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Have you ever received advice on how to be successful? Probably, especially if you grew up in the good ole USA. It could have been advice from a relative or the keynote speaker at your graduation — whether college or kindergarten. "What you need to succeed" is always a hot topic for commencement addresses.
Perhaps you went searching for advice on "how to be successful". If so, I hope you had a source other than Google to consult. Or at least, I hope you had a more specific query for your search. Otherwise you've got a lot of reading to do.
According to the query I just ran on Google, I found 703,000,000 — thats 703 MILLION sources of advice on how to be successful. That's a lot of advice! Much of it is questionable. And a whole bunch (technical scientific term) of it is outright bad.
The Quest for Success
How do I know? I've heard it, read it, and even practiced it. In case you're skeptical, let me share this small sampling:
30 Habits You Should Adopt — Seriously, 30. Why not 100? Habits are so easy to adopt. If you accept the data that it takes 21 days to adopt a habit and there are 30 to adopt, that's only 630 days to secure those habits. Now some "experts" say it takes 66 days for that habit to stick — ugh, that two years extends to 5.5 years. Good luck with that.
11 Books That Will Teach You to Be Successful — Really? Just 11 books to read. Wonder if there is any conflicting or confusing advice in those 11 books? If so, how do you know who's right? Just thinking out loud here.
How I Became Rich Before 30 and How You Can Too — Oops, should have found that one a few years ago. If, like me, and already past 30, just skip that one.
21 Ways to Achieve Wealth and Success — Once again, I appreciate the simplicity of having only 21 more things to master.
6 Things You Should Quit Doing…hope none of those were one of the 30 habits you spent 630 days adopting. And the list goes on.
Trust me, after spending 15 years in corporate sales in a Fortune 50 company, I sat through my fair share of success seminars. I can't say I've heard it all, but I've heard most of it. Some of what I heard was nonsense and I immediately dismissed it. Much of it was commonsense that affirmed what I had learned from my parents and teachers.
There's one thing I wish I had heard earlier in life.
Success may get you to the door of significance, but success alone, won't get you through the door. What do you mean, Kevin?
Well, success may bring you to the place in life where you realize there is more to life than winning the next championship, closing the big deal, acquiring another company, or summiting a higher mountain. Your success in life, in all of the various domains of life, may bring you to the threshold of significance, but success does not guarantee significance.
Four ways significance differs from success
Success is short-lived, significance endures. Records will be broken. Your best performance will, sooner or later, be bested by others. Success always demands more. It's amazing to hear of Olympic athletes who just won a Gold medal and set a world record wondering what's next and if their best day in life is now history. Acts of significance, even if done in obscurity will endure.
Success can be a solo quest, significance always involves others. While none of us truly succeeds alone, we need the support and encouragement of others. However, in many arenas, success recognizes the one in the winner circle or the spotlight. And, granted, there are times, winners forget about the others who contributed to their success.
Baseball legend, Jackie Robinson offered a keen insight. "A life isn't significant except for its impact on other lives." You can't be significant in isolation. In some way, directly or indirectly, you must make an impact on others to truly be significant.
Success results from striving, significance results from serving. No doubt that long hours, consistent effort, and hard work are necessary for success. Success is often focused on self — honing your skills, developing your talents, sharpening your abilities. The path to significance is found through serving. Serving is the giving of your time, resources, and self on behalf of others.
Success is achieved, significance is bestowed. You earn success by accomplishing goals, shattering records, or besting the competition (with yourself or others). And you can demonstrate your success by your achievements. However, you can't climb or earn your way to significance. It's bestowed on you by others for the benefit they have received from your contribution to their life, organization, or community. I applaud your drive and desire to succeed. At the same time, I encourage you to consider the higher purpose your success makes possible — for you and others.
If you're destined for significance, why settle for success?
If you're looking for help identifying your higher purpose, I've got five questions for you to ask and answer to get you started and you can access them below.
Want more help? Let's connect on a call and get you plugged into our next group event or even a one-on-one if you can't wait.


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Washington DC is a bustling hub of historical importance, world-class attractions, iconic buildings and landscapes, all around fun things to do. It's the perfect destination to visit any time of year, but especially as the holiday season approaches. From the White House to the Smithsonian and everything in between, you'll see some of the most iconic American landmarks lit up in the holiday spirit.
We've put together a list of the top 5 things to do during the holiday season when visiting Washington DC that go beyond the typical tourist itinerary.
#1. Shop around the Downtown Holiday Markets & visit the Smithsonian
This magical holiday market is worth visiting more than once.
Open daily during the holiday season, the market boasts a rotating lineup of crafters and vendors. From a carefully crafted cup of artisan coffee to a homemade, Christmas cookie-scented candle, the Downtown Holiday Market is the perfect place to pick up one-of-a-kind gifts.
The market is held right outside of the famed Smithsonian American Art Museum, so a trip to the market really serves as a two-in-one sightseeing experience. The Smithsonian was the first-ever museum of American art and is still home to some of the greatest collections in the world. It's an absolute can't-miss for every traveler visiting DC.
