text: Steroid Hormone Contraception and Bone Mineral Density: A Cross-Sectional Study in an International PopulationPETITTI, D. B. MD; PIAGGIO, G. PhD; MEHTA, S. MD; CRAVIOTO, M. C. MD; MEIRIK, O. MDObstetrics & Gynecology: May 2000 - Volume 95 - Issue 5 - p 736–744 Original Research Abstract In Brief Author Information Article Outline Objective To evaluate relationships between bone mineral density and use of steroid hormonal contraceptives. Methods This was a multicenter cross-sectional study in seven centers in three regions of the developing world from April 1994 to June 1997. Women 30–34 years old attending family planning clinics, with at least 24 months of lifetime use of combined oral contraceptives (OC), depot-medroxyprogesterone acetate (DMPA), or levonorgestrel implants, or no or only short-term (less than 6 months) use of steroid hormonal contraceptives, had bone mineral density (BMD) measured at the distal radius and the midshaft of the ulna using single-photon x-ray absorptiometry. Results In the study, 2474 women were examined. For OC use, adjusted mean BMD was significantly higher in short-term, current users compared with women who never used hormonal contraceptives. For DMPA and levonorgestrel implants, adjusted mean BMD was statistically significantly lower in short-term current users compared with those who never used hormonal contraceptives. For all three hormonal methods, there were no significant differences in BMD between past users of hormonal contraceptives and never users, even among those who had used the methods for 4 or more years. The magnitude of changes in BMD was small and less than one standard deviation (SD) from the mean of those who never used steroid contraceptives. Conclusion This study suggests that hormonal contraceptive use by young adult women is associated with small changes in BMD that occur early after initiation of use and are reversible. This cross-sectional study suggests that hormonal contraceptive use in adult women is associated with small and reversible changes of bone mineral density. United Nations Development Programme (UNDP) / United Nations Population Fund (UNFPA) / World Health Organization (WHO) / World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Geneva, Switzerland. Address reprint requests to: D. Petitti, MD, Kaiser Permanente, Southern California Region, 393 East Walnut Street, Pasadena, CA 91188. E-mail: email@example.com Principal investigators of the World Health Organization Study of Hormonal Contraception and Bone Health include the following: H. Akhter, Bangladesh Institute of Research for Promotion of Essential & Reproductive Health Technologies, Dhaka, Bangladesh; E. O. Hassan, Egyptian Fertility Care Society, Cairo, Egypt; Gao Ersheng, Shanghai Institute of Planned Parenthood Research, Shanghai, People's Republic of China; Z. M. Chirenje, University of Zimbabwe, Harare, Zimbabwe; L. Bahamondes and D. Faundes, Department of Obstetrics and Gynecology, School of Medicine, Universidade Estadual de Campinas, Brazil; M. C. Cravioto, Instituto Nacional de la Nutrición S. Zubirán, Mexico City, Mexico; W. Boonkasemsanti, Department of Obstetrics and Gynaecology, Chulalongkorn University, Bangkok, Thailand. Funding was provided by United Nations Development Programme/United Nations Population Fund/World Health Organization/World Bank Special Programme of Research, Development and Research Training in Human Reproduction. Received July 19, 1999. Received in revised form October 15, 1999. Accepted October 27, 1999. Abstract Materials and Methods Results Discussion References Cited By Many factors influence bone mass and the risk of osteoporotic fracture.1 In women, the hypoestrogenic state is a determinant of bone mass and fracture risk.1 Bone mass begins to increase at the time of menarche,2 continues to increase until the late 20s to early 30s,3 and then begins to decrease. Peak bone mass determines the risk for osteoporotic fracture.2 The factors that influence peak bone mass are not fully understood.2 Hormonal contraceptive use might influence bone mass. Combined oral contraceptives (OCs) have no effect or possibly protect against age-related loss of bone mass,4 whereas the progestogen-only contraceptive depot-medroxyprogesterone acetate (DMPA) has been associated with reduced bone mass.5–7 This study, done in a multiethnic international population, assessed bone mass according to steroid hormonal contraceptive use in women 30–34 years old. Back to Top | Article Outline Materials and Methods This cross-sectional study was done at seven centers in three regions of the developing world (Dhaka, Bangladesh; Campinas, Brazil; Shanghai, China; Cairo, Egypt; Mexico City, Mexico; Bangkok, Thailand; and Harare, Zimbabwe) from April 1994 to June 1997. It was approved by the Scientific and Ethical Review Group of the United Nations Development Programme (UNDP)/ United Nations Population Fund (UNFPA)/World Health Organization (WHO)/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, and by ethical review committees at participating sites. Women 30–34 years old were eligible for the study if they were not lactating or had not recently lactated; were not recently pregnant; had not had a hysterectomy or oophorectomy; did not use, currently or in the past, medications known to affect calcium metabolism; and did not have a chronic disease affecting calcium metabolism (Table 1, footnote). Table 1 Women attending family planning clinics in the seven centers who had at least 24 months of lifetime use of OCs, DMPA, or levonorgestrel implants were recruited consecutively, along with a comparison group of women (called never users of hormonal contraceptives) who had never used any hormonal contraceptive or had a lifetime exposure to hormonal contraceptives of less than 6 months. Women who had used two or more hormonal methods were assigned to the hormonal method most recently used for 2 or more years. Of women who had never used hormonal contraceptives, 78% had never used any form of hormonal contraception. The mean duration of hormonal contraceptive use in the women classified as never users who had used hormonal contraceptives was 3 months (standard deviation [SD] 1.6 months) and the mean time since stopping use was 78 months (SD 50 months). Eighty-two percent (82%) of the assigned OC users used formulations containing 30 μg or more but less than 50 μg of estrogen, 15% used formulations containing 50 μg or more, and fewer than 1% used OCs containing less than 30 μg. The estrogen dose was unknown for 2% of the OC users. All DMPA users were on regimens of 150 mg every 3 months. At the time of this study, only the six-capsule subdermal levonorgestrel implant system was available. It releases 50–85 μg of levonorgestrel per day in the first 9 months of use and about 35 μg per day after 1 year.8 Bone mineral density (BMD) was measured at the distal radius, where trabecular bone predominates, and the midshaft of the ulna, where cortical bone predominates, in grams/centimeter2 (g/cm2) using single x-ray absorptiometry (SXA model DTX-100; Osteometer Meditech A/S Co., Rodovre, Denmark). Single x-ray absorptiometry was used because of its high reproducibility (coefficient of variation approximately 1%), its low cost, and ease of training. The test/retest reliability of BMD measurements was assessed at each center during a pilot phase; additional training was offered at centers with low reliability. During the main study, ongoing assessment of test/retest reliability using the intraclass correlation coefficient9 showed values of 0.95 or more in four of the five centers with more than ten subjects. In that center, test-retest reliability for measures at the midshaft of the ulna was 0.90. Information on other characteristics of subjects was collected in face-to-face interviews. Height and weight were measured using a standard protocol and stadiometers and scales provided by the WHO. Occupation was used as a surrogate for socioeconomic status because income levels cannot be compared across these diverse international settings. Occupation was classified into three groups according to the International Standard Classification of Occupations, Revised Edition 1968. High occupation included professional, administrative and management workers, and military officers. Medium occupation included clerical and sales workers. Low occupation included service workers, agricultural workers, and military workers other than officers. Subjects were classified according to both their own and their partner's occupation. Partners' occupation was used in the adjustment set because it was most strongly associated with BMD. The characteristics of women in the study were quantified as mean ± SD, medians, or percentages, as appropriate. Differences in BMD across centers and the associations between BMD and selected characteristics of the study subjects and by contraceptive user group were assessed using analysis of variance techniques. Analysis of covariance was used to estimate BMD for each variable adjusting for center, for contraceptive user group, and for variables in an adjustment set, which consisted of variables for which the P value was less than .10 for BMD measured at both anatomic sites. For correlated variables, the one with highest partial R2 in a model that was also adjusted for centers was selected for the adjustment set. When examining a variable not in the adjustment set that was correlated with a variable in the adjustment set, the latter was dropped from the model. Adjusted mean BMD was estimated according to the assigned hormonal contraceptive method and separately in women who were exclusive users of the method. These results are presented as adjusted mean differences between BMD in users of the contraceptive method and the comparison group of never users of hormonal contraceptives along with the 95% confidence interval (CI) for the differences in adjusted means. We did analyses, restricted to exclusive users of each hormonal method, after categorizing women according to recency of hormonal contraceptive use (current or past use) and in categories of duration of use (less than 36 months, 37–48 months, and over 48 months). Back to Top | Article Outline Results A total of 2545 women were recruited to the study, but 71 women who were ineligible were excluded from this analysis. Table 1 gives the number of women in the analysis, categorized by contraceptive use and center. There were differences in most of the characteristics of women by hormonal contraceptive group (Table 2). This table also shows median duration of use for all users and for exclusive users of hormonal contraceptives. Table 2 Table 3 shows mean BMD at each anatomic site according to selected characteristics and by contraceptive user group, first adjusting only for center and then adjusting for center and the adjustment set. Bone mineral density was significantly (P < .001) associated with center. Table 3 Table 3 After adjusting only for center, there were statistically significant (P < .05) associations of age, body mass index (BMI), years of lactation, and years since last lactation, with BMD measured at both the distal radius and the midshaft of the ulna. An association of parity with BMD was also observed, although at midshaft of ulna it was not significant. Bone mineral density was also significantly associated with occupation of the woman's partner. This association was complex, with both low and high occupation being associated with lower BMD. Higher BMD measured at the distal radius was also significantly (P < .05) associated with ever drinking coffee. After adjustment only for center, there was a significant association of contraceptive method used most recently with BMD at both the distal radius and the midshaft of ulna. The significant association between BMD and centers persisted after adjustment for other variables in the table. After adjustment for center, assigned contraceptive method, and the variables in the adjustment set, the associations of age, BMI, occupation of the partner, coffee drinking, years of lactation, years since last lactation, and parity persisted for measurement of BMD at the distal radius. For measurement of BMD at the midshaft of ulna, after the same adjustment, only the associations between BMD and BMI, occupation of partner, and years of lactation persisted. After adjustment for center and the variables in the adjustment set, the significant associations of hormonal contraceptive method with BMD at the distal radius persisted. Figure 1 shows the adjusted mean differences and 95% CIs for BMD between users of each hormonal contraceptive and never users of steroid hormone contraceptives according to the assigned hormonal contraceptive method and for exclusive users of each hormonal method. For women assigned to OCs and exclusive users of OCs, there were no differences in the adjusted means of BMD compared with never users of hormonal contraceptives. Users assigned to DMPA had significantly lower adjusted mean BMD at the distal radius. Exclusive users of DMPA had significantly lower adjusted mean BMD at both anatomic sites. In the analysis restricted to exclusive users of levonorgestrel implants, the adjusted mean BMD at the midshaft of the ulna was significantly lower for levonorgestrel implant users compared with never users of hormonal contraceptives. All of the adjusted mean differences in BMD between users of hormonal contraceptives and never users were of a magnitude that was less than one SD of the mean of never users of hormonal contraceptives. Figure 1 Figure 2, which is restricted to exclusive users of each hormonal contraceptive method and never users, shows a consistent pattern in which use of hormonal contraceptives was significantly associated with BMD only in current users who used the method for a relatively short duration (24–36 months). For women who used OCs, adjusted mean BMD was higher in exclusive short-term current users than in never users of hormonal contraceptives (+0.017 g/cm2 for the distal radius; +0.016 g/cm2 for the midshaft of ulna). For those who used DMPA, the adjusted mean BMD was significantly lower in exclusive short-term current users than in never users of hormonal contraceptives (−0.023 g/cm2 for the distal radius; −0.014 g/cm2 for the midshaft of ulna). For women who used levonorgestrel implants, the adjusted mean BMD was significantly lower in exclusive short-term current users than in never users of hormonal contraceptives (−0.013 g/cm2 for the distal radius; −0.017 g/cm2 for the midshaft of ulna). For all three hormonal methods, there were no significant differences in BMD measured at either anatomic site between exclusive past users of the method and never users of hormonal contraceptives, nor were there differences between exclusive longer-term current users of any of the methods and never users of hormonal contraceptives. All observed associations pertain equally to BMD measured at the distal radius and the midshaft of ulna. All of these differences found in current short-term users of hormonal contraceptive were of a magnitude that was within 1 SD of the never users of hormonal contraceptives. Figure 2 Back to Top | Article Outline Discussion This large multinational study confirms that there are differences in BMD between