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If you have nothing to lose, you can try everything.
What you don't see with your eyes, don't invent with your mouth.
The wise man, even when he holds his tongue, says more than the fool when he speaks.
A half-truth is a whole lie.
Don't spit into the well - you might drink from it later.
The whole world is a dream, and death the interpreter.
If you ever need a helping hand you'll find one at the end of your arm.
A wise man hears one word and understands two.
The eyes are the mirror of the soul.
If God wants people to suffer, he sends them too much understanding.
Better an ounce of luck than a pound of gold.
A child's tear rends the heavens.
Time and words can't be recalled, even if it was only yesterday.
Seek advice but use your own common sense.
Life is the greatest bargain - we get it for nothing.
Everyone is kneaded out of the same dough but not baked in the same oven.
With time, even a bear can learn to dance.
If a link is broken, the entire chain breaks.
God made man because he loves stories.
If rich people could hire other people to die for them, the poor could make a wonderful living.
He who comes for the inheritance is often made to pay for the funeral.
When a thief kisses you, count your teeth.
If you are bitter at heart, sugar in the mouth will not help you.
Prayers go up and blessings come down.
What soap is to the body, laughter is to the soul.


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2019 has seen a flurry of activity pertaining to sexual harassment and sexual harassment training. More and more state legislatures are investing time and resources into crafting laws designed to prevent harassment in the workplace.
This year we've seen state laws prohibiting arbitration agreements and limiting the ability of companies to enter into confidentiality agreements related to sexual harassment claims.
There has also been significant movement in some states in establishing laws or expanding laws requiring sexual harassment training. California and New York are two of the most notable examples of the expansion of sexual harassment training requirements.
In this post, we'll take a look at what's changed in California and New York related to sexual harassment training requirements.
New York Adds Sexual Harassment Training Requirements
Both New York State and New York City have recently adopted laws that require sexual harassment training.
New York's state law took effect in October of 2018 and requires all employers to provide sexual harassment training on an annual basis. The training is required to be interactive and must clearly define what sexual harassment is.
It also must provide examples of behavior that would be considered off-limits and teach employees how to report the behavior. The law requires this training to take place by October 9, 2019.
New York City's Stop Sexual Harassment Act took effect in April of 2019 and pertains to any organization with more than 15 employees. While the scope of the training is similar to the state law, the specific content that must be addressed varies.
For example, New York City requires more in-depth content covering the complaint process for the organization, the role of bystanders, and what supervisors must do in the event of a notification.
To ensure compliance, employers in New York City need to ensure their training addresses both the state and city's requirements.
California Expands the Scope of its Requirements
California has long had some of the strongest protections for workers and employees in the U.S. In response to the public outrage over rampant workplace sexual misconduct and harassment, which has been much reported on as part of the #MeToo movement, Senate Bill 1343 was signed into law in 2018. The new law expands sexual harassment prevention training requirements for employers in significant ways.
The new training requirements must be observed by January 1, 2020. This means that many California-based employers will need to work quickly (if they haven't already) to get their employees' training updated by the end of 2019.
Before, California law only required companies with more than 50 employees to comply with sexual harassment prevention training requirements. The new regulations, however, apply to any company with more than five employees. This, of course, means the regulations will apply to many more companies.
And if your company relies mostly on part-time employees, temporary employees, or independent contractors, it is still a requirement. Under the new law, these hires also count toward your five-employee minimum. The only exceptions are employees who are hired through a temp agency, in which case it's the temp agency's responsibility to make sure the workers receive the required sexual harassment prevention training and education.California-based employers will need to work quickly (if they haven't already) to get their employees' training updated by the end of 2019. Click To Tweet
The other significant change is that under the new law, all employees must receive sexual harassment prevention training. The previous law only required supervisors to be trained. The new law still requires the completion of two full hours of training for supervisors, while other employees are only required to complete one hour of training.
Employers must conduct their sexual harassment prevention training by the end of 2019 in order to comply with the 2020 deadline. After that, SB 1343 requires employers to schedule sexual harassment prevention training once every two years.
For temporary employees or contractors, the training is required within either the first 30 calendar days following their hire date, or before they've worked 100 hours (whichever comes first).
How ELI has Adapted Our Training
At ELI, we are proactively monitoring the space so we can provide our clients with top-level, compliant training that meets state requirements. Our content development experts and attorneys closely watch for legal developments and respond with up-to-date versions of our training to ensure compliance with state and city laws.
For example, in the case of California, our team has updated the employee versions of our flagship Civil Treatment and CT: Impact to incorporate California's sexual harassment training requirements.
Historically these programs have been focused on teaching employees to speak up and let employers know if there is a problem. The updated versions speak to items like Title 7 and highlight state-specific reporting mechanisms.
Additionally, the ELI team carefully went through both the New York State and New York City laws and updated the training materials to ensure 100% compliance with the regulations.
The Letter of the Law Vs. The Spirit of the Law
When local laws change how we do business, it can be disconcerting and disrupt the organization.
No one wants to think about getting cited or slapped with a fine because they didn't correctly document their training or contract with a trainer who held the specified credentials.
However, the law isn't intended to create a series of administrative hurdles or headaches. It's intended to make sure all employers are taking the issue of sexual harassment seriously.
Passive education programs that don't require any feedback from participants or guidance from experts are often little more than an exercise in check-the-box compliance. That makes them a huge waste of time and money. You need something that will actually impact employee behavior leading to better business outcomes, fewer legal risks, and a more engaged workforce.
While it may sound simplistic, the best defense against a sexual harassment claim is to not have a sexual harassment claim.
Check-the-box training rarely delivers true change. At ELI, we're doing everything we can to create dynamic, interactive, memorable, and effective sexual harassment training.
What to read next:

subset: commoncrawl


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My beautiful baby girl, you are three years old! I can not believe it! It feels like I just had you yesterday and we were in the hospital and I could not stop crying because you were perfect and beautiful and I couldn't believe how much I loved you already and knew I would do anything to protect you and make you happy.
We went to the doctor on Friday and you weigh 38.4 pounds (over 95th percentile) and are 40-3/4" tall (100 percentile). Yep, you are a big girl. You used to be chunky, but you are tall and slim now. You wear size 4T, but they are starting to get too small so you have started wearing 5T and a size 4/5 in the Girl's department! You wear a size 11 shoe.
You love all things girly. You LOVE to wear dresses and always want to wear one, even to bed. The dressier the better, and I LOVE it. You wear your princess dresses all the time. Lately when you wake up you tell me you want to get dressed up. When I start getting ready for the day you tell me you want me to get dressed up and wear a dress too. That is fine by me because I like to wear dresses the most also.
You love anything that sparkles and has sequins and love to have your nails and toes painted with sparkles.
You can count to 16, know your ABC's and can recognize the number 1-5 and a few letters. You know all your shapes and can draw them pretty well. I love it when you draw Mommy's picture and you get so proud of yourself. Most days at school you make a picture and when you get in the car you show it to me. You always say "Look Mommy I made it for you. Will you put it on the refrigerator?" I used to hate having clutter on my fridge, but your artwork makes you so proud and me so happy to see you so proud.
You love to read books, sing songs, play outside and watch cartoons. You still cuddle so much a I love it. lately you have been asking us for "squeeze hugs". You love our baby sister and are already protective of her and love to make her laugh. You tell everyone "That is my Layla, my baby sister!".
You are strong willed, opinionated, bossy, stubborn and demanding also. You get a very serious face and point your index finger and give instructions! And you mean it!! We know we should discipline you when you do it, but it is so hard not to laugh!!
You are funny. You do and say some of the funniest things that make your Dad and I just laugh! You are a ham and LOVE to be the center of attention.
You are also very compassionate. You always kiss our boo-boo's and always want to make sure people are happy. If I tell you I don't feel good you say "Mommy it will be okay, I will make it all better".
I am so blessed to be your Mom. I love you more every day and am amazed at how beautiful and smart you are. You are such a mess and I wouldn't have it any other way!


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White House says its federal agencies can't keep track of their own data
Not a good look for the White House.
Not a good look for the White House.
But marijuana legalization activists may have to figure out their priorities before a national movement gains enough momentum to force a federal law forward.


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Find Bent County, CO veterinarians, pet stores, animal shelters, dog parks, animal hospitals, pet sitters & boarding near me, including locations, hours, and phone numbers.
Animal Shelters in Bent County, CO provide pet adoption services, including dog adoption, cat adoption, neutering and spaying services, animal foster care, animal control services, and lost pet services.
Bent County Pet Project Las Animas CO 647 Ambassador Thompson Boulevard 81054 719-456-0250


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Flyer Approval Process
The School District of Manatee County allows non-profit organizations, who do not charge fees, to seek approval for the distribution of flyers in Elementary Schools only.
Please contact Deborah Perry-Gambino, Community Engagement Specialist at firstname.lastname@example.com for more information on the approval process. Non-profit organizations incurring any type of charges for events will not be given approval.
Private businesses and organizations charging fees for events or services are required to register in ePIE, the school district's business partner software, and enter a specific business partnership request. Once the business partnership is approved, the school has the right to approve or deny the distribution of flyers to students. A mutually beneficial relationship between the business and the school, needs to be established.
For more information, contact Deborah Perry-Gambino at email@example.com. To register in ePIE (Electronic Partners in Education) visit http://epie.manateeschools.net/
Flyer distribution to students is not allowed in both Middle and High Schools.
Community Flyers will be posted periodically on the District Website.


