gradebook grades not showing in Folder Submissions
I am a new instructor for BYUI and have had plenty of hurdles this first semester, especially with grading. I began using the gradebook and this handy bookmarklet to identify missing assignments needing grades. So I also started…Read more…
4 Replies · Reply by Casey Hurley Oct 27, 2016


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text: 392 SXUS41 KBTV 280017 RECBTV NYZ028>031-034-035-VTZ001>012-016>019-281515- Recreational Forecast National Weather Service Burlington VT 817 PM EDT Tue Jun 27 2017 .The Lake Champlain Forecast... .REST OF TONIGHT...South winds 5 to 10 knots. Waves 1 foot or less, building to 1 to 2 feet after midnight. A chance of showers and a slight chance of thunderstorms through late evening, then a slight chance of showers and thunderstorms after midnight. Visibility generally unrestricted. .WEDNESDAY...South winds 5 to 10 knots, becoming west 5 to 15 knots in the afternoon. Waves 1 to 2 feet, subsiding to 1 foot or less in the afternoon. A slight chance of showers. Visibility generally unrestricted. .WEDNESDAY NIGHT...Southwest winds 5 to 10 knots, becoming south 5 to 15 knots after midnight. Waves 1 foot or less, building to 1 to 2 feet after midnight. .THURSDAY...South winds 10 to 15 knots. Waves 1 to 3 feet. A chance of showers in the morning, then showers likely in the afternoon. Visibility generally unrestricted, decreasing to 3 to 5 miles in the afternoon. Winds and waves may be locally higher in the vicinity of thunderstorms. The ultraviolet index for Wednesday will be a 7. This is in the high category. Latest Level and Temperature Data from Around Lake Champlain Level Temperature USGS gage at Rouses Point NY 97.15 feet USGS gage at Burlington VT 97.22 feet 66 degrees King Street Ferry Dock 97.24 feet 67 degrees USGS gage at Port Henry NY 97.21 feet Colchester Reef 64 degrees Diamond Island 62 degrees && .The Higher Summits Forecast for Vermont and Northern New York... .REST OF TONIGHT...Cloudy through late evening, then becoming in and out of clouds. A slight chance of showers and thunderstorms. Lows in the mid 40s. West winds 15 to 25 mph. .WEDNESDAY...Cloudy. A slight chance of showers. Highs in the lower 60s. West winds 15 to 25 mph. .WEDNESDAY NIGHT...Partly cloudy. Lows in the mid 50s. West winds 15 to 25 mph. .THURSDAY...Cloudy. A chance of showers in the morning, then showers likely in the afternoon. Highs in the upper 60s. Southwest winds 15 to 25 mph, increasing to south 25 to 40 mph in the afternoon. $$


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Steve Gibson
Last quote by Steve Gibson
Ugo was one of our heroes when the club won it's only major trophy [the 2004 League Cup]. Ugo and Gareth Southgate were the rock on which Steve McClaren brought the club the best period in its history.feedback
Apr 21 2017
Steve Gibson has most recently been quoted in an article called Karanka 'sacrificed himself' for Middlesbrough. Steve Gibson said, "I had a lot of discussions with Aitor since the weekend. We agreed that a different approach is required.". Steve Gibson has been quoted a grand total of 4 times in 4 articles.
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Mar 18 2017
I had a lot of discussions with Aitor since the weekend. We agreed that a different approach is required.feedback
Mar 18 2017
He sacrificed himself. I know people are cynical when you say that a decision was mutual, but he wasn't sacked. He's in a good frame of mind. I think he's relieved. He has been enormous for our club. He has progressed us and he will have learned an enormous amount from this experience. Aitor is tired, he has worked so hard for our football club over the last three and half years and the tension surrounding the end of last season would have taken its toll on anyone. Then we had a very busy summer.feedback
Mar 17 2017
I think he deserves to be sacked. Because, in the first year, when he arrived, the team was going to League One and he saved the team. In the second year, he took them to Wembley to play in the play-off final. In the third year, he had direct promotion. I think, in the fourth year, he deserves to be sacked.feedback
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No reproduction, transmission or display is permitted without the written permissions of Rodale Inc. Nathan G-Chats me on Friday afternoon to suggest we start our weekend inhaling dumplings in Chinatown.
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|Reviews for The Love of a Detective
| sakurak504 chapter 5 . 10/24/2014
| Guest chapter 5 . 7/29/2012
i think that this story is ok so far but sorry i dont have any constructive critisism 4 ya but i think the story jst needs more details ooh and i dont know if it would help but i would love if there was a chapter dedicated to the reason why ran and shinichi broke up. kk hope that helps and i consider you keep going with story. it has a great storyline :-)
| Etani Verray chapter 5 . 7/1/2012
Whoa, this is... excellent! It's not getting worse, but getting better and more exciting! :D Kind of fanfic that I've been looking to read. I like how you described Ran's feeling and Shinichi's coolness. I just wish Ran won't die and there's will be a happy ending :')
So, today is July 2012, I hope and I want to see your update next year. Please fulfill your promise! :)
| conan-kun143 chapter 1 . 1/21/2012
for the prologue,I think you should put up a "Ran's POV" and "Shinichi's POV" because when I read this continuously,I was wondering of why "Ran" suddenly ran as fast "she" it was actually Shinichi's ,I like the 's just what I might suggest for character's POV.
| lakssshh chapter 5 . 7/24/2011
please update. :) i want to know the true feelings of Shinichi.:))
| Aria Kudo chapter 5 . 1/16/2011
Very good so far. :]
Would like to see the Shinichi and Reiko thing end quite soon though... XP At least one Shinichi X Ran moment please!:]
Keep up the good work and update soon.
| jo107 chapter 5 . 1/14/2011
it's not getting worse . it's getting more and more exciting v a very peculiar murder case and a somewhat 'lovetriangle'..? or is the love triangle just my imagination -_- well, anyway.. it's good, really good~! keep it up v 3
| FanFictionWorm01 chapter 1 . 1/14/2011
what is happening?
Shinichi, why is he doing this?
please! write more! finish it quickly!
The first chapter is soooo 'Ran'
I like it
good job!
| shinranfan chapter 5 . 1/12/2011
that's so mean! :'(
i hate shinichi! i hate shinichi! i hate shinichi! i hate shinichi!
he's very uh, how should i put it? cold-hearted? nah, uuh, INSENSITIVE! that jerk!
let's go find ran a man and have a sweet revenge :))
but honestly, i want a ran/shin fluff :) 3
| jo107 chapter 3 . 1/11/2011
wow, that was fast :) I'm starting to feel excited .
| jo107 chapter 2 . 1/11/2011
that was short but really great ! :) I love this .
update soon ! THAAANKSS! :D
| ranshinfan chapter 1 . 1/10/2011
please please update :)
and make it a happy ending! HAHA
| jo107 chapter 1 . 1/7/2011
so sad TT I nearly cried . waahh... I want more! Please update soon v
| Sock Monsta chapter 1 . 1/7/2011
Aww so sad!
I love it! Please continue!