women living in Africa (Harare), Asia (Bangkok, Dhaka, Shanghai), and Latin America (Campinas, Mexico City). These differences were independent of BMI, socioeconomic status (measured using the occupation of the partner), and reproductive variables. Bone mineral density was highest in Harare, a setting with a high proportion of African women, and lowest in Dhaka, Shanghai, and Bangkok, which are settings with almost exclusively Asian women. The data should be interpreted with the knowledge that there are important differences in early childhood nutrition, exercise, and diet that were not taken into account by the study. We did not attempt to assess dietary intake of calcium because of the unavailability of a reliable and validated instrument to measure calcium intake from foods consumed in the large variety of settings in the study. The study confirms the well-known association of BMD with BMI,1–3 which pertained even in this relatively thin (mean body mass index 24.8 kg/m2) study population. The percentages of women who smoked or drank alcohol were very low (14% for smoking and 5% for alcohol); heavy smoking and heavy alcohol use were infrequent. Low levels of exposure to smoking and alcohol could account for the lack of association of these factors with BMD in this study. Several studies suggested that decreases in BMD during lactation are reversible after lactation ceases.10–14 When adjusted only for center, BMD was lower in women who lactated recently, but this association was no longer evident after adjustment for duration of lactation and other variables in the adjustment set. When adjusted only for center, women with a long (more than 5 years) duration of lactation had lower BMD than women with shorter duration of lactation. After adjusting for recency of lactation and other variables, BMD remained lower in women with a long duration of lactation. We interpret these findings as evidence supporting the notion that decreases in BMD during lactation are reversible up to total duration of lactation of 5 years. The findings suggest the possibility that total duration of lactation more than 5 years might result in persistent changes in BMD. Prior studies of this topic are contradictory.14 The interpretation of the data on BMD in relation to use of hormonal contraceptives is not straightforward because our study was cross sectional. We found evidence that the effect of hormonal contraceptives could be related to duration of use and time since last use, and we based our main conclusions about the effect of hormonal contraception on BMD on exclusive users of each hormonal contraceptive method after stratifying by duration of hormonal contraceptive use and time since last use. These analyses suggest that DMPA and levonorgestrel implants decrease BMD during early periods of current use but that the effect of DMPA and levonorgestrel implant use on BMD is reversible. The data suggest that OCs increase BMD during early periods of current use and also that BMD returns to the never users level during longer periods of continued use. Our conclusions apply to use of hormonal contraceptives in the middle of the reproductive age span and must be interpreted with the knowledge that median durations of use were 3–5 years. The suggestion that the effects of hormonal contraception on BMD are reversible could be substantiated only in longitudinal studies of relatively long duration. Prior research on BMD and OC use is contradictory and confusing.15–26 Mehta15 identified seven studies that showed an increase in BMD in users of OCs and six studies that showed no effect of OCs on BMD. Differences in the size of the studies, the enrollment of postmenopausal women,20–22 the durations of OC use, and proportions of current OC users might explain the discrepancies between prior studies. Previous cross-sectional studies have not examined BMD in relation to recency and duration of OC use in a way that allows direct comparison with our results. Prior research on BMD and DMPA use is limited and inconsistent. In a cross-sectional study by Cundy et al5 of 30 current users of DMPA aged 25–51 years and two comparison groups, one with premenopausal women and one perimenopausal women, DMPA users had BMD that was intermediate between the premenopausal and perimenopausal groups. In a study of 75 long-term (more than 3 years) DMPA users of reproductive age and an age-matched comparison group of nonusers of DMPA, Virutamasen et al27 found no statistically significant difference in radiographic measures of bone density between DMPA users and the comparison group. Cromer et al6 reported that among adolescents who used DMPA, vertebral bone density decreased from baseline density by 1.5% and 3.1% during 1 and 2 years of use, respectively, whereas for nonusers of hormonal contraceptives it increased by 2.9% and 9.5%, respectively. Gbolade et al7 found that DMPA users with more than 1 year of amenorrhea had overall bone density of the lumbar spine that was significantly lower (−0.33 g/cm2) than the population mean for women aged 20–59 years, but the decrease was not significant and was smaller in magnitude in the femoral neck. Information on BMD in users of levonorgestrel implants is very limited. Naessen et al28 found an increase in forearm bone density in 11 premenopausal women who were followed up longitudinally in a randomized trial comparing DMPA with levonorgestrel implants. Cromer et al6 observed no adverse effect of levonorgestrel implants on vertebral bone density in their follow-up study of adolescents. An effect of levonorgestrel implants in decreasing BMD is not expected because the 19-nor-progestogen released by the levonorgestrel implant is widely considered to have a beneficial effect on bone density. Levonorgestrel implant use can suppress ovarian function and production of endogenous estrogen. This suppression might be greater in women with small body mass.29 We examined the possibility that the effect of levonorgestrel implants on BMD during early short-term use might be limited to women who were thin and who might have greater suppression of endogenous estrogen when using levonorgestrel implants. The analysis was inconclusive because there were too few heavy women who were current short-term users of levonorgestrel implants. Future studies should determine whether body mass might modify an effect of levonorgestrel implants on BMD. Information on menstrual patterns during implant use was not collected. Analysis of BMD in relation to such patterns might also be informative. Bone density is the result of a dynamic process in which bone is constantly being formed and reabsorbed. The hormonal mechanisms that govern bone formation and reabsorption are complex. It is plausible that there are homeostatic mechanisms that maintain BMD despite hormonal stimulation. The cross-sectional nature of the study is a limitation. The age range of subjects was narrow and the use of hormonal contraceptives might have a different effect on BMD at older or younger ages. Bone mineral density was measured at the distal radius and midshaft of ulna using single x-ray absorptiometry. Findings cannot be generalized to other clinically important skeletal sites, such as the femoral neck and the spine, where fracture risk is of most concern. A 1992 WHO study group established that BMD within one SD of the young adult reference mean is normal; a low bone mass (osteopenia) was defined as more than one SD below the reference mean but less than 2.5 SD below this value; and osteoporosis was BMD 2.5 SD or more below the young adult mean.30 All of the reduced values of BMD associated with hormonal contraceptive use we observed in this study were within one SD of the mean of never users. Thus, whatever transient small changes in BMD might occur early after initiation of use of some hormonal contraceptives are small and might not be clinically important.Back to Top | Article Outline References1. Cummings SR, Kelsey JL, Nevitt MC, O'Dowd KJ. Epidemiology of osteoporosis and osteoporotic fractures. Epidemiol Rev 1985;7:178–208. Cited Here... | PubMed | CrossRef 2. Sowers MR, Galuska DA. Epidemiology of bone mass in premenopausal women. Epidemiol Rev 1993;15:374–98. Cited Here... | PubMed | CrossRef 3. Stevenson JC, Lees B, Devenport M, Cust MP, Ganger KF. Determinants of bone density in normal women: Risk factors for future osteoporosis. BMJ 1989;298:924–8. Cited Here... | PubMed | CrossRef 4. DeCherney A. Bone-sparing properties of oral contraceptives. Am J Obstet Gynecol 1996;174:15–20. Cited Here... | View Full Text | PubMed | CrossRef 5. Cundy T, Evans M, Roberts H, Wattie D, Ames R, Reid IR. Bone density in women receiving depot medroxyprogesterone acetate for contraception. BMJ 1991;303:13–6. Cited Here... | PubMed | CrossRef 6. Cromer BA, Blair JM, Mahan JD, Zibner SL, Naumovski Z. A prospective comparison of bone density in adolescent girls receiving depot medroxyprogesterone acetate (Depo-Provera), levonorgestrel (Levonorgestrel implant), or oral contraceptives. J Pediatr 1996;129:671–6. Cited Here... | View Full Text | PubMed | CrossRef 7. Gbolade B, Ellis S, Murby B, Randall S, Kirkman R. Bone density in long term users of depot medroxyprogesterone acetate. Br J Obstet Gynaecol 1998;105:790–4. Cited Here... | PubMed | CrossRef 8. Fraser IS, Tiitinen A, Affandi B, Brache V, Croxatto HB, Diaz S, et al. Levonorgestrel implant consensus statement and background review. Contraception 1998;57:1–9. Cited Here... | PubMed | CrossRef 9. Fleiss J. The design and analysis of clinical experiments. New York: John Wiley & Sons, Inc., 1986. Cited Here... 10. Caird LE, Reid-Thomas V, Hannan WJ, Gow S, Glasier AF. Oral progestogen-only contraception may protect against loss of bone mass in breast-feeding women. Clin Endocrinol 1994;41:739–45. Cited Here... | PubMed | CrossRef 11. Drinkwater BL, Chesnut CH. Bone density changes during pregnancy and lactation in active women: A longitudinal study. Bone Miner 1991;14:153–60. Cited Here... | PubMed | CrossRef 12. Kalkwarf HJ, Specker BL. Bone mineral loss during lactation and recovery after weaning. Obstet Gynecol 1995;86:26–32. Cited Here... | View Full Text | PubMed | CrossRef 13. Laskey MA, Prentice A. Effect of pregnancy on recovery of lactational bone loss. Lancet 1997;349:1518–9. Cited Here... | View Full Text | PubMed | CrossRef 14. Sowers MF, Corton G, Shapiro B, Jannausch ML, Crutchfield M, Smith ML, et al. Changes in bone density with lactation. JAMA 1993;269:3130–5. Cited Here... | View Full Text | PubMed | CrossRef 15. Mehta S. Bone loss, contraception and lactation. Acta Obstet Gynecol Scand 1993;72:148–56. Cited Here... | PubMed | CrossRef 16. Enzelsberger H, Metka M, Heytmanek G, Schurz B, Kurz C, Kusztrich M. Influence of oral contraceptive use on bone density in climacteric women. Maturitas 1988;9:375–8. Cited Here... | PubMed | CrossRef 17. Fortney JA, Feldblum PJ, Talmage RV, Zhang J, Godwin SE. Bone mineral density and history of oral contraceptive use. J Reprod Med 1994;39:105–9. Cited Here... | PubMed 18. Gambacciani M, Spinetti A, Taponeco F, Cappagli B, Piaggesi L, Fioretti P. Longitudinal evaluation of perimenopausal vertebral bone loss: Effects of a low-dose oral contraceptive on BMD and metabolism. Obstet Gynecol 1994;83:392–6. Cited Here... | View Full Text | PubMed 19. Garnero P, Sornay-Rendu E, Delmas PD. Decreased bone turnover in oral contraceptive users. Bone 1995;16:499–503. Cited Here... | PubMed | CrossRef 20. Goldsmith NF, Johnston JO. Bone mineral: Effects of oral contraceptives, pregnancy, and lactation. J Bone Joint Surg 1975;57:657–68. Cited Here... | View Full Text | PubMed | CrossRef 21. Hreshchyshyn MM, Hopkins A, Zylstra S, Anbar M. Associations of parity, breast-feeding, and birth control pills with lumbar spine and femoral neck bone densities. Am J Obstet Gynecol 1988;159:318–22. Cited Here... | PubMed | CrossRef 22. Kleerekoper M, Brienza RS, Schultz LR, Johnson CC, and the Henry Ford Hospital Osteoporosis Cooperative Research Group. Oral contraceptive use may protect against low bone mass. Arch Intern Med 1991;151:1971–6. Cited Here... | PubMed | CrossRef 23. Lindsay R, Tohme J, Kanders B. The effect of oral contraceptive use on vertebral bone mass in pre- and post-menopausal women. Contraception 1986;34:333–40. Cited Here... | PubMed | CrossRef 24. Lloyd T, Buchanan JR, Ursino GR, Myers C, Woodward G, Halbert DR. Long-term oral contraceptive use does not affect trabecular bone density. Am J Obstet Gynecol 1989;160:402–4. Cited Here... | PubMed | CrossRef 25. Mazess RB, Barden HS. Bone density in premenopausal women: Effects of age, dietary intake, physical activity, smoking, and birth-control pills. Am J Clin Nutr 1991;53:132–42. Cited Here... | PubMed 26. Recker RR, Davies M, Hinders SM, Heaney RP, Stegman MR, Kimmel DB. Bone gain in young adult women. JAMA 1992;268:2403–8. Cited Here... | PubMed | CrossRef 27. Virutamasen P, Wangsuphachart S, Reinprayoon D, Kriengsinyot R, Leepipatpaiboon S, Gua C. Trabecular bone in long-term depot-medroxyprogesterone acetate users. Asia-Oceania J Obstet Gynaecol 1994;20:269–74. Cited Here... | PubMed | CrossRef 28. Naessen T, Olsson S, Gudmundson J. Differential effects on bone density of progestogen-only methods for contraception in pre-menopausal women. Contraception 1995;52:35–9. Cited Here... | PubMed | CrossRef 29. Brache V, Alvarez-Sanchez F, Faundes A, Tejada AS, Cochon L. Ovarian endocrine function through five years of continuous treatment with levonorgestrel implant subdermal implants. Contraception 1990;41:169–77. Cited Here... | PubMed | CrossRef 30. World Health Organization. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. WHO Technical Report Series 843. World Health Organization, Geneva, 1994. Cited Here... Cited By: This article has been cited 3 time(s). Obstetrics & GynecologyEffects of Hormonal Contraception on Bone Mineral Density After 24 Months of UseBerenson, AB; Breitkopf, CR; Grady, JJ; Rickert, VI; Thomas, AObstetrics & Gynecology, 103(5): 899-906.10.1097/01.AOG.0000117082.49490.d5 PDF (489) | CrossRef Obstetrics & GynecologyPregnancy Risk Among Oral Contraceptive Pill, Injectable Contraceptive, and Condom Users in Uganda, Zimbabwe, and ThailandSteiner, MJ; Kwok, C; Dominik, R; Byamugisha, JK; Chipato, T; Magwali, T; Mmiro, F; Rugpao, S; Sriplienchan, S; Morrison, CSObstetrics & Gynecology, 110(5): 1003-1009.10.1097/01.AOG.0000268804.98744.2b PDF (220) | CrossRef Sports Medicine and Arthroscopy ReviewFemale Athlete TriadLebrun, CM; Rumball, JSSports Medicine and Arthroscopy Review, 10(1): 23-32. PDF (1356) Back to Top | Article Outline© 2000 The American College of Obstetricians and Gynecologists Article Outline Abstract Materials and Methods Results Discussion References Cited By Source Steroid Hormone Contraception and Bone Mineral Density: A Cross-Sectional Study in an International Population Obstetrics & Gynecology95(5):736-744, May 2000. Full-Size Email + Favorites Export View in Gallery Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Obstetrics & Gynecology. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Obstetrics & Gynecology. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Add Item(s) to: An Existing Folder A New Folder Folder Name: Description: The item(s) has been successfully added to "".