Tip: Smithsonian American Art Guided Tour tickets are included on the Washington DC Explorer Pass.
#2. Christmas at Mount Vernon
Mount Vernon is the ideal destination for travelers in DC looking to find holiday delight mixed with the rich history of the capital.
Mount Vernon stands as a testament to the life and legacy of America's first president, George Washington, and is one of the most iconic landmarks in the entire country. Once a thriving plantation in the eighteenth century, the expertly-preserved home and gardens are now full of antiques, artifacts, and more.
Visiting during the holidays adds a special flair to the historical experience. The mansion and grounds will be decorated in celebration of Christmas, complete with exquisite trees, grandiose ornaments, and tinsel from top to bottom.
Tip: George Washington's Mount Vernon tickets are included on the Washington DC Explorer Pass.
#3. National Christmas Tree & Menorah Lightings
Of course, no holiday trip is complete without checking out the local celebrations.
In celebration of Christmas and Hanukkah, the National Christmas Tree and the National Menorah will be lit in December at The Ellipse outside the White House.
Enter the ticket lottery for the National Tree Lighting Ceremony at The Ellipse to watch the tree lit up with gorgeous ornaments and golden lights. Enjoy live music, snacks, and an abundance of Christmas spirit as the gigantic tree comes to life for the season.
Gather round to see the larger-than-life menorah shine for the first time of the season. The celebration will be complete with cider donuts, live music, and latkes. The National Menorah stays on display throughout the month, showing brightly morning, noon, and night.
#4. Explore the snow-covered National Mall
The National Mall is home to some of Washington DC's most famous attractions and landmarks. See the US Capital Building, the Supreme Court building, the Library of Congress, and more all in one spot.
Forget the height of summer (when the grass is dead anyway), now is the time for your best pictures of the monuments. You'll get some stellar shots of these magnificent monuments and statues that are well worth that Instagram action.
Enjoy awe-inspiring views of the Washington Monument, the Lincoln Memorial, and the Lincoln Memorial Reflecting Pool as it glistens in the shining white snow. Make sure to explore the surrounding museums and make a stop outside the US Capital Building to snag a picture of the exquisite Capital Christmas tree.
Tip: Politics & Pints Capital Hill Tour tickets are included on the Washington DC Explorer Pass if you'd like to take a walking tour of the National Mall and the surrounding areas.
#5. Washington Walking Tour
Washington DC may seem like an overwhelming beast to tackle, considering all the monuments, historical figures, and attractions that call the place home. But not to worry, the Washington Walking Tour solves all your problems.
Experience DC like the locals do and journey around the incredibly walkable city, stumbling upon everything from hole-in-the-wall pubs to iconic landmarks. You'll have your choice of two-hour walking tours that cover a range of topics like Hamilton's DC, Embassy Row, Abraham Lincoln's Washington, or the Georgetown tour.
Whichever option you choose, you're bound to enjoy the informative narration of your seasoned tour guide and find plenty of great photo opportunities along the way.
Tip: Washington Walking Tour tickets are included on the Washington DC Explorer Pass.

subset: commoncrawl


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Accessible Showers: Beginner's Guide to Designing Accessible Showers
What is an Accessible Shower?
An "accessible" shower is one that's user-friendly and optimized with design elements that readily work for everyone. It should…
- be easy to enter and exit for all users alike, from those who can walk easily to those who rely on a wheeled mobility device.
- be designed so bathers can access all items including the shower controls, water, soap and shampoo from both a seated and standing position.
- include either a permanently installed shower seat (ideally flip-up style seat, so it can be moved out of the way if needed) or adequate space for a portable shower seat
- have slip-resistant flooring
- have shower controls that are easy to operate (i.e. single lever style)
- provide helpful handholds or grab bars to hold onto for balance and support.
Accessible Shower Features
Following is a break down of the features most commonly found in an accessible shower, and an overview of important things to keep in mind when selecting, designing, or installing each.
1. Shower Entrance
The shower's entrance should be wide enough to allow a walker, wheelchair, or wheeled shower chair to pass through with ease. In general, most (but not all) persons using mobility aids will be able to pass through an opening that is 32″ wide. If the shower is being designed for a specific individual's needs, make sure to take into account both the width of the person's mobility device and their skills for maneuvering with the equipment when selecting an appropriate shower door width.
If you opt to install a shower door at the shower's entrance (versus a shower curtain), it is important to be aware that the hinges and door itself will occupy space inside the doorframe when in the open position, so to achieve a "clear opening" of 32 inches for the mobility device to pass through, it is usually necessary to install a shower door that is a minimum of 34 inches wide.
2. Shower Curtain or Shower Door: Which is Best?
This is a common question that arises when designing an accessible shower. Shower curtains are usually preferable to glass shower doors from an ease-of-access standpoint, because a shower door creates one more obstacle for a person using a walker or wheelchair to contend with. Not only are shower curtains usually easier for most persons using mobility devices to manage, but they are also safer because glass shower doors can and do have a history of spontaneously shattering.
In the event that you do opt to use a shower door, make sure to install it so it swings outwards. Why is this important? Because if someone experiences a fall while inside a shower with an inward-swinging door their body can block the door from opening, making it difficult for rescue personnel to get them out.
