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They all slowly got back onto the bus to pull away from the crater that used to be Sunnydale. Giles drove since Wood didn't seem to be able and the former principal lay leaning heavily against the brunette Slayer. She even managed to look softer somehow, caring for him. In moments when she thought no one was looking you could tell her guard was down and she was openly concerned. Buffy approved of this new softness. It seemed to be one of the few decent changes that she'd known to happen to Faith.
The blond lay back herself and the events of their final stand replayed in her head. How had Spike known? Her heart ached to lose him because he'd been a good fighter and a confidante but it wasn't broken. She knew she owed him the words, one small token of peace when he was sacrificing himself to help her cause. He saved them...saved them all. How had he known her words weren't 100% true? She sighed to herself. She might never know.
They drove for hours. Sunnydale was in a lower patch of Southern California and there were a few towns close by but with all the recent Hellmouthy activity, most citizens fled the area. The girl couldn't blame them for that. She'd have done the same and tried to make Dawn do the same thing, too. A smiled cracked her lips. Her sister was more like her than she thought. It made her proud to see what she was becoming.
They stopped at a small motel in the middle of a desert town. The town simply looked abandoned. The fountain in front of the tiny mall was still running and lights were on but certainly no one was home. Xander came up to the front of the bus as it rumbled to a stop. He looked just as tired as the rest of them and Anya's death weighed heavy on his heart. All of them were broken in some way, everyone on the bus. Buffy stood herself, taking him into her arms. He gave in for a moment and then gently pushed her away.
"Priorities first, Buff. I'm not dying. Others are. I assume we're making camp?"
She nodded. "Here seems as good a place as any. Plenty of room inside. It's a little exposed but it's convenient. Grocery store across the way."
"And, hey, free HBO." Xander tried to joke feebly, and failed.
Faith tried to stand up, to go with them but Wood stopped her. "Stay with me." he asked softly. She looked down, as if she was torn on what to do before sinking back into her seat. She wrapped an arm around him and eased him closer to her body. She leaned forward and her chestnut hair shaded her face from view. She looked like she might cry.
"I'm not fallin in love with you, buddy. This act of yours ain't workin. You better make it through this to get me to try. You promised to surprise me."
A tear slipped down her cheek and Buffy paused to see it. Crying...something she never expected her one time arch enemy to be able to do. It made her feel more vulnerable seeing it. Xander was in the back recruiting girls to go into the motel to help him set it up. They could all have their own rooms, of course, but some girls preferred to be together. All of the original Scoobies got their own rooms on the top floor. Andrew smiled when that included him. Giles stood for the first time in hours and stretched. He winced and realized for the first time he'd cracked a rib or two. There hadn't been time before for assessment.
They stepped off the bus, one after the other, and crossed the street. They reached the main office and Buffy broke the glass, ducking beneath the bar to get inside. Giles tried pulling. The door opened for him, sweeping the broken plexiglass in an arch. She gave him a look that he returned with a cheeky grin. She rolled her eyes and ceded his unspoken point. They proceeded inside.
"I'm thinking the whole motel is ours." she said softly. "Who knows when we'll have a better plan? This is all we have for now."
"Medical supplies. We need them." Giles said softly to remind her. She nodded her agreement.
"I'll send someone to find a hospital. We have yellow pages. In fact, you wanna take the bus?"
He didn't like the idea but he nodded anyway. Recruiting Andrew, much to his chagrin, they drove off in search of the hospital. They separated with carts and met back at the entrance of the motel some time later. Giles went to go put the pilfered goods away in his room leaving Buffy to try and work with organizing the girls downstairs with Willow. She was directing the Slayers to help move the injured to their room and was suddenly swept over by an intense dizziness. Blinking, she didn't realize she'd fallen until she saw a panic stricken redhead hovering over her. She winced.
"I'm alright." she managed, trying to move. People began to gather and she saw Giles kneel by her side.
"You most certainly are not, Buffy." he commented, touching the new blood seeping through her shirt. She'd forgotten where she'd been stabbed. "I need to tend to you." her Watcher told her. "Lay back."
She did as she was told, feeling ridiculous. "It'll take more than this to put me down." responded. "I died twice and it didn't work."
"Third time's the charm. I'm not taking the chance."
Willow shook her head. "Back to work, people!" she shouted. The group began to dissapate.
His green eyes met hers and she stared back. She'd memorized how they looked a long time ago. It was hard to imagine anything more expressive than his eyes. She knew they look when they were annoyed, sad, happy, and, right now, afraid. She let him work, blotting the wound with antiseptic that stung when he applied it. She held still, wriggling only when the alcohol burned. He sat her up and wound gauze and bandages around her and pinned them in place. She was about to thank him when he wrapped her up in a hug. He was breaking now and she wasn't ready for it.
"I can't lose you." he admitted against her shoulder. "We've come this far. I can't lose you."
"You won't." she assured him. "I promise."
She felt uncomfortable, angry. She hadn't had time to deal with everything that happened. "Giles...I can't do this. I want to. I want to help you and be there through whatever it is you're feeling but I can't. I don't know how to right now. My first priority has to be the girls and getting safe. Everyone has to be taken care of. I don't get time yet."
He stopped. She'd spoken. He had to respect that. If she could suck up her own feelings, and he was sure she had them, then so could he. They both got to their feet and surveyed their surroundings. There was a grocery store across the street. A mall off to their left. A pet store to the right. Dawn came to her side and looked up at her. The blond looked down at her little sister. "Everything ok?"
"Yeah. Lots of girls are getting settled in, showering and such. Hygiene, definite check." she commented, "No one likes a stinky Slayer." She saw the pet store "Awww! I wonder if they left any poor animals in the store!" She looked expectantly up at the Slayer.
"Dawnie! We can't adopt a whole store of pets!" the other cried, exasperated.
"But...what if they're all trapped and scared?"
"Dawnie?" she said warningly but by then the word pet was somehow loosed into the air and there were several girls wanting to go check it out. "This isn't out permanent home!" she called after them.
Her sister paused. "Yeah, but pets travel and we have everything we need to care for them across the street and free!"
Buffy sighed in defeat. Cuteness trumped responsibility any day. She should have remembered that from her own high school days with Giles in the library.
Soon enough they were back in the motel. As kittens mewed in laps Buffy rolled her eyes. She knew what her Watcher would say when he saw it and the cluck cluck sound he'd make with his tongue. Actually, it would kind of be worth it to see that. Buffy felt suddenly better about life as a kitten strayed over her lap. One of the British Slayers, Ruby, plucked the kitten from her lap. "Careful of Roland!"
"You named you cat Roland?" came an incredulous voice.
"I suppose you'd prefer Fluffy, then, or Patches?"
"Hey, the TV's working!" That was Xander.
They got their first radio broadcast after several TV channels worth of surfing. It was staticy but easy to make out. "And in other news, the area known as Los Angeles and it's other unified areas vanished today in smoke and fire. Last witnesses reported seeing monsters and several even reported seeing a dragon flying over the city before it vanished. Local residents of the outlying Orange County and the remaining Los Angeles county have fled."
"Angel." she whispered. Willow blanched off to her right. Someone shut off the TV. Another layer of pain was added to her already growing guilt. Angel gone in smoke. Wolfram and Hart was behind it, she was sure and between the two craters in the ground where towns used to be Buffy supposed there wouldn't be a person in sight until they hit San Francisco...unless everyone came to their senses and California was a ghost town like it ought to be.
She got up and left the room to travel upstairs to her own. She was next to Giles and connected to Willow and Kennedy. She flopped on her bed and lay in the darkening room in silence, only hearing muffled noises coming from the room below. Someone mentioned food. Xander was organizing a trip to the store. This really was their own private Slayer City. She shuddered, not much liking that idea. There were more out there that didn't know their new gift...or curse...or both. As she stewed she heard a knock on the door.
It was Giles. Sometime while she was thinking it'd grown dark and she saw the streetlights shining on the deserted road. She sighed and allowed him inside. When he came in she stayed peering out the door for a while, feeling the cool California breeze blowing. Palm trees lining the road swayed gently, taller than the motel's two stories.
"There's such a thing as being too strong." Giles said, from behind her, echoing her own thoughts as if he read her mind. She looked up. "Come talk with me." he said, reaching his hand out to her. She took it and followed. He closed the curtains and drew her deeper into the room. He sat with her on her king sized bed and didn't speak for a while, just studying her eyes.
Buffy felt alone for the first time in a while. With Giles with her it was the same. He was as comfortable to her being as her own skin: they knew each other that well. He reached out his arms and she accepted his offer of comfort. She collapsed against him, sobbing her unexpressed anger and fear and frustration until she forgot what it was she was crying for and continued to cry for all the times she hadn't been allowed. He let her without judgment and even indulged in the need for himself. They were alive and together.
It was enough. It would always be enough.
She pulled away from him at last, able to see him clearly in the darkness surrounding them. The moon was almost full overhead. He took her measure in the hazy moonlight and cleared his throat.
"What are you feeling, Buffy?" he asked her.
"Like I'm as big of a monster as Caleb." The elder blinked. That wasn't what he was expecting but the blond continued before he could ask for clarification. "I mean, who made me God?" she asked. "I lead those girl to die. Some of them died because I asked them to, because I had no other way. Who am I to say who's special? I'm not even the current Slayer. I never asked for this."
"My darling, one never asks for this sort of responsibility. It's thrust upon them and how they shoulder it is the test of their leadership."
"All that blood..." she responded, heartbroken.
"Shhh." he said, stepping close. "You came through it beautifully. No one could ask for more. I certainly couldn't. I never have, in fact."
She looked up at him and appreciated his quiet strength. "I can't lose you." she told him, echoing his earlier statement when she was hurt. It's the same thing she'd told him many times in their history together. It's the same thing he'd responded back to her just as often and faced more than she'd have liked.
"It's alright, Buffy, you're just a girl and shouldn't have this on your shoulders. I never should have left you when I did."
"I'm not a child, Giles, not anymore."
"That's hard for me to admit." he admitted, choking the words out.
"Why?" she asked him softly, genuinely confused.
"Because, Buffy, if I think of you as a woman with her own ideas then three lines of thought will inevitably start in my mind. The first is that someday very soon you won't need me."
"I'll always need you, Giles. I always have." He raised his hand for silence.
"The second is that someday you will have to live without me whether either of us want that or not."
She gulped and nodded but remained quiet. "But the most dangerous of all these lines of thought is that you are a woman. A woman I have been in love with for a long time. I've tried to deny it, push it off and tell myself that you're only a child. Don't make me think of you as a woman, Buffy, though I know damn well that's what you are. An extraordinary woman."
"Giles..." she looked away, unable to voice her thoughts. She thought to that day she leaned against his door and wished desperately that the right words had come instead of staying silent. She remembered the ache inside her heart when she walked away from his door.
"Do you ever think about it, Buffy?" he asked her, obviously thinking of that night as well and what she asked him.
"More often than I should." she answered honestly. She slipped into tears again without realizing it. "I think about it all the time. No matter what's happened in my life. No matter where I go or what I do I have to admit it to myself. It's you, Giles. It's always been you. Ever since that night I tried to run away from how I felt and I tried to love anyone else but it always comes back to you."
"Buffy." but he couldn't continue. He was out of words. She didn't seem to have any of her own to provide. Instead their lips met for the first time in more than five years. It was different now, neither hesitant or nervous. It was a purely expressed need to be together as two souls denied union for far too long. She whimpered against him and gave all of herself over to him. He needed it and took from her just as much as she gave. He reciprocated her generosity, giving himself wholly over to her as well and for a while the desert night ceased to exist around them.
"It's always been you, Buffy." he responded at last. "How could it be anyone else?"
She smiled up at him in a sad way. "I love you, Giles, but I can't give myself over yet. There's too much to do. We've changed the world and I need to deal with that. I need to deal with the death and the stress and the trauma."
"I want to help." he admitted, not wanting to let her go.
"You will. I want you to be there but I can't give into my own desires and ignore my responsibilities. You didn't teach me to be that way."
He nodded and let her go. It was the largest sacrifice he'd ever made, giving her up for God knew how long now that he'd finally found the courage to say how he felt out loud. It almost killed him.
"I'm here when you need me." he told her. "when you're ready."
She nodded and held him one last time before pulling away. "I don't deserve you." she murmured.
"You deserve so much more." he responded. He took his leave of her, exiting through her room's door. When it closed behind him he leaned on it and sighed. His hand moved over his heart. He wasn't sure why but his heart was breaking.