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By signing up to our newsletter you will be the first to hear about special offers on complementary health treatments.
The Healing Zone newsletter is also packed with useful advice, including tips you can try at home and links to articles on a variety of complementary health topics.
It's absolutely FREE ! Sign up now and start receiving the benefits. It's easy, just fill in the box on the right.


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nonprofits,local leaders & Grt.New Haven business sharing information
September 23, 2014 from 2pm to 3pm – Online About The Webinar 3.5 BILLION Google searches per day! With a Google Grant and a few easy-to-use tools, you can connect with thousands of searchers who care about your nonprofit's mission and progr… Organized by Rob Leighton | Type: webinar
September 15, 2014 to December 5, 2014 – Creative Arts Workshop Explore your creative side with visual arts classes and workshops for adults and young people in book arts, design, drawing, painting, fiber, fashion, jewelry, photography, pottery, printmaking, and… Organized by Creative Arts Workshop | Type: classes, workshops
September 19, 2014 to October 17, 2014 – Creative Arts Workshop An exhibition of new work from CAW faculty in the book arts, design, drawing, painting, fiber, jewelry, photography, pottery, printmaking, sculpture, and young people's departments. Organized by Creative Arts Workshop | Type: exhibition


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Shaun David Hutchinson is the author of numerous books for young adults, including The Past and Other Things That Should Stay Buried, The Apocalypse of Elena Mendoza, At the Edge of the Universe, and We Are the Ants. He also edited the anthologies Violent Ends and Feral Youth and wrote the memoir Brave Face, which chronicles his struggles with depression and coming out during his teenage years. He lives in Seattle, where he enjoys drinking coffee, yelling at the TV, and eating cake. Visit him at ShaunDavidHutchinson.com or on Twitter @ShaunieDarko.
Get our latest staff recommendations, Indie Next picks and exclusive offers of ARCs and galleys right to your inbox.
By clicking 'Sign me up' I acknowledge that I have read and agree to the privacy policy and terms of use. Free eBook offer available to NEW US subscribers only. Offer redeemable at Simon & Schuster's ebook fulfillment partner. Must redeem within 90 days. See full terms and conditions and this month's choices.
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A California water district has accepted Tom Selleck's offer of more than $21,000 to settle a lawsuit that accused the actor of taking water he wasn't entitled to for his 60-acre ranch.
Directors of the Calleguas Municipal Water District in Ventura County voted Wednesday to accept the offer.
The district sued the "Magnum P.I." star and his wife earlier this month after a private investigator determined water was being trucked from one of its hydrants to the Selleck ranch in Hidden Hills, just outside the district.
U.S. & World
The board's acting president, Thomas Slosson, says the settlement figure covers the cost of hiring the private detective.
Copyright AP - Associated Press


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Here you can find a preview of the show garden which was layed out on 8100 m ² according to the principles of the English Cottage Garden.
The whole forms a collection of gardens that give the necessary variety. The white garden, the courtyard and the knotgarden are the formal part of the garden.
Further on follows an informal part that perfectly matches with the vegetable garden and the orchard, followed by a wilder park garden where the estate-sense comes in.
In the Autumn of 2016, the garden was extended with a sunken garden with a 170m² south-facing border and a Hydrangeagarden.
Besides having a garden visit you can also rely on our experience and knowledge on gardening.
As a garden consultant we provide answers to your questions conserning garden lay-out, plant choices, etc.
You can find out more at 'Garden Consultancy'


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To deal with all your needs encompassing renting a dumpster in Mccomb, MS, call Dumpsters 4 Cheap at 844-244-0580. If you do not ordinarily work on large projects where waste disposal is required, you have probably never rented a disposal container before.
You can get information about Mccomb's needs regarding what kind of roll off dumpster you will need and how you can utilize it from your local government, but that may not be practical if you have very specific questions about renting a dumpster. Dumpsters 4 Cheap will be glad to speak about your project needs with you so you will be positive about your rental unit selection. If you require a roll-away dumpster in Mccomb, then your project is most likely a time-consuming one. You don't want to be wasting time with the logistics of renting your unit. The more you have your rental unit, the more it will cost. We can see this and Dumpsters 4 Cheap will be sure you get your rental on time, as soon as you schedule your appointment. Dumpsters 4 Cheap will also pick up your trash dumpsters in a timely manner, so you do not have to hold the unit on your property longer than is necessary.
In Mississippi, should you rent a dumpster, here are several aspects of the process that you can be sure of.
There could possibly be restrictions and regulations in Mississippi surrounding where you can place your roll off containers and what you could possibly put inside it. Dumpsters 4 Cheap is up-to-date on these regulations that could be pertinent in your location, and will inform you of this information when you make your appointment. You will also be told about rules surrounding how a dumpster rental service really needs to be used.
People in Mccomb, MS probably have questions about why they would need to hire a professional, when they could just dispose of the garbage independently.
Mississippi has procedures about how debris can be disposed of and where it may be disposed. Particular items must be eliminated in a specific way due to the basic safety threat they present to the environment. Dumpsters 4 Cheap is aware of these restrictions and guarantees that the contents of your dumpster will be disposed of in a way that fulfills Mccomb's requirements so you don't acquire a fine. Call 844-244-0580 right now to get more information from Dumpsters 4 Cheap about what you want to do to rent a dumpster rental and when they can plan a delivery for you.
At Dumpsters 4 Cheap, providing Mccomb homeowners with reliable dumpster renting tips is truly a specialty. You can dial 844-244-0580 whenever you like to obtain current information about renting a roll-off container in Mccomb, and learn what you are allowed to put in them and what it could cost you. We also offer service to dumpster rental Asheboro, NC amongst other cities and states all around the country. You can also obtain excellent advice about what kind of unit is appropriate for the project you have in front of you.
You want to be familiar with any potential rules and regulations in Mccomb that may restrict which kind of dumpster you can rent and how long you can have it on your personal property.
Depending on what you're doing away with, there could be additional rules and regulations that have an impact on your rental. The best source to acquire more information on dumpsters in your area is Dumpsters 4 Cheap. They are also a reputable source for the most recent dumpster rental regulations in Mississippi.
Regardless of where you are in Mccomb, Dumpsters 4 Cheap can deliver your dumpster directly to the property at which it's going to be put to use, but you need to have already chosen a location for it.
In most cases, the location you select needs to make it very easy to use the dumpster and it also should be easy for the driver to deliver and collect it. You may want to set up an appointment with the city of Mccomb to make sure there aren't any underground electrical wires or pipes that would restrict your choice of locations. Anything else that could be harmed from the weight of the rental as it fills needs to be moved in advance of your rental being dropped off.
Most dumpster agencies in Mississippi have an array of fees and additional costs included in the price of their rentals.
Additional fees for removing a large amount of debris might apply in Mccomb, MS. Should you have more garbage than what will fit in your container, or need to dispose of items that aren't allowed inside the waste container, talk about your possible choices with the rental company . You can prevent additional fees and safety hazards, and can stay in compliance with local restrictions if you just plan ahead.
Dumpsters 4 Cheap can give you all the advice for dumpster rental services in Mississippi that you need. Just dial 844-244-0580 to talk with a representative. Dumpster rental Defiance, OH is yet another location we service so don't forget to check out our other top notch cities.


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Readings & Intuitive Coaching
Soul View: Your Life Potentials Mandala:
Astrology Natal Birth Chart (60 or 90 minutes live and recorded reading with charts provided) $100.00 / $145.00
Forward Views: Weaving Your Cosmic Kaleidoscope
Transits, Progressions and Solar Arcs (60 minutes live and recorded reading with charts provided) $80
*Recommended to have completed a natal birth chart reading prior to this reading
Yearly Perspectives: Golden Threads Your Powerful Birthday
Solar Return Chart (60 minutes live and recorded reading with charts provided) $80
Personal Numerology Blueprint: Vibrations of life
Chaldean Numerology full report of name at birth with nine life focuses and ten-year perspective $150.00
Personal Cycles & Pyramids of Maturity: Life Flows Map
Number cycles in nine-year periods, pyramids of life intensity and maturity $145.00
Pendulum Essentials
Essential instruction on using the pendulum for self-awareness $20 for each 30 minutes live and recorded session.
Dream Quest
Coaching on preparing for dream recall, asking questions and follow-up of dream experiences $20 for each 15 minutes live and recorded session. *Note the time of waking from the dream.
Dream Divination
Dreams interpreted both with traditional astrology and western astrology techniques. Dream divination session is 30-45 minutes and is $45.
Workshops & Webinars
AUDIO Recordings – $10
To purchase, please email email@example.com with your selection and Sarrah will send the download file to you.
Video Recordings – $15
What to expect in your reading:
Your reading provides insights into any area of your life and soul intentions
. It is helpful in understanding a situation, an event, and relationships. It can provide a glimpse into the year ahead and what themes will be in focus. You can gain perspective while in reflection of experiences and relationships. Ultimately your reading provides a map into the deeper aspects of yourself and your psyche, which will be visible to you as you seek to have a deeper awareness of yourself going deeper one sphere of self-awareness at a time. It is encouraged that you ask questions during your reading, your reading will be focused on where you direct it through your questions to serve your needs in the present moment.
Scheduling Your Reading:
To set up your appointment please email me at email@example.com or leave a message of available days and times at (425) 241-2979.
You will need:
- Full name at birth and current you are using
- Day, month and year of birth
- City and state of birth
Please provide your current location and time zone for the reading.
Fees and Payment
Pre-payment is required for first time clients.
Sending a personal check or money order (USD) through the mail (See Contact Page for mailing address).
Using PayPal online to pay by credit card (Please call or email for appointment schedule and how to pay online).
Charts and Recorded Readings
Astrology and numerology charts will be emailed to you prior to your reading and each reading will be digitally recorded and sent as a WMA (Windows Media Audio) file unless otherwise requested. The digital recorded file will be sent to you with 3 days of your session.