3. Zero Threshold
A flush, zero-threshold entrance is ideal. Even a small threshold of just one to two inches high can prevent entrance by a walker or wheelchair, consequently increasing the likelihood a person will have to ask someone else for help to get in and out of the shower.
While a curbless shower is optimal, what if the home has concrete slab floors or other architectural design features that would make it more difficult (or impossible) to install one? If installing a threshold at the shower entrance cannot be avoided, try to install the smallest threshold possible, ideally the threshold should be 1/2 inch or less with a rounded (aka beveled) edge, which will allow most wheeled mobility devices to pass over.
4. Shower Seat
Shower seats come in a variety of shapes and styles, which include: stools, chairs and benches, some of which are portable, while others are designed to be attached to the shower wall. In general, wall-mounted shower seats will tend to be more stable than the portable-style bath seats (if installed correctly). The bench-style shower seats tend to be better than the stools and chairs because they have a larger sitting surface, making it is easier to land on safely when sitting down and can also provide you with a helpful place to rest a wash cloth or other shower items on the bench seat beside you.
If you do opt to install a wall-mounted shower seat, try to leave one side of the seat exposed (free of walls) and provide ample clear floor space next to the shower seat, so a person using a walker or wheelchair can easily access the shower seat. By leaving one side of the seat exposed, it allows a person who uses a wheelchair to park their chair beside the seat, remove one of the wheelchair armrests and slide sideways onto the shower seat. If a shower threshold is present, it also makes it possible for a walker user to sit down on the side of the shower seat first, then lift their legs over the shower threshold from a safe seated position, thereby preventing the need to precariously step in and out.
5. Handheld Shower Head
Standard overhead showerheads, that are fixed to the front wall of a shower, will typically reside too far away from where a seated bather performs their shower. Installing a handheld showerhead, also known as an adjustable showerhead, can greatly enhances a seated user's ability to access the water and bathe independently.
Some handheld showerhead models simply consist of a showerhead attached to the end of an adjustable hose. Others come attached to a vertical slide bar that gets fixed to the shower wall. The vertical bar is helpful for holding the showerhead while a bather is soaping and shampooing. A few models with a vertical slide bar are cleverly designed to dual as a grab bar as well, giving bathers a safe place to hold onto while bending to wash legs and feet and for assist when stepping in and out of the shower. To learn more, visit Homeability's Handheld Showerhead Guide.
6. Shower Controls
If you are designing a new shower, make certain to design it with the showerhead and shower controls located within easy reaching distance of the seat. It is unfortunately all too common to find "accessible" showers with a permanently installed seat inside that's located nowhere near the water or shower controls!
The controls should be installed in a location that is reachable both while standing outside the shower, as well as while seated inside the shower. This makes it possible to turn the water on and warm it up prior to getting in, as well as possible for the user to adjust the temperature when seated inside.
A single lever-style shower control is easiest for most persons to operate, especially those with poor hand strength or arthritic fingers. It even allows a user the option to nudge it on and off with a wrist or elbow if need be.
7. Storage
Make sure to include ample storage for shampoo, soap and razors within reaching distance of the seat. Storage shelves should ideally be recessed into alcoves in the wall to prevent them from interfering with grab bars and/or valuable clear floor space inside the shower. Don't forget to provide a towel rack or hook within easy reaching distance of the shower seat!
8. Anti-Scald Device
Install an anti-scald device for regulating the water temperature to help prevent burns and falls. Falls can occur when individuals try to rapidly retreat from a shower that is too hot or when water temperatures change unexpectedly (i.e. when someone else flushes a toilet elsewhere in the home).
9. Shower Flooring
Make sure to select non-glossy, slip-resistant flooring materials for the shower stall and bathroom floor. Flooring with a slip-resistant, wet rated coefficient of friction (COF) of 0.6 or higher is generally considered safe. Examples of non-slip flooring include: porcelain tiles with a matte or textured finish, vinyl flooring with a nonskid polish, quarry tile with many narrow joints.
If a tile floor is chosen, smaller sized tiles (E.g. 2"x2") have more grout lines than larger tiles providing additional friction to help prevent the feet from slipping. Be careful that the grout lines present between tiles aren't too wide (greater than ¾" ) or they will catch walker and wheelchair wheels making it difficult for a person to move and turn.
Glossy floors should be avoided. They can be slippery and can also create a glare when lights reflect off of them, making it disorienting for an individual with unsteady gait or reduced visual skills.
10. Lighting
Most standard showers don't include a light over the stall. With age, as well as with some illnesses, eyes tend to change, making it harder to see well when light quality is poor. Installing a waterproof light over the shower stall can be a helpful, welcome addition.
11. Vent
For persons who have respiratory problems or problems regulating body temperature, make sure to select a high functioning vent so it is easy to regulate the room temperature and humidity levels.
12. Heat Lamp
A person with mobility issues will often move more slowly, requiring more time to get in and out of the shower. Furthermore, as age increases skin tends to thin, making it more difficulty to maintain body heat. Having a heat lamp can be a nice addition to help the user stay warm while getting in and out of the shower and drying off.