text:
That's ridiculous!!! I've seen many guys here find fascinating the idea of dating a much shorter girl.
And i don't mean shorter by 2-3 inches or so... but a BIG difference like 8-10 inches!!!
It's like draging a small child around... just look yourselves in a mirror and you'll realise how ridiculous you look.
I see this many times when go out and i say to myself "fuck!!! aren't they ashamed?"
why you like that/? i can't believe it...
Most Helpful Girl
- Anonymous
I agree. I am a beautiful and TALL woman, I have better legs than the short stumpy girls, and yet guys prefer them. Wouldn't a guy prefer a woman he doesn't have to stoop down to kiss? I am 5'10 and it's hard to find a guy. My ex best friend got the guy I wanted and she isn't even pretty. She's short little girl the size of a child (5'4) and he wanted her and he is 6'2. I'm obviously the better choice. You'd think he'd want a taller girl so that his kids could be tall, but nope. What if they have a kid, and it's a boy and he only ends up 5'4? That's the worst thing that can happen to a guy. Plus her face is ugly.53|215|8
I am short, 5'7 and I wouldn't mind dating a taller woman. But most men avoid askimg teller women cuz they think she won't want him cuz he's shorter
- Show AllShow Less
- Opinion Owner
I wouldn't date a shorter man. I only like men my height or taller. You're the size of a child, women don't want men your size.
- Opinion Owner
There's nothing wrong with my attitude. I'm perfectly fine, thank you.
Reread what you wrote.
"My ex best friend got the guy I wanted and she isn't even pretty. She's short little girl the size of a child (5'4) and he wanted her and he is 6'2. I'm obviously the better choice. You'd think he'd want a taller girl so that his kids could be tall, but nope. What if they have a kid, and it's a boy and he only ends up 5'4? That's the worst thing that can happen to a guy. Plus her face is ugly."
"I wouldn't date a shorter man. I only like men my height or taller. You're the size of a child, women don't want men your size."
You're not exactly oozing with kindness.
- Asker
MH definetely!!! go on girl!!!
- Asker
i'm shorter than you btw, but still even if you said that you don't date shorter guys, i respect your answer towards to those short bitches
- Asker
@encolpius her ex was probably one of those stupid dumb guys who want to be the man in a relationship
Huh. You're clearly insecure and not happy with your height. Otherwise you wouldn't feel the need to tear down other women for their features.
I have small boobs, and I'm comfortable with it. You don't see me saying big boobs are nasty and that men shouldn't like them.
The reason you're not getting guys is negative you're snobby and egotistical.
By the way, average height for a woman in in the US is 5'4", so that girl is Normal. Average height for a US man is 5'10".
*because not negative
you sound like a such a good friend...
He probably hasn't thought about children tbh. She's probably just a nice person or has a really tight area downstairs. by the way my friend is 6'3 his GF is 5'2 he doesn't care he likes her for who she is. He is 21 she 40 with 3 kids oldest son 5'11 daughter 5'8 next daughter 5'9 from her previous partner who was 6'1
That's what THIS woman sounds like. Don't tar us all with the same brush. I can't believe what I just read here. The Asker who had poor examples to give about shorter women wanted someone to agree with him, and she gets MH because she's just as rotten. It was a bad question to get involved in.
- Asker
@Hollyanne it's my own business who'll get MH in my questions you know
- Asker
@NZDSTR even if she's 40 she'll still look like a kid in front of him
- Asker
@still_waiting normal isn't always attractive
Mad because he didn't want you lol calm down
I didn't say normal was the most attractive but she said 5'4" is child sized... its grown woman sized
- Asker
she is child sized FOR A 6'2 GUY!!! don't be so dumb
No, a child is cjild sized.
Not be childish. I respect other people's preferences. .. when they're not rude and ignorant
- Opinion Owner
wow I didn't expect this many comments, I went to work and came back to this. I'm just stating my opinion and I feel short girls and guys are child sized and I don't see what men find attractive in the shorter girls. And she isn't my friend anymore, I called her my ex best friend, so of course I am not going to be nice about her. We ended up ending our friendship for different reasons, but she's not as nice as you're all assuming. I don't see anything wrong with my attitude, that's your opinion just as I am entitled to mine about shorter people.
I'm 4'11, my ex was 6'0. My friend who is 6'4, really wanted to date me. My other friend 6'2 same. My current boyfriend is 6'0. I do have shorty stumpy legs haha, but my man loves them. :3
And he loves to carry me around, he likes being able to just pick me up and hug me. He said most tall girls are too stuck up lol and I kinda see why
But we love each other, sorry for taking a tall man from you tall women. :/
- Asker
@rthomas43 what about if she's angry that most guys avoid tall girls? don't you think so?
- Asker
@Encolpius i find it ridiculous, and i'd feel weird if i was the man in a relationship
- Asker
rthomas how tall are you? i remember you're around 6' or so
- Asker
still you're much taller than most girls since the average height for women is 5'4"
- Asker
if they "ideal" is "the guy must be taller than the average male" and "the girl must be shorter than the average female" then i feel like i'm surrounded by aliens
dear, you are very, very mean and full of hate
- Asker
@brunette-bombshell is it nice when you short girls steal guys from the taller girls?
how do you know I am short? as far as I can see you are a very short guy yourself, 5'7'' is very short for a guy and obviously you want taller girls and guess what, they don't want a short guy like you. And I think you are very insecure.
- Asker
In my country 5'7" is only 2 inches under the average
it doesn't matter what is the average height in you country, you're still very short for a man... so shut up!
- Asker
you can call me short only if you're taller than me at least by an inch... how tall are you?
Short girls don't "steal" tall guys from tall women haha. In the scenario she mentioned, it sounds like she's bitter because she feels she would've been a better match for the tall fella. And if a tall guy chooses short girls, why be so butthurt? I guess skinny guys shouldn't be with fat girls. Or hey blue eye guys shouldn't be with brown eye girls? Hey, let's even go so far as to stop interracial marriages, only "like" with "like" can be together right? No. Asker and Anonymous both sound bitter and y'all need to grow up and realize that people who are different or "not suited for each other" can still be happy. It's not "stealing" if the guy was single and made his choice to be in the relationship. Don't blame your height, not even your looks, for your horrible attitudes. Grow up. -_-
- Asker
you didn't tell me... what's your height?
Wtf... short girls aren't "stealing" the tall guys?
Who the fuck is entitled to anyone? Especially on the basis of height? That has to be the most ignorant and childish shit I've ever heard on here
Yes, I'm 4'11. I'm an A cup. But guess what? I may have a small stature, small chest, may look like a child, but you and Anonymous seem to have overly large egos and act like children. Seriously, cut the middle school drama type of shit out. If being short is the "worst thing that can happen to a guy" (as Anonymous stated) that's just ridiculous. I think these self entitled attitudes Asker and Anonymous are MUCH worse than a guy that's 5'4, or a 6'0 guy with a 4'11 girl.
Grow up and stop being so butthurt lol You will never be happy by tearing others down, re-direct that energy to bettering yourselves and maturing and growing.
- Opinion Owner
Thanks for MH :)
- Asker
@buchitabuchys if surgery was easier than it is and cost much less would you go add a couple of inches?
uh, 5'7 is on the tall side of average in most countries and in the world
So basically your jealous if short people because a short girl got the guy you liked. Maybe he didn't like you because your mean. Anyways to prove a point you don't have to put down short people just to make yourself look good. So we have shorter legs, doesn't mean they're bad or stumpy, you can be call and look stumpy. Anyways you just seem bitter, but good luck with having a shorter life span
- Asker
@cocochanel i see you're Japanese so you might find 5'7" taller than the average. but in Europe is shorter than the average
yes it is slightly above average here but it is average in america. my father was 5'7/8
- Asker
@still_waiting you must learn to accept different opinions
@asker, no I wouldn't make myself taller. I'm used to my petite size, I've always been the "tiny one". Being tall has it's advantages, I won't lie, and it is ideal, but I'll make do with my tiny size.
No one worhtwhile has ever made me feel inadequate or "less" for being short. I apologize if anyone has ever made you feel inferior or even superior because of your size, because things like that usually don't matter to most people. And don't matter when it comes to choosing a date. But even if it does, why get so butthurt? Just move on.
for women, there have never been downsides to being short. so this argument is kinda...
- Asker
@buvhitabuchys ok... whatever you say... TINY one... mwahahahahhaha
- Asker
let her be guys. i'm shorter than her but i'd not date her because i RESPECT her decision to date only taller guys. just let her be. once she got MHO you devoured her
@"let her be guys"
No, bullying shouldn't be tolerated, and certainly not "respected" - she should be absolutely shamed for her behavior, stop defending it.
@i'm shorter than her but i'd not date her because i RESPECT her decision to date only taller guys. just let her be. once she got MHO you devoured her "
It has nothing to do with height or getting MHO, it has to do with making comments like "You're the size of a child, women don't want men your size" to short men. You don't have to want to date short men, but only an evil person says shitty things like that to other people, and if you're defending her then I assume you also treat other human beings with such callous disregard for their feelings. A normal decent human being simply expresses such a preference with a comment like, "my preference is taller men" - without feeling the need to hurt somebody and tear them down just for fun.
- Asker
basicaly she's the most LOGICAL person among you all. that's why she deserves to be MH. she answered correctly and described how dumb her ex was by giving her up and date a much shorter girl who's not only short but her face was ugly. not like those stupid opinions other girls gave like "i prefer to date only taller guys in order to be protected" and shit like that. so let her be, it's my own question don't spoil it.
- Asker
@darrek she already made herself clear. her best friend STOLE the guy from her
Asker- I will reiterate- NO ONE is entitled to anyone especially not on the basis of height. Wtf is wrong with you? She didn't "steal" anything. Clearly he WANTED the shorter girl. HE decides who he wants. Are you a 13 year old?
- Asker
2% isn't bad. @still_waiting i'm 23 y. o.
Then act like it, please!
- Asker
i act like a grown person who has got frustrated with the fact that short women always get not only taller guys, but average and short as well. they can fuck off. but with the taller guys they look like a circus act instead of a couple. totally RIDICULOUS
- Asker
And just to let you know... i'd prefer a BITTER and GRUMPY 5'9" girl, than a good-hearted and cheerful 5'1" girl! Height plays a big role in a relationship.
You both sound bitter as fuck haha. Grow up, this isn't time for middle school drama. I remember some black girl got mad cuz the guys she liked (who was black) got mad at me. She literally said almost the same thing you both are saying. "Latina girls are taking black guys, they should just stick with other Latinos." I just told her "A. I'm not dating him, he just has a crush on me. B. If I were dating, it's none of your business and his choice, so not stealing since he's single. And C. Perhaps black or any guys don't wanna date you because of that rotten attitude."
Lmao, dating isn't like a crayon box or lego set where it's best to put the "like" with "like".
"Height plays a big role in a relationship." Maybe for you, and there's nothing wrong about preferences. But to claim someone is "stealing" (just because they chose someone over you), and to claim short people are children just because of their height is completely disrespectful. Stay single bitter people ;)
- Asker
- Opinion Owner
Wow, I can't believe people are still commenting on this. It's been very interesting to read.

