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By D. Grim. Pacific College of Oriental Medicine. 2018.
Asian HRS/EHRA/ECAS expert Consensus Cardiovasc Thorac Ann cheap tadalafil 20 mg with visa erectile dysfunction pump as seen on tv. Statement on catheter and surgical ablation PMID: 15353473 generic 5mg tadalafil fast delivery erectile dysfunction underwear. A report of the Heart Rhythm Society (HRS) Efficacy and safety of dronedarone: a review Task Force on catheter and surgical ablation of randomized trials. Impact of dronedarone in atrial fibrillation Treatment of atrial fibrillation with and flutter on stroke reduction. Clin Interv antiarrhythmic drugs or radiofrequency Aging. Duray GZ, Torp-Pedersen C, Connolly SJ, Clinical trials update from the American et al. Effects of dronedarone on clinical College of Cardiology meeting 2010: outcomes in patients with lone atrial DOSE, ASPIRE, CONNECT, STICH, fibrillation: pooled post hoc analysis from STOP-AF, CABANA, RACE II, EVEREST the ATHENA/EURIDIS/ADONIS studies. Pharmacological in nonpharmacologic treatment of atrial cardioversion for atrial fibrillation and fibrillation. Atrioventricular therapeutic approach to paroxysmal or junction ablation combined with either right persistent atrial fibrillation: rhythm control ventricular pacing or cardiac versus rate control. Rev Port resynchronization therapy for atrial Cardiol. PMID: fibrillation: the need for large-scale 15224646. Dronedarone: an incorporated into the ACC/AHA/ESC 2006 amiodarone analog for the treatment of atrial guidelines for the management of patients fibrillation and atrial flutter. Ann with atrial fibrillation: a report of the Pharmacother. Foundation/American Heart Association Task Force on practice guidelines. PMID: anniodarone analog for the treatment of 21382897. European Society of Cardiology Committee Oral antiarrhythmic drugs in converting for Practice Guidelines (Writing Committee recent onset atrial fibrillation. Pharm World to Revise the 2001 Guidelines for the Sci. Resynchronization therapy in ACC/AHA/ESC 2006 Guidelines for the the context of atrial fibrillation: benefits and Management of Patients With Atrial limitations. Towards evidence based Association Task Force on Practice emergency medicine: best BETs from the Guidelines and the European Society of Manchester Royal Infirmary. Beta- Cardiology Committee for Practice blockers or digoxin for rate control of acute Guidelines (Writing Committee to Revise atrial fibrillation in the emergency the 2001 Guidelines for the Management of department. Canadian Cardiovascular Society atrial fibrillation guidelines 2010: rate and rhythm 80. Dofetilide: a class III- specific antiarrhythmic agent. PMID: control in atrial fibrillation: insights from the 10669186. Treatment of new-onset atrial fibrillation in noncardiac intensive care unit patients: a 72. Towards a systematic review of randomized controlled consensus in rate versus rhythm control for trials. Beta-blocker cardioversion of recent-onset atrial therapy in atrial fibrillation. Surgical treatment of atrial fibrillation : a Effectiveness of amiodarone for conversion systematic review. Herzschrittmacherther of atrial fibrillation to sinus rhythm: a meta- Elektrophysiol. Additional Efficacy of adjunctive ablation of complex ablation of complex fractionated atrial fractionated atrial electrograms and electrograms after pulmonary vein isolation pulmonary vein isolation for the treatment of in patients with atrial fibrillation: a meta- atrial fibrillation: a meta-analysis of analysis.
Early studies are difficult to interpret (from zero to 5%) of HIV-1-infected and uninfected per- because study methodology and populations differed con- sons meet DSM-III-R criteria for current anxiety disorders siderably (74) discount 5 mg tadalafil with visa erectile dysfunction drugs bayer. Thus purchase 20mg tadalafil visa erectile dysfunction non prescription drugs, after more than 15 years of research, the avail- in women using intravenous drugs, but this rate did not able data suggest that the prevalence of major depression is differ from that of men using intravenous drugs (139,140); high in asymptomatic HIV-1-infected gay men in compari- high rates of major depression were found in both seroposi- son with the prevalence in men of similar age in the popula- tive and seronegative men and women using intravenous tion at large, but no higher than that in seronegative gay drugs. However, a gender difference was found; the preva- men of similar age and somewhat lower than that in patients lence of depressive and anxiety symptoms, but not syn- with serious medical illnesses, such as cancer and heart dis- dromes, was higher in women than in men. These findings underscore the issue that held for both seropositive and seronegative subjects. In a mood disorders should not be considered a 'normal' phe- related study of Boland et al. Rather, they should related to depressive symptoms at baseline in a large, multi- be assessed carefully and treated appropriately. Both seronega- Diagnosing major depression in HIV-1-infected patients tive and seropositive women had a high prevalence of de- can be complicated because several symptoms of major pressive symptoms on the Center for Epidemiological depression (i. However, although complaints of fatigue and rison et al. Although psychiatric quently found in patients with significant AIDS-related symptoms in HIV-1-infected persons in the later stages of neurocognitive impairment than in patients in earlier stages illness may represent new-onset psychiatric disorders, it is of the disease. In one retrospective chart review of 46 pa- more likely that these symptoms reflect the direct CNS ef- tients identified with HIV-1-associated dementia, Navia fects of HIV-1, HIV-1-related CNS disturbances, and CNS and Price (148) found that psychotic symptoms had devel- effects of medications used in the treatment of AIDS. Relatedly, data from the San Diego HIV although Leserman and colleagues (138) found an increase Neurobehavioral Research Center (149) suggest that HIV- in depressive symptoms approximately 1. Thus, new-onset psychosis may be worsening HIV infection during a 4-year period. Accordingly, a Evidence from earlier stages of the epidemic suggests that complete organic workup should be considered for HIV- HIV-1 may cause organic mood disturbance. In a 17-month 1-infected patients with significant disturbance of mood or retrospective chart review of patients with AIDS, Lyketsos psychosis. They used a family history of mood disor- HIV-1 Infection der as a 'marker' for functional mood disorders. They fur- ther assumed that coexisting dementia and a low CD4 Available evidence suggests that mood symptoms and syn- count are 'markers' of HIV-1-related mood disorders. In addition, among the holds true in the symptomatic stages of the disease. Although these findings suggest that mania may be a consequence of the direct or indirect Only a small proportion of the published studies of the effects of HIV-1 on the brain, controlled studies have yet treatment of mood disorders in patients with HIV-1 infec- to find this relationship (74). Vitamin B12 deficiency may tion have been double-blinded, randomized, placebo-con- also place HIV-1-infected patients at risk for organic mood trolled studies. Between 20% and 30% of patients with AIDS mine was effective in 97 HIV-infected patients. At 6 weeks, and 7% of asymptomatic HIV-1-infected patients have they found a response rate of 74% in the imipramine group been reported to have a vitamin B deficiency. No changes in CD4 12 more, vitamin B12 deficiency has previously been shown to helper/inducer cell counts were found in the imipramine- be associated with depression and can occur in the absence treated subjects. However, adverse anticholinergic side ef- of hematologic or neurologic signs (146). Although the rela- fects led to discontinuation of imipramine within 6 months tionship between vitamin B12 level and depressive symp- in more than one-third of the responders. Elliott and co- tomatology in HIV-1-infected patients is not clear (147), workers (151) blindly and randomly assigned 75 HIV-sero- it is prudent that the medical evaluation of depressive symp- positive patients to treatment with imipramine, paroxetine, toms in HIV-1-infected patients include an assessment of or placebo. Of the 75 enrolled subjects, 75% completed 6 serum B12 levels. The two antidepressants were found to be equally effi- from HIV-1 involvement of the CNS. Earlier case studies cacious at 6, 8, and 12 weeks, and both were significantly of symptomatic HIV-1-infected persons have reported psy- more efficacious than placebo. Side effects of the tricyclic chotic symptoms, including delusions, bizarre behavior, and antidepressants markedly influenced attrition. Mood disturbances, including euphoria, ir- rate in the imipramine group was 48%, 20% in the paroxe- ritability, and labile or flat affect, have often accompanied tine group, and 24% in the placebo group.