13. Mirror
For men who like to shave while in the shower, make sure to include a fog-free, adjustable height mirror.
Common Design Errors to Avoid!
As simple as the information above may appear to be, it is all too common for things to be forgotten or implemented incorrectly when installing an accessible shower. The most common design errors include:
- Installing a wall on both sides of the shower seat, making it difficult or impossible for a person who can't walk easily or at all, to access the shower seat.
- Unnecessarily installing a few-inch threshold at the shower stall entrance, when the architecture permits installation of a flush, curb-less style shower. Thresholds can make it more difficult or impossible for a person using a walker or wheelchair to enter the shower.
- Installing the shower head too far away from the shower seat, making it difficult or impossible for a seated user to sit underneath the running water while bathing.
- Installing the shower controls too far away from the shower seat, which can make it difficult or impossible for a seated user to independently access the on/off controls and adjust the temperature.
- Not installing a place to store the soap and shampoo within reaching distance of the seat!
- Not providing sufficient clear floor space (free of toilet, vanity and other obstructions) beside the shower seat so a user can easily approach the shower seat using their walker or wheelchair.
- Not taking time to understand how a person performs transfers prior to selecting the shower stall size, designing the shower stall layout, and/or selecting the shower equipment. For example, some people who use a wheelchair stand up, pivot their feet, and turn to sit down on the shower seat and other people remove the wheelchair's armrest and slide sideways between the two surfaces. It is important to take this type of information into account as you design a plan for how to best meet a person's needs.
Accessible Shower Products Amazon.com
The Homeability Advice™
Curbless showers just make great design sense! They are versatile, accessible by all users, and beautiful in their simplicity. If your finances and the architecture of your home permits, having at least one curb-less style shower in your home (ideally located on the ground floor) is the best way to ensure you can enjoy a lifetime of hot showers. It's just as easy for someone who can walk easily to enter a curbless shower, as it is for someone who uses a cane, walker, wheelchair or self-propelled wheeled shower chair.
Are you helping to create the design plans or make a space accessible for another individual? If so, the first step should be to have the person perform a few transfers to different surfaces. Ask them to sit down on a toilet, bed, chair etc. and observe how they move, where they want to reach out to grab for support etc. Ask the person, if they are able to do so, to try out an accessible shower at a public pool, YMCA, hotel, or in the hospital (if they are still an in-patient), and have them take pictures or a video of it so you can observe how they move. Ask them what worked or didn't work for their needs with respects to the height of the seat, placement of the grab bars, and so on. Then armed with this knowledge you can create designs that will best fit their needs and preferences.
Rolling Shower Chairs Amazon.com
You May Also Be Interested In
- Grab Bars: Which Type is Best?
- Curbless Shower: 8 Ways to Contain the Water Inside
- Tips for Selecting a Prefabricated Accessible Shower
- "Clear Floor Space Guidelines" for Accessible Bathrooms
- The Truth About Home Modification Funding


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A family-run local Blackwood business with delicious fresh meals. Open for Dine in or Take-away Coffee and Meals. We offer a wide range of catering options, from cold platters to fully staffed functions at the clients home or venue.
We are serve breakfast, til 11.30am Mon-Fri, until 1.30pm Saturday and Sunday
The terrace seating area is heated in winter, catches a beautiful breeze in summer and is perfect for relaxing with a coffee or glass of wine day in, day out.
We love a party at Montagna's. Whether you're celebrating a birthday, anniversary, or just having a catch up with friends we would love to help make it special. Just give us a call to book!


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417 W. Third Ave.Albany, GA 31701
2000 Palmyra Rd.Albany, GA 31701
126 Hwy. 280 WestAmericus, GA 31719
807 S. Isabella St.Sylvester, GA 31791
In order to treat the whole patient, Phoebe Cancer Center, in Albany, Georgia, provides many services to help reduce the stress and anxiety associated with cancer.
Maintaining a positive attitude and taking an active part in your treatment are critical parts of the healing process. We understand that this is a stressful period for both patients and their families.
In areas from nutrition to counseling to lodging, there are services available to help with almost any concern you may have. If you need anyone's help, don't hesitate to ask. And remember, no problem is too small or too trivial.
Watch patient success stories and see how lives have been changed right here in Southwest Georgia. See All
3-D Mammograms are available at Phoebe. Call Carlton Breast Health Center to learn more or to schedule. See All
Cancer support groups at Phoebe provide the opportunity to be around others who understand your situation. See All
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A Different Approach to Acquisitions
Our Value Enhancement approach leads us to pursue well-located properties with upside. We unlock this value through the infusion of capital to renovate common areas, upgrade mechanical and building systems and to create state-of-the-art amenities. Additionally, we add value by providing superior customer service to our tenants, which is at the core of the CapRidge Partners culture. Lastly, we are very focused on leasing whether it is existing vacancy or future lease roll.