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The bed is exactly what we expected. Many sleepovers it is just perfectRead More
i like the look of this bed. and it is one of a very small number of single beds with both a trundle AND storage drawers. one of the trundle bed wheels bent is really my only complaint. they could use larger heavier casters.Read More
I was looking for a trundle bed with storage for my 3 year old daughter to grow into. When I found this bed on Overstock, there were no reviews. I did ask Overstock a few questions and might have overlooked to ask a few others. I decided to risk a buy with this bed for the following reasons: 1. This is a trundle 'storage' bed, not many trundle beds have storage. 2. It has smaller footprint compared to another trundle storage bed I was considering (Trundle Storage White Finish Sleigh Captain's Bed). 3. Trundle bed can be completely moved from the under the main/taller bed and used separately as another bed..I was thinking of sleepovers :-) That said, I'm not completely satisfied with the product as it has the following issues: 1. Head board and foot board came damaged, had to contact Sonax (new name for Corliving). They shipped replacement parts promptly at no cost (I didn't have to ship them the old parts which I struggled to get rid of for a couple of months), but the new parts were not completely defect-free either. I guess you cannot expect perfection with all wood (I believe this is all pine) furniture..? I just used the items as is. Even the long piece that connects the two head/foot boards was slightly damaged which I did not care to ask replacement for. I did not return the unit as I did not want the hassle of packing everything back into the 3 boxes it came in. 2. My daughter sleeps on an 8 inch memory foam mattress (it is lined with 1/8th inch plywood on the bottom) and it still feels too high. Just in case anyone is interested, here is some info: from the floor till the top of the mattress (8 inch) it is about 31 inches. Had I known this before, I would not have bought this piece of furniture for my 3 year old. She still struggles to climb up although she is as tall as a 4 year old. It might be ok for bigger kids and/or if you have ceiling taller than 8 inches. 3. Storage drawers on the trundle (3 are real and 3 are fake) are rather small and have no ball bearing glides, it is just all wood. Don't expect great quality here. However, it is not very hard to open and close if you store light items in the drawers. Might become an issue if you store heavy items. 4. The rollers on the trundle are tiny and they scratch my hardwood floor easily. I wish they had used a good quality roller. The bed frame close to the legs gets damaged very easily if you do not carefully align the trundle before you push it in. You see, pine wood is a soft wood. 5. The bed creaks when my daughter climbs up, changes sides. I have been tightening all accessible nuts and bolts every month. Advice for those considering buying this product: try and find something similar at a local furniture store if you can. Younger and lighter kids might be ok with this. If you do decide to buy this product - it is not terrible but not great either - please do replace the roller. I will keep this for a few years and buy a different one when this breaks.Read More
So far, we are happy with this bed. It is made out of real wood and good quality. It was pretty easy to put together for my husband. The trundle part of the bed does not attach to the frame, but we like that we don't have to worry about it staying on a track. It is easy to move the trundle in and out. We currently have it on a hardwood floor, not sure how the wheels would be on a rug. The draws a good sized.Read More
CorLiving White Heritage Place Trundle Bed
Today: $705.99