In this example buy 20 mg tadalafil with amex erectile dysfunction at age 24, the biological dimension is most probably an acute sprain which resolves/heals without any significant residual structural damage purchase 2.5mg tadalafil with amex impotence while trying to conceive. At least in the majority of cases, no convincing, enduring pathology has been demonstrated using current medical technology. Important psychosocial determinants are present in cultures which provide "overwhelming information" regarding the potential for chronic pain following whiplash injury, medical systems which encourage inactivity and caution, and litigation processes which involve protracted battles with insurance companies. Patients are led to expect, amplify and attribute symptoms in a chronic fashion. Four-dimensional symptom questionnaire (4DSQ) The 4DSQ is a recent self-report questionnaire (Terluin et al, 2006) which measures "distress, depression, anxiety and somatization". Few other instruments attempt to quantify somatization. This questionnaire is available free of charge for non- commercial use (EMGO, 2000). The Somatic Symptoms and Related Disorders all have elements of somatization and currently emerge in a cultural setting in which medicalization is a prominent feature. Evidence indicates that cognitive processes are etiologically important. Many of these disorders are associated with information processing deficits. In Somatic symptom disorder – with predominant pain, learning is an etiological mechanism, as demonstrated by the importance of secondary gains and the influence of social models. Fear of pain and movement may be important in the maintenance of some chronic pain. Evidence of the importance of cognition in somatisation continues to grow. Attributional theory advances the reasonable proposition that ambiguous symptoms will be interpreted in accordance with personal beliefs and experience. Medical anthropology emphasizes the importance of the beliefs of the individual and the culture. AIB forms an alternative envelope for these DSM-5 disorders. It is probable that somatization syndromes arise where there is an unmet need for closeness with others (Landa et al, 2012). The evidence for information-processing deficits of those presenting with somatization suggests that information should be presented in an understandable form and repeated frequently. Present at all times as caring, confident, firm and approachable (within agreed limits). After appropriate investigation, inform the patient that no further investigations are indicated, at this time. Investigations are expensive, and when somatization is present, they are unhelpful. If one investigates a somatically healthy individual long enough minor "abnormalities" will eventually be detected, which are not clinically significant, and which are confusing to the clinician and the patient. Also, if one investigates any patient long enough, eventually something will go wrong, a puncture site will become infected, the patient will fall off the X-ray table, a nurse will trip over a lead, there will be an anaphylactic response. Limit the number of number of invasive treatments (for similar reasons to 4). This is the only way to limit the investigations and invasive treatments, and number of explanations provided. Continue to be involved on condition that the patient does not go outside the agreed team. Point out that you are prepared to help, but that this is only possible if meetings are regularized. Negotiate a sensible protocol to be followed in the case of crises. Attention may be according to a time schedule, but should not be contingent on the patient hiding concerns and distress. Benzodiazepines, stimulants and analgesics should be strenuously limited.