To submit a candidate property or for more information please contact firstname.lastname@example.com


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|Home > Disposable 600-mL orbitally shaken bioreactor for mammalian cell cultivation in suspension
Orbitally shaken bioreactors (OSRs) support the efficient cultivation of mammalian cells in suspension at various scales of operation. Here we introduce a disposable culture vessel with a ventilated cap having a nominal volume of 600 mL (TubeSpin (R) bioreactor 600) for medium-scale cell cultivation. It has a conical bottom designed to fit into a standard swinging bucket rotor to facilitate cell/liquid separation by centrifugation. At shaking frequencies suitable for mammalian cell cultivation (140-220 rpm), the volumetric mass transfer coefficient (k(L)a) ranged from 15 to 40 h(-1), the mixing time was less than 20 s, and the specific power consumption ranged from 0.03 to 0.5 kW/m(3). To define the working conditions for the TubeSpin (R) bioreactor 600, we measured cell growth and environmental culture conditions such as pH and dissolved O-2 and CO2 concentrations over a range of shaking frequencies and working volumes using a stable CHO-derived cell line expressing a human IgG antibody. The optimal cultivation conditions were observed at working volumes of 300-500 mL and shaking frequencies of 180-220 rpm. In 300-mL batch cultures of the same cell line in a TubeSpin (R) bioreactor 600, 1-L cylindrical glass bottle, and 1-L Erlenmeyer shake flask, the maximum cell densities and recombinant antibody yields were similar. This study demonstrated the suitability of the TubeSpin bioreactor 600 for cell culture applications with suspension-adapted CHO cells at culture volumes up to 500 mL. (C) 2013 Elsevier B.V. All rights reserved.


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Gartner's most recent Digital Marketing Spending report said that global businesses' highest marketing technology investment in 2014 was directed towards customer experience.
The term "customer experience" is one of the buzz phrases of the moment in retail, too, with companies operating in the industry typically looking to evolve from the process of simply shifting stock to a position of serving consumers when and where they want, in the most convenient manner.
Enhancing how the customer views its relationship with the brand is high on UK shirt maker Hawes & Curtis's list of priorities for 2015 as well, with the Jermyn Street-established business investing in a number of tools and techniques to help it grow sales and increase online conversion rates.
Head of eCommerce at Hawes & Curtis, Antony Comyns, told Essential Retail this week that the key aims for the 25-store retailer at present are to extend and improve its product range, grow online and "get multichannel working well" – not to mention development on an international scale.
The company is currently running a 'five shirts for £100' deal to try and entice a new customer base. It is an offer that just so happens to undercut fellow shirt retailer Charles Tyrwhitt's 'four shirts for £100' deal, suggesting it is not just the grocery sector that is embroiled in competitive pricing battles in UK retailing.
"We're a little bit cheaper than we wanted to go at this stage but generally it's always a tough month so you need to be relatively aggressive to get the sales," Comyns explained.
"In shirts, it's very competitive and the products are seen as something of a commodity rather than a real fashion item. Loyalty is not quite as strong as other sectors, although we have a good customer base that keeps coming back. We are just being fairly aggressive at the moment trying to gain new customers."
One online tactic that is helping to encourage customers to take up of this offer and to allow the retailer to upsell in general is the introduction of retail technology provider Peerius's product listing ads (PLA) widget as part of Hawes & Curtis's Google Shopping campaign.
Working with Tulip Digital, Hawes & Curtis has invested significantly in pay per click (PPC) marketing, and customers searching for shirts through Google Shopping are now taken to a landing page that includes eight other shirt options. These recommendations are based on agreed configured strategies for the particular product ad, which will have been optimised and tailored to an individual's previous behaviour and preferences.
If no personalisation data is available for an individual customer because they have not previously visited the site, the Peerius PLA widget defaults to traditional merchandising strategies, such as 'relevant similar items'.
"On our PPC site we're trying to drive people to a particular product, and we are spending a lot of money on negative keywords to make sure people are directed the right way," Comyns remarked.
"If you search 'men's white business shirt', for example, various algorithms help produce a selection of eight shirts. More than likely one of them will at least start consumers on a journey through our website, and whet the appetite to an alternative shirt to the one they initially clicked on."
Comyns says his team can use this information to gain an understanding of a typical customer journey, which is data that can then be applied across the rest of the business.
"What we're trying to do is to work out the best way to get a customer to find five shirts really easily and to understand what we always need in stock," he added.
The eCommerce boss admits that before starting to work with Peerius the process of including relevant similar items online was manual, unscientific, at times inaccurate and, as a result, "massively time-consuming". Since bringing the vendor on board to help with its PPC campaigns, Hawes & Curtis reports that its bounce rate has reduced by 10%, conversation rates have increased by 26% and revenue per session has jumped by 32%.
Meanwhile, online represents around 25-30% of overall business on most weeks, and eCommerce is expected to grow as a percentage of sales in the coming years.
If displaying the right products for individual shoppers is an acknowledged customer experience enhancer for online retailing, today's retailers also tend to be in agreement that it is crucial not to disappoint customers in the final mile of the shopping journey: the delivery of the product.