subset: commoncrawl


text:
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Correspondence to: Dr. Angelo Zullo, MD, Gastroenterology and Digestive Endoscopy Unit, Nuovo Regina Margherita Hospital, Via E. Morosini 30, 00153 Roma, Italy. ti.oohay@66olluz
Telephone: +39-6-58446533 Fax: +39-6-58446608
Gastroesophageal reflux disease (GORD) is highly prevalent in the general population. In the last decade, a potential relationship between Helicobacter pylori (H. pylori) eradication and GORD onset has been claimed. The main putative mechanism is the gastric acid hypersecretion that develops after bacterial cure in those patients with corpus-predominant gastritis. We performed a critical reappraisal of the intricate pathogenesis and clinical data available in this field. Oesophagitis onset after H. pylori eradication in duodenal ulcer patients has been ascribed to a gastric acid hypersecretion, which could develop following body gastritis healing. However, the absence of an acid hypersecretive status in these patients is documented by both pathophysiology and clinical studies. Indeed, duodenal ulcer recurrence is virtually abolished following H. pylori eradication. In addition, intra-oesophageal pH recording studies failed to demonstrated increased acid reflux following bacterial eradication. Moreover, oesophageal manometric studies suggest that H. pylori eradication would reduce - rather than favor - acid reflux into the oesophagus. Finally, data of clinical studies would suggest that H. pylori eradication is not significantly associated with either reflux symptoms or erosive oesophagitis onset, some data suggesting also an advantage in curing the infection when oesophagitis is already present. Therefore, the legend of "crazy acid" remains - as all the others - a fascinating, but imaginary tale.
Although Helicobacter pylori (H. pylori) infection prevalence is declining in developed countries, such infection remains a worldwide spread disease with a definite morbidity and mortality. Indeed, H. pylori may cause non-ulcer dyspepsia, peptic ulcer disease, and gastric tumors, including both low-grade mucosa-associated lymphoid tissue lymphoma and adenocarcinoma[1-3]. In addition, an interaction between H. pylori with non-steroidal, anti-inflammatory drugs in damaging the gastroduodenal mucosa has been also recognized[4]. Similarly, the role of H. pylori in the pathogenesis of different extra-digestive diseases has also been claimed. However, an association has been consistently proven only between H. pylori infection and both idiopathic thrombocytopenic purpura and idiopathic iron deficiency anemia[5,6], whilst conflicting data exist for other diseases[7-9].
Gastroesophageal reflux disease (GORD) is a highly prevalent condition in the general population[10]. It is characterized by the reflux of gastric contents into the oesophagus, leading to mucosal damage and/or typical and atypical symptoms[11]. Several factors may predispose patients to pathologic reflux, including hiatal hernia, lower esophageal sphincter (LES) hypotension, transient lower oesophageal sphincter relaxation, loss of esophageal peristaltic function, abdominal obesity, gastric hypersecretory states, and delayed gastric emptying[12].
In the last decade, a potential relationship between H. pylori infection and GORD has been claimed. In detail, it has been suggested that H. pylori eradication may cause both reflux symptoms and erosive oesophagitis. We performed a critical reappraisal of the intricate data available in such a topic.
The first study suggesting a possible association between H. pylori and GORD was published by Labenz et al[13] on 1997. In this study, 25.8% of patients with duodenal ulcer (DU) cured for H. pylori infection developed erosive oesophagitis (Savary-Miller classification) at 3-year follow-up as compared to 12.9% of DU patients with ongoing infection (P < 0.001). Identified risk factors were male sex, severity of corpus gastritis, and weight gain. These results deserve some considerations. As shown in Figure Figure1,1, the incidence of erosive oesophagitis in H. pylori eradicated patients constantly increased at follow-up, so that at 3-year follow-up the curve did not still reach the plateau. This would probably suggest that an even higher oesophagitis incidence is expected at longer follow-up in these patients. However, this contrasts with data of a recent 7-year follow-up study which showed that reflux oesophagitis occurred in only 1.9% of DU patients following H. pylori eradication[14]. In addition, it should be noted that the curve of oesophagitis incidence in not eradicated DU patients showed a very similar slope as compared to that of eradicated patients (Figure (Figure1).1). In detail, following a questionable delay of 1 year, reflux oesophagitis started to increase also in H. pylori infected patients, and the increase of incidence parallels with that of eradicated patients. A plausible explanation of such phenomenon could be that several not eradicated DU patients were taking anti-acid therapy, at least for the first year follow-up in this study. Indeed, this patient group included either control cases of H. pylori eradication trials (75 cases) or H. pylori eradication failure patients (141 cases) in whom DU symptoms most likely persisted[13]. Therefore, the observation of a distorted phenomenon could not be ruled out. On the other hand, it was observed that oesophagitis occurred more frequently in those H. pylori cured patients with weight gain > 2 kg [odds ratio (OR): 3.2; 95%CI: 1.2-9.4; P < 0.05] within 3-year follow-up. Unfortunately, both mean and range of weigh gain was not provided in this study. However, it is plausible that several patients changed their dietary and voluptuary habits following complete DU healing, with consequent body mass index (BMI) increase. The direct relationship between BMI and GORD is widely documented in literature, so that the "guilty" of erosive oesophagitis onset - at least in some patients - probably was the BMI increase rather than the H. pylori cure. Unfortunately, the lack of multivariate regression including H. pylori eradication as an independent risk factor for GORD does not allow to confirm the significant role observed solely at univariate analysis. Finally, the reason for which the risk of erosive oesophagitis incidence following H. pylori eradication was 3.6 (95%CI: 1.1-10.6) higher in males as compared to females remains unclear. This would contrast with the prevalence of GORD in the general population which equally occurs in both sexes[15].
At least in theory, H. pylori eradication could cause GORD by: (1) recovering gastric acid secretion; (2) increasing the amount of reflux in the oesophagus; and (3) reducing the clearance of oesophageal acid exposure.