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Set custom price range:
Whether you're looking to light a hallway, a microwave or a heat lamp, incandescent light bulbs are a good, basic option. They are the original type of electrical lighting and the filament technology has been around for more than 100 years and comes in a wide variety of wattages, sizes and shapes.
Back to Style Basics
While many have opted to upgrade their technology to CFL bulbs or LED bulbs, the warm glow of incandescent bulbs remain a favorite for mood lighting, especially Edison bulbs in trendy restaurants. While not as long-lasting, commercially, the option for incandescent work lights remains available for bulb replacement.
Lighting Technology
Technologically, incandescent bulbs use a tungsten filament that is enclosed in glass. When the electric current is sent through the filament, it heats up and produces light. CFL bulbs, on the other hand, utilize currents sent through gases (usually mercury) to produce light. The most cost-effective and long-lasting option is the LED light bulb, which uses multiple colors of diodes to emit light.
Whether you're looking to create a warm glow or light a bright pathway, incandescent bulbs are a tried and true option for lighting.


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Your repeat medication appears in the white portion of your prescription, on the right side. You should retain this part when submitting you prescription to the pharmacy. To request repeats, simply circle the medicines on the list that you require and hand it in to the pharmacy, or place it in the specially provided box at the surgery's reception.
You can alternatively request online.