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Price FromView Rooms
This hotel doesn't have any reviews yet.
About the hotel
Hotel Astoria Gallarate offers a free shuttle service to Milan Malpensa Airport. Milan city centre and the fashion district are only 30 minutes away by car or train. The shuttle runs every 30 minutes between 07:00 and 10:00.
All rooms are equipped with any modern comfort - air conditioned-bar- satellite TV-internet access-telephone and 24 hours long room service. Bathrooms are spacious and showers comfortable and functional. A special care is put in guest rest, beds with natural wood plank, orthopaedic mattress and Pillows made with anallergic materials, double glasses windows to insure quiet and silence. Covered and guarded car parking. The breakfast buffet includes organic foods.
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- Air conditioning in rooms, 24 Hour Reception, Smoking allowed in bedrooms, Safety Deposit Box, Hairdryer in each room, Minibar in each room, Telephone In Each Room, 24 Hour Room Service, Concierge, Laundry/Valet Service, Wake Up Call Available, Currency Exchange, Interconnecting rooms available, Childrens Facilities - Outdoor, Pets Allowed, Doctor on call, Porter, Lift to all floors, Public Air Conditioning
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- Car parking available onsite, Airport Shuttle, Car Parking Available Offsite
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A senior-level diplomat was grateful there was no mention of his time as U.S. ambassador to Venezuela.
It's a post he'd just as soon forget.
William Brownfield, assistant secretary of state for international narcotics and law enforcement affairs, began his remarks at a congressional hearing on U.S.-Mexico relations on Tuesday thanking the panel for not bringing up that time in his life.
"May I open by thanking you for not drawing attention during your introduction to my three years as U.S. ambassador to Venezuela, a period and a performance which richly merits not being remembered for centuries and centuries to come," he said to laughter.
Brownfield, a career Foreign Service officer who served there from 2004 to 2007, had a contentious relationship with Venezuelan President Hugo Chávez, who threatened to kick the U.S. diplomat out of the country for "provoking" his people. U.S. relations with Venezuela were strained, to say the least, and Chávez believed the George W. Bush administration was plotting to help overthrow him. Brownfield's motorcade was even pelted with eggs, according to a 2007 report in the New York Times.
Later in the hearing, Brownfield, who doesn't seem to mince words, was candid about the resurgence of heroin use in the United States.
"I know we're not supposed to create headlines here . . . but I, in fact, do believe the United States of America is confronting a nationwide heroin crisis," he said. "Over the last four years, the number of addicts and abusers of heroin in the United States of America has jumped between 75 and 80 percent. The amount of estimated pure heroin that is entering the United States has increased by nearly 100 percent."
Pro tip: When an official begins a sentence acknowledging that what he's about to say will create a headline, it's guaranteed to do so. Exhibit A, from the Associated Press: "U.S. Official Warns of 'Nationwide Heroin Crisis.' "
While we're on the subject of illegal drugs — come on, man, FBI chief James Comey was just kidding around when he said he'd start hiring agents with a pot habit.
In the Wall Street Journal on Tuesday, Comey was quoted talking about his directive to add 2,000 jobs at the agency but noting the challenge when disqualifying candidates who smoke marijuana.
"A lot of the nation's top computer programmers and hacking gurus are also fond of marijuana," he said. "I have to hire a great workforce to compete with those cyber criminals and some of those kids want to smoke weed on the way to the interview."
At least one senator was not amused.
Sen. Jeff Sessions (R-Ala.) asked Comey at an FBI oversight hearing Wednesday why he was making light of marijuana use.
"Do you understand that that could be interpreted as one more example of leadership in America dismissing the seriousness of marijuana use? And that could undermine our ability to convince young people not to go down a dangerous path?" Sessions asked hotly.
Comey said he was trying to inject some humor into the serious subject. "I am determined not to lose my sense of humor," he said.
"I waxed philosophic and funny to say, look, one of our challenges that we face is getting a good workforce at the same time when young people's attitudes about marijuana and our states' attitudes about marijuana are leading more and more of them to try it," Comey said. "I am absolutely dead set against using marijuana. I don't want young people to use marijuana. It's against the law. We have a three-year ban on marijuana. I did not say that I'm going to change that ban. I said I have to grapple with the change in my workforce."
In 2007, the FBI loosened its drug rules, allowing people to work for the agency if they'd been marijuana-free for three years.
Of course, Comey is right that attitudes on marijuana are changing. A majority of millennials think the drug should be legal, and even older generations' support for it is growing. Still, we have to imagine that J. Edgar Hoover is spinning in his grave.
The State Department awarded a $25 million contract this month to begin building a museum devoted entirely to celebrating U.S. diplomacy. The privately funded institution will be constructed as a new public entrance to the Foggy Bottom headquarters.
In January 2013, at a ceremonial launch of the Diplomacy Center, then-Secretary of State Hillary Clinton extolled the benefits of such a museum. (We mined the remarks for hints about 2016, but there were none to be found.)
"They can even poke around an exhibit called 'Inside the Secretary's Day,' Clinton said. "And, fair warning, it's not all that glamorous, but it'll give you an idea of what Jim [Baker] and I and our other colleagues have done, and to learn for themselves how challenging, valuable and rewarding diplomacy can be."
From a perusal around the center's Web site, it appears the center will feature some pretty cool artifacts. (If you're a Loop fan, we trust you have some passing interest in the goings-on in the world of diplomats.)
Some Loop favorites include Russian nesting dolls from 1991-1992, featuring the cartoon face of U.S. Ambassador Robert Strauss; a Chinese table-tennis paddle given to former secretary of state Henry Kissinger in 2007 — a nod to the "ping pong diplomacy" with China in the early 1970s; and a news-conference transcript from then-Vice President Richard Nixon's "goodwill tour" of Venezuela.
— With
The blog: washingtonpost.com/
intheloop. Twitter: @InTheLoopWP.