Regarding the first point, it has been observed that H. pylori-associated corpus-predominant gastritis is an independent risk factor (OR: 5.5; 95%CI: 2.8-13.6) for erosive oesophagitis development following H. pylori eradication in DU patients[13]. In this study, the body gastritis sum score before H. pylori eradication was 4.1 in those who developed oesophagitis as compared to 3.1 of those without oesophagitis onset. Therefore, it has been suggested that the higher degree of recovery leads into a higher acid secretion which, in turn, causes erosive oesophagitis[13]. However, by considering that the sum score (activity plus grade) of gastritis was ranging from 0 (absent) and 8 (severe), it is questionable that acid hypersecretion developed only in those patients in whom corpus gastritis score dropped from 4.1, but not from 3.1, to zero following bacterial cure. At this point, the crucial issue is to understand whether H. pylori eradication really causes gastric acid hypersecretion in DU patients. To our knowledge, neither pathophysiology nor clinical studies support such an event. It has been found that infected DU patients have a 3-fold increase of basal acid output (BAO) and a 6-fold increase of stimulated maximal acid output (MAO) as compared to uninfected controls[16]. Of note, both these alterations normalize 1-year following H. pylori eradication, suggesting that DU patients cured for the infection completely restore normal acid secretion[16]. The absence of an acid hypersecretive status in these patients is further documented by the clinical observation that DU recurrence is virtually abolished following H. pylori eradication[17]. Therefore, it is unclear the reason for which the hypothesized hypersecretion in DU patients after bacterial cure should cause erosive oesophagitis onset, but not DU recurrence. To search for a plausible explication, one could hypothesize the "tale of a crazy acid". According to this theory, following the healing of corpus-predominant gastritis - a typical gastritis pattern of both gastric ulcer and cancer, but infrequent in DU[18] - acid hypersecretion occurs in some DU patients. In these patients the acid should invert its normal route - so failing to cause DU recurrence - and should turn into the oesophagus causing erosions (Figure (Figure2).2). However, studies on 24-h intra-oesophageal pH recording before and after H. pylori eradication showed that the percentage time of pH < 4.0 did not significantly change following eradication[19,20]. Other putative mechanisms by which H. pylori eradication could favor GORD are alterations of both LES pressure and oesophageal peristalsis. However, two studies found no difference in basal LES pressure between H. pylori infected and matched controls[21,22], whilst another study showed an even lower basal LES pressure and higher rate of ineffective oesophageal motility in infected patients[23]. Based on these manometric observations, it could be expected that H. pylori eradication would reduce - rather than favor - acid reflux into the oesophagus.
Several clinical trials assessing the onset of both reflux symptoms and erosive oesophagitis have been performed. A recent meta-analysis evaluated data of 10 trials where data of patients treated for H. pylori infection were compared to those receiving placebo[24]. At 8-30 mo follow-up the incidence of reflux symptoms did not significantly differ between the two patient groups (17% vs 22.6%), with a trend even favoring bacterial eradication (OR: 0.81; 95%CI: 0.56-1.71). Likewise, erosive oesophagitis equally occurred in both groups (5% vs 5.1%; OR: 1.13; 95%CI: 0.72-1.78). Noteworthy, a study on 156 patients with both peptic ulcer and reflux oesophagitis found that the oesophageal lesions improved more frequently in H. pylori eradicated patients as compared to those with persistent infection[25]. Overall, these data would suggest that H. pylori eradication is not significantly associated with either reflux symptoms or erosive oesophagitis onset, some data suggesting also an advantage in curing the infection when oesophagitis is already present.
GORD is highly prevalent in the general population. Several altered mechanisms are involved in its pathogenesis, and different lifestyle and voluptuary habits have been identified as risk factors. In the last decade, H. pylori eradication has been charged to cause GORD. The main putative mechanism is that a gastric acid hypersecretion develops following bacterial cure in those patients with corpus-predominant gastritis. However, studies on acid secretion demonstrated that the hypersecretion status of both DU (BAO × 3; MAO × 6) and non-ulcer dyspeptic (MAO × 3) patients observed during H. pylori infection normalizes following bacterial eradication[16]. Indeed, DU does not recur following a successful H. pylori cure[17]. Therefore, the reported erosive oesophagitis onset after the infection cure in DU patients most likely depends on other factors rather gastric acid hypersecretion (Weight gain? Changes of voluptuary habits?). On the other hand, both oesophageal 24-h pH recording and manometry studies failed to demonstrate a significant role for H. pylori in GORD.
Gastric acid secretion may recover with H. pylori eradication in those patients with corpus-predominant (or atrophic) gastritis[26]. However, such a gastritis pattern is generally encountered in either gastric ulcer or cancer patients, and it is highly prevalent in Asian countries[18]. However, the reason for which such a hypersecretive status should cause GORD but not DU onset in these patients remains unclear.
The last but not the least, several, placebo-controlled, clinical trials have been recently summarized in a meta-analysis including near 4500 patients[25]. Data found that neither reflux symptoms nor erosive oesophagitis develop following H. pylori eradication. Therefore, the legend of "crazy acid" remains - as all the others - a fascinating, but imaginary tale!
P- Reviewer Shimatani T S- Editor Gou SX L- Editor A E- Editor Li JY
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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The day that the most beautiful woman in the room wearing her wedding gown would walk down the aisle as a dashing young man waits for her in the altar, this is one of the most memorable days of our lives. This special event would be filled with so many memories along with all the people that we love and so it must also be held in an unforgettable destination. There are hundreds of destinations to choose from based on your budget and the kind of wedding that you would like. The process of choosing might me frustrating but it would be worth it. To help you with your search, here are the top 3 destinations recommended by Malaysia Top Bridal House – www.femingal.com to hold your wedding.
IrelandIf you want to feel like a Prince and a Princess on your wedding day then this destination will be perfect for you. In this country, you will experience saying your "I do's" under the roofs of a real Grand Castle. After the wedding and reception, you and your guests can choose to stay in one those country manors surrounded by beautiful gardens. With the sight of those old churches and breath-taking mountains, you will certainly experience that old country feeling. To add to that, Irish people are also known to being really hospitable and accommodating.
HawaiiHawaiian weddings have been very popular with couples who like the heat of the sun and the breath-taking view of the sea and the mountains in Hawaii. After being married, you can rent a private island so you can have a romantic night with your new spouse. The guests can also enjoy themselves because of there are many activities to choose from. They could go kayaking, surfing, snorkelling and diving in the clear waters of Hawaiian beaches and they can even choose to hike in the hills.
ItalyItaly is almost always on top of the list of couple's dream wedding destination. It is hard to book but it will certainly be worth it. Rome is one of the most romantic and historic place in the world. Saying your vows would be so memorable especially if you are standing in a church or ruins which have been there for centuries. In Italy, you will experience those romantic boat rides and have a taste of their authentic Italian wine.
After the day of the wedding, you can enjoy your first days as husband-and-wife as you roam around the city riding one of those Italian motorcycles, visiting those large vineyards and tasting their wines, and walking hand-in-hand as you walk those Spanish Steps filled with happy couples just like you. You can even end your randevú with a wish in the Trevi Fountain.
Whether it is a Castle wedding in Ireland, a beach wedding in Hawaii or an overly romantic wedding in Italy, whichever destination you choose or whatever wedding gown or tuxedo you decide on wearing, the most important thing on that day is that you will be bound by marriage with the love of your life.