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My SciELO
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Revista Española de Enfermedades Digestivas
Print version ISSN 1130-0108
Rev. esp. enferm. dig. vol.105 n.9 Madrid Oct. 2013
Celiac disease and alcohol use disorders: Increased length of hospital stay, overexpenditures and attributable mortality
Enfermedad celiaca y trastornos por consumo de alcohol: prolongación de estancias, exceso de costes y mortalidad atribuible
Miguel Gili1,2, Luis Béjar2, Gloria Ramírez1,2, Julio López1,2, Juan Luis Cabanillas2,3 and Brett Sharp4
1Unit of Preventive Medicine, Surveillance and Health Promotion. Hospital Universitario Virgen Macarena. Sevilla, Spain.
2Department of Preventive Medicine and Public Health. School of Medicine. Universidad de Sevilla. Sevilla, Spain.
3Consejería de Salud de la Junta de Andalucía. Sevilla, Spain.
4Clinical Unit of Diagnostic Image. Hospital Universitario Virgen de Rocío. Sevilla, Spain
This study was funded by the Delegación del Gobierno, Plan Nacional Sobre Drogas. Ministerio de Sanidad, Servicios Sociales e Igualdad (Ayuda No 2009I017, Proyecto G41825811).
Background and objectives: alcohol use disorders are associated with a greater incidence of certain comorbidities in patients with celiac disease. Currently there is no available information about the impact that these disorders may have on length of hospital stays, overexpenditures during hospital stays, and excess mortality in these patients.
Methods: a case-control study was conducted with a selection of patients 18 years and older hospitalized during 2008-2010 in 87 hospitals in Spain. Estimations of excess length of stays, costs, and attributable mortality were calculated using a multivariate analysis of covariance, which included age, gender, hospital group, alcohol use disorders, tobacco related disease and 30 other comorbidities.
Results: patients who had both celiac disease and alcohol use disorders had an increased length of hospital stay, an average of 3.1 days longer in women, and 1.7 days longer in men. Excess costs per stay ranged from 838.7 euros in female patients, to 389.1 euros in male patients. Excess attributable mortality was 15.1% in women, 12.2% in men.
Conclusions: apart from a gluten-free diet and other medical measures, the prevention of alcohol abuse is indicated in these patients. Patients hospitalized who present these disorders should receive specialized attention after leaving the hospital. Early detection and treatment should be used to prevent the appearance of organic lesions and should not be solely focused on male patients.
Key words: Celiac disease. Alcohol. Hospital stay. Costs. Mortality.
Antecedentes y objetivos: los trastornos por consumo de alcohol se han asociado a una mayor incidencia de ciertas comorbilidades entre los pacientes con enfermedad celiaca. En la actualidad no disponemos de información sobre si estos trastornos tienen un impacto en la prolongación de las estancias hospitalarias, mayores costes por estancia y un exceso de mortalidad entre estos pacientes.
Métodos: Se hizo un estudio de casos y controles a partir de una muestra de pacientes de 18 o más años de edad hospitalizados durante 2008-2010 en 87 hospitales de España. Las estimaciones de prolongación de estancias, exceso de costes y mortalidad atribuible se calcularon mediante un modelo de análisis multivariante de la covarianza que incluyó edad, género, grupo hospitalario, trastornos por alcohol, trastornos por tabaco y 30 comorbilidades.
Resultados: los pacientes de enfermedad celiaca con trastornos por alcohol presentaron una prolongación de estancias de 3,1 días en las mujeres y de 1,7 días en los varones, un exceso de costes por estancia de 838,7 euros en las mujeres y de 389,1 euros en los varones, y un exceso de mortalidad atribuible de 15,1% en las mujeres y de 12,2% en los varones.
Conclusiones: además de una dieta sin gluten y otras medidas asistenciales, en estos pacientes está indicada la prevención del abuso de alcohol, y los hospitalizados que presentan estos trastornos deberían recibir asistencia especializada tras el alta hospitalaria. La detección e intervención precoz debería intentar prevenir el desarrollo de lesiones orgánicas y no centrarse exclusivamente en varones.
Palabras clave: Enfermedad celiaca. Alcohol. Estancias hospitalarias. Costes. Mortalidad.
Celiac disease has a variable prevalence, with an average that varies between 0.5% and 1% according to studies performed in Europe and North America (1-6). In Europe, different countries register great discrepancies (0.3% in Germany versus 2.4% in Finland in people between 30 and 64 years of age), for reasons still unclear (6). Prevalence of celiac disease is between 1.5 and 2 times greater in women than in men (7-9), and some studies suggest that it is increasing (8-12).
Celiacs usually present with problems related to malabsorption of iron and folic acid, made worse by the consumption of large quantities of alcohol (13). Among the complications related to celiac disease, many are worsened if the patient consumes in excess alcoholic beverages, for example, peripheral neuropathy (14,15) and epilepsy (16). Abnormal levels of aminotransferases (17) can be found in patients with celiac disease, as well as an association with several autoimmune chronic liver diseases such as primary biliary cirrhosis (18,19). There is also an increased risk of autoimmune cardiomyopathy (20,21).
When these patients have alcohol use disorders, such problems can be seriously aggravated. In fact, any pathology associated with celiac disease, such as metabolic alterations (diabetes type I), neoplasia (tumors of the small intestine and lymphomas), among others, can favor the apparition of complications that worsen the vital prognosis of these patients and increase the length of their hospital stays (22).
For these reasons, the objective of this study is to evaluate the impact that alcohol use disorders have among hospitalized patients already diagnosed with celiac disease, through the analysis of factors such as increased length of hospital stay, excess costs and attributable mortality. In order to do so, this problem was studied in hospitalized patients aged 18 and older in a sample of 87 Spanish hospitals during the period of 2008-2010, while controlling confounding and interacting factors such as age, gender, type of hospital, tobacco related disorders and a considerable number of comorbidities.
Data for hospital admissions and readmissions were captured in the administrative minimal basic data set (MBDS) of 87 Spanish hospitals during the period of 2008-2010. The study was designed as a case-control study. Sample size for this study, which analyzes problems related to the consumption of alcohol, tobacco, and other substances of abuse, was calculated admitting a 5% alpha error rate, a two tailed test, had a power of 90%, a relationship of non-case:case of at least 4:1, and the least favorable proportion of cases in which the cases are exposed and the non-cases are not exposed according to available scientific evidence was used. In order for the sample to be representative both on a national and regional scale, and keeping in mind the stratification of hospitals according to their size and complexity in the classification set forth by the Ministry of Health, sampling was done in various stages in which 87 Spanish hospitals were selected from all of the autonomous regions of Spain.
From written or digitalized information that was provided by the hospital physician who signs the clinical record, each patient's diagnosis, external causes and procedures were codified according to International Classification of Diseases, 9th review (ICD-9-CM) codes. Codification and data entry in the electronic database are performed by dedicated administrative personnel who have completed in-depth training on medical data registration. This administrative database has demographic data, admission and discharge dates, type of admission and type of discharge, diagnostic codes for principal cause and secondary diagnoses, external causes and procedures using the ICD-9-CM. Also included in these databases are diagnosis-related groups (DRG) and a classification of each hospital into five categories based on size and complexity of services, varying from those with a smaller size and lesser complexity to larger hospitals that offer a broader range of services (23). Analysis was restricted to patients who at the moment of hospital discharge were 18 and older.
Cases of celiac disease were defined as those which fit the codes specified in the ICD-9-CM as a primary or secondary diagnosis (code 579.0). Alcohol related disorders were defined as alcohol dependence (303.00-303.93), alcohol abuse (305.00-305.03), alcohol-induced mental disorders (291.0-291.9), alcoholic polyneuropathy (357.5), alcoholic cardiomyopathy (425.5), alcoholic gastritis (535.30-535.31), alcoholic liver disorders (571.0-571.3), excessive blood alcohol level (790.3), alcohol toxicity and alcohol poisoning (980.0-980.9 and E860.0-E860.9). The ICD-9-CM code for disorders associated with tobacco dependence was used (305.1).
Age was measured in years. The following comorbidities were identified: Obesity, uncomplicated hypertension, complicated hypertension, cardiac arrhythmias, pulmonary circulation disorders, valvular disease, deficiency anemia, blood loss anemia, fluid and electrolyte disorders, weight loss, hypothyroidism, coagulopathy, myocardial infarction, congestive heart failure, peripheral vascular disorders, cerebrovascular disease, dementia, chronic pulmonary disease, rheumatic disease, peptic ulcer disease, mild liver disease, diabetes without chronic complications, diabetes with chronic complications, hemiplegia or paraplegia, renal disease, moderate or severe liver disease, cancer, leukemia or lymphoma, metastatic cancer, AIDS and depression. We used the ICD-9-CM codes proposed for these comorbidities by Quan et al. (24). Charlson Comorbidity Index was also calculated for every patient (25).
Data analysis
The primary outcome of interest was to determine the length of hospital stays, costs and mortality in patients with celiac disease with or without alcohol use disorders. Costs were calculated using specific hospital spending data organized according to DRG and stratified by hospital group, using estimates published by the Ministry of Health during 2008, 2009, and 2010 (23).
Univariate analysis was used to examine the association between celiac disease and alcohol use disorders, as well as tobacco related disorders, age, gender, and comorbidities. In order to compare continuous variables a Student's t-test or a parametric equivalent was used. For qualitative variables a Chi-squared test was used.
Multivariate analysis of covariance was performed to determine the effect of alcohol use disorders on hospital length of stay (in days), costs and mortality in patients with celiac disease. Data were adjusted for age, gender, tobacco related disorders, group of hospitals and severity of disease using the 30 comorbidities before mentioned. Analysis was performed in STATA version MP 12.1.
Patient characteristics
Patient characteristics with celiac disease and without celiac disease are detailed in table I. A total of 5,475,315 patients were identified, of which 3,327 were admitted with celiac disease, while 344,429 had alcohol use disorders. The prevalence of alcohol use disorders was lower among patients with celiac disease (4.9%) than in the rest of patients (6.3%), but with extraordinary differences according to age group and gender, as seen in figure 1. Male celiac patients between the ages of 55-64 years had the highest prevalence of alcohol use disorders (19.3%) while in female celiac patients it was highest in those of 35-44 years of age (3.6%). The prevalence of tobacco related disorders was lower in patients with celiac disease than in the rest of patients (17.8% versus 20.3%).
Patients diagnosed with celiac disease were significantly younger (average age: 48.7 years versus 57.6) and mostly female (70.2% of the cases).
Patients with celiac disease had fewer comorbidities than the rest of the patients, as shown by the average Charlson Comorbidity Index (0.89) compared to the rest of hospitalized patients (1.19). However, there are a series of comorbidities classically associated with celiac disease, which in this study also demonstrated higher prevalence: Anemia, electrolyte disorders, weight-loss, hypothyroidism, autoimmune rheumatic diseases, depression, liver disorders and associated disorders such as coagulopathies.
Prolongation of hospital stays, excess costs and attributable mortality
A differential analysis was performed for female and male patients. In-hospital mortality in patients with celiac disease was greater in males than in females (3.9% versus 2.2%, p = 0.0046). In-hospital mortality in males with celiac disease and alcohol use disorders was inferior than in female patients with celiac disease and alcohol use disorders (3.4% versus 4.3%), though the difference was not found to be statistically significant (p = 0.8042).
Adjusted estimates of excess length of hospital stays, costs per stay and attributable mortality due to alcohol use disorders, which resulted from multivariate analysis of covariance are detailed in table II. One can see that the prolongation of hospital stays (in days) in female patients with celiac disease and alcohol use disorders in comparison to females with celiac disease and without alcohol use disorders is almost double that of male patients (3.1 days versus 1.7 days). Due to this difference, the excess costs per stay in euros in female patients with celiac disease and alcohol use disorders compared to female celiac disease patients without these disorders more than doubled that of male patients (838.7 euros versus 389.1 euros).
In contrast to the greater in-hospital mortality in male patients with celiac disease, the excess mortality attributable to alcohol use disorders among female patients with celiac disease in comparison with those without alcohol use disorders was greater than in male patients (15.1% versus 12.2%).
This study shows that patients with celiac disease and alcohol use disorders have increased lengths of hospital stays, incur greater costs during their stay, and have higher mortality rates. These effects are increased in women.
The relationship between alcohol use disorders and celiac disease is complex and influenced by many factors. As mentioned earlier, alcohol abuse and disorders associated with excess consumption worsen the evolution and prognosis of celiac disease and associated autoimmune disorders.
Not only that, there are other relationships that exist involving the immune system. In the gut, there are abundant enzymes that metabolize ethanol into acetaldehyde, a very reactive compound that is thought to have an important role in the pathogenesis of various alcohol use disorders of the digestive tract (26-28). Some studies show that patients with increased consumption of ethanol may produce IgA-mediated immune responses to proteins containing epitopes modified by the action of acetaldehyde (29-31). It has also been shown that the reactions catalyzed by transglutaminases are involved in the pathogenesis of celiac disease (32). In a study in which IgA antibodies active against tissue transglutaminases and proteins modified by acetaldehyde were measured, levels of both these antibodies were significantly higher in patients with alcoholic liver disease and in heavy drinkers without liver disease, showing a direct correlation with levels of biomarkers of ethanol consumption, pro-inflammatory cytokines, and markers of fibrogenesis (33). These findings support the hypothesis that elevated and persistent consumption of alcohol can generate other sources of antigen production and abnormal activation of tissue transglutaminases. Finally, other studies have found that increased levels of antibodies active against transglutaminases may be associated with a greater risk of mortality in the general population, which increases the potential impact that alcohol abuse and its interactions have on mortality in patients with celiac disease (34).
Our study has several limitations. The data used were only those found in the MBDS and were not complemented with additional data from patients. We used clinical definitions of celiac disease, alcohol and tobacco related disorders and comorbidities as assigned by physicians and entered by codifiers. Another limitation is potential underreporting if all of the information required to complete such codes is not available in the clinical record, or due to variations in the codifiers interpretation of data. The ICD-9-CM does not include codes specific to the motive for hospitalizing patients, and in some cases, this would make an interesting variable to study.
Databases such as the MBDS also have clear advantages (35). The data collected are usually completed in most hospital admissions and, as they include virtually all cases, provide reasonably accurate estimates of the incidence, prevalence, comorbidity, and mortality of diseases treated in the hospital setting (36). The data can be analyzed retrospectively, unlike other designs that require prospective data collection, and data from long periods or from large numbers of patients can be gathered quickly and easily. Since the data are collected systematically, costs are considerably reduced. In studies using these databases, there may be less selection bias due to the refusal of patients or their legal representatives to sign consent forms, which would allow the patient to participate in the study.
Because of our large sample size and diversity of hospitals, our data are generalizable and not limited to patients admitted to a small number of centers. The availability of costs of hospitalization for each DRG, stratified by hospital group and specific to each year, facilitates the calculation of excess costs due to prolonged stays attributed to alcohol use disorders. As far as we know, this is the first study of it's kind in which excess length of stays, costs, and mortality attributed to alcohol use disorders among patients with celiac disease have been examined.
There are various possible explanations for the greater impact seen in women rather than men. Mortality was discretely increased in women with celiac disease and alcohol use disorders (4.3% versus 3.4%), despite the fact that the average age of men was greater (Fig. 1), and could be explained by cases among women included that had worse prognosis and increased length of stays and costs (massive cerebral hemorrhage and irreversible hepatic coma). The results for attributable mortality among women have ample margins of confidence (13.0-18.2) and overlap in part with those of men (7.9-16.5), for this reason these differences should be analyzed with caution. On the other hand, the relative percentage of impact is greater in women than in men, because among women in general, there are not as many competing variables of exposition that prolonged hospital stays and increased costs (tobacco dependence, drug use, diet and many other dangerous behaviors more prevalent in males). In the analysis, the increased relative weight of alcohol use disorders controlling the rest of these problems could have influenced the estimations made in the multivariable models. We have no information as to the social class and marital status of these patients, nor the distribution according to gender, factors that could also have influenced the length of hospital stays. Finally, we cannot rule out that complications not reflected in the MBDS may have influenced these outcomes in female patients.
Some studies demonstrate that the prevalence of autoimmune diseases in patients with celiac disease is intimately linked with the duration of the exposure to gluten (37). It has been demonstrated that the antibodies responsible for autoimmunity in diabetes mellitus I and autoimmune thyroiditis can disappear when children with celiac disease consume a gluten-free diet (38), and the scientific evidence indicates that various autoimmune diseases can improve if these patients are prescribed a gluten-free diet (39,40). These authors suggest that many autoimmune diseases could be prevented through the early diagnosis and treatment of celiac disease and, even in patients with an established disorder, a gluten-free diet could decrease symptoms, improve prognosis, and decrease the risk of hospital readmissions. It is plausible that adherence to a gluten-free diet may be worse among patients with alcohol use disorders, who often do not comply with medical advice. According to the results of this study, it is safe to suggest that the diagnosis and treatment of alcohol abuse should be, together with a gluten-free diet and other treatments, one of the principal therapeutic objectives after these patients are discharged. A brief intervention detailing the risks of alcohol and tobacco consumption, and if necessary, referral to a treatment center have been demonstrated to be effective measures (41), and can prevent complications and readmissions in patients with celiac disease. These problems should also be carefully watched for in women, with a focus on early detection and prevention, as there is a greater relative impact than in men. It would also be very interesting to study the influence that alcohol abuse and dependence have in patients in which irreversible organic lesions have not yet appeared. Reducing the number of hospital admissions and readmissions attributed to alcohol use disorders in these patients would help to reduce costs and increase treatment availability in hospitals. Early intervention and prevention of readmissions of patients suffering from pathology associated with celiac disease and alcohol use disorders can also help reduce the burden on patients and family members.
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26. Salaspuro MP. Acetaldehyde, microbes, and cancer of the digestive tract. Crit Rev Clin Lab Sci 2003;40:183-208. [ Links ]
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28. Visapää JP, Jokelainen K, Nosova T, Salaspuro M. Inhibition of intracolonic acetaldehyde production and alcoholic fermentation in rats by ciprofloxacin. Alcohol Clin Exp Res 1998;22:1161-4. [ Links ]
29. Latvala J, Hietala J, Koivisto H, Järvi K, Anttila P, Niemelä O. Immune responses to ethanol metabolites and cytokine profiles differentiate alcoholics with or without liver disease. Am J Gastroenterol 2005;100:1300-10. [ Links ]
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31. Worrall S, de Jersey J, Shanley BC, Wilce PA. Antibodies against acetaldehyde-modified epitopes: An elevated IgA response in alcoholics. Eur J Clin Invest 1991;21:90-5. [ Links ]
32. Green PH, Jabri B. Celiac disease. Annu Rev Med 2006;57:207-21. [ Links ]
33. Koivisto H, Hietala J, Anttila P, Niemelä O. Co-ocurrence of IgA antibodies against ethanol metabolites and tissue transglutaminase in alcohol consumers: Correlation with proinflammatory cytokines and markers of fibrogenesis. Dig Dis Sci 2008;53:500-5. [ Links ]
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35. Powell AE, Davies HTO, Thomson RG. Using routine comparative data to assess the quality of healthcare: Understanding and avoiding common pitfalls. Qual Saf Health Care 2003;12:122-8. [ Links ]
36. Needham DM, Scales DC, Lapaucis A, Pronovost PJ. A systematic review of the Charlson comorbidity index using Canadian administrative databases: A perspective on risk adjustment in critical care research. J Crit Care 2005;20:12-9. [ Links ]
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38. Ventura A, Neri E, Ughi C, Leopaldi A, Citta A, Not T. Glutendependent diabetes-related and thyroid-related autoantibodies in patients with celiac disease. J Pediatr 2000;137:263-5. [ Links ]
39. Chin RL, Sander HW, Brannagan TH, Green PH, Hays AP, Alaedini A, et al. Celiac neuropathy. Neurology 2003;60:1581-5. [ Links ]
40. Frustaci A, Cuoco L, Chimenti C, Pieroni M, Fioravanti G, Gentiloni M, et al. Celiac disease associated with autoimmune myocarditis. Circulation 2002;105:2611-8. [ Links ]
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Miguel Gili.
Unit of Preventive Medicine, Surveillance and Health Promotion.
Hospital Universitario Virgen Macarena.
Avda. del Dr. Fedriani, s/n.
41070 Sevilla. Spain
e-mail: firstname.lastname@example.com
Received: 19-07-2013
Accepted: 25-09-2013