These guidelines m ay change as new inform ation on the benefit of increasing the dialysis prescription becom es available cheap tadalafil 5mg online erectile dysfunction pills herbal. For the present order tadalafil 10 mg visa erectile dysfunction low libido, however, they should be con- •Formal urea kinetic modeling (Kt/V) using computational software sidered the m inim um targets. W hen prescribing the blood flow KoA 900 High-efficiency rate for a hem odialysis procedure the following m ust be considered: 300 dialyzer KoA 650 the relationship between the type of dialysis m em brane used, blood flow rate, and clearance rate of a given solute. For a sm all solute KoA 300 Conventional such as urea (m olecular weight, 60) initially a linear relationship 200 dialyzer exists between clearance and blood flow rates. Sm all solutes are therefore said to be flow-lim ited because their clearance is highly 100 flow-dependent. At higher blood flow rates, increases in clearance rates progressively decrease as the characteristics of the dialysis m em brane becom e the lim iting factor. The efficiency of a dialyzer 0 in rem oving urea can be described by a constant referred to as 0 100 200 300 400 KoA, which is determ ined by factors such as surface area, pore Blood flow rate, mL/min size, and m em brane thickness. Use of a high-efficiency m em brane (KoA >600 m L/m in) can result in further increases in urea clearance rates at high blood flow rates. In contrast, at low blood flow rates no significant difference exists in urea clearance between a conventional and a high-efficiency m em brane because blood flow, and not the m em brane, is the prim ary determ inant of clearance. FIGURE 6-5 2000 W ater perm eability of a m em brane and control of volum etric ultrafiltration in hem odialysis. The water perm eability of a dialysis 1800 m em brane can vary considerably and is a function of m em brane thickness and pore size. The water perm eability is indicated by its 1600 ultrafiltration coefficient (KUf). The KUf is defined as the num ber KUf=60 mL/h/mm Hg KUf=4 mL/h/mm Hg of m illiliters of fluid per hour that will be transferred across the 1400 m em brane per m m H g pressure gradient across the m em brane. A high-flux m em brane is characterized by an ultrafiltration coeffi- 1200 cient of over 20 m L/h /m m H g. W ith such a high water perm eabili- ty value a sm all error in setting the transm em brane pressure can 1000 KUf=3 mL/h/mm Hg result in excessively large am ounts of fluid to be rem oved. As a result, use of these m em branes should be restricted to dialysis 800 m achines that have volum etric ultrafiltration controls so that the am ount of ultrafiltration can be precisely controlled. These High-flux dialyzer m em branes have sim ilar clearance values for low m olecular weight Normal kidney solutes such as urea (m olecular weight, 60). In this respect both types of m em branes have sim ilar KoA values (over 600 m L/m in), 150 where KoA is the constant indicating the efficiency of the dialyzer in rem oving urea. As a result of increased pore size, use of high- flux m em branes can lead to significantly greater clearance rates of high m olecular weight solutes. For exam ple, 2-m icroglobulin is not rem oved during dialysis using low-flux m em branes (KUf <10 m L/h/m m H g, where KUf is the ultrafiltration coefficient). W ith som e high-flux m em branes, 400 to 600 m g/wk of 2-m icroglobulin 100 can be rem oved. The clinical significance of enhanced clearance of 2-m icroglobulin and other m iddle m olecules using a high-flux dia- lyzer is currently being studied in a national m ulticenter hem odial- ysis trial. Another consideration in the choice of a dialysis m em brane is whether it is biocompatible. In chronic renal failure some evidence exists to suggest 60 Polymethyl methacrylate that long-term use of biocom patible m em branes m ay be associated with favorable effects on nutrition, infectious risk, and possibly m ortality when com pared with bioincom patible m em branes [5–9]. In the study results shown here, the effect of biocom patibility on 40 renal outcom e in a group of patients with acute renal failure who Cuprophane required hem odialysis was exam ined. Patients received dialysis with a cuprophane m em brane (a bioincom patible m em brane known to 20 activate com plem ent and neutrophils) or a synthetic m em brane m ade of polym ethyl m ethacrylate (a biocom patible m em brane associated with more limited complement and neutrophil activation). As compared with the bioincompatible membrane, those patients treated with the synthetic biocompatible membrane had a significantly shorter duration of renal failure in term s of num ber of treatm ents and duration of dialysis. In the setting of acute renal failure, particularly in patients after transplantation, a biocom patible m em brane m ay be the preferred dialyzer. The clearance of urea also 280 is influenced by the dialysate flow rate. Increased flow rates help QD=800 m axim ize the urea concentration gradient along the entire length of 260 Dialyzer the dialysis m em brane.
9 of 10 - Review by D. Grim
Votes: 306 votes
Total customer reviews: 306


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Premier League - Official App
Premier League,
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|June 07, 2018
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Official and free to download, the Premier League's app (PL) is the definitive companion to the world's most watched league. A new way to manage your Fantasy Premier League team, research 25 years' of statistics and watch some of the greatest moments in the League's history. This is Premier League. - Full management of your Fantasy Premier League team - Matchday Live for live blogging and updates on every Premier League fixture - Fixtures, Results & Tables for competitions including PL2, U18 and Champions League - Video highlights of some of the world's best players in action - Premier League news and features from your favourite Club - Detailed statistics providing insight on key performers in each position - In-depth profiles on all players to have played for a Premier League Club - Profiles on every Club in the Premier League's 25-year history PL is available free of charge for as long as you want it, with regular updates throughout each season. Plus push notifications are available for you to control the information you wish to be alerted to. --- Clubs to have featured in the Premier League's 25-year history and reflected within the app are: Arsenal, Aston Villa, Barnsley, Birmingham City, Blackburn Rovers, Blackpool, Bolton Wanderers, AFC Bournemouth, Bradford City, Brighton and Hove Albion, Burnley, Cardiff City, Charlton Athletic, Chelsea, Coventry City, Crystal Palace, Derby County, Everton, Fulham, Huddersfield, Hull City, Ipswich Town, Leeds United, Leicester City, Liverpool, Manchester City, Manchester United, Middlesbrough, Newcastle United, Norwich City, Nottingham Forest, Oldham Athletic, Portsmouth, Queens Park Rangers, Reading, Sheffield United, Sheffield Wednesday, Southampton, Stoke City, Sunderland, Swansea City, Swindon Town, Tottenham Hotspur, Watford, West Bromwich Albion, West Ham United, Wigan Athletic, Wimbledon, Wolverhampton Wanderers. ---
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Witching Curtains for Living Room Windows Using Flower Drapery Fabric and Yellow Valance also Striped Sheers Mounted on Stainless Steel Curtain Rods
Written on June 2, 2017 in Others
As with every rooms, living room corners or badly-lit parts of the area need to be lightened. You can do this using any combination of plants, mirrors, art work, lights and pale colours. These all attract chi that might otherwise be missing. So place lights so that there are no dark corners within your living room, and the lights provide the extra good thing about brightening the whole room. Televisions and other metal-based objects (such as music systems, metal tables) should not be placed centrally. The electromagnetic waves may disrupt the flow of chi, rendering your other efforts useless.


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Job Description:
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Banned for being a knight and a hack
Ban the above game!
Banned for being a BH and heroic.
Banned for being a rabbit and brer
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FTHB tax credityes, the FTHB tax credit. We're really just looking to help more people buy homes HUD will allow a lender to "purchase" the tax credit from the borrower. Meaning, we (the lender... See more6 replies
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Journal Articles
Long-term survival in low-grade endometrial stromal sarcoma with childbirth and multidisciplinary treatment: a case report.