text:
Colors by Audrey. Everything else is by me.
Vize to the rescue! Or not.
Colors by Audrey. Everything else is by me.
Vize to the rescue! Or not.
I sry, I don't understand this one at all.
Something crazy is about to happen, getting into a tree apparently helps, and unfortunately she'll lose points if the enemies die to it as it is with pretty much all causes of death with her around.
That's all I can think of.
What about the kid tied up on the ground lol
They're probably safe by way of being covered in plants. I'm thinking that whatever it is goes after non-plant things.
She's at the damage control point?
Kids. The original mani and the guy that tried to free her are both tied up.
I doubt she can be held responsible for friendly fire, however.
She can, because she's Erbana, and anything dying within a certain range will lower her rating in that class. She wants 100%
Oh I think you're right. Dude is about to do something excessively major… and Kat is trying to hold him back because she's Erbana.
First Thought:
Anyways, it'll be interesting to how Kleya plans to deal with being out in the open as a result of trying to save her Erbana ranking.
Would've been interesting if Kleya had made that whisper into a quest for Danni though.
Not a native speaker here: "into" a tree? What does that imply?
Into as in climb the tree.
Get in a tree. Climb a tree.
Another example: Get into the house.
Hope it helps.
climb a tree as high as you can and hope that whatever is coming cannot climb trees.
I would think that "into a tree" means either she is to get inside a hollow log, or that she needs to climb up a tree.
Common usage implies climb. You can think of it as being short for "get up into the branches of a tree" where "into" is used as equivalent to "among." If it means to literally get inside of something hollow, it will be as much a surprise to the native speakers as to you 😉
When you climb a tree, there's often foliage at the top. This can be considered a roughly enclosed area. Thus "into" is used because you don't want to climb onto the side of the tree, but into the branches where you've got some protection. Essentially, into is used to _infer_ that an enclosed space is preferable to an exposed one. It's quite the nuance – I've never thought about it before.
Well this is interesting…
"Can't we just hug it out?"
Completely unconnected in anyway to hugging the enemy cardista …
How good is Kleya at palming cards? 😉
At first I thought Kat was going to use Vize as cover from whatever the incoming was, but I guess she's got to save him to protect her 100%
What about the to wrapped up on the ground? How will she save them?
it will most likely ignore them because they are still tied up. and it's three on the ground. the mani, the one that tried to rescue her and the guy with the sword that attacked kleya.
A tree???
I see he is trying to "branch" out his powers.
I just hope he doesn't "leaf" people stranded. ;p
She's saving the enemy! One of. What about the others?
Who is he talking to? Kat and co. are all behind him.
Going by everyones' positions, he is clearly talking in the direction of the demoli-turned-tree.
I wonder though whether he is saying that he can un-tree him; or whether he is just reassuring his wooden friend that he can still beat the others…
I can't tell if Kat is trying to save him or using him as a human shield 😉 .
"I'm'a taking you with me, bub – you have cards my friend needs to complete her quest!"
Can Kat at least swipe his cards, and give them to Danni to complete her Dude Quest.
Somewhat unrelated to the current storyline, more related to my current book craze. Has anybody here read the wardstone chronicles? Especially the later books? Grimalkin really reminds me of jane… or the other way around.
Aneeka, I lobe the middle panel! It really captures the feeling of the moment.
And Audrey, I really like the way you colored panel 1.
At 40% gravity, I imagine Kat can pick up Vize and run, but I don't think she'll be able to jump into a tree while carrying him….
Maybe she can use a plant to protect him and herself?
I would be bugging all my friends in LiFe at this moment, telling 'em to watch this crazy team.
Looks like it's Kleya to the rescue, not Vize. 😀
And thousands of Kat's fans gasped in simultaneous glee and despair as they started shipping Kat and Vine, for truly only love could spur her to such action.
And that kids, is how the demon spawn hacker began the Kat shipping wars which have left us even further devastated than she did before.
I can't believe that no one so far has guessed that the point is to get off the ground. Kleya will simply climb Vize and thus escape what I assume is something akin to the fate of the Demoli earlier. 🙂
Time to make like a tree and Leaf.
I don't think this is true, but I would love to see the whole island crashing
Dugtrio used Dig! Dugtrio went underground!
Kat's team climbed a tree!
NO NO NO. I don't care about her erbana rating, or what every big evil thing is attacking them, or who wins this fight. All I care is that we were finally going to find out how a cardista uses cards and now we won't. Darn I need to know this game so I can figure out the exploits 😛
Don't we all? Don't worry, we have TheDude to make sure we'll see it sooner or later. It *is* a tad frustrating to be still in the dark about that, but this should be worth it.
[…] don't quite understand what's going on in NaV right now. It's not very clear. Tuesday […]


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.@EufratMai at Fleshlight EU Headquarters
This Woman's Vagina Is Used To Make Fleshlights And She Is Totally Totally Cool With That
Wait. This isn't what it sounds like.
You see, this is Eufrat Mai, from the Czech Republic…
…aka the world's most chilled woman.
Also, she has the BEST way of pronouncing "vagina". But anyway.
Her vagina is used to model a Premium range ofFleshlights.
She's clearly overjoyed with the role she's played in the creation of this product.
This, by the way, is why the Fleshlight is so very pleasurable.
Here's the moment when Ms Mai learns the man next to her has had sex with a model of her mimsy.
Not sure you needed to tell her that, old chap.
Then this other guy gets involved and things start getting truly weird.
She has so much chill it's unreal.
It must be pretty weird to be in a room surrounded by thousands of models of your parts.
I would run away screaming to be quite honest.
Not to mention people who really care about your bits.
But no, Ms Mai is just overjoyed to be lending the world a helping hand.
Well done, everyone.
Eufrat Mai's vagina Fleshlight is a Premium product offered through the Fleshlight Girls Collection, and is not the Original Fleshlight. An earlier version of this post suggested this might be the case. Huge thanks to the Huffington Post for its diligence in clearing up this confusion.