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Last Updated:
Silky smooth and elegant, this simple and healthy recipe for Creamy Asparagus Soup requires only basic ingredients and very little effort or time to make!Jump to Recipe Print Recipe
One of my
Health Benefits of Asparagus
Asparagus has many health benefits. It's high in antioxidants, minerals and vitamins A, C, E and K. It also contains more folic acid than any other vegetable, which is especially important for pregnant women. Asparagus can improve your blood flow and lower your blood pressure. It also contains a detoxifying compound that can help break down carcinogens in your body. And if all those benefits weren't enough to encourage you to eat more asparagus, you should know that one cup of raw asparagus contains about 25 calories. Doesn't get much better than that!
How to Eat Asparagus
Asparagus is such a tasty and versatile vegetable and can be cooked in so many different ways. But my favourite recipes are often the simplest. I believe the less fussy the recipe is, the more likely you are to savour the main ingredients. If you have a bunch of really fresh asparagus you should try adding some raw to salads, just slice it thinly and toss it in with the remainder of ingredients. You could also add raw asparagus spears to vegetable platters and serve it with dip. Asparagus can also be roasted, grilled, steamed or boiled like in this healthy Creamy Asparagus Soup.
Healthy Asparagus Soup
This soup only requires a little time and a few healthy ingredients to make. You'll need some basic aromatics and asparagus. I use chicken stock in this recipe because I always have some around. But you can use vegetable stock to keep the soup vegetarian. You can thicken a soup quite a bit by adding a touch of flour to the veggies before adding the stock. This gives creamy soups more body, but if you are gluten intolerant you could add a small diced potato with your veggies instead. Once the veggies are tender, you can purée the soup in batches in a blender or use an immersion blender to purée the soup right in the pot. I add a touch of heavy cream after puréeing the soup for added richness and creaminess, but it can be omitted, it will still be plenty creamy without it.
If you make this recipe let me know how it went for you in the comment section below. I'd love to know if you made any variations to the recipe and how it worked out. And if you take a picture, share it with me on Instagram by tagging #sweetandsavourypursuits, I love to see your photos!
Creamy Asparagus Soup
- 2 tbsp. butter
- 1 onion large, chopped
- 1 celery stick chopped
- 1 garlic clove minced
- 1 tbsp all-purpose flour
- 4 cups chicken stock or vegetable broth
- 1 lb. asparagus
- 1/4 cup heavy cream
- salt, pepper and ground nutmeg to taste
- Reserve a few asparagus tips to blanch and garnish the soup. Or you can drizzle a little cream and swirl it around. optional
Creamy Asparagus Soup:
- In a heavy-bottomed pot, heat the butter over medium-high heat.
- Add the onion and celery and cook for 2 to 3 minutes before adding the garlic.
- Lower heat to medium and add 1 tbsp. of flour to vegetables. Cook, stirring for a couple of minutes. Add asparagus and then the chicken or vegetable stock. Season soup with salt and pepper.
- Bring the soup to a boil, reduce heat and let the soup simmer for about 15 minutes or until asparagus is tender.
- Purée soup in batches, making sure not to fill your blender more than half full. You can also use an immersion blender to purée the soup right in the pot.
- Once puréed, return the soup to the pot and add 1/4 cup heavy cream (if using), stir and reheat soup on low heat, do not let the soup come to a boil. Taste and adjust salt and pepper to taste, add a pinch of freshly grated nutmeg if using.
- Serve garnished with blanched asparagus tips or a drizzle of cream.
To Blanch Asparagus Tips:
- Bring a small pot of salted water to a boil. Add asparagus tips and blanch for a couple of minutes or until tender. Drain and reserve on ice to stop the cooking process and keep them a vibrant green. Add to soup when ready to serve.
- Use vegetable broth for a vegetarian soup.
- When heating leftovers, reheat soup on low heat to avoid boiling since this might cause the cream to separate. If ingredients separate, a quick whiz in the blender or with an immersion blender should fix the issue.


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Twinning ain't easy–especially if one or both of you are a celebrity.
These identical twin siblings are frequently in the public eye. However, they look so similar it can be hard to tell them apart even if they're famous.
Luckily, if you're "twin-telligent" (trademark pending) you're able to spot the differences between these celebrity twins.
Whether you've grown up watching The Suite Life of Zack and Cody or become a major Riverdale fan, you should be able to tell the difference between Dylan and Cole Sprouse.
If you claim to be a major Property Brothers fan, telling Jonathan and Drew apart should be an absolute breeze.
In this quiz you will be shown photos of a celebrity and their twin as well as twins who are also celebrities. You will be prompted to answer which twin you think is featured in the photo.
Sound too easy? We've picked some pretty tricky pics to keep things nice and difficult.
Ready to try your best at telling these twins apart?
Take our quiz!