Late last year Hawes & Curtis added the product pick-up point company Doddle to its delivery offering, and Comyns believes the organisation fills a necessary gap in the fulfilment market. Doddle has opened hubs in and around UK stations, allowing customers to have their online orders sent to a location they most likely will pass on their routes back from work.
"One of the things Doddle is doing that others are not and cannot is that they have changing rooms at the collection point," he explained.
"You can order goods, have them delivered, try the garment on and if you don't like it you give it back – it's really no fuss. For me click & collect is the most convenient way to receive goods. With the likes of Collect Plus and Doddle now in operation, people will start realising that it's way out there in terms of customer service and experience."
In addition to addressing online customer service and product relevancy, Hawes & Curtis is looking to add to its two international stores in Germany and the Middle East, in the months ahead. The German, Australian and US markets are key focus areas, with Comyns suggesting the business will take an online-first approach as it looks to gain traction in these new territories.
Like many retailers, the company is also on the hunt for a commercially-minded data analyst to crunch some of the numbers and assess the online patterns that can help Hawes & Curtis further improve its understanding of customers. This comes at a time when the business is looking to add more lifestyle products to its range and keep pace with changing consumer behaviours.
"We manufacture the majority of our own shirts so we're really focusing on improving fits all the time – the way people wear shirts is very different to six or seven years ago," Comyns noted.
"You watch the news and hear about obesity, etc but if we didn't know what was going on out there we would be sure that the population is actually getting slimmer [based on how people now wear shirts]. We are concentrating a lot on product and we're bringing in our own range of shoes, jumpers, coats, jackets and other lines. By the middle of the year the business will look quite different."
Click below for more information:


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American Music Awards 2014
Dearest reader, Last night I watched the American Music Awards and I found the most amazing specimens of humanity. Actually I just lied to you I saw meh performances and wasted three hours of my time. However I made the following very important notes for you all to read: Taylor Swift performing – …… It […]Read More


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Careers in Public Administration
You'll find public administration careers in both public and private employment sectors; although, they're more often associated with the public sector. Common job titles are city manager, governmental affairs director or policy adviser. Working as a consultant in the private sector -- either self-employed or with a consulting firm -- is a very common public administration career.
What They Do
A public administrator performs job functions that help to implement a public policy. Different occupations are required, which is why career options are so vast and encompass both public and private sectors. For example, a city manager is accountable for implementing public policies as determined by the city staff and residents. To do this, he needs to hire a budget director, a city planner to oversee traffic patterns, residential and commercial development specialists or consultants, and road construction engineers and crews.
Government Career Options
The Bureau of Labor Statistics counts 22 groups in the public administrator employment sector for federal, state and local government employment. These groups represent hundreds of occupations, from legislators to market research analysts. The U.S. State Department is a good place to start within the federal government. This agency offers both domestic and overseas opportunities in a variety of fields, such as business, engineering, foreign affairs and finance. State agency options include housing agencies, rural policy specialists and public safety. Local government careers exist in waste management, purchasing, economic development and numerous others.
Nonprofit Organizations
Several career options exist with large and small nonprofit organizations, from well-known ones such as the American Red Cross to local animal welfare groups. There are associations and trade groups that represent industries, such as transportation, as well as societal issues like homelessness. Careers within these organizations mirror that of any employment sector, requiring both management and support staff. Non-profit employees are motivated by a strong desire to serve their target populations by advocating and then implementing public policies that benefit them.
Private Employers
Several private companies operate specifically to provide public administration services to the public sector, or they have departments that focus solely on this sector. For example, a government agency may contract research services from a private research company because it doesn't have the internal manpower or expertise. An agency like the U.S. Agency for International Development routinely contracts with private consulting groups and individual consultants to implement aid programs overseas in accordance with public policy.
Getting Started
Get your undergraduate degree in public administration or public affairs if you want an immersion into this area that's also flexible enough to adapt to any sector. A master's degree in either public administration or business will give you additional career advantages. If you have a bachelor's degree in another area, such as finance, you still can gain work experience in public administration or get your master's in public administration to enhance your job prospects.
Photo Credits
- Goodshoot/Goodshoot/Getty Images


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Illinois Democrats bring home food stamp message
Two Illinois Democrats met in Chicago with food stamp beneficiaries as Congress began its summer recess.
U.S. Sen. Dick Durbin and U.S. Rep. Jan Schakowsky (shuh-KOW'-skee) say the food stamp program is not the place to look for drastic cuts. A group of House Republicans wants to cut the program _ also known as the Supplemental Nutrition Assistance Program, or SNAP _ by as much as 5 percent, or about $4 billion a year.
The current farm and food law expires in September. If there's no agreement between the House and Senate on what to do about food stamps, Congress could vote to extend the law as it is, at the expense of many planned updates to agricultural policy.
Government data show about 2 million Illinois residents receive food stamps.


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Merci Helen pour ton bon travail. Je dois te dire ça fait 4 ans que je n'avais pas cette paix intérieure avant de me coucher. C'est un soulagement Je devais te dire. C'est grâce à ta patience.