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Obituary for Jean (Rollenhagen) RogersBorn: Apr. 20th, 1920
Passed Away: Oct. 26th, 2013
VisitationFriday Nov. 8th, 2013
4:00pm to 8:00pm at Throop Funeral Home
Directions to Throop Funeral Home
ServiceSaturday Nov. 9th, 2013, 11:00am at Throop Funeral Home
Directions to Throop Funeral Home
ObituaryJean (Rollenhagen) Rogers, age 93, of Coopersville, formerly of Ravenna, was called home to her Lord and Saviour on Saturday, Oct. 26, 2013. She was born April 20, 1920 in Coopersville to Jacob and Georgiana (Smith) Smith. She married Mark Rollenhagen on July 1, 1939, he preceded her in death on March 3, 1965. She was a Charter Member of the County Line Baptist Church. Jean loved to sew and lead young girls in 4-H for many years. She also loved to bake wedding cakes and was well known to many for her wallpapering. Jean is survived by her daughter, Bonnie and Wes Busman; daughter-in-law, Sheala Rollenhagen; grandchildren, Ted (Tracee) Reinertson, Sara (Tim) Kloe, Bobbe Jo (Kevin) Mills, Craig (Sheri), Chad (Tracy) Busman, Mark (Carmin), Michael (Deb), Daniel (Tracy) and Sherry Rollenhagen; 16 great grandchildren; sister, Marge Miller and several nieces and nephews. Jean was preceded in death by her parents, her husbands, Mark and Orra Rollenhagen and William Rogers, her daughter, Janet and son-in-law Larry Reinertson, her son, Larry Rollenhagen, great granddaughters, Mackenzie Jo Mills and Lexie Reinertson, her sister, Marion Helmers, brothers-in-law, Lewis Helmers, Wayne Leatherman, Jack Miller and special nephew, Jack Leatherman. Funeral services will be held Saturday, November 9, 2013, 11am at Throop Funeral Home, Coopersville with Pastor Rick Kiekentveld officiating. Burial will be in the Ravenna Twp. Cemetery. Visitation Friday, November 8th , 4 to 8 pm at the funeral home in Coopersville. The family wishes to thank NOC Hospice care givers, Margaret and Marilyn and Fountain View for the special care given to Grandma Jean during her time with them. Memorial donations may be made to Fountain View Estates, 640 W. Randall, Coopersville, MI. 49404. An online guestbook may be signed at www.throopfh.com Throop Funeral Home Coopersville, Ph 616-837-8161
Burialat Ravenna Twp. Cemetery
Directions to Ravenna Twp. Cemetery


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Monday, August 18, 2008
A WordPress Release from 10 Downing Street
no responses
I notice that the famous London home of our Supreme Leader has a new website, oddly referred to as a "Beta" – software speak for "not finished yet". In these days of financial hardship maybe the reported £100,000 price tag wasn't sufficient to test it properly before going live. It certainly still needs some attention because their HTML code currently fails the W3C validation test and the site doesn't yet contain the most basic hidden <META> description and keyword tags.
I wonder if the developers New Media Maze were asked to read Guidelines for UK Government websites – an excellent series of documents published 8 years ago. Sadly (especially given the deluge of money wasted on other IT projects) they are no longer maintained but the "best practice" they contain is still as relevant today.
At the time the guidelines were being put together I was maintaining the website for the Welsh European Funding Office and I remember attending a meeting with a very informed and focussed Neil Pawley, an "E-Envoy" from Westminster who was putting together the guidelines. Neil stressed the importance of government websites setting quality and accessibility standards. What has happened in the intervening years which has made it acceptable to release this Number 10 "Beta" live to the public?
One missing feature of the site could save tens of thousands of sheets of paper and loads of ink and energy. A print style sheet allows a rendering of a web page specifically for printing purposes. It can be designed easily to exclude unwanted navigation and shrink images and fonts. Go to File > Print Preview on this page and see how it can be printed on 2 sheets of A4. Think of the ink and paper you would use to print this page, yet using a print style sheet it uses a single page of A4. The Home Page of Number 10 uses 5 pages of A4!
Despite the many shortcomings of this site I am excited by the fact that www.number10.gov.uk is using my favourite Content Management / Blogging platform – WordPress. WordPress is Open Source, which means that the software powering is free, which should make Gordon Brown's 'Prudence' very happy. The developers have even based their layout on a free template "theme" – "Networker" by Anthony Baggett of www.antbag.com. How do I know this? Well just look at Number 10's CSS style sheet and all is revealed. – www.number10.gov.uk/wp-content/themes/networker-10/style.css
Confirmation of the WordPress theme's origins can be found by looking at its screenshot file. I wouldn't call this a rip-off as some commentators have done. All the developers have done is to base their screen layout on someone else's CSS code. Had they used AntBag's graphics and colour scheme that would be different. With all such adaptations, there comes a point when so little of the original code and design remains, that it becomes in effect a new theme. Should Anthony Bagett have been given credit for the theme? I'm not sure. At least New Media Maze haven't tried to hide the origins of their theme, which you could either regard as honest or foolish, given the attention it has received. NMM certainly can't be unaware of the protocol on these matters, as they have used WordPress for their own website for at least a couple of years.
I have been a WordPress enthusiast since 2005 after a long search for the ideal Content Management System for the small businesses and organisations I work for in West Wales. WordPress makes it simple for the owner maintain their own content and is flexible and customizable for the web developer. It is updated regularly and there are hundreds of "plugins" to extend its functionality.
I'm delighted that our Supreme Leader agrees that WordPress rocks, However I can't help but be disappointed by the way he has allowed it to go live prematurely. It gives the impression that WordPress is difficult to do correctly, when it isn't. But then again, I suppose if I were getting £100,000 for a website and using free software, maybe I would need to give the impression that it's harder work than it really is ;-)
↑ Back to top ↑