text:
Pete Carroll had heard it for years and right up until Super Bowl game time. The ridicule. The doubt. The derision. Pete Carroll's too much of a players' coach. That rah-rah style might work at USC, but it won't work with grown men in the pros. Seattle's too lax to win a championship. Now, after having shellacked the Denver Broncos' supposedly juggernaut offense in Super Bowl XLVIII, Carroll and his Seahawks have sent those critics scurrying into the shadows. Turns out his careful approach to coaching—a potent blend of growth mindset, mindfulness techniques, and positive reinforcement—actually does gain traction on the field. Turns out you don't have to scowl first to laugh last.
Back at the beginning of the season, Carroll detailed for ESPN the Magazine how he had chosen a different path. He knew that many thought him a pushover and that his detractors could point to a questionable track record. He'd been fired by the Jets in 1994. The Patriots had dismissed him after three seasons of seeming overmatched. And, though he'd had success at USC where he won two national championships, he left there under a cloudstorm of controversy too. Still, in the face of that criticism, he stayed strong and built a program that matched his mode. In a world of aggressive hits and hard-ass reprimand, he opted for systematic kindness: "I wanted to find out if we went to the NFL and really took care of guys, really cared about each and every individual, what would happen?"[1]
Growth Mindset
That generous slant shows up for the Seahawks in several ways, including Carroll's commitment to a growth mindset. He focuses squarely on improvement rather than on native talent, exhorting his players, coaches, and staff to "Do your job better than it has ever been done before."[2] He and his GM John Schneider cleared out employees who planted their feet in a fixed mindset mud and instead brought in guys willing to grow. That included Russell Wilson, the 5'11" quarterback who'd heard a few nay-sayers of his own and now-All-Pro cornerback Richard Sherman who had come into the league as a lightly-regarded 5th-round pick. It also included Tom Cable, an assistant head coach earlier known for his testy demeanor who now feels he's found a better way to work with players:
If I go ballistic on a guy because he dropped his outside hand or missed an underneath stunt, who is wrong? I am. I'm attacking his self-confidence and he's learning that if he screws up, he's going to get yelled at. If you make a mistake here, it's going to get fixed.[3]
For everyone throughout the organization, the approach stays the same. Set goals. Reach goals. Learn from mistakes.
The principle even applies for significant errors in judgment. When second-year defensive stopper Bruce Irvin received a four-game suspension for a positive test for banned substances last May, Carroll coached Irvin to take responsibility for his actions and apologize to his teammates and to the league. "The fact that that happened to Bruce is a gift for the next guy," Carroll reported. "He made a poor choice and got hammered by it so the next guy won't have to go through with that."[4]
When Sherman ignited a firestorm with an on-air rant following the NFC Championship, he found his coach taking a similar approach:
I haven't exactly earned straight A's in the [avoiding controversy] department lately, but [Coach Carroll] sees it as a learning experience, just like the games. He finds the positives when we lose, in addition to the things we can improve on.[5]
Early on in his tenure with the Seahawks, Carroll got his athletes practicing yoga as a way to build flexibility and core strength. He also knew it would help them develop focus and concentration. What started as an experimental program became a mandated requirement, with players like Wilson leading the charge for even more mental preparation: "We talk about being in the moment and increasing chaos throughout practice, so when I go into the game, everything is relaxed."[6]
The Seahawks now have a full-time sports psychologist on staff and a more thorough investment in mindfulness that's taken root across the squad. Offensive tackle Russell Okung has also jumped fully on board:
Meditation is as important as lifting weights and being out here on the field for practice. It's about quieting your mind and getting into certain states where everything outside of you doesn't matter in that moment. There are so many things telling you that you can't do something, but you take those thoughts captive, take power over them and change them.[7]
The mindfulness helps the athletes let go of regrets from the past and anxieties for the future so they can stay fully focused on the intense demands of the present.
Positive Reinforcement
Carroll and his coaches amplify the team's growth mindset and commitment to mental preparation by employing the foundational principle of positive reinforcement: reward movement toward the behavior you want and ignore the rest. That means more than offering empty praise. It means giving timely feedback to focus players on doing the right thing now rather than having done the wrong thing in the past. "We don't feel like we benefit from [harping on errors]," Carroll says. "We want to tell them the best thing we can tell them as quickly as we can. It isn't necessary to scream at them or yell at them. There are other ways to do it."[8]
Though the league sees Carroll as a "players' coach"—and his team members sing his praises—he's no undisciplined pushover. There's a backbone of intention behind the positivity. Linebacker and team captain Heath Farwell makes the argument: "[Coach] Carroll is respected by his players because of his clear teaching methods and his positive-reinforcement approach."[9] ESPN NFL Analyst Eric Allen echoes the point: "Players' coaches give you tools that you can use to be successful—so that no matter where you are, you're able to understand the game—you grow as a player—you grow as a person. They prepare you and give you an opportunity to be a better player and then hold you accountable."[10]
Multiple Fibers, Strong Rope
Pete Carroll's not the first coach to preach the benefits of positivity, but he is the first to succeed on such a grand scale. And that success derives directly from his belief in his multi-strand vision. "[Carroll isn't] coaching in the Super Bowl because he's a nice guy," wrote Sherman. "He's here because he's pulling off the most unique philosophy in football…Even when he finished 7-9 two seasons in a row in 2010 and 2011, coach Carroll stayed true to himself and the things he believed in, because it was finally his chance to do things his way."[11]
Start with the life-changing shift to a growth mindset and clear out the deadbeats. Develop the discipline of mindfulness meditation. And teach with the targeted technique of positive reinforcement. Braid those fibers into a single rope and you've got the strength to reach the highest summits, no matter how loud the nay-sayers grow. Quarterback Wilson wisely acknowledges that "Other teams aren't like this. We do stuff different here."[12] For this year's Super Bowl champion Seattle Seahawks, that difference—Pete Carroll's systematic commitment to positivity and kindness—made all the difference.
Congratulations, Coach, and thanks for the inspiration.
Thanks to the following articles for their insights and quotations:
"A Love Letter to Coach Carroll" by Richard Sherman
"Lotus Pose on Two," by Alyssa Roenigk, ESPN The Magazine
"Pete Carroll voted most popular," by Terry Blount, ESPN.com
"Pete Carroll's Coaching Playbook: 5 Takeaways for Leaders and Managers" by Victoria Alzapiedi
"Seattle Seahawks Changing Future of Football with Yoga and Meditation," by YD
[1] "Lotus Pose on Two," by Alyssa Roenigk, ESPN The Magazine
[2] Roenigk, ESPN The Magazine
[3] Roenigk, ESPN The Magazine
[4] Roenigk, ESPN The Magazine
[5] "A Love Letter to Coach Carroll" by Richard Sherman, for CNNSI.com
[6] Roenigk, ESPN The Magazine
[7] Roenigk, ESPN The Magazine
[8] "Pete Carroll voted most popular," by Terry Blount, ESPN.com
[9] Blount, ESPN.com
[10] "Pete Carroll's Coaching Playbook: 5 Takeaways for Leaders and Managers" by Victoria Alzapiedi
[11] Richard Sherman, for CNNSI.com
[12] Roenigk, ESPN The Magazine