Helen was an excellent realtor for us when we bought in Kirkland. She was determined, fair and relaxed but would not put up with any foolishness from the other side. She really had our interests in mind throughout. I highly recommend Helen if you want an experienced agent who is calm but who can also turn into a pit bull when necessary!! "
Adam Robertson
Helen Tsakalos is remarkable. She assured me that things would run smoothly for my wife and I when we decided to sell our family home. Her professionalism, and charismatic qualities proved to us that we had made the right choice. Helen's hard work and determination were crucial in selling our home in less than 4 weeks. Success and admiration come to mind when we see our new friend Helen Tsakalos.
Brent & Karen
Helen is personable, honest, reliable, and kind - she's also a sharp negotiator when you need her to be. Not only will we use Helen's services again and recommend her to anyone looking for a real estate agent, she's also the kind of person you want to stay in touch with. Helen brings the human quality that real estate is lacking! ...and we truly mean every word! :)
Harriette and Simon


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Series date:
Tuesday, January 1, 2019 - 6:00am to Tuesday, December 31, 2019 - 5:00pm
Series Objectives:
Promote open table discussion to review individual cases and provide recommendations for treatment, which encourages the exchange of information and allows for consideration of multiple points of view.
Series Target Audience:
Various cardiology specialties (general, imaging, interventional, surgeons).
Series Contacts:
Administrative Coordinator: Sandi Stoudemire, firstname.lastname@example.com, 455-2297
Planning Committee Chairs: Jesse Jorgensen, MD, email@example.com
Tim Malinowski, MD, firstname.lastname@example.com
Series location:


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Availability: In stock
* Required Fields
Chaser-X is the third Arai helmet that makes use of the new VAS (variable Axis System) technology that offers a significant larger and smoother shell area above the SNELL test line greatly improving the important helmet glancing off performance. The Chaser-X makes use of an also completely new ventilation system derived from the RX-7V, instantly recognizable by the large, single intake duct on top of the helmet. This Top Ventilation System is derived from the RX-7V diffuser system.
All Iridium mirror visors are not Pinlock compatible.Helmet includes Max Vision clear visor and Pinlock as standard.
Key Features:
Fast free UK mainland delivery on all orders. (Channel Islands and the Scottish Highlands £10 surcharge).
Shipping available to most European countries.
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You Don't Learn How To Work Hard When You Grow Up In Public Schools
This has been on my mind recently, as I am reading Gorilla Mindset by Mike Cernovich.
I have not given 100% for much of anything in my life. It is especially hard to do when dealing with health issues, as I have been off and on for the last three years (to be detailed out in further posts down the line).
But this is an embarrassing admission to make. Most of my life, I have been able to work at whatever I need to and be relatively successful without serious effort.
Note that I don't always skate through. I am not particularly lazy, nor do I never work. I just haven't really thrown myself into anything since I was in high school. That last thing was competitive theater, believe it or not. And when I put the effort in, I won first place in the entire state for classical comedic acting. But since then, not much. I have worked – I work on my writing. I work on my house, my business, work on my parenting. I read a great deal to find ways to improve any and all of those things. But I haven't gone all in.
Some of this is personal failing, and yes, some of it is laziness. Some of it is phoning it in.
But as I considered this over the last couple of weeks (and have worked to correct it in small steps) I started to think about why this was so, in a bigger picture sort of way. I figured it could help me overcome it.
For me personally, it doesn't really matter. It's been ten years since I was a public school student. It's all on me now.
BUT, I came to an interesting line of thought for myself. It isn't really original, the mediocrity of the public schools is well documented. It may be a slightly different perspective on it, though.
At the risk of bragging, I am very intelligent. I was able to be extremely successful in school – good grades, high ranking in my class, extracurriculars, etc., without any real effort. I did the busy work, but it wasn't hard. I didn't have to concentrate on it. Sure, it took time – most of school is a grind anyway. Even things that were hard for other "gifted" kids were not for me. With the exception of math, as I am almost functionally innumerate. But even then, I could skate through well enough.
I'd toy with the idea sometimes. If I just spent a little extra time, I'd be valedictorian. But I never followed through. Why? I was almost the top of the heap anyway, so was it really worth all that work just to move up a couple of slots? I decided it wasn't. And even now I'd say, for that particular thing, it wasn't. But now, for other things, it is. But I don't know how to do it.
And thus I never learned to really work hard. There was one college class I was in that I did, but even with that one I had a natural affinity for the subject.
I think this is endemic. When everyone does well in the artificial environment of the public school, nobody learns to work. It's an extension of the snowflaking issue of today's millennials. And honestly, you can do ok even now if you're moderately intelligent and will do at least some of the grind.
When you don't know how to work hard, though, it is a steep learning curve. It is a skill. When everything is easy, you don't know how to do anything else. I think it is part of the reason why the dream is shifting from being a successful business owner to being a well-paid cog in the corporate machine. You don't have to work hard to cash that paycheck. But when you're the boss, that paycheck doesn't come unless you make it come. It's easier just to be the peon.
I have done well for myself. My life is good. I don't sit around doing nothing all day, but I could certainly work harder than I am. And I can play harder than I do, which is just as important.