- Author
- Osamu Maeda, Suzuko Moritani, Shu Ichihara, Takami Inoue, Yutaka Ishihara, Shinichi Yamamoto, Makoto Ito, Yoko Matsumura, Kumiko Sugiyama, Maiko Horio, Ikuyo Kondo
- Journal
- Journal of Medical Case Reports ico_openaccess SCOPUS
- Cited Count
- 0
- Partners
- MEDLINE®/PubMed®
- Paid
- MEDLINE®/PubMed®
- Category
- Medicine > General Medicine
- Keywords
- Adult, Antineoplastic Agents, Hormonal, therapeutic use, Biopsy, Endometrial Neoplasms, diagnosis, therapy, Female, Humans, Middle Aged, Neoplasm Recurrence, Local, surgery, Nitriles, Sarcoma, Endometrial Stromal, Survivors, Tomography, X-Ray Computed, Triazoles, Young Adult
- References open button
References 9
1.Low-grade endometrial stromal sarcoma preoperative treatment with Depo-Lupron and Megace.D R Jr Scribner et al. Gynecologic OncologyGynecology cited 7 times
2.Endometrial stromal sarcoma: objective response to letrozole.F C Maluf et al. Gynecologic OncologyGynecology cited 11 times
3.Long-term survival of patients with recurrent endometrial stromal sarcoma: a multicenter, observational study.Hiroyuki Yamazaki et al. Journal of gynecologic oncologyGynecology cited 2 times
4.Treatment of stage IV "high-grade" endometrial stromal sarcoma with ifosfamide, adriamycin, and cisplatin.T Yamawaki et al. Gynecologic OncologyGynecology cited 3 times
5.Effects of leuprolide acetate on low-grade endometrial stromal sarcoma.A F Mesia et al. American Journal of Obstetrics and GynecologyGynecology cited 6 times
6.ENDOMETRIAL STROMAL SARCOMA.L G KOSS et al. Journal of the American College of SurgeonsGeneral Surgery cited 8 times
9.Gemcitabine and docetaxel in patients with unresectable leiomyosarcoma: results of a phase II trial.Martee L Hensley et al. Journal of Clinical OncologyBiology cited 153 times
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We loved staying at City Oasis. Each room has a different theme - ours was called the Karl May room. Karl May was a German writer of adventure stories and this small suite was a mixture of western and with elements of colonial style. The...More
"Rooms are themed so check out the photos on the internet. Enrico is very responsive by email."
"If you want to self cater, choose the room with the kitchenette."


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Columbia SC Entry Level Homes for Sale under $100,000
Columbia SC Real Estate: Listings for Sale and Marketing in Columbia SC. You will also find the following Property Searches, Entry Level Homes, Median Homes, Upscale Homes, Luxury Homes, Million Dollar Homes, Foreclosures, and Lots and Land for Sale in Columbia SC. Other popular towns and areas for search: Irmo, Blythewood, Lexington, Northeast Columbia, Southeast Columbia, Lake Murray, West Columbia, Kershaw County, Camden, Chapin, Elgin, Gilbert, Leesville, Lugoff, Prosperity, and Winnsboro South Carolina.Modify Search Criteria
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Perfect little nest; this 2 bed 2 bath is conveniently located to I20, and all of northeast finest shopping and dining, ca
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Woodland Terrace
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Pine Lakes
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3609 Juneau #D-41
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Fall 2019 applications open August 1st!
DNP – Population Health
The DNP Population Health degree (DNP-PH) prepares you to work in community health or public health, improving health care systems and population health. Health policy, epidemiology, and health promotion are core concepts of the program. Students learn how to audit and analyze the effectiveness and scope of community health programs in partnership with other professional disciplines and local organizations. You'll also enhance your skills in interprofessional collaboration, application of evidence-based practice, health information systems, organizational systems, and leadership.
Two pathways are available:
Post-baccalaureate DNP-PH
Post-master's DNP-PH
Career Settings
Hospitals and … » More …


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It is of great importance whether we have thus been taught by the Spirit of God
Secondly, This doctrine may well put us upon examining ourselves, whether we have ever had this divine light let into our souls. If there be such a thing, doubtless it is of great importance whether we have thus been taught by the Spirit of God; whether the light of the glorious gospel of Christ, who is the image of God, hath shined unto us, giving us the light of the knowledge of the glory of God in the face of Jesus Christ; whether we have seen the Son and believed on him, or have that faith which arises from a spiritual sight of Christ.
Jonathan Edwards- A Divine And Supernatural Light Immediately Imparted To The Soul, By The Spirit Of God, Shown To Be Both A Scriptual And Rational Doctrine. [Preached at Norhampton, and published at the desire of some of the hearers, in the year 1734.]
Charles Spurgeon's Letters-Letter 174
WESTWOOD, May 24, 1884.
May you be sustained under your heavy trial! Now that you and your dear companion are most fully realizing the void which is made in your household, may you find living consolations flowing into your hearts! "It is well," and faith knows it is so; and worships the Lord from under the cloud. How time has flown! It seems but the other day that you were married; and now you are an old father, bereaved of a daughter. Dear Caleb Higgs, too, is gone home long ago.
We shall meet above before long. Till then, in our Lord's business we will find solace, and in Himself delight.
Yours ever heartily,
The Wednesday Word – Grace and Truth
"The law was given by Moses; grace and truth came by Jesus Christ" John 1:17.
Moses gave the Law, but the Law it did not come by Moses. Moses, for all his moral rectitude, was not the originator of Law. He gave the Law, but he didn't invent it.
Moses had to receive the Law. It was not his own. It was not a part of his being. He was not Law incarnate. The Law was delivered to him and he, in turn, gave it to others.
Grace and truth, on the other hand, were not "given" to Christ, they came by Christ for grace and truth were His essence. He was grace and truth incarnate. It is interesting to note that Christ could have come as Law incarnate for, indeed, He was the quintessence of the Law. But when He came to us, He came as the embodiment of grace and truth.
The Law was given to, among other reasons, expose our inability to please God. Our hearts towards God had been frozen in a glacier of self-will and destruction. God, therefore, did not hope that we would keep the Law, He knew we couldn't. Rather, He gave it so that every mouth would be stopped and all the world become guilty before Him (Romans 3:19).
But there's good news! Grace and truth came by Jesus Christ. When Christ appeared, grace and truth appeared in all its fullness. Grace and truth descended to earth in the person of Jesus the God/Man. He alone is our Gospel. We dare not add to or subtract from Him.
There are no two things in the Bible more different than Law and Gospel. Either we obtain salvation in all its facets by contributing our works, or we freely receive salvation by faith alone in the doing, dying and rising again of our Lord Jesus …plus nothing!
For a moment then, let's consider some of the differences and contrasts between Law and Gospel!