subset: commoncrawl


text:
No More Pretend
It's back to school for all of us next week. I had a whack of meetings today that pretty well ate up the day and have left me with a long to-do list. Tomorrow there are more meetings and graduate program wrangling to accomplish. The girls have all of their school supplies, I have all my courses ready, everything's pretty well good to go.
Well, maybe I should wrangle the graduate course into shape so I can hand out the outline tomorrow at orientation, eh?


text:
Latest on Egypt Clashes
EGYPT, Cairo : An Egyptian woman tries to stop a military bulldozer from going forward during clashes that broke out as Egyptian security forces moved in to disperse supporters of Egypt's deposed president Mohamed Morsi in a huge protest camp near Rabaa al-Adawiya mosque in eastern Cairo on August 14, 2013. AFP PHOTO /MOHAMMED ABDEL MONEIM
Follow >
Click here to add Ahmed El-Tayyeb as an alert
Disable alert for Ahmed El-Tayyeb,
Click here to add Ahmed Imam as an alert
Disable alert for Ahmed Imam,
Click here to add al-Nahda as an alert
Disable alert for al-Nahda,
Click here to add Alexandria as an alert
Disable alert for Alexandria,
Click here to add Assiut as an alert
Disable alert for Assiut,
Click here to add Aswat Masri as an alert
Disable alert for Aswat Masri,
Click here to add Beni Suef as an alert
Disable alert for Beni Suef,
Click here to add Cairo as an alert
Disable alert for Cairo,
Click here to add Deir Mawat as an alert
Disable alert for Deir Mawat,
Click here to add Facebook as an alert
Disable alert for Facebook,
Click here to add Gamaa Al-Islamiya as an alert
Disable alert for Gamaa Al-Islamiya,
Click here to add Habiba Ahmed Abd Elaziz as an alert
Disable alert for Habiba Ahmed Abd Elaziz,
Click here to add Iman El-Hawary as an alert
Disable alert for Iman El-Hawary,
Click here to add Khaled Karish as an alert
Disable alert for Khaled Karish,
Click here to add Khaled Lotfy as an alert
Disable alert for Khaled Lotfy,
Click here to add Mahmoud Abbas as an alert
Disable alert for Mahmoud Abbas,
Click here to add Mai Shaheen as an alert
Disable alert for Mai Shaheen,
Click here to add Minya as an alert
Disable alert for Minya,
Click here to add Mohamed El-Zaki as an alert
Disable alert for Mohamed El-Zaki,
Click here to add Mohamed Morsi as an alert
Disable alert for Mohamed Morsi,
Click here to add Rabaa al-Adawiya as an alert
Disable alert for Rabaa al-Adawiya,
Click here to add Radwan as an alert
Disable alert for Radwan,
Click here to add Safwat Hegazy as an alert
Disable alert for Safwat Hegazy,
Click here to add Sky News as an alert
Disable alert for Sky News,
Click here to add Sohag as an alert
Disable alert for Sohag,
Click here to add Suez as an alert
Disable alert for Suez,
Click here to add Twitter as an alert
Disable alert for Twitter
13:30 A security source told Egyptian state television that reports that Brotherhood figure Mohamed El-Beltagi has been arrested are incorrect.
Sources who talked to Ahram's Arabic news website said that El-Beltagi and Islamist preacher Safwat Hegazy, who is close to the Brotherhood, were being besieged by security forces in a house close to the Rabaa sit-in.
El-Beltagi and Hegazy both face charges of incitement of violence and attempted murder, but have avoided arrest by staying within the Cairo sit-in, often appearing on the sit-in's stage addressing the crowds or speaking in press conferences.
13:20 In Suez there have been two confirmed deaths by live fire, a health official told Ahram Arabic. Fifty-three injuries have been reported.
13:15 Protests in Alexandria are ongoing; Ahram reports that protesters set fire to a government building in the suburb of Kom El-Deka and clashed with security forces at El-Raml train station located nearby. The demonstrators stormed the government building and set parts on fire.
13:10 UAE media outlet Xpress is reporting on Twitter that its reporter Habiba Ahmed Abd Elaziz has been "shot dead in Cairo." No further details have been released yet.
13:05 Alastair Beach, a reporter with the UK daily the Independent, is at Rabaa field hospital, where he reports seeing 42 bodies. "Pro-Morsi protesters have barricaded themselves inside upper floors of field clinic as live fire crackles outside" he tweets.
13:00 In Luxor, clashes have been going on since Morsi supporters staged a protest in Abu Haggag Square. During this time the protesters burned a police car, attacked a policeman stealing his weapon and uniform in addition to attacking a number of shops, according to Ahram's reporter in Luxor, Iman El-Hawary.
Pro-Morsi supporters have also attacked four police stations in the governorate of Giza.
12:55 Al-Azhar, Egypt's leading Islamic institution, said that it was not aware of plans to disperse the sit-ins and that it had learned about them through the media.
Al-Azhar's grand imam Ahmed El-Tayyeb said in a spoken statement broadcast on Egyptian television that Al-Azhar should not be dragged into political conflicts.
He called for "self-restraint" and giving priority to "the national interest", condemning violence and bloodshed.
12:50 In Fayoum in Upper Egypt, pro-Morsi supporters set fire to a Christian youth centre located next to the Muslim youth centre where they had been protesting, reported Ahram Arabic.
The protesters also set fire to a rest house located near the Fayoum-Cairo highway, while security forces blocked roads leading to government headquarters and blocked off the highway.
In Aswan, three people have been confirmed dead at the university hospital, with 22 injured, after clashes between protesters and security forces. Morsi supporters have torched 5 Central Security Forces vehicles and took guns and teargas canisters from inside the trucks, Ahram Arabic reported.
12:45 In a brief televised statement, Egypt's interim government said it would react sternly to any acts of sabotage and attacks on state institutions. The government vowed to safeguard the right to political expression as long as it remains peaceful and stays within the domain of the law.
"The government insists on moving forward with the future roadmap in a way that guarantees that no faction will be excluded from participating in the political process which will achieve a democratic transition," the statement read.
12:40 The stock market has, unsurprisingly, not reacted well to today's violence.
The EGX30, the main index of the Egyptian stock exchange, dropped 1.68 percent by 12:40pm to sit at 5,550 points. Trading volume floats at around LE230 million.
The market had neared a six-month high on Tuesday.
12:35 The international community has expressed concerns about the dispersals of the demonstrations.
An European Union spokesman has said that reports that protesters had been killed in a security force crackdown were "extremely worrying" and called for restraint from Egyptian authorities.
The German foreign minister has also called on all sides to "return immediately to negotiations and avert an escalation of violence."
Alistair Burt, the UK foreign minister, wrote on Twitter several hours ago that he was "deeply concerned at events continuing today in #Cairo leading to deaths and injury. Restraint and dialogue more urgent than ever."
12:30 There have been a number of reported attacks by protesters on police stations around Egypt.
An attack on tthe Abu Kurkas police station in Minya left eight dead and at least 30 injured according to a medical source, reported Ahram Arabic.
Members of the Muslim Brotherhood have also attacked police stations in Fayoum, Assiut, Helwan, andSharqiya while a police car was set on fire in Luxor.
12:25 Egyptian state television is reporting that protesters at Rabaa Al-Adawiya threw a Central Security Forces (CSF) vehicle off the nearby 6 October Bridge. The vehicle had five police conscripts inside. The report is unconfirmed.
12:20 The Al-Gamaa Al-Islamiya ultra-conservative movement called on supporters of toppled president Morsi to take to the streets to condemn what it termed "coup crimes."
The statement by the hardline Islamist group – a close ally of Morsi's Muslim Brotherhood – also urged its loyalists "enraged by police attacks on the Rabaa and Nahda sit-ins," not to assault "Christians or their religious buildings."
There have been a number of attacks on churches around Egypt this morning, including in Minya and Sohag.
12:15 Violence continues in the cities on the Suez Canal.
Reports of violence against Christian targets in Suez. Ahram Arabic reports that pro-Morsi supporters threw Molotov cocktails at the Al-Raey Al-Saleh Church and set three military vehicles on fire. Clashes are ongoing between protesters and military forces.
In Ismailiya, a military officer and a conscript were shot dead on the highway connecting the city with Cairo, by unknown assailants reported to have fired from a car. Two other officers were injured, reported Ahram Arabic.
12:10 A BBC reporter has said that gunfire is currently being exchanged between both sides at Al-Nahda Square in Giza after the dispersal of the pro-Morsi sit-in.
Ahram Online reporter Mai Shaheen, who was at the sit-in earlier, confirmed that automatic weapons were being fired by Morsi supporters at police from within Al-Orman Gardens adjacent to the square.
12:05 According to Ahram Arabic, Mohamed El-Zaki, a photographer for Al Jazeera Mubasher news network was injured during clashes at Rabaa. Zaki was shot in the hand while covering the clashes. A reporter for Sky News Arabic was also reportedly shot by live ammunition and is being transported to hospital.
12:00 In a cabinet statement earlier this morning, the government reiterated the interior ministry's claims that the police have been demonstrating "restraint" and using only teargas and water cannon. There have been many reports to the contrary, including an Ahram Online reporter who was caught in the crossfire between protesters and police at Al-Nahda, with live fire being used on both sides.
11:55 Senior health ministry official Mohamed Sultan said in a statement to state news agency MENA that the death toll from the sit-in dispersals had reached 13, five of which were security forces – two officers and three conscripts.
Sultan said the injury toll had reached 98, including many from live fire, shotgun pellets and teargas.
The Muslim Brotherhood's Freedom and Justice Party said in their latest statement that the Rabaa Al-Adawiya field hospital has over 500 dead and 9,000 injured.
All figures are impossible to verify at the moment, especially as security forces are making in hard for reporters to access the sit-ins. However, an AFP reporter earlier counted 43 bodies at the morgue at the Rabaa Al-Adawiya field hospital.
11:45 The interior ministry says that security monitoring has revealed that leaders of Muslim Brotherhood have "given orders to their members in the governorates to attack police stations."
In a statement published by state news agency MENA, the ministry said that the Brotherhood has already started "implementing the plan in Cairo, Beni Suef, Minya, Assiut and Sohag." The ministry's forces are combating these attempts, it said, and warned citizens against approaching "any police facilities."
11:40 There are reports of ongoing protests and clashes all over Egypt.
In Alexandria, hundreds of members of the Muslim Brotherhood are reportedly clashing with security forces on the corniche, the main sea-front road. Brotherhood members have attacked security forces with stones and pellet fire, while the police respond with teargas. Several public buses have also been set on fire by protesters.
In Suez, pro-Morsi protesters fired at an army truck during a march headed to the governorate headquarters and the local security directorate. According to Ahram Arabic, Morsi supporters also set on fire a Franciscan school as well as a number of shops and cars, all located on Al-Geish Street.
In Ismailiya, Ahram's Khaled Lotfy says that pro-Morsi protesters have been throwing Molotov cocktails at court buildings while security forces attempt to control the fire and secure other governmental buildings in the area.
In Upper Egypt, clashes between protesters and the police continue in Assiut with pro-Morsi protesters throwing rocks and setting a police car on fire in Mahata Square, according to Islam Radwan, Ahram's reporter in the city.
In Wadi El-Gedid governorate in Egypt's Western Desert, dozens of pro-Morsi supporters headed to the local post office to close it down and attack security forces there, according to Mahmoud Abbas, a post office manager. He told Ahram's Khaled Karish that locals in the area stopped the attack and the protesters headed on to the governorate building.
11:35 The Strong Egypt Party has said that it holds the Egyptian authorities responsible for the "deaths of the victims" today. Spokesman Ahmed Imam said that the dispersal of the sit-ins is a "crime" that will lead to more violence. The party, which is Islamist-oriented, took part in the 30 June protests against Morsi but rejected his ouster by the military, describing it as a "coup."
The April 6 Youth Movement blames "the army, interior ministry and the Muslim Brotherhood" for today's bloodshed, saying on its Facebook page that the interior ministry does not mind if people die so long as it "consolidates its control" and that the Brotherhood also do not care about lives but only about "reclaiming power."
11:30 Clashes continue at Rabaa where security forces are inside the camp, with the sounds of gunfire echoing in the area.
Egypt's interior ministry said protesters on nearby rooftops and inside the camp had opened fire at security forces who continued to take down tents and makeshift barriers erected by pro-Morsi protesters, Aswat Masriya reported
11:20 A priest named as Ihab told Ahram's Haggag El-Husseini that the Dalga church in Deir Mawat located in Upper Egypt's Minya governorate is under attack.
The main Coptic Orthodox Church in Sohag city, also in Upper Egypt, has been set ablaze by pro-Morsi protesters, reports Aswat Masriya. It is located close to Thaqafa Square, where thousands are protesting against the sit-ins' disperal.
11:15 Egyptian police on Wednesday morning attacked two large sit-ins being held by supporters of Mohamed Morsi in Greater Cairo.
The smaller sit-in at Al-Nahda Square in Giza was completely dispersed according to the interior ministry, while the larger demonstration at Rabaa Al-Adawiya mosque, across the river in east Cairo, is surrounded by police and under heavy fire. Many key highways around Cairo are blocked off by security forces, particularly those leading to the sit-ins.
The railway authority said it had stopped all train services in and out of Cairo "for security reasons and to prevent people from mobilising".
The death toll from the attacks is hard to ascertain; the health ministry has reported ten dead across Cairo in the incidents, but their reports are based on figures from public hospitals, and do not include those bodies that have yet to reach official healthcare facilities.
At the Rabaa field hospital, an AFP correspondent reported seeing 43 dead bodies.
Egyptian state television has said that two police personnel, an officer and a conscript, were killed and six wounded during the attempt to clear out the two sit-ins.
There are also reports of violence in the middle-class Giza district of Mohandeseen and in Maydan Al-Giza, in the Giza district, between Morsi supporters and police.
Top Headlines
- Funeral for the Egyptian Christian who died in Libyan police custody held in Assiut
- Four die in latest round of university clashes in Jordan
- Hundreds injured and first civilian death in latest round of Port Said clashes
- Egyptian health minister: Ten died working on Suez Canal
- Chinese senior figure urges crackdown of "hostile forces"