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What has happened so far?
The redevelopment of Station Approach was first proposed as part of the Winchester District Local Plan Part 1 in March 2013. Policies for the site have also been included in the Local Plan Part 2 (adopted April 2017). See below for the development of the project so far.
The City Council's Cabinet agree the RIBA Plan of Work Stages 0 & 1 and resolve to begin the new procurement process.
|March 2017
|The City Council approves the project budget.
|November 2016
|The City Council agrees to start a new procurement process working with the RIBA Competitions Office.
|October 2016
|The City Council resolves to begin a new procurement process.
|September 2016
The Design Jury supply further feedback as to how they feel the highest scoring scheme could be enhanced and the RIBA Client Advisor appointed by the Council also supplies her findings on the scheme
The City Council further discuss the outcome of the Design Competition and the options available to the Council for proceeding with the development
At a meeting of Full Council on 21st July, the decision was taken to not make an appointment to the highest scoring bidder in the Design Competition and the Council is now giving consideration to how the development can be progressed.
|July 2016
|The City Council review the outcome of the Design Competition
|June 2016
|The assessment of Best and Final Offers is completed with the Design Jury submitting their report and final scores compiled
|May 2016
|Public display of shortlisted designs
|May 2016
|Best and Final Offers are received and the assessment process commences
|April 2016
|Competitive Dialogue is concluded and firms are invited to submit their Best and Final Offers
|March 2016
|Outline Solutions submissions are received from shortlisted firms and Competitive Dialogue commences
|January 2016
|Expressions of Interest are received and a shortlist of firms is compiled; these firms are invited to submit Outline Solutions for the area
|December 2015
|The City Council finalises the Design Brief for the project and invites Expressions of Interest for a Design Competition for the development
|October 2015
|The City Council agrees to carry out a Design Competition for the area
|July 2015
|The City Council undertakes a consultation exercise with local residents and businesses regarding the development of the area
|February/March 2015
|The City Council agrees that following the purchase of the Carfax site, the area is developed for a mixed office, parking residential and retail development in accordance with the proposals set out in the Station Approach Development Assessment
|April 2014
|The City Council agrees that the development principles set out in the report from Tibbalds be used to inform the development of planning policies and proposals for the area
|December 2013
|Tibbalds appointed to prepare a development assessment and commercial viability advice in respect of Station Approach
|August 2013
|Winchester District's Local Plan Part 1 states "An area of the Town that lends itself to this form of redevelopment is the area around Winchester Station, with its mix of commercial retail, residential and office space."
|Adopted March 2013


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After a fantastic four years, the partnership between DWF in Manchester and Macmillan Cancer Support will be coming to an end this summer.
DWF have been an absolutely fantastic corporate supporter over the past four years. With their charity committee driving activity, the firm have held and taken part in numerous events from fashion shows to football tournaments, fun runs to the ice bucket challenge all in a bid to raise funds to support Macmillan services across Greater Manchester.
On the 13th July, DWF will be holding their final fundraising event at Manchester235 and you can find out more information about how you can join in the celebrations here.
Mandy West, Corporate Fundraising Manager for Greater Manchester said – We have absolutely loved working with DWF over the past four years, the enthusiasm and creativity with which they have supported Macmillan has been inspiring and we are so proud of this partnership in Manchester. We are really looking forward to their final fundraising event on the 13th July which will be a chance to celebrate everything they have achieved and the real difference they have made to people affected by cancer across Manchester over the past four years. We can't thank them enough.
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© Macmillan Cancer Support 2017
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Excel Milano 34
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Located in a luxurious neighbourhood and surrounded by a beautiful park with a lake, the hotel is only a 20-minute subway ride away from Milan's city centre. The complex has a cool fusion style, which combines a modern structure refurbished in 2013, with vintage design elements from the 70's and 80's. The Mediolanum Forum, which hosts international concerts and events, is only 10 minutes away by car.
The Duomo and the famous shopping district of Via Della Spiga, via Montenapoleone and Galleria Vittorio Emanuele are only 25-30 minutes from the hotel. There are also multiple shops and a spa in the hotel surroundings.
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© 1951. ONE-PIECE DRESS "EASY-TO-MAKE". Wrapped front with buttoned side-front closing from neck to hem. Flared skirt joins sleeveless bodice at waist-line. Collarless V neck-line.
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- $ 121
- Free 1 month Featured profile Rs. 1399 on Shine.com
- 10 % shine credits will be given to you which you can redeem on your next purchase. (T&C applies)
- EMI Options available
Why should you buy?
This certification course is effective for those, interested in analytical concepts/tools for managing operations and the decision-making process within the scope of the supply chain.
Operation Managementcourse is designed for gaining widespread knowledge in latest techniques and ways of resolving managerial issues in the public and private organizations.
Best for experienced professionals interested in supply planning, inventory deployment, transport network optimization and quality management
Nature of Operations
Strategy, Operations, and Global Competitiveness
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Six Sigma for Process and Quality Improvement
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"L46 were amazing"
About: Leeds General Infirmary Leeds General Infirmary Leeds LS1 3EX
Posted by David Evans
The whole experience was excellent. Staff were friendly, caring and considerate. They went above and beyond to make it entertaining by making jokes about the hair cut I was given so they could carry out the procedure and kept me up to date with everything they were doing. The doctor who carried out the procedure (can't remember their name now) was superb and did a fantastic and neat job.
I cannot thank you or praise you enough!
Response from Leeds Teaching Hospitals about a year and a half ago
Dear David Evans,
Thank you for taking the time to write to us regarding your experience, I am very pleased to read that this was a pleasant experience for you.
I have passed your kind words onto the Matron for L46 and have asked that she share them with her team so that they too can be made aware of the great work that they are doing.
With kind regards
Senior Nurse
Patient Experience
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Free & unlimited access to our motoring tools
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Therefore it has decent handling, a
wide range of engines, three body styles, and high-spec versions have plenty of gadgets.
Alternatively, those who prefer more luxurious vehicles may fall for the charms of the
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A grand jury on Tuesday indicted a man who prosecutors say has offered to plead guilty to all counts in the killing of his girlfriend's adult daughter and an elderly couple in exchange for life in prison with no chance for parole.
Samuel K. Littleton II was indicted by a Logan County grand jury on six counts _ three each of aggravated murder and abuse of a corpse _ in the slayings of Tiffany Brown and Richard and Gladis Russell, county prosecutor Gerald Heaton said in a statement.
The defense proposed the plea deal for the 37-year-old Littleton that excludes the death penalty. Prosecutors said they met Monday with the victims' families, who unanimously favored the deal.
"They know nothing will bring their loved ones back, not even death for Mr. Littleton," Heaton said. "And they will rest easier with him being in prison for the rest of his life, thinking about what he did every day."
The elderly couple's niece echoed the prosecutor's statement.
"We all seemed to think it would be the best and fastest way to get justice," Susan Coder told the Bellefontaine Examiner.
Littleton's attorney didn't immediately return messages.
Brown, 26, was stabbed Feb. 11, and her body was found in the basement of the Bellefontaine home that Littleton bought from the Russells in western Ohio, authorities said. Authorities believe Littleton killed the Russells Feb. 16 at their rural Lewiston home, took their car and dump their bodies.
The body of Richard Russell, 84, was found in Tennessee, and his 85-year-old wife's body was found in Georgia. Their car was found in West Virginia, where Littleton has been held since his Feb. 23 arrest.
Littleton is expected to waive extradition Wednesday and be brought back to Ohio, where he is expected to enter the pleas Thursday in Logan County Common Pleas Court, Heaton said.