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Poll: Would you like me to make a sequel to the sole digidestined? Vote Now!
Author has written 4 stories for Digimon.
well i'm new at this...
not much to say i live in nyc.
i got on fanfiction when i read a bunch of different t.k/kari fanfics.
i wanted to make one myself...so i'm doing it =]
hopefully it turns out real good cause im writing as it comes to me


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Our constitution maps out how we operate as an organisation. It ensures that we operate in a way that has been agreed by our membership and ensures that the Executive is making decisions in a proper manner. You can read the Liberal Democrats' constitution here.
Read our constitution here.
The constitution was updated on 11th of March 2017.


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Mumbai, May 1 (UNI) After Sandeep Patil, Ajay Jadeja and others, the latest cricketer to be bitten by the Bollywood bug is none other than India Test captain Anil Kumble, who will star in the Pritish Nandy Communication's forthcoming comedy film 'Meerabai Not Out', slated for summer release.
Kumble will make his debut opposite actor Mandira Bedi, who will play a maths teacher obsessed with cricket.
The film would also star actors like Eijaz Khan, Anupam Kher and Mahesh Manjrekar in leading roles, a release said.
Directed by Marathi Director Chandrakant Kulkarni, the film will be produced by Pritish Nandy Communications in partnership with Sony Pictures and DQ Entertainment.
While the Sony Pictures has acquired worldwide distribution rights of the film, DQ Entertainment, the internationally acclaimed and AIMS-listed animation and entertainment company, has acquired a 50 per cent stake in the film.
''We could not be more excited to partner with Pritish Nandy Communications and DQ Entertainment on this enchanting romantic comedy,'' said Deborah Schindler, president of Sony Pictures International Motion Picture Production Group.
''This acquisition is precisely the kind of strong material that is the cornerstone of our local language initiative. When we find motion pictures as wonderful and engaging as this, we will aggressively pursue it,'' he said.
''This is a breakthrough production and we are delighted to take it global through SPE Films India and DQ Entertainment, our partners for this charming romantic comedy cast against the backdrop of cricket, our national passion,'' said Pritish Nandy, Chairman of PNC.
Tapaas Chakravarti, Chairman and CEO of DQ Entertainment, said ''Meerabai Not Out is a film we are delighted to partner with PNC and feel so good that SPE will take this beautiful romancing with cricket global.'' UNI JM SSS LPB DB0943


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Peace Stakeholders during the Embu County Peace forum aimed at ensuring peaceful elections
and political transition.Read more ...
The UWIANO Platform has planned countrywide peace match/walk on 27th May,2017 in all the Counties and Sub-Counties to run concurrently on the eve of the Political Parties Campaigns slated for 28th May,2017.It is envisaged that the peace match will help set the stage for peaceful campaigns and galvanise stakeholders towards peaceful elections. The event is being coordinated by the County Commissioners and Deputy County Commissioners in all the Counties and Sub-Counties respectively.Read more ...
Uwiano Platform for Peace @ 108 is a public platform to engage Kenyans in adding their voice to peacebuilding efforts in Kenya. This platform integrates the use of SMS, Incident Reports and Media reports to help strengthen peace and conflict prevention efforts in Kenya. It is a public initiative by the National Steering Committee on Conflict Management and Peacebuilding (Office of the President), which was established with the aid of the United Nations Development Programme-Kenya.
E-mail: email@example.com
Telephone: +254-20-343462/ 68/ 343514/ 343539/ 343468/ 343387
Fax: 020-310925
Mobile Phone Number: +254 732 364 783/ 717457898


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I am an experienced writer, columnist, ghost writer, magazine writer, essay writer, precise writer, and article writer. I have over 5 years experience in writing either for collage magazines, or monthly published magazines or advertisements and ghost writing. I am currently a self-employed free lancer cum book reviewer & writer and ghost writer.
Writting skills