The Law demands righteousness; the Gospel gives it.
The Law requires good works; the Gospel provides them.
Under the Law, the source of our blessings is from our obedience. But under the Gospel, blessings are a gift based upon Christ's obedience.
"The Law threatens, the Gospel heals.
The Law shows us our wretchedness. The Gospel takes our misery away.
The Law was not given to save us but to damn us.
The Gospel, on the other hand, was given, not to damn us but to save us.
The Law was not given to bless us, but to curse us.
The gospel was given to set us free from the curse .
The Law puts on its black cap of damnation and sentences men to death. The Gospel, by contrast, put on the white cap of mercy and brings dead men to life."
The Law tells us what we must do to get right with God. Grace, on the other hand, tells us what God has done for us to get us right with Himself.
When Moses gave the Law, his face shone. But when grace and truth came, the full light of the knowledge of the glory of God was revealed in the face of Jesus Christ (2 Corinthians 4:6).
And that's the Gospel Truth!
Miles Mckee
The Reformed Doctrine of Predestination Chapter V-The Providence of God
The Reformed Doctrine Of Predestination
Chapter V
The Providence of God
God's works of providence are His most holy, wise, and powerful preserving and governing all his creatures and all their actions." (Shorter Catechism, answer to Question 11.) The Scriptures very clearly teach that all things outside of God owe not merely their original creation, but their continued existence, with all their properties and Powers, to the will of God. He upholds all things by the word of His power, Heb_1:3. He is before all things, and in Him all things consist, Col_1:17. "Thou art Jehovah, even thou alone; thou hast made heaven, the heaven of heavens, with all their hosts, the earth and all things that are therein, the seas and all that is in them, and thou preservest them all," Neh_9:6. "In Him we live, and move and have our being," Act_17:28. He is "over all, and through all, and in all," Eph_4:6.
Throughout the Bible the laws of nature, the course of history, the varying fortunes of individuals, are ever attributed to God's providential control. All things, both in heaven and earth, from the seraphim down to the tiny atom, are ordered by His never-failing providence. So intimate is His relationship with the whole creation that a care- less reader might be led toward pantheistic conclusions. Yet individual personalities and second causes are fully recognized, — not as independent of God, but as having their proper place in His plan. And alongside of this doctrine of His Immanence the Scripture writers also present the kindred doctrine of His Transcendence, in which God is distinctly set forth as entirely separate from and above the whole creation.
Yet as regards God's providence we are to understand that He is intimately concerned with every detail in the affairs of men and in the course of nature. "To suppose that anything is too great to be comprehended in His control," says Dr. Charles Hodge, "or anything so minute as to escape His notice; or that the infinitude of particulars can distract His attention, is to forget that God is infinite . . . . The sun diffuses its light through all space as easily as upon any point. God is as much present everywhere, and with everything, as though He were only in one place, and had but one object of attention." And again, "He is present in every blade of grass, yet guiding Arcturus in his course, marshalling the stars as a host, calling them by their names; present also in every human soul, giving it understanding, endowing it with gifts, working in it both to will and to do. The human heart is in His hands; and he turneth it even as the rivers of water are turned." 1
It is almost universally admitted that God determines when, where, and under what circumstances, each individual of our race shall be born, live, and die, whether it shall be male or female, white or black, wise or foolish. God is no less sovereign in the distribution of His favors. He does what He will with His own. To some He gives riches, to others honor, to others health, to others certain talents for music, oratory, art, finance, statesmanship, etc. Others are poor, unknown, born in dishonor, the victims of disease, and live lives of wretchedness. Some are placed in Christian lands where they receive all the benefits of the Gospel; others live and die in the darkness of heathenism. Some are brought through faith unto salvation; others are left to perish in unbelief. And to a very large extent these external things, which are not the result of individual choice, decide the person's life course and eternal destiny. Both Scripture and every day experience teach us that God gives to some what He withholds from others. If it be asked why He does this, or why he does not save all, the only available answer is found in the words of the Lord Jesus, "Yea, Father, for so it was well – pleasing in thy sight." Only the Scripture doctrine of the fall and redemption will give us any light on what we see about us.
It is to be remembered that those who receive these gifts, whether spiritual or temporal, receive them through pure grace, while in regard to the others God simply withholds those gifts which He was under no obligation to bestow. Nations, as well as individuals, are thus in the hands of God, who appoints the bounds of their habitation, and controls their destiny. He controls them as absolutely as a man controls a rod or a staff. They are in His hands, and He employs them to accomplish His purposes. He breaks them in pieces as a potter's vessel, or He exalts them to greatness, according to His good pleasure. He gives peace and fruitful seasons, property and happiness, or He sends the desolations of war, famine, drought and pestilence. All of these things are of His disposing, and are designed for intelligent ends under His universal providence. God is no mere spectator of the universe He has made, but is everywhere present and active, the all-sustaining ground, and all-governing power of all that is.
Although the price of the sparrow is small, and its flight seems giddy and at random, yet it does not fall to the ground, nor slight anywhere without your Father. "His all-wise providence hath before appointed what bough it shall perch upon; what grains it shall pick up; where it shall lodge and where it shall build; on what it shall live and where it shall die." 2
Every raindrop and every snowflake which falls from the cloud, every insect which moves, every plant which grows, every grain of dust which floats in the air has had certain definite causes and will have certain definite effects. Each is a link in the chain of events and many of the great events of history have turned on these apparently insignificant things.
Throughout the whole course of events there is progress toward a predetermined end. Dr. Warfield has well written: "It was not accident that brought Rebecca to the well to welcome Abraham's servant (Genesis 24), or that sent Joseph into Egypt (Gen_45:8; Gen_50:20,. 'God meant it for good'), or guided Pharaoh's daughter to the ark among the flags (Exodus 2), or that, later. directed the millstone that crushed Abimelech's head (Jdg_9:53), or winged the arrow shot at a venture to smite the king in the joints of the armor (1Ki_22:34). Every historical event is rather treated as an item in the orderly carrying out of an underlying Divine purpose; and the historian is continually aware of the presence in history of Him who gives even to the lightning a charge to strike the mark (Job_36:32)." 3
"In the great railroad stations," said Dr. Clarence E. Macartney, "you can see a metallic pencil come out and write in great characters on the wall the time of the arrival or departure of the trains. The metallic pencil seems to write of itself, but we know that hidden in an office somewhere the mind and hand of a man are operating the pencil. So in our own life, we note our own deliberations and choices and decisions, and yet in the fabric of our destiny there seem to be other strands, strands not of our own weaving. Apparently trivial events play their part in great issues." 4
Man's sense of moral responsibility and dependence, and his instinctive appeal to God in times of danger, show how universal and innate is the conviction that God does govern the world and all human events. But while the Bible repeatedly teaches that this providential control is universal, Powerful, wise, and holy, it nowhere attempts to inform us how it is to be reconciled with man's free agency. All that we need to know is that God does govern His creatures and that His control over them is such that no violence is done to their natures. Perhaps the relationship between divine sovereignty and human freedom can best be summed up in these words: God so presents the outside inducements that man acts in accordance with his own nature, yet does exactly what God has planned for him to do.