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Like with many other things, Britain's decision to leave the EU is likely to have an impact on its rising tech industry.
As of yet it's not a clear-cut case of whether Brexit's effect will be positive or negative. It could be a bit of both.
One Brexit-related policy that could have an impact is the government's promise to cut corporate taxes again.
After the previous Chancellor George Osborne had already slashed the business tax rate from 28% to 20%, his successor Philip Hammond now aims to cut the new rate in half.
That's an interesting prospect for any company and could therefore attract even more companies to set up shop in the UK.
Plus, with companies like Apple, Facebook and Google planning to move to London, we could see their competitors move here too to take advantage of Britain's new booming tech industry and the low tax climate.
And then there's the fall in the pound's value, which is likely to make UK companies even more attractive to foreign investors.
Bigger firms are now able to get a stake in promising UK tech companies on the cheap. Britain can therefore expect an increase in foreign takeovers.
Let's consider the positive side of this first. It means foreign investment will continue to flow into the country and the government will find that very reassuring.
When Japanese multinational Softbank acquired UK microchip designers ARM in July, the deal was hailed by the Prime Minister and the Chancellor. They saw it as proof that the British economy can still be successful after leaving the EU.
As long as money is flowing in and businesses are allowed to develop further in Britain, the UK tech industry can keep growing. In this sense foreign investments could be beneficial.
However, there's a clear downside to foreign takeovers too.
British companies swallowed up by foreign businesses from, for example, the US, China, and Japan, lose their independence.
Big foreign companies with a major stake in UK tech firms could prioritise their own activities over those of their junior partners.
This might lead to a brain drain with Britain's brightest minds moving abroad to work for big multinationals.
Since Apple became one of the main shareholders of UK chip designer Imagination Technologies, it's been poaching that company's employees.
In short, the cheaper pound could substantially increase foreign involvement in UK tech companies.
But this risks turning Britain into a talent pool for places like Silicon Valley in the same way the Dutch Eredivisie sees its best footballers move to the Premier League all the time.
This would harm the development of Britain's own tech industry and impede the growth of UK companies.
One more industry that needs highlighting is fintech.
As I mentioned on Monday, the fintech industry will be closely watching the Brexit talks between Britain and the EU.
London's leading role in finance has been instrumental in its success and an important reason for companies in this subsector to create a London base. Right now their future looks a bit uncertain.
Many finance jobs could move to other European cities if Britain loses its euro-denominated clearing activities and passporting rights.
This would adversely affect the British fintech industry, which hopes that Britain's finance sector gets through Brexit unscathed.
Losing free movement would be a major blow to Britain's tech industry in general.
Tech has thrived because of its ability to hire bright minds from Europe. If they're no longer able to recruit freely from the continent, it could be a strain on the industry's activities.
Britain's developed into a tech hub in recent years and it looks like it may still be a while before the boom in British tech runs out of steam.
Depending on its outcome, Brexit could accelerate or decelerate this trend.


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MUSKEGON, MI – Brandon John Terbeek is still on the loose while six of his co-defendants face charges in the courts system for allegedly assaulting a woman.
The group of seven is accused of beating up a woman, and at one point, attempting to sever her right index finger with a pair of pliers. All are charged with assault with intent to do great bodily harm.
Terbeek, 21, has a warrant out pending his arrest, but his current whereabouts are unknown.
"Our office urges Mr. Terbeek to immediately turn himself to the Muskegon County jail or he will be captured and brought to justice," said Muskegon County Prosecutor Timothy M. Maat.
The assault is alleged to have occurred Jan. 16 on Spring Street in Muskegon. The female victim had eyes swollen shut and a swollen tongue, and couldn't speak or see when officers at first tried to interview her in a hospital emergency room. She also suffered a severely cut or lacerated finger in the attack.
While Terbeek remains at large, his co-defendents are being processed by the courts system:
- Austin Applegate, 19, was arraigned March 14. His preliminary exam has been set for March 27 in front of district court judge Raymond Kostrzewa.
- Two of the group, Chelsea Louise Berkley, 18, and Crystal Ann Greeno, 27, – who also uses the surname Kautz — waived their preliminary exams March 14 in district court before Judge Harold Closz. Their charges have been bound over to circuit court.
- Crystal's husband, Spencer Mark Greeno, 21, earlier waived his preliminary exam on March 8. His next court date in circuit court has not yet been scheduled.
- Keaizza Monique Matthews has been arraigned and has a preliminary exam set for March 27 in front of judge Raymond Kostrzewa, the same time as Applegate.
- Matthew William Henderson, 33, had his preliminary exam scheduled for March 14 adjourned to 10 a.m. April 4 before Judge Closz. Henderson has the highest bond of the group, at $50,000, and remains in jail.
"The public can provide information to silent observer about the whereabouts of Mr. Terbeek, Maat said. Anonymous information can be left by calling 231-72-CRIME or by leaving a web tip at www.silentobservermuskegon.com or to the Muskegon Police Department.
See the full article here: http://www.mlive.com/news/muskegon/index.ssf/2017/03/7_charged_with_womans_assault_1.html


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A federal judge has ordered Hillary Clinton to answer questions under oath about the private email server she set up and used as Secretary of State proving that any hope Clinton has to run in 2020 is a pipe dream. She can run but with so much baggage, it is hard to see primary voters giving her another chance to lose to Donald Trump.
For business opportunities, please email firstname.lastname@example.com
Jamarl Thomas
PO Box 15682
Richmond, Va 23227


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The Australian Competition and Consumer Commission has issued a final determination denying authorisation to 16 insurance companies to agree to a cap of 20 per cent on commissions paid to car dealers who sell their add-on insurance products.
The Australian Securities and Investments Commission (ASIC) report, A market that is failing consumers: The sale of add-on insurance through car dealers, identifies issues such as a lack of price competition, poorly designed products, poor value for money relative to premiums, and a complex sales process that often does not disclose the total cost of the cover.
The ACCC published a draft determination in mid-February proposing to deny authorisation. Following the release of the draft determination the ACCC offered to extend the timeframe for consideration of the proposal to allow the insurers extra time to respond to the ACCC's concerns. The insurers did not provide a submission in response to the draft determination.
ACCC Chairman Rod Sims said, "The ACCC is denying authorisation because we believe this proposal is unlikely to change sales incentives or the quality of products, and consumers will still be sold products without being given adequate information or opportunity to make a considered decision".
"While insurers would benefit from a cap at the expense of car dealers, this conduct is likely to lessen competition between insurers, including by creating greater opportunities for explicit or tacit collusion and greater shared knowledge between insurers of competitors' costs."
"The ACCC is also concerned that these arrangements, if implemented, could significantly delay the development of more effective solutions to the problems that ASIC has identified," Mr Sims said.


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New York: Szul, an online jewelry store specializing in diamond accessories, is now featuring a collection of bestselling items in a Spring Clearance Sale. The site-wide promotion allows customers to save up to 85% on some of the most popular and stylish items in the digital boutique's extensive catalog.
"Spring is a season of renewal: the perfect time to revitalize a wardrobe with a brilliant accessory. Szul is proud to host our Spring Clearance Sale and welcomes everyone in our loyal community of customers to find something amazing among the many available deals," said Shilp Agarwal, CEO of Szul.
The items selected for the Spring Clearance Sale are highly diverse, with multiple types of fashionable jewelry available. From necklaces and pendants to rings, earrings, and more, the sale includes items chosen to complement any wardrobe. Alongside this rewarding variety, the Spring Clearance items share some common themes. The first is spring colors: the precious stones featured in many of these inspiring jewelry pieces reflect the bright shades of spring, including vibrant green emeralds, pink topaz and pink sapphire stones, and brilliant blue topaz and white sapphire stones. These stones each embody the joyous spirit of spring and look their best in the warmer months and longer days of the spring season. Another common feature is value: discounts of more than 80% are available for almost every item in the promotion, with some discounted as much as 85% from the original low price. More than 500 items are included in the sale, giving visitors plenty to browse in the online jewelry store.
Szul's jewelry experts have selected some highlights from the promotion, including a five-star rated 2.00 Carat Classic Diamond Tennis Bracelet in 10K yellow gold. Inspired by elegant and classical jewelry design, this bracelet has timeless appeal. The accessory features 60 high-quality, hand-matched and hand-set white diamonds, arranged for an enduring sparkle that can match any formal outfit or everyday ensemble. During the Spring Clearance Sale, this item is available for just $1459, a 64% savings on its original price. Like the rest of the items in the promotion, the bracelet also qualifies for free shipping. To ensure customer satisfaction, Szul offers a 30-day money back guarantee on every item. The Spring Clearance Sale is a limited-time promotion, so customers should visit soon to take advantage of the available savings and incentives.
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Canon launches brand new revolutionary full-frame mirrorless cameras EOS R5 & EOS R6 in India
Aditi Nayar, Principal Economists, ICRA Comments on IIP data
Swaroop Agrochemical Industries awarded PATENT by Government of India for their Product 'AEGIS'
Praj strides into the next frontier of Bioeconomy
SBA Provided $20 Billion to Small Businesses and Non-Profits Through the Economic Injury Disaster Loan Advance Program
2014 The Global Indian New Network (TGINN)