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Shoes best for road, track and light gravel. See the best road shoes.
Shoes best for trail, off road, mountains and other unstable surfaces. See the best trail shoes.
Good to know
As long as you stick to the road or path, and if you want just one running shoe, buy a road running shoe.
Neutral / cushion / high arch
Shoes for runners who does not need any additional arch support (Around 50% of runners). Best for people with high or medium high arches. See the best neutral shoes.
Stability / overpronation / normal arch
Shoes for runners who needs arch support (Around 45% of runners). Best for runners with a normal arch. See the best stability shoes.
Motion control / severe overproanation / flat feet
Shoes for runners who needs a lot of arch support. Best for runners with flat feet. See the best motion control shoes.
Good to know
- Rule of thumb: If in doubt, buy neutral shoes to avoid injuries.
- More about arch support in this video.
- Find your arch type by following steps from this video.
Daily running
Cushioned shoes for your daily easy running. Great comfort. See best shoes for daily running.
Lightweight shoes good for races, interval training, tempo runs and fartlek. Here are the best competition running shoes.
Good to know
If you want just one pair of shoes, buy a shoe for daily running.
The height difference from the heel to the forefoot, also known as heel drop, toe spring, heel to toe spring or simply drop.
There are many opinions about what a good heel drop is. We do not recommend any in particular. Lean more in this video.
We spent 6.8 hours reading reviews from experts and users. In summary, this is what runners think:
9 reasons to buy
The Cloudracer 2 is designed for speed work on races or on trainings, according to quite a number of users.
There is a noticeably decent amount of cushioning noted by a few testers.
Being stylish is one of the compliments that many testers say.
Many runners who tried the On Cloudracer 2 applauded its super lightweight and quality performance.
It is light and low to the ground.
Its cushioning is efficient enough for a minimalist-type racing shoe.
It gives a springier bounce during the race based on several comments.
The Cloudracer 2 delivers a stable ride because of the Speedboard.
There is much protection found in this shoe than the other ON running shoes.
3 reasons not to buy
It is a bit narrow.
Many runners complained of the needed transition before they get used to its design.
Its expensive price tag holds back some runners from buying it.
Bottom line
The ON Cloudracer 2 is a racing flat shoe that can be used for speed works. Its main features provide a sleeker design for speed and support, together with an adequate amount of the cushioning and protection. With added stability, all you feel is a springy and responsive ride.
World wide, Cloudracer 2 is in the top 50% most popular running shoes. The brand, On, is the 16th most popular.
Map: Shows popularity per continent based on 1010 shoes
Expert reviews
Experts are running shoe geeks, who post reviews at youtube, directly at RunRepeat or at their own websites. Each expert is categorized from level 1 to level 5 based on expertise. See stats on expert reviews and how we calculate scores here.
Are you an expert? Apply to contribute here.
83 / 100 based on 5 expert reviews
Sota Sato • Level 1 expert
by Sota SatoInsane shoe, made for high performance athletes.
Brandon Wood • Level 5 expert
by GearistThe closer to the ground feel and construction gives excellent ground feel and the response, thanks again to the stiff strobel board/Speedboard construction is very good.
Runner's World • Level 5 expert
by Runner's WorldIt's not pillowy soft, but you wouldn't expect it to be, given that you're only an inch from paved surfaces.
Men's Health • Level 4 expert
by Men's HealthLike its predecessor, the Cloudracer 2's impressive mix of cushioning, stability and swiftness is hard to beat.
Men's Health • Level 4 expert
by Men's HealthThis very impressive performer may have been built primarily for your PB-busting efforts at road races and triathlons – Ironman competition even.
Show moreless reviews
These are visual presentations, not reviews
Updates to Cloudracer 2
On made very slight changes to the Cloudracer 2 in order to maintain the top quality and performance of the original model. The biggest change in the 2nd version of the Cloudracer is the Speedboard in the midsole. This greatly influences the stability and responsiveness of the shoe.
Another notable change that will certainly boost the shoe's performance is the removal of basically all stitching. What makes this change even more significant is the fact that the mesh upper is incredibly very light, flexible, and softer now. Without the stitching, there should be very little risk of getting an irritation or rubbing.
Cloudracer 2 size and fit
On made sure to retain the fit and sizing of the original model, which are on the dot. Runners with average foot will find the medium heel and midfoot fit superb. However, as with most racers, the forefoot is a bit snug so sizing up is always an option for those who want more wiggle room in the toe box. Available widths are D and B while sizes are from 7 to 15 for the men's and 4 to 13 for the women's.
The outsole makes up a large portion of the shoe as the On's patented Cloudtec technology is found here. Cloudtec is made up of 13 pods, 9 in the forefoot and 4 in the heel, that compress upon landing and lock themselves together for enhanced propulsion and traction. The Clouds also basically serve as the shoe's cushioning system. Beneath the clouds is a honeycomb pattern of rubber for traction and durability.
A high-grade EVA is located in the midsole for cushioning properties as well. The main feature, however, is the new Speedboard. This technology uses a plastic material built with rails that are specifically designed for the forefoot, the midfoot, and the heel for respectable stability and decent smoothness through the gait cycle.
An Ultra Light Airmesh offers unbelievable breathability. It is so porous that runners can literally see their feet through the mesh. As the mesh is now softer, it also feels very comfortable to the skin for a really nice wrap on the foot. A Super Light perforated tongue keeps up with the pace of the mesh regarding ventilation. On includes a reflective material on the TPU heel counter while a non-slip lining is part of the nice fit.
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These are the most similar shoes to {{ctrl.stripTitle(ctrl.currentShoe.title, ctrl.currentShoe.brand)}} based on it's own characteristics.