This subject, as it relates to human responsibility, will be more fully treated in the chapter on Free Agency.
That this is the Scripture doctrine of Providence is so plain that it is admitted by many whose philosophical views lead them to reject it for themselves. We shall now present a summary of Scripture proof, showing that all events have a divinely appointed place and purpose, that God's providence is universal, and that He thus secures the complete fulfillment of His plans. God's providential control extends over:
(a) Nature or the physical world. "Jehovah doeth His will in the whirlwind and in the storm, and the clouds are the dust of his feet," Nah_1:3. "Only in the land of Goshen where the children of Israel were, there was no hail," Exo_9:26. "He maketh His sun to rise on the evil and the good, and sendeth rain on the just and the unjust," Mat_5:45. The famine in Egypt appeared to men to be only the result of natural causes; yet Joseph could say, "The thing is established of God, and God will shortly bring it to pass." Gen_41:32. "And I also have withholden the rain from you, when there were yet three months before the harvest; and I caused it to rain upon one city, and caused it not to rain upon another city," Amo_4:7. "He gave you from heaven rains and fruitful seasons, filling your heart with food and gladness," Act_14:17. "Who hath measured the waters in the hollow of his hand, and meted out heaven with the span, and comprehended the dust of the earth in a measure, and weighed the mountains in scales, and the hills in a balance?" Isa_40:12.
(b) The animal creation. "Are not two sparrows sold for a penny and not one of them shall fall to the ground without your Father," Mat_10:29. "Behold the birds of the heavens, that they sow not, neither do they reap, nor gather into barns; and your heavenly Father feedeth them," Mat_6:26. "My God hath sent His angel and hath shut the lions' months, that they have not hurt me," Dan_6:22. "The young lions roar after their prey, and seek their meat from God," Psa_104:21. "Thus God hath taken away the cattle of your father (Laban) and given them to me" (Jacob), Gen_31:9.
(c) Nations. (Nebuchadnezzar's humiliation was) "to the intent that the living may know that the Most High ruleth in the kingdom of men, and giveth it to whomsoever He will, and setteth up over it the lowest of men," Dan_4:17. "Behold, the nations are as a drop in the bucket, and are accounted as the small dust of the balance; behold, He taketh up the isles as a very little thing," Isaiah 40-15. "Let them say among the nation Jehovah reigneth," 1Ch_16:31. "For God Is the King of all the earth," Psa_47:7. "He changeth the times and the seasons; He removeth kings, and setteth up kings," Dan_2:21. "Jehovah bringeth the counsel of the nations to naught; He maketh the thoughts of the people to be of none effect," Psa_33:10. "And Jehovah gave them rest round about …. Jehovah delivered all their enemies into their hands," Jos_21:44. "And the children of Israel did that which was evil in the sight of Jehovah; and Jehovah delivered them into the hands of Midian seven years," Jdg_6:1. 'Shall evil befall a city, and Jehovah hath not done it?" Amo_3:6. "For, lo, I raise up the Chaldeans, that bitter and hasty nation, that march through the breadth of the earth, to possess dwelling places that are not theirs," Hab_1:6.
(d) Individual men. "The king's heart is in the hand of Jehovah as the watercourses; He turneth it whithersoever He will," Pro_21:1. "A man's goings are established of Jehovah," Psa_37:23. "A man's heart deviseth his way, but the Lord directeth his steps," Pro_16:9. "For we ought to say, if the Lord will, we shall both live, and do this or that," Jam_4:15. "Of Him, and through Him, and unto Him are all things," Rom_11:36. "Who maketh thee to differ? And what hast thou that thou didst not receive?" 1Co_4:7. "The angel of the Lord encampeth round about them that fear Him, And delivereth them," Psa_34:7. "If it be so our God whom we serve is able to deliver us from the burning fiery furnace; and He will deliver us out of thy hand,O king," Dan_3:17. "Jehovah is on my side; I shall not fear; What can man do unto me?" Psa_118:6. But now, O Jehovah, thou art our Father; we are the clay and thou our potter; and we are the work of thy hands," Isa_64:8. "And the hand of our God was upon us, and He delivered us (the returning exiles) from the hand of the enemy and the lier-in-wait by the way," Ezr_8:31. "And God brought their counsel to naught," Neh_4:15. "But against any of the children of Israel shall not a dog move his tongue, against man or bent; that ye way know how Jehovah doth make a distinction between the Egyptians and Israel," Exo_11:7. "And the Lord said unto Paul in the night by a vision, Be not afraid, but speak and hold not thy peace; for I am with thee, and no man shall set on thee to harm thee," Act_18:9.
(e) The free acts of men. "It is God who worketh in you both to will and to work, for His good pleasure," Phi_2:13. "And Jehovah gave the people favor in the sight of the Egyptians, so that they let them have what they asked." Exo_12:36. "And the king (of Persia, Artaxerxes) granted him (Ezra) all his request, according to the hand of Jehovah his God upon him," Ezr_7:6. "For Jehovah had made them joyful, and had turned the heart of the king of Assyria unto them, to strengthen their hands in the work of the house of God" (rebuilding the temple), Ezr_6:22. "And I will put my spirit within you, and cause you to walk in my statutes, and ye shall keep mine ordinances, and do them," Ezekiel 36:27.