text:
Hi guys, has anyone uses the services of www.diskhub.com. I need your precious comments so that I can decide if I wan to use it to upload my family photos for my personal website.
For those who dont know what i am talking abt. Diskhub is a free file uploading service. It gives u a link after that. See the site for more info
Found a free file upload site
Started by wackyacky, Jun 30 2004 12:13 PM
No replies to this topic
0 user(s) are reading this topic
0 members, 0 guests, 0 anonymous users


text:
Warning system considered for dangerous offenders
Child protection advocates are pushing for a public alert system for when high risk sex offenders evade authorities and break out of their GPS tracking bands.
The State Government is considering the introduction of the system which would mimic child abduction alerts.
Bravehearts executive director Hetty Johnston says it would be effective if used sparingly.
"If there's a dangerous offender out there in the community then that's exactly what we should be doing," Ms Johnston said.
"The police have never misused the amber alerts; in fact they've been criticised more often than not for not using it quickly enough or often enough.
"I tend to think that they only use it when it is a crisis or when it is an emergency and when the community can actually assist."
Topics: child-abuse, state-parliament, police, crime-prevention, crime, law-crime-and-justice, sexual-offences, qld, brisbane-4000


text: Hey guys, I have tried 3 different pcs and 1 iMac to install Clockwork Recovery using Unrevoked2. With each pc it says there is a communication failure after rebooting the phone, and with my iMac it just sits at waiting for reboot. Is there any alternative way to install the recovery because I really want to install some custom roms and this is really frustrating!


text:
Quick Details
- Condition: New
- Type: Paper Cutting Machine
- Computerized: Yes
- Place of Origin: Zhejiang, China (Mainland)
- Brand Name: Ruiding
- Model Number: ML-1100 NXL
- Voltage: 380V
- Power(W): 5.5KW
- Dimension(L*W*H): 2080*l95O*l880MM
- Weight: 5000kg
- Certification: CE
- Warranty: 1 YEAR
- After-sales Service Provided: Engineers available to service machinery overseas
- Function: for die cutting the paper,cardboard,plastic sheet,etc
- Cutting materials: paper/paperboard/leather/ metal foil/plastic paper cutting machine
Packaging & Delivery
|Packaging Details
|Delivery Time
Product Description
Creasing and cutting machine are mainly used for impressing packing printing products like wine trademarks,catelogues,paper boxes and cases etc,it's made for paperboards plastic and leather etc.The machine is characterized by compact construction,fine manufacture,great power for cutting by impressing ,higer precision,convenience and safe in operation.
Technical parmeter
Main Feature
- The body is made of completely high quality cast materials,featuring in higher strength and sound stiffness.
- the slide bearing is made of quality cooperally,featuring in strong loading capacity and good abrasive performance.
- Singel chip type electromagnetion clutch is ofsensitive and reliabel in motion.It can be changed into pneumatic clutch according to customer's requirements
- The operation height is resonable and the angle of press frame is greater.
- The electric system is finely designed of high security coefficient.
- It can continually cut by pessing,cut by singel pressing and cut by pressing after being turned on.The delay time can be adjusted at will
- The safety protection is designed as per CEstandar.
- The automaticoil oil pump can centrally supply oil according to time and the time can be adjusted at will.
Detailed Images
Transaction History of the Supplier
Below is the information about the supplier's transactions conducted via Alibaba.com. If you require further details regarding the transaction data, please contact the supplier directly.
Transaction Overview
Export Markets
Transaction Details
This supplier has completedtransactions with buyers from .
Shipping Destination
Transaction Value
Transaction Date
Email to this supplier