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As much as I was looking forward to the return of "Vampire Diaries" tonight, I can"t say I wasn't prepared for the worst. When we left our determined Klaus hunters, Stefan had thrown a pretty substantial wrench into what otherwise seemed like a nifty plan to overthrow the fickle, pouty, daddy-issue-plagued original. Mikael, the daddy in said equation, was dead before we even had much of a chance to know him, Stefan was off the grid – but off the grid with leverage (he just happened to have snuck off with Klaus" family, all conveniently pre-packaged and poked) and Klaus exactly who was out to get him.
But, as usual, nothing is as it seems, and this midseason premiere delivers not a follow-up slaughter-a-thon but actually pays off some dramatic tension from the last season and adds some unexpected but welcome twists to the already twisty plot. Klaus may be angry, yes, but he's hobbled by Stefan's little game of hide and seek — though that doesn't mean he's powerless. And what this means for Elena and her family is, yes, tragic. Yet again, Elena, Jeremy and Ric must face a new normal — and, as usual, that new normal pulls them deeper into a dark world that no high school kid (or really anyone) should have to face. While Elena's been on a romantic roller coaster for a while now, the high price of her vampire dalliance is becoming crystal clear to her. Not that she can do much about it — she's in too deep — but she makes some hard decisions in this episode. Though, depending on your point of view, it can be argued she gets one pretty decent reward at the end — a payoff that, again, comes with an emotional price tag.


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Watch Us Make: Italian Stuffed Shells
Our quick video shows you the simple steps to make easy stuffed shells with a rich, meaty tomato sauce.
By Rachel Seis, Associate Editor
When you're looking for a comforting meal that keeps everyone in the family happy, pasta's a pretty safe bet—especially when it's stuffed with three kinds of cheese and smothered in a rich, tomato-y meat sauce. These Italian-Stuffed Shells were adapted by Beverly Austin of Fulton, Missouri, after a friend brought them over in a casserole dish. After one taste, Beverly never looked back: "Now I take it to other friends' homes and to potlucks, because it's always a big hit," she says. What lucky friends she has!
Of course, you don't have to wait for a pal like Beverly to bring you this bubbly, cheesy dish. It's super easy to make yourself. Or even better: get the kids involved! They'll love helping stuff the shells with the delicious blend of Parmesan, mozzarella and cottage cheese. It all bakes up in a 13x9 pan, so it's simple serve at dinner or bring to a big potluck, just like the rest of our favorite foolproof ground beef casseroles. Just be ready to hand out the recipe when the happy eaters line up for it!


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Author Tags: Outdoors
Born in Scotland in 1941, Colin Campbell immigrated to Canada in 1963 and has lived at 100 Mile House since 1976. As a humour columnist for the 100 Mile Free Press, he received the Cadogan Foundation Award for Best Columnist (Canada) in 1988. Not to be confused with other Colin Campbells who are B.C. authors, this retired high school teacher/librarian has published a guide book.
Trails of the Southern Interior (Rocky Mountain Books, 1988; revised as Trails of the Southern Cariboo 2009).
[BCBW 2009] "Outdoors"


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The athletes and stars who cranked up their style game for last night's festivities.
The Best-Dressed Guys of NYFW: Men's
From LeBron's double-breasted tux to a great three-piece suit, here are the style winners.More
The midnight blue tux and white tee are the perfect mixture of dressed up and casual.
You can't really go wrong with a well-tailored three-piece.
New York Fashion Week Street Style, Day 3


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Architectural Technician
- Recruiter
- RGB Recruitment ltd
- Location
- Newton Abbot
- Salary
- £20000 - £32000 per annum
- Posted
- 16 Jun 2017
- Expires
- 25 Jun 2017
- Sector
- Construction & Maintenance
An Architectural Technician is required for a practice in South Devon who works with clients all across the UK. This practice has worked in over 15 countries and consists of Architects, Architectural Technicians and Interior Designers. Projects wise you can find yourself working on Housing, Health, Education, Leisure, Urban Regeneration and much more. Having been established for 30 years they are the Architect for choice for many clients and are also considered an international leader in a unique sector which they specialise in. The value of their portfolio is up to £2billion and this is a great opportunity to join a leading practice in the South West. The Role: Architectural Technician Working on a variety projects for clients across many sectors Site surveys and building regulations for planning of projects at inception stage Provide advice on technical matters Check on progress and inspect project work when necessary You will be mainly office based but also spend time visiting clients and construction sites The Candidate: Architectural Technician An understanding of Revit and BIM would be advantageous Live within a commutable area of this South Devon town Expected to have knowledge of specification writing, technical detailing, managing projects on site, and design/technical solutions Membership of CIAT would be advantageous however not essential Please contact Curtis Hunter at RGB Recruitment for more details on [Phone number removed] / [Email address removed]


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By: Amberly Asay
Soda is accompanied with almost every party and holiday. It is embarrassing when someone accidentally spills all over themselves. We are grown-ups and yet we still manage to make a mess. This simple trick will help prevent you from spilling as well as your little kids.
When opening a can of soda, twist the tab so the eye is over the hole and place a straw through it. The tab will hold the straw in place and prevent spills.


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Traffic triumph in Papakura
Bottlenecks have strangled the southern motorway for long enough and now something is being done to get the traffic moving.
The Government is bringing the $210 million upgrade for State Highway 1 between Manukau and Papakura forward by a decade.
The move was announced in last week's Budget.
"I'm ecstatic, it's been five years of hard slog to get this done," Papakura councillor Calum Penrose says.
The motorway southbound between Manukau and Manurewa will be widened to four lanes and from Manurewa to Papakura to three lanes.
Northbound between Papakura and Takanini will become three lanes wide. The Takanini interchange will be upgraded along with its northbound onramp.
"I have been lobbying for this development alongside the Manurewa Local Board and the Papakura Local Board for the last four years and earlier when I was mayor of Papakura," Penrose says.
"We all see this change as being crucial to the economic development of both local board areas and the region as a whole."
Construction is expected to begin this year and end in the 2016-17 year. The extra funding needed to fast-track the projects comes from a $375m loan to the NZ Transport Agency from the Government. The money had already been allocated to the projects but not until 2026, which is when the loan will be paid back.
The interest will end up costing $32.7m and will be paid by the Government through its operating expenditure over the next four years.
"We also need to use this opportunity to acquire land for the grade separation of the rail line at Taka St, Manuroa Rd and Walters Rd to keep cars off the lines, with the electric trains due to start along the southern line next year," Penrose says.
The $35m revamp on the Papakura interchange was completed in October last year, future-proofing that section of the motorway for an expected population increase.
Papakura MP Judith Collins says last week's announcement is not only a major win for her electorate but also for the whole city.
"The development reflects the growing community and will accommodate increased business activity, she says.
"Local councillors and board members have been fundamental in seeking these improvements to relieve congestion for the benefit of our economy, environment and population."
The agency's closest monitoring station to the area is in Drury and in April 2014 a daily average of 31,562 vehicles headed south along SH1, up from 27,816 in April 2013.
The upgrade is part of an $815m spend on Auckland projects, including $450m on the Northern Corridor of SH1, $140m to upgrade SH20A between Manukau and Auckland Airport, $10m on investigations into the East-West Link and $5m progressing the Panmure to Pakuranga phase of the Auckland Manukau Eastern Transport Initiative.
Transport Minister Gerry Brownlee says freight demand is expected to grow.
"Some of these projects were up to a decade from starting but we've decided they simply must begin sooner to give Auckland the best opportunity of moving people and goods around the region."
Papakura Courier


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The Jazzschool Presents the Oakland Jazz Choir November 5
Expand Messages
- October Greetings!
Eat, drink, & then be merry with us!
- October Greetings!Please join us for a warm winter evening of OJC's special & eclectic blend of choral jazz which will feature some new & exciting tunes!This will be OJC's last concert of the year.We look forward to sharing our music, our spirit, and our community with you.Through your continued support, 2011 has been an especially vibrant year for OJC. We are so grateful!We'd love to see you in November!Limited Seating! Get your tickets early! Checks mailed early in advance works best!Saturday, November 58:00pm - 10:00pm2087 Addison St.Berkeley, CA
The Jazzschool is easily accessible by public transportation. The downtown Berkeley BART station at Center Street is located less than half a block from the Jazzschool's front door and AC Transit bus stops are nearby. In addition to metered street parking and passenger loading zones, there is a public parking garage only one block away. There are also many fine restaurants in the area: http://www.yelp.com/searchfind_desc=restaurants&rpp=10&find_loc=Downtown+Berkeley%2C+Berkeley%2C+CA#sortby=review_count
Come on Downtown.
Eat, drink, & then be merry with us!
Hope to see you there!
Tickets are available through the Jazzschool:
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Sugar, Sugar
The risk of cardiovascular disease increases, as we consume sugar sweetened food products like Coca-Cola, maple syrup and fast food. We tend to know that these foods have a high amount of sugar, but we usually brush it off and don't care much for it. I know realize I consume lots of sugar and was blind to how much sugar I actually consume.