(f) The sinful acts of men. "For of a truth in this city against thy holy servant Jesus, whom thou didst anoint, both Herod and Pontius Pilate, and the Gentiles and the people of Israel, were gathered together, to do whatsoever thy hand and thy counsel foreordained to come to pass," Act_4:27, Act_4:28. "Jesus answered him (Pilate), Thou wouldst have no power against me, except it were given thee from above," Joh_19:11. (David, rebuking Abishai, in regard to Shimei) "Because he curseth, and Jehovah bath said, Curse David…. Let him alone, and let him curse; for Jehovah bath bidden him" 2Sa_16:10, 2Sa_16:11. "Surely the wrath of man shall praise thee; and the residue of wrath shalt thou gird upon thee' (or restrain), Psa_76:10. "And I, behold I will harden the hearts of the Egyptians and they shall go in (the Red Sea) after them; and I will get me honor upon Pharaoh, and upon all his host, and upon his chariots, and upon his horsemen," Exo_14:17. (g) To the fortuitous events or "chance happenings. "See section 4 (Ch. III)."
1 Systematic Theology, I, p. 583.
2 Toplady, Preface to Zanchius' Predestination, p. 14.
3 Biblical Doctrines, p. 14.
4 Moderator's sermon on Predestination, preached before the General Assembly of the Presbyterian Church, U.S.A., 1924.
Loraine Boettner- The Reformed Doctrine of Predestination
There are many points of contrast between the first two books of the Bible
There are many points of contrast between the first two books of the Bible. In the former we have the history of a family; in the latter the history of a nation. In the one the descendants of Abraham are but few in number; in the other they have increased to hundreds of thousands. In Genesis the Hebrews are welcomed and honored in Egypt, whereas in Exodus they are hated and shunned. In the former we read of a Pharaoh who says to Joseph, "God hath showed thee all this" (41:39), but in the latter another Pharaoh says unto Moses, "I know not the Lord" (5:2). In Genesis we hear of a "lamb" promised (22:8), in Exodus of the "lamb" slain and its blood sprinkled. In the former we have recorded the entrance of Israel into Egypt; in the latter the exodus of them is described. In the one we behold the patriarchs sojourning in the land which flowed with milk and honey; in the other their descendants are wanderers in the wilderness. Genesis closes with Joseph in a coffin, while Exodus ends with the glory of the Lord filling the tabernacle.
Arthur W. Pink-Interpretation of the Scriptures
And when has the Holy Ghost ceased to have an influence upon men?
And when has the Holy Ghost ceased to have an influence upon men? We find that still he deals with his ministers and with all his saints. Turn to the Acts, and you will find that the Holy Ghost said, "Separate me Paul and Barnabas for the work." I never heard of an attribute saying such a thing. The Holy Spirit said to Peter, "Go to the centurion, and what I have cleansed, that call not thou common. The Holy Ghost caught away Philip after he had baptised thee unuch, and carried him to another place; and the Holy Ghost said to Paul, "Thou shalt not go into that city, but shalt turn into another." And we know that the Holy Ghost was lied unto by Ananias and Sapphira, when it was said, "Thou hast not lied unto man, but unto God." Again, that power which we feel every day who are called to preach — that wondrous spell which makes our lips so potent — that power which gives us thoughts which are like birds from a far-off region, not the natives of our soul — that influence which I sometimes strangely feel, which, if it does not give me poetry and eloquence, gives me a might I never felt before, and lifts me above my fellow-man — that majesty with which he clothes his ministers, till in the midst of the battle they cry, aha! like the war-horse of Job, and move themselves like leviathans in the water — that power which gives us might over men, and causes them to sit and listen as if their ears were chained, as if they were entranced by the power of some magician's wand — that power must come from a person, it must come from the Holy Ghost.
Charles H. Spurgeon- "The Personality of the Holy Ghost," A Sermon Delivered On Sabbath Morning, January 21, 1855
This doctrine may lead us to reflect on the goodness of God, that has so ordered it, that a saving evidence of the truth of the gospel is such, as is attainable by persons of mean capacities and advantages, as well as those that are of the greatest parts and learning
I will conclude with a very brief improvement of what has been said.
First, This doctrine may lead us to reflect on the goodness of God, that has so ordered it, that a saving evidence of the truth of the gospel is such, as is attainable by persons of mean capacities and advantages, as well as those that are of the greatest parts and learning. If the evidence of the gospel depended only on history, and such reasonings as learned men only are capable of, it would be above the reach of far the greatest part of mankind. But persons with an ordinary degree of knowledge are capable, without a long and subtle train of reasoning, to see the divine excellency of the things of religions they are capable of being taught by the Spirit of God, as well as learned men. The evidence that is this way obtained, is vastly better and more satisfying, than all that can be obtained by the arguings of those that are most learned, and greatest masters of reason. And babes are as capable of knowing these things, as the wise and prudent; and they are often hid from these when they are revealed to those. 1 Corinthians 1:26, 27. "For ye see your calling, brethren, how that not many wise men after the flesh, not many mighty, not many noble, are called. But God hath chosen the foolish things of the world."
Jonathan Edwards- A Divine And Supernatural Light Immediately Imparted To The Soul, By The Spirit Of God, Shown To Be Both A Scriptual And Rational Doctrine. [Preached at Norhampton, and published at the desire of some of the hearers, in the year 1734.]


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Tobacco use is the leading cause of preventable disease and death in the United States.I also urge individuals interested in becoming a member of the West Virginia State Police to view the recruiting link.Our agency was created in 1919 and is the fourth oldest state police agency in the United States.West Virginia laws are very specific about sexual abuse and sexual assault.Sexual abuse occurs when a person subjects another person to sexual contact without their consent, and that lack of consent is due to physical force, threat or intimidation.


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Definition of one's elders and betters
- You should respect your elders and betters.
: elderberry
: of earlier birth or greater age
: of or relating to earlier times : former
: of or relating to a more advanced time of life
: one living in an earlier period
: one who is older : senior
: an aged person
: comparative of good
: greater than half
: improved in health or mental attitude
: to make better (see 1better): such as
: to make more tolerable or acceptable
: to make more complete or perfect
: comparative of well
: in a more excellent manner
: to greater advantage : preferably
: had better (see 3better 1b)
What made you want to look up one's elders and betters? Please tell us where you read or heard it (including the quote, if possible).
to recoil in dread or terror
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Healthy Height Growth Promoting Shake Mix
Developed and tested by pediatricians, Healthy Height is a great-tasting shake mix with nutrition clinically shown to help kids grow. Each shake is packed with 12 grams of protein and the nutrients your child needs to grow. Your kids will love our yummy chocolate and vanilla flavors.