text:
Spider-Island #5 Review (+ Event Review) (Spoilers)
Y'all ready for the boss battle round of Spider-Island? After getting the lowest grade yet last issue, Flash and his creative team will make one last Hail Mary pass to save the Spider-Island, domain and series alike. Are they successful?
Spider-Island #5: The Grand Finale
Writer: Christos Gage
Artist: Paco Diaz
Colorist: Frank D'Armata
Letterer: Travis Lanham
C.Artists: Humberto Ramos & Edgar Delgado
Editors: Nick Lowe & Devin Lewis
Editor-In-Chief: Axel Alonso
Mayday: Spider-Woman in The Long Row
Storytellers: Tom Defalco & Ron Frenz
Finished Art: Sal Buscema
Colorist: Andrew Crossley
Letterer: Clayton Cowles
Editor: Nick Lowe
He was not just a host: Agent Venom and his team face the giant mutated spider Queen, but seem unable to do any real damage to her. As his final Hail Mary, Flash has the symbiote engulf the Queen, sacrificing himself in the process. The symbiote is able to force the Queen to injury herself drastically, allowing Stegron's dinosaur army to consume her while being unable to fight back, thanks to the symbiote. Flash gets to say goodbye to his hero and the love of his life, before passing away.
A few days later, one of Doom's Thors arrives to inspect the realm. Peter Parker is appointed as Baron and explains that people are still spidery, but with free will. They're being given the opportunity to choose from becoming lizard, vampire, werewolf, dinosaur or bird people as well. Peter and Betty reflect on everything that happened and how Flash would be proud.
He was my friend: This issue is fairly polarizing, which makes sense since every issue since the first has been. There's some good material, but not a lot of it. Or even material period. This is a very rushed finale, with the final fight composing the first ten pages and then a seven page epilogue, both of which can be summarized in nine sentences. And the epilogue is pretty much just exposition for a world we will never see again, with some (unearned) sentiment sprinkled on top.
That being said, I like Flash's final play. I've written my own version of the Agent Venom story and I've always thought that it should end with the death of Flash. He's a soldier, who has been shown time and time again as someone willing to sacrifice it all, to do the right thing. His survivor's guilt is a key characteristic of Flash, especially in this mini, as it shows his honor with depth as opposed to everyone telling us. Flash, the symbiotic soldier, is the man who was always going to be the one to make the sacrificial play. So I'm happy I got to see it done here, even if it was incredibly rushed.
Another aspect of the Agent Venom story that I thought should play a part, is Flash's relationship with Venom. We get to see that here and it would have been an effective touching moment, Venom sacrificing himself to save humanity alongside Flash, if it hadn't come so far out of left field I wasn't even aware it was part of the game. Aside from mentioning in passing that the symbiote hasn't been corrupting his mind, we see no relationship between Flash and Venom in this miniseries.
Artistically, it's more of the same. Lots of cool creature designs, a lot of full page splashes, but nothing in the boss fight is particularly new or exciting. Even when the symbiote takes over the Queen, it's drawn in away that really only delivers a giant symbiotic spider for a single panel, as the symbiote struggles to contain the Queen. And we don't really get to see the money shot of the dinosaur army going at the Queen, it pulls away. I do think the facial expressions are a lot stronger than usual in this issue, which is good for Flash's farewell scene. Flash dying with a smile on his face as his hero praises him is a nice scene, as is the sun rising on a new day in the next panel.
Frank D'Armata colors the first ten pages in a bleak, darker style while the final seven are more colorful which is a nice, if common way to differentiate the tones of the two scenes in this comic. One thing I do like is that he colors parts of the Queen with yellow glowing spots, a classic design for video game boss battles, indicating where you should attack the creature.
Verdict: It is killing me that this is exactly the ending that would have made this an A+ issue if only the story had built to it. The ending Agent Venom deserves is right here, on the page in front of me, and I can't love it. In fact, it's making me angry. Instead of focusing on Venom and Flash, this story was so interested in teasing plot twists, whipping out Spider-Man history, and creating monstrous creatures out of everyone that they ruined it. Still, this issue isn't at fault for what came before, so I'm going to give a decent grade. The story started and ended strong, but losing itself in the middle really hurt this series.
- Flash and Venom's sacrifice
- More cool creature designs
- Unearned
Miniseries Review: Spider-Island was a celebration of Flash Thompson as Agent Venom. I've never been able to picture a happy ending to this era of Flash's life. His transition to the Guardians of the Galaxy in the 616 universe always felt off to me, a shift done out of Bendis' want, rather than being story driven. The Agent Venom days are a dark period for Flash and this story reflects that. Flash is humanity's last hope when this series starts and he successfully brings back Earth's Mightiest Heroes and saves the day. This series was Agent Venom at his best, but they oversold this by having him never slip up and having numerous characters praise him endlessly. They gave him a heroic noble death, but the series didn't earn this ending and so it rang hollow. Instead of focusing on Flash and Venom, Christos Gage introduced a huge cast of characters to help Flash on his quest. And to be fair, there are some highlights in this decision, such as Paco Diaz's monstrous designs or Tony Stark/Jack Russel stealing scenes. But the biggest mistake made was bringing Peter Parker into the equation. He constantly derailed the story, the discovery of Flash's secret and vice versa was handled poorly, and he took up time that could have been used to flesh out the Flash/Venom relationship. He ultimately added nothing to the story, except to have Flash sent off by his own hero. But the Agent Venom era was all about Flash moving past his idolization of Spider-Man and becoming his own hero, so this wasn't needed.
And while I never expected the Agent Venom era to have a happy ending, I do hope that the Space Knight Era of Flash Thompson is all about him discovering joy again. He's out in space, his relationship with Venom is strong, and the character is a superhero in his own right after everything he went through. Robbie Thompson has been killing it on Silk and I hope he brings some happy days to Flash and Venom.
- Agent Venom at his best…
- Flash and Venom's sacrifice…
- Character Designs for the Supporting Cast…
- … but too much of a good thing
- … that rings hollow
- … who stole the spotlight from Agent Venom
I am the only Spider to have been raised by a happy and loving Peter Parker: Mayday saves Scott Lang from his daughter's attack, hiding him somewhere safe, before returning to help her team. She tries to talk Cassie out of Enthralla's control, but is unable to. Kaine and half of her team is quickly mind controlled by Enthralla, so Mayday takes Cassie out and creates a plan around Darkdevil. She has Enthralla try to entrance him, but the demon inside of Darkdevil overpowers Enthralla and knocks her out. Hope Pym tries to escape, but Uncle Ben Spider-Man stops her. Mayday thanks all of her allies for helping her and they all return home. The series ends with Mayday suiting up in her father's old suit, realizing she no longer has to dwell on his death but how Peter wanted the world to be.
And that makes me unique: The antithesis of the main story, I would say too much happens here on so few pages. But it doesn't feel too overwhelming and it all ties together pretty well. Scott Lang's words to Hope about lingering over her father's death ring true with Mayday and she finally manages to pull herself together after her father's death. Her use of Darkdevil against Enthralla is clever and Uncle Ben's costume is pretty cool.
This short tale took me by surprise, making me far more interested in the Mayday character than I was before. It started a little slow, but really picked up in pace and quality towards the end. I doubt this is the last we've seen of Mayday, but if it was, it would be a nice capper to her adventures. We got to touch base with the heroes of her world, her supporting cast, and see Mayday go through a personal evolution.
(both for this issue and the Mayday backup series)


text:
nancy reed
- 81 years old
- Date of birth: Nov 20, 1929
- Date of passing: Oct 6, 2011
|Let the memory of nancy be with us forever
This memorial website was created in memory of our loved one, nancy reed, 81, born on November 20, 1929 and passed away on October 6, 2011. We will remember her forever.
Memorial Tributes
"mom you are a beiatfull women i miss you dearly i wish you were here with us everyday well i wil see you again love denise"
Leave a Tribute:
Invite your family and friends
to visit this memorial:
to visit this memorial:
Subscribe to receive e-mail notifications when others contribute to this memorial.
1020 views
Have a suggestion for us?


text:
Still Alice | 2014
A brilliant linguistics professor faces the early onset of Alzheimer's disease.
Jump to
BSM Studio
Happily married with three grown children, Alice Howland is a renowned linguistics professor at Columbia University who starts to forget words. When she receives the devastating diagnosis of early onset Alzheimer's, Alice and her family find their bonds tested.


text:
Acrelec has designed a suite of digital technologies that provide leading brands with ways to increase productivity and efficiency and enhance every customer experience.
Here are just a few of our latest innovations:
Acrelec Accuracy: Hands-free Order Preparation Assistant
Order accuracy every time? It's in the bag! Our voice recognition-based order prep solution gives your team a hands-free way to confirm that what your guest ordered is what you deliver.
Acrelec Anywhere: Customer Location System
Clear the congestion from the counter and the kiosks by offering food delivery to their table. Acrelec makes it easy connect customers with their orders and accurately locate them anywhere on the property.
Order Ready Displays
Say goodbye to that inefficient process of calling out order numbers; taking time away from your counter staff and confusing your customers. Our digital Order Ready Displays alert customers when their order has arrived at the counter.
Acrelec at the Curbside
Now any fast casual brand can compete with their neighborhood drive thru with Acrelec at the Curbside. Place an outdoor kiosk specifically designed for curbside parking zones, and customers can place mobile orders or order on site with their meals delivered right to their vehicle
Acrelec provides all the software components you need for successful digital transformation
From digital transformation planning to implementation to content development and more, our team has the digital experience to make every project a success.
If you can dream it, we can build it. If they build it, they will come.


text:
Clearwater, FL (PressExposure) November 25, 2011 -- EON Systems, Inc. announced that The Digital Office Version 5.0 was certified as a Complete Ambulatory EHR by InfoGard, an ONC-ATCB, in accordance with the applicable Eligible Provider certification criteria adopted by the Secretary of Health and Human Services. The 2011/2012 criteria support the Stage 1 meaningful use measures required to qualify eligible providers for funding under the American Recovery and Reinvestment Act (ARRA).
"We are committed to providing efficient, full featured software to our clients. EON Systems' The Digital Office version 5.0 is now certified as a complete ambulatory EHR and broadens the options for both current and prospective clients," said Derek Greenwood, CEO. "We will continue to develop all our software both to meet new standards, but most importantly provide valuable functions that make it easier for healthcare providers to get more done."
The Digital Office version 5.0 certification number is IG-2658-11-0137, certified October 25, 2011. EON Systems invested extra manpower to not just pass the test, but to incorporate HL7 (a standardized messaging and text communications protocol between hospital and physician record systems, and between practice management systems), a tool that will enable many new features and data interchange between other systems to be easily incorporated in EON's software in the future.
The ONC-ATCB 2011/2012 certification program tests and certifies that Complete EHRs meet all of the 2011/2012 criteria, and EHR Modules meet one or more - but not all - of the criteria approved by the Secretary of Health and Human Services (HHS) for either eligible provider or hospital technology.
This complete EHR is 2011/2012 compliant and has been certified by an ONC-ATCB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments.
The clinical quality measures to which The Digital Office version 5.0 has been certified are:
NQF 0001 Asthma Assessment
NQF 0013 Hypertension: Blood Pressure Measurement
NQF 0018 Controlling High Blood Pressure
NQF 0024 Weight Assessment and Counseling
NQF 0028 Tobacco Use Assessment and Cessation
NQF 0038 Childhood Immunization Status
NQF 0041 Influenza Immunization
NQF 0052 Low Back Pain: Use of Imaging Studies
NQF 0421 Adult Weight Screening & Follow-Up
About InfoGard
InfoGard has been instrumental in developing a number of government and private sector test and certification programs, including NIST's Cryptographic Module Validation Program, programs for postage metering systems in five western countries, and two programs for the payment card industry. InfoGard is also an accredited Common Criteria laboratory. InfoGard is independent, self-funded and employee owned.
InfoGard Laboratories is approved by the Office of the National Coordinator for Health Information Technology (ONC) of the U.S. Department of Health and Human Services (HHS) as an Authorized Testing and Certification Body (ONC-ATCB). More information on InfoGard is available at http://www.infogard.com.
About ONC-ATCB 2011/2012 certification
The ONC-ATCB 2011/2012 certification program tests and certifies that EHR technology is capable of meeting the 2011/2012 criteria approved by the Secretary of Health and Human Services (HHS). The certifications include Complete EHRs, which meet all of the 2011/2012 criteria for either eligible provider or hospital technology and EHR Modules, which meet one or more - but not all - of the criteria. ONC-ATCB certification aligns with Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology published in the Federal Register in July 2010 and strictly adheres to the test procedures published by the National Institute of Standards and Technology (NIST) at the time of testing.


text: By Herbert Ogletree When it comes to our Great Godhead he is known as being the greatest of all the other God within all his Greatness, made up of three different person, which is our one and only Great Trinity. this is the Father the Son and the Holy Ghost. This cannot be like any one else for within his very own Greatness, he can be or do anything else in which he would like to become within his very own greatness.. This is the great God that said this is my beloved Son, in whom I'm well pleased, a voice that was coming from Heaven, when Christ was baptized. Then when Christ was leaving from here on earth going back to Heaven within the Book of Acts. This is when the Holy Spirit came to earth, and we find that our God and Christ both are still now in Heaven and the Holy Spirit is still with us here on earth with Christ saying in the Book of Acts .. Act-1:5 For John truly baptized with water; but ye shall be baptized with the Holy Ghost not many days hence. 1:6 When they therefore were come together, they asked of him, saying, Lord, wilt thou at this time restore again the kingdom to Israel? 1:7 And he said unto them, It is not for you to know the times or the seasons, which the Father hath put in his own power. 1:8 But ye shall receive power, after that the Holy Ghost is come upon you: and ye shall be witnesses unto me both in Jerusalem, and in all Judaea, and in Samaria, and unto the uttermost part of the earth.