text: Who doesn't love Steve Aoki? He produces rad music, stages dives and crowd-surfs, looks like a Japanese Jesus and cakes people in the face (which, rest assured, is not a sexual euphemism). Literally, he throws cake at your face. He's kind with his fans and he knows how to interact with the crowd and get them riled up, a crucial talent to have for a successful DJ. Bottom line is that every show with Mr. Aoki becomes a giant party – he has the talent of turning any night of the week into a memorable rager. It's simple mathematics really: X night of the week + Steve Aoki = rager Ah yes. Addition. But let's say that you want something more in addition to that (sorry). How about this?: Thursday Night + Halloween + Post-Red-Sox-Won-The-World-Series-At-Home-Syndrome + Dirtyphonics x Borgore x Waka Flocka + Steve Aoki = ?! And you sit there, mouth agape, wondering what all that might equal to. Well, it equals this: By now I should insert a warning: If you're reading this page and you suffer from any type of jealousy disorder avert your eyes and click the little "x" at the top-right or left of your browser. We really don't want a relapse. Or maybe we do. Bottom line is you should be jealous, because Steve Aoki and his Aokify America Tour Crew gave Boston one of the most memorable Halloween shows ever, one that will be hard to top in the years to come. Kicking off the night were Dirtyphonics, a dubstep group hailing from Paris, France. Signed to Dim Mak Records (Steve Aoki's label), they are no strangers to electronic music, having collaborated with huge artists such as Benny Benassi, NERO, and Skrillex. With multiple releases on some of the most prestigious dance-music labels out there such as Mau5trap and Ultra Records under their belts, Dirtyphonics knows what it takes to rock a crowd, which they surely did through their nice, continuous flow of bass music and gritty electro grime. The end of the Frenchmen's set welcomed Mr. BowBow, or Waka Flocka as he is more commonly known, on stage. At this point everyone in the crowd pushed towards the front, screaming so loud that they drowned out his lyrical-genius flow of "FLOCKA!" over and over again. Despite his somewhat intimidating appearance, Mr. BowBow is actually a pretty down to earth guy, and he interacted with his fans more-so than any other artist of the night. He stood up to the gate and took upwards of a million selfies with various fans, high-fiving them and then moving into the crowd. Its always nice to see a high-profile artist giving back to their fans, and for the duration of Waka Flocka's set, the majority of the crowd had the opportunity to rage with him, taking pictures and jumping with the ex-Bricksquad phenom. Everybody bounced to songs such as Hard in the Paint and No Hands, a collaboration with Roscoe Dash which got everybody moving. He even announced a twerk competition on stage, which of course drew more screams from all the ladies, and for a good ten minutes all of House of Blues was gifted with the sight of scantily-clad girls shaking their rump-um-pum-pums on stage. It was nice to see Waka Flocka advocating the enjoyment of music with a healthy gluteal workout, a treat for the eyes and the ears. Next up was Borgore, an Israeli dubstep and electro producer who has a knack for delivering absolutely nasty sets, which rest assured, is a valid reputation. Having releases on Spinnin' and Dim Mak Records, Borgore has collaborated with and remixed artists such as Cedric Gervais, Passion Pit, LMFAO, and Metallica. His fusion-sound of rock and heavy metal with electro is a recipe for massive hits, many of which he released upon the crowd Halloween night. He absolutely killed his time slot, rocking the sound system with tracks such as Dillon Francis' Rebirth of Bootleg Fireworks, and Incredible, a collaboration with DJ Carnage. During his set he had two very lovely pole dancers on stage with him, and every so often the crowd's eyes would drift to the sides of the stage and be mesmerized by their seductive, fluid movements against the hard-hitting beats. Borgore brought Waka Flocka back on stage with him, much to the enjoyment and roar of approval from the crowd, as together they performed Wild Out, a recent collaboration with Flocka and Paige released on Dim Mak Records. Borgore threw down a ridiculous set, and by the time the lights dimmed and he left the stage, the whole crowd buzzed as they knew who was next. It's difficult to describe the reaction of the crowd when Steve Aoki's head popped on stage, simply because it was so surreal. There is literally no combination of words to describe it. The entire venue shook with applause, whistles, and cheers as the Dim Mak boss cued up his first track of what was promising to be a fantastic headlining set. The visuals for his DJ booth were amazing, and at the top of the stage his last name was spelled out in giant LED letters that lit up and flashed in sync with the beat. Accompanied by two Kryomen, plenty of cake and an arsenal of monster tracks, the 8th-ranked best DJ in the world lit up House of Blues with an energy unlike never before. Each track smashed more than the previous hit, and soon enough the GA floor became a mosh pit of jumping, swaying bodies. Aoki played hit after hit, some highlights including the George Acosta remix of "Behind You" by Garmiani, "No Beef", Steve's collaboration with Afrojack, a mashup of the Tommy Trash remix of "Ladi Dadi" with "Reload" by Tommy Trash and Sebastian Ingrosso, and Boneless, a recent collaboration with Tujamo and Chris Lake that had everyone jumping. In between songs Mr. Aoki would descend from his DJ booth with a cake in hand, pointing to various people in the crowd to get caked. At this point in time, it is important to mention that getting caked by Steve Aoki at a show is an honor, kind of like getting Knighted by the Queen of England. Everybody was raising their hands in the hopes the the Dim Mak boss would notice them and pull them on stage to pummel their face with the tasty baked good, and for the few lucky ones that did receive such a treat, I'm sure it will be a perfect bed-time story to tell to their kids. Steve's show literally had it all: cakes, twerking, crowd surfing on giant rubber boats, foam being shot into the crowd, and even a signature stage dive from Aoki from the second-floor balcony onto a giant mattress. Everyone sang along to his recent collaboration with Linkin Park called "A Light That Never Comes" as well as his classic dance-anthem remix of "Pursuit of Happiness" by Kid Cudi, a track used for the soundtrack of the popular party movie Project X. Steve's show was absolutely insane, an example of what every Halloween party should look like. If you were unfortunately unable to make it to see Steve performance, it is strongly recommended that you go to one of his future shows. They are unforgettable. Whatever you do, make an effort to see him live, he's that good. And in the sad case that you don't have the cash for a ticket, well, be creative. Go stalk him (apparently he lives somewhere in LA). Trust me, it'll be worth it. Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on Pinterest (Opens in new window)Click to share on Reddit (Opens in new window)Click to email this to a friend (Opens in new window) Leave a Reply Cancel ReplyYour email address will not be published.CommentName* Email* Website Notify me of follow-up comments by email. Notify me of new posts by email. This site uses Akismet to reduce spam. Learn how your comment data is processed.


text: Eraan MinidkelHecate Camper A Eraan is twenty years old T Quiet Daisy H Eraan is five feet two inches tall W Eraan weighs 120 pounds H Eraan is alive and well S Eraan prefers men Eraan has A Samantha M Eraan is not shared S Eraan is currently single R Eraan was B Eraan has W {{{1}}} Character's Powers No month powers: Offensive Children of Hecate have the ability to fire an intense beam of magical energy which will burn anything it touches. The ability can also be focused into small magical bullets, which have better range but are less damaging than a beam. Children of Hecate have the ability to use magic to electrically charge something made of metal for a short time. Defensive Children of Hecate are able to create a protective dome of magical energy around them for a short time. Children of Hecate are able to become ethereal in form for a short time, which temporarily causes all attacks to go through them. In this state, they cannot attack an opponent and if they do their ethereal state will dissipate instantly. Passive Children of Hecate have the innate ability to see in all directions at once. Children of Hecate are innately stronger at night. Children of Hecate are able to communicate with the dead to gather information. Children of Hecate are adept at making potions and elixirs, however potions used in battle cannot be overly powerful or altering to the events of the battle. Potions that can automatically heal all wounds or restore all energy are examples of over-powered potions. Only descendants of Hecate/Circe and Lampades can create potions. Overconsumption of potions can result in overdose symptoms and some potions could have side-effects or not work at all. Supplementary Children of Hecate can conjure spells to teleport themselves and allies. The further the distance, the more energy drained. Children of Hecate can cast a levitation spell on themselves for a short time which will allow them to fly, the longer they levitate the more power it drains. The spell can also be used items and enemies. Children of Hecate are able to use some healing spells to quickly heal minor wounds and slowly heal major wounds. Fatal wounds cannot be healed. Traits Children of Hecate typically love the magical arts, many of them are known for writing spellbooks. Her children have created/re-introduced and improved spells and techniques all over history. Necromancy is commonly a favored magical art among children of Hecate. Children of Hecate are known for being quite mysterious. Children of Hecate are often more active and exhibit better moods at night and in dark environments. Children of Hecate wield innate knowledge and understanding of the Mist. Owned by: Slay ~ AvinPosted on: {{{2}}} Retrieved from "https://camphalfbloodroleplay.fandom.com/wiki/User:Ephemeral_Hiraeth/wordbubble?oldid=1676240" Categories: Slay WB3Avingnon's Templates Community content is available under CC-BY-SA unless otherwise noted.


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American Graphics Institute120 Presidential Way Woburn, MA 01801
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Start: Monday, December 2, 2019 9:30 AM
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Event Features: Business-Related, Continued Learning, Educational
Neighborhood: Cambridge
This two-day introductory Final Cut Pro course covers topics such as importing, editing and exporting. You'll learn how to build and manage projects, work with the Timeline, use editing tools like storylines and three-point editing as well as understand preferences and metadata. This Final Cut Pro class also covers familiar video elements such as titles, transitions, and various effects.
Link To This Page (click to send to friends!): https://www.UpcomingEvents.com/event/39075/
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Old school friends of a woman whose husband died in a tragic accident have raised more than £3,000.
Jason North, 42, died after getting into difficulty in water while on holiday in South Wales, leaving his wife Rachel and their two children.
Now friends Elizabeth Jennings, Angela Howard and Clare Kewney, who all went to Tytherington School with Rachel, have launched a crowd-funding site to help raise money towards funeral costs.
The site has now raised £3,180 with many messages of support and condolences for Rachel and her family.
Elizabeth, 40, who now lives in Congleton, said: "We felt we wanted to do something proactive and positive for Rachel to show her how loved she is and how much support she and the family have around them.
"By setting up the crowd-funding we could at least take any financial worries away from her during this time so she can focus on her own wellbeing and her children.
"We're absolutely amazed at the response, it's amazing."
Fellow fundraiser Clare Kewney, 40, who lives in Macclesfield, added: "We put a target of £800 but it quickly when past that so we put it up again - now every time we reset the target within a day or so we go past it again.
"It's lovely because people have been leaving messages of support on there which are lovely and incredibly touching.
"Even people who don't know Rachel and Jason are donating.
"It restores your faith in humanity and the compassion that people have."
Jason, from Macclesfield, was on the beach at Three Cliffs Bay in Gower, near Swansea, on Saturday June 27, when his children got into difficulties in the water.
But he then had to be rescued from the water and given CPR on the beach before being airlifted to hospital.
He later died in hospital.
His two children were also taken to hospital but were not seriously hurt.
The money raised through the crowd-funding scheme will be spent on funeral expenses and to relieve any financial burden the family may feel during this traumatic time.
To donate to the cause go to crowdfunding.justgiving.com/north.