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MA in Work and Organisational
MA in Work and Organisational Psychology/Behaviour
The MA Applied Psychology (Work and Organisational Psychology) is aimed at psychology graduates while the MA Applied Psychology (Work and Organisational Behaviour) is aimed at non-psychology graduates. Both programmes are available for 1 year or 2 years part-time.
Psychology applied to the domain of work is a fascinating and multi-faceted area. From improving recruitment decisions to understanding how technology affects our work performance and experience, from coaching individuals to developing organisational capacity, psychology can be applied to enhancing peoples' well-being and performance at work and contributing to organisational effectiveness. This programme will be of interest to anyone who wishes to enhance their knowledge and skills in work psychology and pursue career options in that area.
By engaging with the programme you will develop a range of practical skills in conducting research, critical thinking and analysis, and a range of competencies relevant to professional work such as selection and assessment, negotiation, consulting, etc. The aim is to equip graduates of this programme with the building blocks to operate as effective and reflective professionals. The MA in Work and Organisational Psychology (ckd41 and 42) is fully accredited and recognised by the Psychological Society of Ireland.
The programme is delivered via blended learning. The modules incorporate a combination of self-guided online materials, web-based lectures and seminars, occasional online discussion groups and online assessments. Students must also attend face to face classes on campus on a weekly bassis during semester one and two.
Programme Learning Outcomes
On successful completion of this programme, students should be able to:
- Critically reflect on professional ethics guiding skilled action.
- Display skills commensurate with planning, conducting and writing up and effective research programme.
- Critically reflect on the nature of the employment relationship, and display a sensitivity to differing stakeholder interests.
- Demonstrate an awareness of organisational theory and the role of organisational context in understanding organisations, leadership and organisational development interventions.
- Critically appraise the psychological literature on individual differences and its application to making decisions in the workplace about personnel selection, assessment, and performance.
- Apply contemporary theories of learning, well-being and participation at work to optimise opportunites for learning and development in work organisations.
- Evaluate appropriate ergonomic and human computer interaction models and evidence around the design, appropriation, experience and impacts of technology in a work environment.
For more information contact course director Dr. Carol Linehan
To find out more and for details on how to apply click here.


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This article does contain details that some people may find upsetting or disturbing.
PC Gamer and other critics managed to get hands on with Hotline Miami 2: Wrong Number only to be stunned into silence. The opening demo features a rape scene.
You play as the Pig Butcher and smash your way through hordes of bad guys, leaving a bloody mess in your wake. The previous Hotline Miami followed this exact formula and once you reached the end of the level, the character would either rescue a target or kill them. Your target this time is a blonde who appears to fight just as well as any of the men in the room. However, once you defeat her the game prompts you to "FINISH HER." One would hope in a Mortal Kombat style way. But instead of some gruesome move ,which involved ripping out the woman's spinal cord, Pig Butcher pins her down and drops his trousers. At that moment a voice yells "CUT……..Pig Man, well done, but don't be afraid to be rougher. And you there, blondie. You need to work on your femininity. Act more helpless and scared. You know, more girly." The audience is now aware that this is a scene from a movie. However, this still did not sit well with many of the audience.
Despite the relief that the rape scene was fake and not shown, the disgust for many had firmly settled in. PC Gamer's Cara Ellison professes to being a fan of the game but was certainly appalled by the events that had just taken place. She reacts to the moment the director yells "CUT."
But this framing comes too late. Hotline Miami 2 has already used her for shock and power. Videogame women don't get very many other roles to play but the helpless damsel. I played the rest of the excellently constructed murder simulator demo in silence, and left feeling uncertain of why I was so upset. It was because I was manipulated.
The developer Dennaton Games has subsequently removed the opening and intend to re-work it.
I respect people's comments and the fact that people voiced them. That's how they feel. Our scene made them feel this way, so we have to think about why and if there's something we can do to make it better. I don't think it's right to just say, "You're wrong. You're just looking at it wrong." That's not the way to go."
I personally am a firm believer that games ARE an art form and ever since we as gamers have demanded more and more realistic and cinematic experiences are we right to fight for the exclusion of something that happens in real life? Are games unable to (for want of a better word) delicately or truthfully portray such horrific scenes. The movie Deliverance certainly comes to mind and whilst this film shocked audiences worldwide the way in which the horrific scene was conveyed was considered acceptable by the BBFC. But are the BBFC or PEGI in a position where they can afford such controversy? Considering games are constantly under threat and are being blamed by many as the cause of certain heavily publicised and horrific crimes. Are people mainly worried that this glorifies rape? If that is the case I would argue this scene has had the opposite effect. Everyone was appalled rather than ecstatic to have reached the levels conclusion. Should the scene be included to repulse people and address the issue at hand or just left out altogether? Or is this just another controversial publicity stunt to attract attention? Dennaton Games feel otherwise
We were really sad that some people were so affected by it, because maybe they had been through something like that of their own. Maybe they had a terrible experience of their own that was triggered by the game. That was not intentional at all. We didn't add the scene just to be controversial. There is a meaning to these two characters. There's a lot more to them than just this scene."
Rockstar have been accused of similar things in the past but I have often found their work to be within relatively good taste and in keeping with the tone. The shock value this game will cause however, is perhaps unnecessary. Even though Pig Butcher, one of the so called heroes in the game, inflicts gratuitous violence upon gangsters etc this surely cannot justify the actual raping of a woman? This cannot be perceived as "hey he killed a bunch of bad guys, don't arrest him for one transgression."
As stated Dennaton Games intend to re-work the opening scene and see how the next audience reacts to the whole game;
We're gonna see how people react to it when we test the whole game," Wedin added. "We'll get opinions and stuff like that. We'll see how we can present this in a good way. In a way that we want it to come across. Not just as provocative. That's not our meaning at all."
Originally the gory violence of the first Hotline Miami was overlooked by PEGI and rated a 16 largely due to the "cartoony" nature of the graphics. This time I doubt PEGI will skim over Hotline Miami 2: Wrong Number.
At Twinstickgaming we'll keep you up to date with any further developments. In the meantime tell us your thoughts. What do you think about this game? Should it be banned?You can now follow us on twitter and facebook!
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