text:
Oakland, Berkeley, And East Bay News, Events, Restaurants, Music, & Arts
In the past several weeks, there's been a veritable deluge of mobile food vending events popping up all over Oakland: Bites Off Broadway, the five smaller pods run by an informal coalition of East Bay food truck operators — to say nothing of the new Alameda outpost of Off the Grid, which launched last Saturday.
The latest contender? The Eatup, a new weekly food pod that's open tonight, from 6:30 p.m. to 11 p.m., in an unused parking lot at the corner of 21st and Telegraph avenues (2025 Telegraph Ave., if you need to Google Map it).
Welcome to the Mid-Week Menu, our weekly roundup of East Bay food news.
1) The last we'd heard, Picán owner Michael LeBlanc was getting ready to embark on a tour of the South to find a replacement for departing chef Dean Dupuis. It looks like he found someone closer to home: Inside Scoop reports that LeBlanc has hired Sophina Uong to serve as the classy Uptown soul food spot's new executive chef. Uong's previous gigs include 900 Grayson (where she was an opening partner), Maritime East, and Zax Tavern. None of those were Southern restaurants, so it'll be interesting to see what changes she has planned for the menu at Picán.
On hot days (or rainy days, or under-caffeinated days) at the Grand Lake Farmers' Market, savvy market regulars find respite underneath the tent where Ambessaw Assegued and his wife, Dagmawit Bekele, serve coffee in the traditional Ethiopian manner.
Happy National Donut Day, y'all!
To help you get your fried-dough groove on, earlier in the week I took it upon myself to work my way through some of the offerings at Donut Savant, the new Oakland shop that's generated a little bit of Internet buzz lately.


text:
From the start of your job to final delivery we become part of your team and family.
We sympathize with your weaknesses under downtime and understand the value of your production. We are there for you every step of the way. We will provide you with the best service for your Sigma Mixer, Blender, Extruder, Mixtruder or Centrifuge.Text or Call Us
Since 1939 the process industries have chosen the Mixer Works to service and engineer their mixing needs. We specialize in the complete rebuilding and overhauling of industrial sigma mixers of all makes and sizes.
We repair and rebuild complete sigma blade mixer shafts.Text or Call Us
With our state of the art inspection technology, we can easily assess the condition of your sigma mixer and provide you with a detailed written report.
Upon approval of rebuild we can easily turn around your sigma mixer and completely restore it to OEM specifications.Text Or Call Us
The Mixer Company Rebuilds and remanufactures sigma mixers, zblade mixers, double arm mixers, and blending equipment. We develop process solutions to improve plant performance that eliminate downtime and reduce energy and maintenance costs. In fact, we provide lower total cost over the life of your equipment while increasing the integrity of the mixer beyond O.E.M. code.
Your lower costs are coupled with superior performing equipment, unmatched reliability, and increased quality. We can help keep you at peak efficiency with a complete process evaluation to address mechanical problems and develop solutions to minimize downtime and improve your process. Call us to see how we can provide you with greater efficiency and savings. 1-800-208-6137
Text us Now at 773-617-0937
Our video page shows many examples of how we have successfully repaired sigma blade mixer shafts, z blades and more.
Our Video Page: Click Here


text:
If you want to work in a profession that involves science , the chances are you will be planning on spending a great deal of time studying – probably several years – in order to get there. With this in mind, I had a....
Stonebridge College is a distance learning provider that lets students study in their own time, imposing no time constraints.
Great course and course material I would highly recommend ...more
This badge shows that the course provider you are looking at has scored on average 4 or more out of 5 stars from at least 30 other users who have taken the time to post a review on Hotcourses
Ecology is the study of the relationship between plants and animals and their physical and biological environment. The field of ecology is a...moreFrom £279.99
the oil and gas the life in oil rig is very good and very aenjeypol how to work...more
In this course you will learn Big Data using the Hadoop Ecosystem. Why Hadoop? It is one of the most sought after skills in the IT industry. The...moreFrom £40
Head over to Udemy for the final price
Suggested subject - Forensic Science
This course is ideal for those interested in pursuing a career in forensic science and its related areas. You will study units such as the...moreThis course might be free


text:
|Home > Lucienne
♀ Lucienne
What does Lucienne mean?
Lucienne as a name for girls is of Latin origin, and Lucienne means "light". Lucienne is an alternate form of Lucille (French, Latin): nickname of Lucy.
RELATIONS VIA LUCILLE, LUCY Lucette, Luciana▲, Lucianna, Lucie, Luciela, Lucile▼, Lucina, Lucinda▼, LucineCREATIVE FORMS
Lucienne Araceli (L.A.), ..
How popular is Lucienne?
Lucienne is a very popular first name for women (#1936 out of 4276, Top 45%) but a unique last name for both adults and children. (2000 U.S. CENSUS)
Lucienne entered the list in 1910-1919 and reached its apex position of #1271 in the U.S. in the 1910s, but is not found in the list at the moment. (2015 BIRTH STATISTICS)
Which version is better?
Popular variation forms of Lucienne rated in the Top 2000 are Luciana (#468 VIA LATEST LIST), Lucie (#1447), Lucile, Lucille (#283), Lucina, Lucinda (#1559) and Lucy (#55). Adoption of these forms of Lucienne reached its most widespread 105 years ago (ADOPTION OF 1.04%) and has become much reduced since (ADOPTION 0.47%, ▼55%), with forms like Lucile becoming less trendy. Luciana and Lucy are two of the more trendy names for newborns among these.
Similar Names
Lucienne is alike in pronunciation to Lacene and Lusine. Other suggested similar-sounding names are Abrienne, Adrienne▼, Brienne, Damienne, Darienne, Dorienne, Erienne, Fabienne, Julianne, Julieanne, Julienne, Kadienne, Laciann, Lacina, Lacyann, Laurenne, Laurianne, Leianne, Lexine, Lianne, Lizanne, Lorianne, Louisine, Luanne▼, Lucena, Lucerna, Lucerne, Lucinna, Lucrece, Lucyna, Luisana, Lurlene, Luziana, Rubianne, Vienne and Vivienne▲. These names tend to be less commonly used than Lucienne.See names in meaning and etymology.


text:
You have no items in your shopping cart.
Product Description
The beautiful Akina Dress by Ganni is a feminine knee length dress in a flowery crepe with a high neck with soft gathering and floaty ¾ length sleeves, perfect for summer garden parties, lunches and weddings and even for the office.
- 3/4 over-sized sleeves
- High neck
- Lined skirt
- Detachable waist belt
- 100% Viscose
- Machine wash 30 degrees
- Do not tumble dry
- Cool Iron
Additional Information
Additional Information


text:
Breaking news on 5 WIYZ Hawkins, Indiana, "Minute By Minute with Brenda Wood," is the ultimate #StrangerThings Easter Egg(o). The Veteran 11Alive journalist channels some serious retro Vanessa Williams vibes as she returns to her role of '80s news anchor, reminding us of the tragic tale of Shannon Purser's Barb — *sob*.
While it looked like only Natalia Dyer's Nancy was concerned with the disappearance of bubbly Barb, it now seems that she is finally getting the justice she deserved. The rest of Hawkins have clocked on to the fact that the town is missing a rather large pair of spectacles, as Wood describes Barb as "loyal to a fault," and "the kind of girl who notices if you're wearing a new bra." Personally, I am not sure is a good or a bad thing. Barb unwittingly became the shining star of Stranger Things Season 1, and several #JusticeForBarb campaigns were launched, so could the video set up for the possible return of Barb?
In short, no!
The demise of Barb was left rather bluntly after she was devoured by a demogorgon only a few episodes in, but co-creators Matt and Ross Duffer say we will revisit the character in Season 2. Don't get your hopes up though, we will not be resurrecting the knitted-sweater sweetheart:
"It's not like her parents are like, 'Oh Barb left. She died!' Season 1 actually takes place over the course of six or seven days -- it's a really short period of time. So part of what we want to do with hypothetical season 2 is to explore the repercussions of everything that happened."
See also:
- Funko Has Finally Unveiled an Entire Set of 'Stranger Things' Pop Vinyls
- 11 Of The Very Best Pieces of 'Stranger Things' Mash-Up Fan Art!
- Millie Bobby Brown's Dad Is Relying On The Success Of 'Stranger Things' To Demand Crazy Fees
Leggo My Eggo
Apart from Barb, it looks like a bit of a slow news day for the residents of Hawkins. Also making Wood's report, we see that Millie Bobby Brown's Eleven has been causing trouble as the thief of an "unprecedented" amount of Eggo Waffles from Bradley's Big Buy. Fresh off being imitated by the who's who of Hollywood for Halloween, we see security footage of a "vagrant juvenile" stocking up her #Eggo supply for winter. Anyone with any news is urged to contact Chief Jim Hopper, Eggo or otherwise.
[Source: IGN]
Check out Jimmy Fallon's Stranger Things parody, and don't forget our poll below!


text:
Psalm 38New King James Version (NKJV)
Prayer in Time of Chastening
A Psalm of David. To bring to remembrance.
38 O Lord, do not rebuke me in Your wrath,
3 There is no soundness in my flesh
6 I am troubled, I am bowed down greatly;
9 Lord, all my desire is before You;
11 My loved ones and my friends stand aloof from my plague,
13 But I, like a deaf man, do not hear;
15 For in You, O Lord, I hope;
17 For I am ready to fall,
21 Do not forsake me, O Lord;
New King James Version (NKJV)
Scripture taken from the New King James Version®. Copyright © 1982 by Thomas Nelson. Used by permission. All rights reserved.
You'll get this book and many others when you join Bible Gateway Plus. Learn more
Starting your free trial of Bible Gateway Plus is easy. You're already logged in with your Bible Gateway account. The next step is to enter your payment information. Your credit card won't be charged until the trial period is over. You can cancel anytime during the trial period.
Click the button below to continue.
You've already claimed your free trial of Bible Gateway Plus. To subscribe at our regular subscription rate of $3.99/month, click the button below.
It looks like you're already subscribed to Bible Gateway Plus! To manage your subscription, visit your Bible Gateway account settings.
For the best Bible Gateway experience, consider upgrading to Bible Gateway Plus. Bible Gateway Plus equips you to have in-depth biblical discussions with your friends, your family, and your peers. Try it free for 30 days!
Three easy steps to start your free trial subscription to Bible Gateway Plus.