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You are here
The Before Picture/Site Analysis
The Before Picture/Site Analysis
Part of Ep. 601 Landscaping with Wisconsin Wildflowers
Join Evelyn Howell, professor of Landscape Architecture at UW-Madison as she discusses site analysis--the very first step of garden design.
Premiere date: Feb 28, 1998
- Wisc Gardener Transcript:
Whether you're plannng to put in a prairie garden or even a pond with a few flowers around it, starting out correctly will mean the difference between success and failure later on. I'm with Evelyn Howell, Professor of Landscape Architecture for the University of Wisconsin-Madison. Evelyn specializes in landscaping with native species. Evelyn, how do we start out properly then, when we're planning a garden?
I think the first thing to do is what we call a site analysis which means essentially walking the property that we're going to be doing the landscape plan for and noting the features that are important for our thinking process.
Like the house-- the permanent structure.
Yeah, a permanent structure, like the house or the garage. And also, the fence that I see...
The boundaries, then.
The boundaries of the site. And I like to do this with a map-- actually, a piece of graph paper. I just rough out the features on it, so that I know roughly where they're located.
Do you have to measure?
No, you don't have to measure. But on the other hand, the more accurate you are the better.
Now, one of the features of this site, I see, is a walnut tree, which I think you would really want to keep in the plan. It's a very nice large tree nice. It's got a nice shape to it. I would like to know where on the plan its located, and also, some idea of the extent of the canopy because that's going to be where the shadows are cast.
So, the drip line, the shade area.
And reason that's important, is because with praire they have to have eight hours of sun during the growing season a day at the least. So, we need to know where shadow patterns might be.
I would assume with a high canopy like this, it's probably not as big an issue as a maple might be.
Right, this won't be posing much of a problem. But still, it's good to know where the canopy might is, and then also have a feel for where the shadows are going to be cast.
Actually, the bigger problem-- I've always been told, "walnuts, get 'em out of your yard. Nothing will grow under them."
Well, luckily, they're native to Wisconsin, so the native Wisconsin species are used to walnuts and can grow with them.
So, a prairie can grow under a walnut.
As long as there's enough light. A prairie or a species that are adapted a little bit more to the shade will be able to grow fine with walnuts.
Finally, there's hope!
Now, on this site, we might notice a couple of other species to be concerned about, or at least take note of. On the border, I noticed there's quite a bunch of sumac, which are another native species but they spread. And they can be aggressive, creeping into the prairie. So, we want to note that on the map so that we can be cognicent of that when we do the planting.
Would that stop us from putting in a prairie?
It won't stop us, but we need to know they're there. We'll make plans accordingly.
So, other weedy-- the creeping charlie in the lawn.
Creeping charlie in the lawn is going to be-- We need to make note of it, because we're going to need to do the site preparation a little differently knowing we have creeping charlie.
Also, I noticed there's some viburnum on the borders of the property, which are a nice native plant. But again, we have to take note of their existence, because they can also creep out into the prairie.
So, even things that we planted deliberately may be a problem.
They may be a problem, that's right. And another thing to think about is drainage. And I notice a little bit beyond the viburnums, there's a low spot in the yard.
It looks like water can pool there in the spring.
That's right. And so, we may want to choose some species that like those kinds of wet spring conditions.
So, even a puddle isn't going to deter us from putting in prairie plants.
In fact, it's good. It gives us some diversity. We can have some different species there than in the upper portions of the site. So, it's a good thing.
What about views? Do we want to situate this praire so that we can look at it in different ways?
That's right. And on this site I noticed two kinds of things to think about. One is the view from the house-- the windows, sitting on the porch. Actually note on the plan where those are located on the house, so that you can then plan the plantings so that it looks really nice from those areas.
From inside, okay.
And another piece on this property is a different kind of view, which is looking outward. I noticed quite an outstanding shed...
Very white.
Visually outstanding-- that we probably would like to screen from the house.
So, maybe some tall prairie grasses.
Tall prairie grasses or something else that will keep it from being seen from the house. But at the same time, notice the beautiful view of Blue Mounds...
The state park up there...
That you want to enhance.
So, in the fall, you wouldn't want that blocked out for certain.
Right, in fact, you might want to do some plantings to make it more obvious, which is a good way to look at that. Now, another think to think about on this site is the use of the site.
Oh, okay.
Where the kids might play, where the dogs might run if there are dogs in the vacinity...
Sure. Where the wheelbarrow goes...
Right, any utility lines that you may have, septic tank locations, septic fields...
Wwhere I might work, like have the compost pile things like that, too.
Right, all those things-- just sketch them in on the site, so you can plan around them. And another feature that's really important to know about is the soil.
What kind.
Right, what kind. We don't care what kind you have, you just want to know what it is, because you want to be able to pick the plants accordingly.
So, are we going to be ammending the soil then or?
No soil ammendments with prairie. In fact, we discourage that.
Oh, good!
It may actually help the weeds along rather than the prairie.
So, what your saying, then, is it's more important-- whether its clay or loam, we just need to know that.
We need to know what it is, that's right.
What if I'm unsure?
Well, if you're unsure, I would suggest you get a soil test done
so that you know for certain what's there.
That might also be a good idea if it's a new home with maybe really strange soil or if there's a problem where something doesn't grow at all.
That's right, I would do the test. And then, also thinking of soils, I like to do a drainage test on the site. And what that means is you dig a hole about two inches deep, fill it with water, let it drain, fill it with water again and see how long it takes that second pot of water to drain through. And that way, you'll know if you have a well drained soil or a poorly drained soil.
And again, we just need to know. It doesn't stop us from planting prairie plants.
Not at all. In fact, you just need to know which it is, so you can choose the plants accordingly.
Okay, great. Thanks Evelyn. So remember, a proper site analysis now will save you a lot of problems later on.
A Sidewalk Prairie
Visit the garden of Master Gardener Kristi Siefert and explore the prairie garden in front of her house.
Prairie Establishment
Join Brian Bader, plant propagationist, as he lays out the options for preparing your site for plants and seeds.
The After Picture
Visit the 20-year-old garden of retired UW-Madison Arboretum Ecologist Dr. Virginia Kline. This mature prairie garden uses differences in the terrain to highlight plants.
The Before Picture/Site Analysis
Join Evelyn Howell, professor of Landscape Architecture at UW-Madison as she discusses site analysis--the very first step of garden design.
A Large Backyard Prairie
Discover the prairie in an urban neighborhood in Madison. Landscape architect John Diekelmann has transformed his backyard into a work of art using native Wisconsin prairie plantings.
Funding for The Wisconsin Gardener is provided, in part, by The Wisconsin Master Gardener Association.


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Re: MySQL
What would you prefer, that some of us have to try it without mysql? That's like saying you don't like to fill up your car with gas. Neither do I. But, the alternative of pushing my car around by hand is less appealing.
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A tool for securing DNS communications between a client and a DNS resolver.
A polyhedral extraction tool (PET).


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WASHINGTON (Reuters) - Federal Reserve Chairman Ben Bernanke warned on Thursday the U.S. economic recovery could be in jeopardy if lawmakers can't stop automatic year-end spending cuts and tax hikes from taking effect.
Bernanke said potent new central bank stimulus efforts would not be enough to protect the economy from the twin shocks.
"If the fiscal cliff isn't addressed, as I've said, I don't think our tools are strong enough to offset the effects of a major fiscal shock so we'd have to think about what to do in that contingency," the Fed chairman said at a press conference. "So I think it's really important for the fiscal policymakers to, you know, work together to try and find a solution for that."
The Fed jolted financial markets on Thursday with a new, open-ended round of bond buying and a promise to hold benchmark short term rates at rock bottom levels even longer than previously anticipated.
The central banks hopes the moves will spur faster growth in what has been a disappointingly sluggish recovery from a deep recession in 2007-2009.
Because Congress and the White House failed to reach a deal to cut the budget deficit by $1.2 trillion over ten years, they put themselves on track for draconian spending cuts in 2013 and beyond unless they can agree on an alternative.
In addition to an estimated $109 billion in spending cuts next year through the process called sequestration, a series of tax cuts is also due to expire at the end of the year.
The nonpartisan Congressional Budget Office estimated last month that the blow from these two events would result in a "significant" recession and the loss of around 2 million jobs.
Members of Congress are locked in a stalemate over how to avoid the so-called fiscal cliff. Both sides agree that reducing the massive U.S. deficit over the medium term is desirable but are at loggerheads over how to do so.
Bernanke said the possibility that lawmakers may not reach a deal to forestall the fiscal shock was among factors holding back a faster pace of economic growth.
"A lot of firms are waiting to see whether that problem will be resolved, and if so, how?" he said. "I think it is a concern. It is something that is affecting behavior now."
A White House report on how the automatic spending cuts would bite will be sent to Congress on Friday, White House spokesman Jay Carney told reporters traveling with the president in Nevada and Colorado. The report could stir renewed finger pointing, but chances for a deal before the November 6 general election are slim.
House Speaker John Boehner earlier this week said Obama had failed to pressure the Democrat-led Senate to work toward a solution with the Republican-held House of Representatives.
"The House has done its job on both the sequester and on the looming tax hike," Boehner said, a reference to legislation passed in the House but not taken up in the Senate that would exempt defense spending from the automatic cuts and renew expiring tax cuts. The Senate rejected the measure.
"And on both of these, where's the president, where's the leadership?" Boehner asked.
Carney said the prospect of painful spending cuts is due to Congress' failure to agree on deficit reduction steps, not a lack of effort on the president's part.
"The speaker of House announcing he has done his job when in fact Congress has failed to do its job is a remarkable statement," Carney told reporters.
Additional reporting by Andy Sullivan in Golden, Colo., Pedro da Costa, Alister Bull and Rachelle Younglai; editing by Fred Barbash and Andrew Hay