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Looking for an affordable mobile and emergency locksmith in Lismore? Call Al's Locksmithing & Security.
We are trusted Lismore locksmiths, providing prompt and efficient services to the region. Lismore is a service town and the main commercial and administrative centre for the Northern Rivers. It is home to around 28,000 people and is located 197 kilometres south of Brisbane via the Pacific Motorway.
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Name shop: Kings RideshopLocation: Palm Desert, CaliforniaYears in business: Almost 15 yearsEmployees: No just people who careIs running a BMX shop something you've always wanted to do?Kings Rideshop: I wouldn't say that. I worked at a shop pretty young and saw how hard it was on the owner of that shop and never wanted to be in that spot, but since I've had the shop I do enjoy the
Watch some heavy riders destroy the bowl at Palm Springs for Desert Reign.
After doing a BMX 'zine for ten years (1987 - 1996) FATBMX made it on the internet. The year was 1998. Here to stay.
FATBMX.com is a FAT BMX Promotions production.
Check out our sponsor banners on the website.Support them to keep FATBMX.com online.


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Steps To Take When Selling Your Home
Selling a home and moving into a new one is a major transition, and you want to make sure that you are facilitating the process as much as possible. There are some key aspects to consider as you're working to have your home sold. Read on to learn how to market and sell your house so you can begin your life in your new living space.
Hire a Listing Agent
A listing agent can provide valuable support during the process of selling a house in Lake County FL. An agent represents you and uses real estate marketing strategies in an effort to promote your home to prospective buyers. When looking for a listing agent, make sure you hire one who has experience and knows the market well. These representatives are meant to cater to your best interests, so having a skilled one to help you along the way can … Read More


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Golden-mantled Tree Kangaroo
Dendrolagus pulcherrimus
Population Trend
Conservation Actions
The Torricelli population is protected by the community-based conservation program of the Tenkile Conservation Alliance (http://www.tenkile.com/weimang-tree-kangaroo.html). There is an urgent need to survey the Foja and Prince Alexander ranges for this species and to protect any remaining populations through the development of protected areas, hunting regulations, and local awareness programmes. Continuation and extension of the work of the Tenkile Conservation Alliance is essential for the persistence and recovery of this very rare species.
Location Information
This species is now known only from two area of New Guinea: The Torricelli Range in Papua New Guinea from Weight to Kuliek, and the Foja Mountains in West Papua. There are fossil records from Vogelkop Peninsula in West Papua and other places. There are unconfirmed sightings from the Prince Alexander range of Papua New Guinea. It has been extirpated from most of its historic range. It has been recorded at elevations between 680 and 1,700 m a.s.l.
Population Information
In Papua New Guinea, the population in the Torricelli could be as high as 500 (J. Thomas pers. comm. 2015), although this figure awaits confirmation. Beginning in 2006, this population has been protected by a community-based conservation program managed by the Tenkile Conservation Alliance (http://www.tenkile.com). This program includes a hunting moratorium agreed by 30 villages within the range of the species in the Torricellis. As a result hunting pressure on this species has been significantly reduced and it is likely that numbers have begun to increase. There is no quantitative information on the size of the Foja Mountains population, but it is likely to be small.
Historically, the species has been highly threatened by hunting for food, and additionally by habitat loss through conversion of forest to cultivated land. The lowland areas of its distribution are earmarked for deforestation and oil palm expansion. Effective conservation efforts by the Tenkile Conservation Alliance (http://www.tenkile.com/weimang-tree-kangaroo.html) involving landowners of the species range in the Torricelli range have resulted in recent substantial decline of hunting of the species in the Torricelli part of its range. Continuation of this program should allow significant increase of this population.
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Have an Ace Up Your Sleeve With These Mastitis Management TipsJanuary 29, 2019
Incorporate these best practices to help protect your dairy from costly mastitis relapse. More >
A Numbers Game: Impact of Mastitis and High SCCDecember 21, 2018
The impacts of mastitis and high SCC are real and expensive. Learn more about the costly risks each can pose to your dairy. More >
Five Factors for Choosing Mastitis TreatmentMay 24, 2018
Determining the true cost of a mastitis cure requires more than just comparing the price per box of mastitis tubes. Consider these five factors when weighing treatment options. More >
Cut the confusion on dry cow treatmentJuly 14, 2014
Ask your veterinarian some basic questions to help ensure your dry cow program can effectively treat the mastitis-causing pathogens specific to your dairy. More >
Crunch time for dry cow treatmentsMay 18, 2015
Finances are tight. Is your dry treatment program paying off? More >
Rest and next lactationFebruary 09, 2017
While your dry cows rest, focus on clearing up subclinical infections and preventing new ones to help improve milk quality. More >
A critical role of the dry cow programFebruary 02, 2016
Is your dry cow program helping or hurting the number of high somatic cell count cows on your dairy? More >
Manage milk quality for better repro, more milkJanuary 25, 2016
Use the Healthy Start Program to identify and treat subclinical mastitis, and start fresh cows on a path toward breeding and lactation success. More >
The cost of high somatic cell countsOctober 15, 2015
Subclinical mastitis is often called hidden mastitis. Could it be hiding the potential of your dairy cows during their lactation? More >
Five articles to raise the bar on dry cow careSeptember 29, 2014
Is your dry cow program preforming at the level it should? Review this list of dry cow management articles to see if your program stacks up. More >
Keep your cool in the heat of mastitisJune 27, 2014
With temperatures on the rise and the rain rolling in, you'll need to adjust your milk quality program to make your farm the most profitable it can be. More >
Dairy Wellness during dry offOctober 18, 2013
Are you doing all you can to improve the health and wellness of your herd during the dry period? More >
Roundtable: Producers weigh in on dry cow careJuly 15, 2013
Producers from coast to coast take control of milk quality with dry cow care. Learn more about what is working for them. More >


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It seems as if every year science journals publish new studies that associate Morgellons with chronic Lyme disease. The journal editors publish these studies based on the strength of the evidence presented in the research. Yet year after year few news outlets syndicate these significant findings. What is the controversy in raising awareness about this new Morgellons science? What can we do to combat the media from censoring legitimate research?
Bacterial Biofilm Infections: Personalizing Patient Treatment
Bacterial Biofilm Infections. Content curated from: http://www.prweb.com/releases/2017/05/prweb14360614.htm
Bacterial biofilms, surface adherent communities of bacteria that are encased in a secreted extracellular matrix of polymeric molecules, can cause diverse pathologies ranging from food poisoning and catheter infections to gum disease and the rejection of medical implants. Though the economic impact of biofilms is in the tens of billions of dollars per year, there is currently a paucity of means for preventing their formation or treating them once they are established. Compared to the free-floating "planktonic" lifestyle, within biofilms bacteria adopt differential gene expression profiles, have heightened resistance to antibiotics (up to 1,000-fold), and are less detectable/ accessible to the immune system. The current approach for treating biofilm infections is far from optimal: antibiotics are administered in a trial-and-error manner.
Read moreBacterial Biofilm Infections: Personalizing Patient Treatment
Gene transfer skewing ancestry reports?
Can gene transfer skew ancestry reports? Growing up in the South just about every child at one point or another is told they have ancient Cherokee ancestors. My grandfather affectionately calls me "Jeronimo" from time to time. I'm currently advocating for change that will hopefully lead to better treatment for him in these latter days.


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Glossary E
Glossary E
groups with reference to material resources, and the consequent social and cultural patterns. Ecology is the branch of Biology that deals with the relationships between living organisms and their environment.
study of the production, distribution, and consumption of goods and services, and the study of money
Ecstasy refers to a club drug made from methylene-dioxymethamphetamine (MDMA). Known as club drug, it is both a stimulant and a hallucinogen, and its side effects are potentially life-threatening.
Electroconvulsive Therapy ) : ECT also know as Electroconvulsive therapy refers to a type of psychiatric therapy which involves the controlled introduction of electric currents to the brain for the purpose of inducing a convulsion which will alter the patient's brain chemistry. This treatment is primarily used in the management of depression , although it also has been utilized to treat patients with Schizophrenia and Mania .
Electroconvulsive therapy) : ECT or Electroconvulsive therapy refers to the treatment for depression that involves the induction of a brain seizure by passing electrical current through the patient's brain while he or she is anesthetized. It is a brief electrical current applied to a patient's temples to alter the brain's chemical and electrical activity
embryo , which will become the hair, the outer layer of skin, and the nervous system ; outermost cell layer of the newly formed embryo from which the skin and nervous system develop.
category of Somatotype that is rated for linearity of body form.