text:
Use this space to cheer the creator along, and talk to your fellow backers.
Have a question?
Ursus Schneider on October 17
Hi, I know I am VERY late but is there any way for me to get the game (I did the 15$ pledge) -> somehow I missed my code �
Brian Bagnall on September 22
Within 3 hours of emailing firstname.lastname@example.com and giving my Kickstarter email address and mailing address, I received this response:
"No problem--we appreciate you being so thorough with your info! We found your order, updated all the information, and shipped it out. Your IPA customs number for the package is XXXXXXXXXXXXXXX. Let us know if there's anything else we can help with!"
shocke2002 on August 14
So did I miss something about the boxed edition, because I still haven't gotten mine.
Jeff on July 19
I also have not received my box. I'm a $100 babcker.
Brian Emerick on June 23
it would be great if as a backer I could get a key for the Xbox One version, which is where I really want to play this (though it didn't exist in 2012). But it seems I'll have to pay $20 for that.
Markus Boss on June 19
I got the box in the meantime ..
Martin OSuperbackeron June 9
Here's a copy of my message below:
Contact firstname.lastname@example.com, they are handling the sending of the boxes. They should know if your packages were sent and when.
Markus Boss on June 6
Haven't received anything either ..
Martin OSuperbackeron May 8, 2017
For those who haven't received digital stuff yet: try https://www.humblebundle.com/resender
@Albert Lam: "Open box", "Look at open box"
Albert Lam on May 1, 2017
Did anyone get their Blu-ray of the documentary yet? Only got the box game a while ago, but the doc is already being sold and never got mine. $100 tier.
Jay Mac on April 14, 2017
Years now and still no download key? C'mon Tim.
Teodor Partov on April 5, 2017
I backed the project but never really got that e-mail for the survey or whatever and never really got a key for the game. In the end is there are a way to get the game i payed for or i just wasted my money?
Brian Bagnall on April 2, 2017
Oh wow, the boxed edition was produced after all! Unfortunately I backed at the $100 level and haven't received anything either.
Barth Cosse on March 16, 2017
I know that living across the Atlantique ocean makes the delivery longer from the U.S.A. but i didn't receive any shippment confirmation and, of course, not the long awaited Game and blu Ray.
I've backed for more than 100$, didn't changed my adress since the first part of goodies (poster, t-shirt...) were shipped and received.
I hope that my waiting will soon end.
By advance, Thank you.
Keith Fleming on February 22, 2017
Still haven't received anything at all, backed at $100 tier.
Martin OSuperbackeron January 30, 2017
Use the Humble key resender. If you are using the same email address since back then you will be fine.
YaVerOt on January 30, 2017
I'm on kickstarter, not IndieGoGo or GoFundMe, so yes I'm on the right campaign site.
Things I checked before posting:
Gog library
search of email for "broken" "double" "fine"
my keychain which lead me to account recovery at:
which didn't have a download link, or any PMs
Then I checked for a PM from them here on Kickstarter
I even double checked the front page of the project for a "download your rewards now, details in update #XX"
I don't care if I can buy it from someone named humble, I want what I already paid for years ago.
Martin OSuperbackeron January 29, 2017
@YaVerOt: Are you sure you are on the right campaign site? Broken Age was release in 2015, you can get it from Humble (use the key resender).
YaVerOt on January 28, 2017
Anyone know when we'll be able to download our copy of the game? I foolishly put it on my VGG 2017 challenge list thinking I already had it.
Alessandro1988 on January 26, 2017
100$ pledge and received my box yesterday!
Martin OSuperbackeron January 24, 2017
@Sebastian TR: You can download the PDF from Humble.
Sebastian TR on January 23, 2017
Just wondering for those of us wanting to download + read the digital art book: THE ART OF BROKEN AGE is the only way to do this through the propriety app / website of Darkhorse ??
As a $100 backer no DRM free PDF ? :(
Martin OSuperbackeron January 22, 2017
@Sven Bahn: Did you contact Fangamer? He probably got an invoice from them for shipped items only (vs. the whole pledge amount).
Sven Bahn on January 21, 2017
@Stefan Lewantoski
What did you do to get your BluRay???
My one was refused from german customs because i don´t want to pay more money. I already payed 100,-$ + 10,-$ for international shipment!!!
And now I should pay again? All I got from Double Fine Support was, that this is my problem:
"Hello Sven,
We're sorry that you ran into customs fees with your order. While we set fair values on our international shipments, German customs tends to be very strict, and packages shipped to your country almost always include extra fees to import. It is the responsibility of the customer to pay these fees. You can find more information about this here:
We can not predict how customs officers will assess packages, and we can not pre-pay fees via standard post. The only way to send packages with taxes pre-paid is to use UPS expedited service (which would have cost an extra $35 USD), because the taxes are pre-paid and included in the price."
Very, very bad Double Fine! :-(
Martin OSuperbackeron January 20, 2017
Contact firstname.lastname@example.com, they are handling the sending of the boxes. They should know if your packages were sent and when.
Garret on January 18, 2017
I also did the $100 pledge and I still haven't received my box. I live in Michigan. Who do I contact to find out what's going on? Thanks!
Richard Kaponas on January 5, 2017
I did the $100 pledge and I still haven't received my box. I live in California. Who do I contact to find out what's going on? Thanks!
tomer sarid on January 1, 2017
Just got my box in Israel, how post is quite bad in here :(
I wish we will switch to UPS or Fedex as our post services
On another note, this looks amazing alto I've already finished the game few times :)
Martin OSuperbackeron December 30, 2016
Good to know!
I've heard before that German customs can be quite a hassle...
Stefan Lewantoski on December 30, 2016
@Martin O:
Double Fine office is closed atm. But got it sorted out today with Fangamer.
Thanks to their support staff!
Shagittarius on December 27, 2016
I live in Northern California and I haven't gotten my collector's edition yet...anyone else so close by still waiting for their merch?
Martin OSuperbackeron December 26, 2016
@Stefan Lewantoski: Did you try to request a proper invoice for the box from Double Fine? Would this help with customs?
Ilias ThE RetrospecT on December 26, 2016
Got mine couple of days ago here in Greece.
Feels strange this Odyssey came to an end
Stefan Lewantoski on December 26, 2016
My reward lies at german customs because it is not correct declared which is the value for the goods. At Kickstarter i only have the complete value at which i now have to pay taxes. This is not ok for me so i will refuse acceptance. Very Bad, other Kickstarter Projects did this right everytime.
Tord-Øystein Stubberud on December 25, 2016
I haven't recieved mine yet:( really looking forward to it though. Hoping the gamebox arrives soon. (Norway).
Magnus Vågbäck on December 15, 2016
I got my box in Sweden yesterday. Really fabulous! It was worth the wait! Thank you! (By the way - there was an exhibition called "Game Masters" in my hometown Halmstad last year. They displayed golden oldies (tempest, Donkey Kong) and newer games plus indie games. Broken Age was one of the games! I really enjoyed that moment!)
Giuseppe Pantaleo on December 14, 2016
Thursday, 15th of December 2016.
The day our transaction was completed. Thank you, Tim. Thank you... and may God have mercy on your soul.
ClementXVIISuperbackeron December 14, 2016
Cool, I got to tick the "Got it" box for my first backed project yesterday! The game box arrived safely in Belgium!
Josh Lobban on December 13, 2016
I got it, live in Canada in GTA. Thanks all!
Martin OSuperbackeron December 13, 2016
Got mine too, awesome!
The package wasn't padded, it was a little bit beaten up (minor damage at one corner of the game box), but nothing serious. Fangamer normally makes a much better job than this.
@Mike Hansford: You should really watch the documentary!
Mike HansfordSuperbackeron December 13, 2016
After 5 years, with much fanfare (not really), I'm happy to say that I've finally ticked "got it" on my very first Kickstarter.
It's been a wild ride (waiting mostly), and it's finally over. I never finished the game, and I'm pretty sure I'll never watch the 30 hour documentary, but I'm glad I was part of the adventure.
Thanks Double Fine. :D
Ryan Yoo on December 12, 2016
This was my first Kickstarter ever backed, and just today I got the boxed copy of the game with the documentary discs. Thank you Double Fine, it's been a long time coming but now that I have it I can finally check that Got it! box on Kickstarter.
TheMagician on December 12, 2016
I've received my boxed version in Germany last week.
Thank you Double Fine for the experience - it was long with unexpected twists and turns but it contained lots of great moments and memories.
All the best to the future of the studio!
Michael Olsen on December 12, 2016
Just received my version of the game. I live in Denmark. It's the first Kickstarter project I backed. Since then I've backed a lot more. :)
Palindrome Bob-XSF-I'm in AGL589-BG5.22Superbackeron December 12, 2016
Big Box with no padding received a couple of days ago but luckily was intact (Belgium).
Kevin Bell on December 9, 2016
Anyone in Canada receive the Big Box yet?
Vaarel on December 9, 2016
The Double fine adventure was my very first kickstarter and I just got to click the box saying I received my items wooot!
Benoit Capelle on December 9, 2016
Aaaaaaaand it's here \o/
Big box received without any visible issue (France)
it's been a long ride (and un bumpy one) but now, 4,5 years later i can finally mark the "received" checkbox on the kickstarter "backed projects" page.
Thanks guys.
Juha M. on December 9, 2016
I suffered from the same that the inside holder cardboard in the box got damaged because while travelling in the post from USA to Finland, the bluray set was most likely moving inside the box. The big box itself is in perfect shape though so that's most important for me. It does not really matter to me that the inside holder is a bit ripped from the corners.


text:
WIN Enterprises introduced the MB-62020, which is an Intel Atom-based COM Express module. The MB-62020 is ideal for handheld, mobile, and remote applications that require low-power with high-performance, such as medical, industrial, kiosk, and point-of-service devices. The MB-62020 supports Windows (XP/Pro SP2, XP Embedded SP2, and Embedded CE 6.0) and Linux (Red Hat Embedded Linux, Wind River Linux, Ubuntu 9.04 Mobile, and Ubuntu 9.04 Desktop). Prices for the MB-62020 module starts at $248 in OEM quantities. The MB-73220 companion evaluation base board starts at $152 in OEM quantities.
WIN MB-62020 Module Features
- Ultra low power consumption
- Embedded Intel Atom processor Z5xx series
- Intel System Controller Hub US15W
- PICMG COM Express R1.0 Compliant
- Flexible PCI-Express and PCI Expansion
- One DDR2 SO-DIMM sockets supports 533/400MHz up to 2GB memory
- Dual 10/100Mbps PCI bus Ethernet
- Supports CRT, 18/24-bit interface
- One Gigabit Ethernet and one Fast Ethernet
- Supports COM Express standard features: USB, SATA, ATA, GPIO, HDA
A choice of ULV Intel Z5xx series Atom onboard processors provides 1.1 GHz or 1.6GHz of performance. The hardware-based video decode acceleration offloads the decode burden from the Atom processor for better throughput at reduced power consumption. Full hardware acceleration of H.264, MPEG2, MPEG4, VC1, and WMV9 is supported.
More information: WIN Enterprises MB-62020 COM Express Module (pdf)