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Icarus Trailer: Netflix Doc Exposes Russia's Olympic Doping Scheme
The Russian doping scandal gets a closer inspection in Icarus, a sports documentary directed by Bryan Fogel, and co-written by Fogel and Mark Monroe. Fogel's source is the former head of Russia's anti-doping lab, who details the state-sponsored Olympic doping scheme that happened just before the summer 2016 Rio Olympics. What starts out as an experiment — Fogel tries out performance-enhancing drugs — unspools into a thriller. Netflix paid $5 million for the doc out of this year's Sundance, where it premiered in the U.S. Documentary competition. Stream Icarus on Netflix August 4.
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Stopped here over night. This is a clean place for a low price. The staff was very helpful. As someone who is definately not a local it was great that they were able to let me know about the area. If you have a long...More
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Filling electric blasting caps at Hercules Port Ewen plant
- 1945-Mar
General view of female employees inserting bridged wires into loaded electric blasting caps at the Hercules Powder Company plant in Port Ewen, New York. The individuals visible in the photograph are identified as follows (left to right): Lillian Karageorge; Hazel Greenburg; Catherine Gakenheimer; Jane Kaminski; Regina Peterson; Ann Leahy; Margaret Cannon; Mabel Atkins; Marjorie Hamel; Edith Krum; and supervisor Tom Crosby.
Formed in 1912 as part of an anti-trust settlement with DuPont, the Hercules Powder Company (later Hercules Inc.) specialized in the manufacture of explosives and smokeless powders. During World War II, the company's Port Ewen plant produced a range of special detonators designed for military use.
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Cite as
Hercules Incorporated. "Filling Electric Blasting Caps at Hercules Port Ewen Plant," March 1945. Photographs from the Records & Ephemera of Hercules Incorporated, Box 2, Folder 36. Science History Institute. Philadelphia. https://digital.sciencehistory.org/works/zw12z576b.
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Letter received by State Times about issues of concern from its readers. Letters to the editor may be sent either through conventional mail or electronic mail.
Dear Editor, With a population as abundant as India's, where every single Member of Parliament represents sixteen lakh voters, the task of voicing out the demand of people is audacious... Read more
Dear editor, Through your esteemed daily I would like to highlight the issue of rampat use of polythene. It is sad that polythene bags are again back to normal in the city limits and outskir... Read more
Dear Editor, As per some sources of information, our State Government is going to regularise the teachers, lectures and assistant professors working on academic arrangement for the last many... Read more
Dear Editor, A large number of garbage heaps can be seen along various roads in Jammu. Already the people were facing problems due to scattered garbage and flith and the rising temperature a... Read more
Dear Editor, A large number of garbage heaps can be seen all along various roads in Jammu. The presence of the stinking waste near Peer Kho is depicting a picture of neglect of the authoriti... Read more
Dear Editor, People of Jammu and Kashmir have now more headaches to worry about because tourism leaders in the State fear that terror attacks, stone pelting incidents are going to slow down... Read more
Dear Editor, Pollutants that are of major concern in today's world are non biodegradable polythene pollutants that do not degrade in the natural environment. Polythene pollution is mos... Read more
Dear Editor, Let me invite the attention of concerned authorities towards a strange Mail Box of the J&K State Legal Service Authority, Srinagar which always remain too full to receive an... Read more
Dear Editor, The malpractice of mass copying had shown an unprecedented rise in the recent past not only during 10th, 12th and degree level but also in SSB and JKPSC examination. The mass ch... Read more
Dear Editor, When we balance the Modi mania that has pervaded over some section of society with delivery bags of Modi government for the last four years in J&K, we find it bundled with m... Read more
Fear of losing it all made me appreciate life: Manisha Koirala
Priyanka Chopra to come out with memoir in 2019
Kashmir World Film Festival commences
Cinema brings people of different colour, cultures together: Rathore
Nicole Kidman wants to stay 'healthy and vibrant' for her kids
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@LarryJuneTFM turns up the jokes on "Trap Trap Trap"
Trap music, the genre, as we know it, is slowly making its exit. In its place, more organic, experimental rap is taking its place. For trap to have such a long run as it did (nearly 10 years), the way that it inspired other genres and types of rap coming behind it is nothing short of legendary. Bay Area's Larry June decided to have a good crack at the parameters of it on his new single, aptly called "Trap Trap Trap." Produced by Sledgren, the cut's production is bog standard, on purpose. Then Larry comes in with hilarious rhymes that are so trap music infused that you half expect Waka Flocka to somersault out of the shadows when listening to it.
Listen to "Trap Trap Trap" below.
Nef The Pharaoh, All Black, and 03 Greedo are at their best in "Ball Out"
Nef The Pharoah is one of the Bay Area's most consistent content fountains. Add in All Black, a rising name on the verge of fame, and 03 Greedo, one of the most controversial rappers out of California since Tupac, and you have the recipe for a once-in-a-lifetime collaboration that's both fiery and out of this world. The bouncy production provides a loose template for the triumvirate to deal in bragging tongues, crafting a wholesome club record that paints each artist in their best light.
Listen to "Ballout" below.
Sada Baby and FMB DZ murder some eclectic production on "Dragons (Double Dragons)"
Thanks to esteemed producer Michigan Meech, Sada Baby and FMB DZ have dropped a collaboration that may be one of the best entries in either of their careers. "Dragons (Double Dragons)" is excessively weird, yet polished. It sounds like someone took a theme that would work on Scooby Doo or Goosebumps, injected it with some 808s, and tased it at maximum voltage. Because it's so unique, it pushes Sada and DZ out of their comfort zone. This ultimately works because they're able to adapt abruptly to the change and craft a song so good that it's become one of our favorite of the entire year.
Listen to "Dragons (Double Dragons)" below.
Baby Gas and Lil Prezi chase the bag on "For A Check"
Care for some West Coast motivational music? Baby Gas and Lil Prezi scratch that itch with "For A Check," a cut that zooms in on the pursuit of the bag and all that comes with it. Baby Gas gets intimate with the vocals, Lil Prezi offering a corporeal verse that manifests the drive to go get it. The cut is deliciously compact and tasteful and will make you want to go get that check by any means necessary.
Listen to "For A Check" below.
East Warren Eway shows off some serious confidence in "One Time"
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Philthy Rich, Eastside Peezy, CashClick Boog, and Rockin Rolla make the strip club home in "All I Want"
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