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Stoke City grab a 1-0 home win over Arsenal
Ramadan Sobhi came on for the final 20 minutes as Stoke grabbed...
The Egyptian tennis team has started the African Group stages of the Davis Cup tournament with a bang, after defeating the Mozambican team.
The Egyptian team's players are Sherif Sabry, Mohamed Safwat, Karim Hossam and Karim Mamoun.
Egypt are drawn in the third group with Mozambique, Benin and Libya. Pharaohs Karim Mamoun and Sherif Sabry won their first matches of the tournament against Mozambique champions Franco and Hugo.
Egypt, who is in level three of the competition, is set to face Libya on Tuesday, and their final group match is against Benin on Wednesday.
The winner of Group A, which includes Tunisia, Namibia, Ghana and Algeria will play off against the runner up of Group B, Egypt's group. The runner up of Group A will play off against the winner of Group B to determine which two nations will be promoted to Europe/Africa Zone level two in 2016.
Egypt first competed in the Davis Cup in 1929 with the best performance was reaching the Europe/Africa Zone Group I semifinals twice in 1982 and 1985.


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A year ago I couldn't even find a job at all, I spent most of my days feeling like a loser back then. My first job was at Wendy's which I started working at sometimes last year it ducked ass. Now am at job number 2 dq&Popeyes so 2 jobs. I been at dq for almost 9 months now and am always thinking of ways to make more money. I was in school but dropped out after my house burned down.. traveling there by train was just too much on me. Every single goal I ever had for myself it's year I have made come true with hard work. Now I just have 3 goals left 1. pass my road test so paying for 6 more lessions. 2. get a car which I know is something that's really gonna make me feel good about myself. 3. Becoming a nurse.
Should I buy a car or wait? is leasing a option?
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The results showed that in the UK, Tesco's second half was significantly worse than its first, with a drop in like-for-like sales of 3.3% in the second six months of the year, compared with a 0.3% fall in the first six months. Clarke was quick to point to 'a period of unusually subdued growth' across the industry, which he blamed on 'the impact of high petrol prices on customers' discretionary spending in our stores'. So expensive fuel is part of the problem.
But he also said the supermarket needs to take action in 'key areas', suggesting Tesco has lost some of its 'sharpness of communication to customers'. Today's statement sets out six 'immediate objectives' for its staff. They include (the admittedly rather vague) 'keeping the UK strong and growing'; making Tesco 'outstanding... not just successful' on an international scale; becoming a 'multi-channel retailer' in all its stores; delivering more value from its banking arm; improving its ability to apply 'group skill and scale'; and delivering a higher return for shareholders. No pressure, then.
Still, nobody should be predicting the demise of Tesco just yet. The company as a whole managed to boost underlying pre-tax profits by a whopping 12.3% to £3.8bn last year - which equates to more than £10m a day. Rather puts things in perspective, doesn't it? It also increased total sales by 8.1% to £67.6bn, driven partly by impressive 30% growth for its Asian operation.
So all things considered, Clarke probably doesn't have too much to worry about. OK, so the UK market is getting increasingly tough: shoppers are increasingly reluctant to splash the cash, and Tesco's rivals are raising their game all the time. But Tesco still accounts for about £3 of every £10 spent in the UK. And given its strong presence overseas, it's more cushioned than most from the effects of the UK slowdown.
Still, a bit of extra sharpness clearly wouldn't go amiss...


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Tantalise your tastebuds with the highlights of HK's gastro scene!
Amico offers delicious Italian cuisine, including a tasting menu for only $398 for 5 generous courses. Combined with good service, a warm ambience and high quality food, this is an ideal venue for a relaxed dinner or special occasion.
Fine dining Vietnamese cuisine in a beautiful restaurant. Pricier than other Vietnamese restaurants in town, but the ingredients are high quality, and the setting is elegant with a colonial feel.
Fine dining Italian Seafood Restaurant in Sai Kung featuring high quality Imported Seafood, Wines and Specialty Italian Products. Also sells Italian deli items. Opening hours: Dinner 6pm-10pm Monday, Tuesday, Wednesday, Thursday & Sunday Saturday 12pm – 4pm
Anthony's Ranch serves Real Texas Smoke House using their own smoking process. Welcoming and family friendly restaurant.
Sai Kung bar and cafe. Suitable for a big night out or just a relaxed night with friends. Outside seating available, and shows live sports games.
Vegetarian restaurant in Aberdeen in a huge space with outdoor seating. The food is made using largely local, organic produce with flavour influences from around the world. Open Wednesday-Sunday 12:00 – 22:00
Authentic Singaporean and Malaysian classics such as chicken rice and laksa served in a casual setting. Awarded the Michelin Bibs Gourmands in 2013.
The second Ship Street restaurant by Akrame Benallal, Atelier Vivanda is a simpler affair than its neighbour. Offering a starter, main and dessert for HK$448 per person, it focuses on great cuts of meat including veal carpaccio, Iberico pork rib and Black Angus steak. Unlike many restaurants of this ilk, Altelier Vivanda also offers unlimited side dishes …
Delicious and authentic Turkish food. No frills inside, but nice service, a great menu with everything from shish kebabs to delicious wraps and suited to children too. Open 11.30 – midnight Weekdays and 10.30 – midnight on weekends/holidays
Bao Wow serves both authentic Taiwanese Gua Bao and customizable baowiches with a modern twist. You will discover the freshly made baos in traditional Chinese bamboo steamers and you can customise them with your desired ingredients. A quick bite, a tasty snack or a meal on the run – with seasonal ingredients and the option …


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Transparant Screen Protector for 7'' Tablet - 3 pack
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Claim Jojo's Profile
[email protected]
Jojo Moyes
New York Times Best Selling Author of, "Me Before You," and Good Reads Choice Awards Nominee for "One Plus One"
Jojo Moyes was born in 1969 and grew up in London. After a varied career including stints as a minicab controller, typer of braille statements for blind people for NatWest, and brochure writer for Club 18-30, she did a degree at Royal Holloway and Bedford New College, London University. In 1992, she won a bursary financed by The Independent newspaper to attend the postgraduate newspaper journalism course at City University.
Jojo worked as a journalist for ten years, including a year at South China Morning Post in Hong Kong, and nine at The Independent where she worked variously as News Reporter, Assistant News Editor and Arts and Media Correspondent.
Jojo has been a full time novelist since 2002, when her first book, "Sheltering Rain," was published. Since then she has written a further eleven novels, all of which have been widely critically acclaimed. Jojo has won the Romantic Novelist's Award twice, and "Me Before You," has been nominated for Book of the Year at the UK Galaxy Book Awards. "Me Before You," has since gone on to sell over 3 million copies worldwide. Her novel "One Plus One," published in 2014, was nominated for a Good Reads Choice Award for Best Fiction in 2014.
Jojo lives (and writes) on a farm in Essex, England with her husband, journalist Charles Arthur, and their three children.
Here's a look at what's new on USA TODAY's Best-Selling Books list… All about ' You': Jojo Moyes says fans begged her for a sequel to her popular novel Me ...
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ITF Hosts Ambassador of Qatar
Ambassador of the State of Qatar, H.E. Mr Ali Khalfan Al-Mansouri visits ITF.
During the last week of April 2016, ITF had the pleasure to host Ambassador of the State of Qatar, H.E. Mr Ali Khalfan Al-Mansouri, at its headquarters in Ig.
During the meeting, Ambassador Damjan Bergant, ITF Director, together with his colleagues presented the work of ITF and discussed various options for future cooperation with the State of Qatar.
Ambassador Damjan Bergant also presented the brand new video, explaining what ITF is and what it does in a nutshell.