But the entire structure of the public schools breeds this. I am coming to believe that it does it on purpose. It makes it easier for the elites of the world to stay on top.
I don't want my children to be adults before they have to work hard to earn something worthwhile. That is one of the reasons they're being homeschooled. No more skating through to get the gold star, and then floundering when exiting the system at age twenty-two (or, increasingly, twenty-six or twenty-seven).
I'm making the effort now. I don't want to skate along. I can do so much better than I have been. I am ready to stop surviving and start thriving. The honest truth is that I will not be able to make the career as a writer that I so desperately want work until I do work hard. Not with four kids and a household that I want to run well too.
And more importantly, to conquer some of the issues that I am facing, I have to. My particular health problem can be managed and improved, but half-assing it isn't going to do it. It's time to work on self discipline and get going.
And the Gorilla Mindset is going to help with that.
I will finish my novel, and all my partially written short stories this year.
I will take control of my health problems this year.
I will organize my household and my life the way I want it this year.
I will learn to work hard, and know real success.


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View maps, facts and info on Malaga here.
School Accommodation (half board) with 15 lessons
2 week language course - £1,475
4 week language course - £2,705
**NB. Alternative accommodation and meals plans can be offered. Please contact the office. High Season fee applies 7th June to 5th September, inclusive.
Arrival on Sunday and departure on Saturday
2 or 4 week course start dates:
February 3rd & 17th, March 2nd, 16th & 30th, April 13th & 27th, May 11th & 25th (2 weeks only), August 31st, September 14th & 28th, October 12th & 26th, November 9th & 23rd (2 weeks only)
MyEducation support service before, during and after the language journey
The school was founded in 1971 and is recognized and awarded as one of the best private language schools in Spain. The school is located in a quiet area of Málaga with sweeping views of the sea. There are 25 well-equipped classrooms, multimedia center, video room, cinema, dance studio, restaurant, bar, sun terrace and swimming pool and the beach is only 15 minutes away in walking distance.
The language school has a wide range of international certifications and awards and has several times won the prestigious award as Spain's best language school. It is know as one of one of the best and most reputable language schools in the Spanish market.
The teaching takes place in small, intensive, international, leveled teams. You will be given a language test on the first day of the course so and you will then be placed in the language class that best suits your level.
You will be taught by graduate teachers who are all passionate to teach. At 50+ languages journey in Málaga includes 15 Spanish lessons per week, each lesson lasts 50 minutes.
You will be staying at the language school's attractive college accommodation, located on the same campus as the language school. Language school college accommodation is of very high standard, and here you can, among other things have use of the language school swimming pool.
Full board is included in the package, all meals will be served in the language school's restaurant, also located on campus.
The language school in Malaga has a social activity and excursion program. You will typically have classes in the morning from 8.30 to 11.20 and activities in the afternoon.
The activities in the afternoon is aimed particularly at language school 50+ students and gives you a unique opportunity to practice your Spanish.
On arrival at Malaga Airport, you will be picked up by a member of staff from the language school who will take you to the accommodation. There will also be transportation back to the airport on departure. This is included in the language of the total price.
If you have further questions about the program, you may want to take a look at our FAQ page with frequently asked questions and answers. Registration is done by filling out our Booking Form and pay a deposit - see our booking and payment conditions. You can also read about the process from registration to departure here.
If you have more questions about our exciting language travel opportunities, please feel free to contact us by phone on 02380 970 924 or email email@example.com.
See other destination options for Adults or 50+ , by following these links. Want a customised language travel? Then read more here.
Wessex House,
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'Greedy' Hampshire trader jailed for 14 years
Sentencing him at London's Southwark Crown Court, Mr Justice Cooke said: "What this case has shown is the absence of that integrity which ought to characterise banking".
The scruffy, blond-haired Hayes has been the public face of the global scandal over Libor rigging since he was first charged by U.S. officials in 2012.
The defence argued that Hayes had never been trained in the Libor process and had no regulatory or compliance obligations imposed on him regarding the reference rate, and therefore he did not think that what he was doing was wrong.
According to The Wall Street Journal, Hayes's lawyers had figured that, if convicted, he would probably be sentenced to four or five years in jail. Hayes would then place large bets on financial markets that were sensitive to Libor shifts.
After the judge finished his remarks, the guard took Mr. Hayes, toting a blue-green duffle bag packed with his clothes and other belongings, into custody.
Dubbed the "Rain Man" by his colleagues, because of his superhero bedding and penchant for hot chocolate, he was found guilty of manipulating the benchmark known as the LIBOR rate.
"Although I was operating within a system or participating within a system in which it was commonplace, you know, ultimately I was someone who was a serial offender".
He told investigators after his arrest in December 2012: "You want every little bit of money you can possibly get".
Alleged rigging is said to have involved the submission of false figures in order either to make more money or to paint a false picture of a bank's health.
Mukul Chawla QC, prosecuting, said: "On an nearly daily basis he set out to dishonestly manipulate or rig Libor at his bank and other banks".
Mark Carney, the Governor of the Bank of England, told me in a recent Sky News interview that he was frequently asked by members of the public why more bankers had not been sent to prison following the crisis.
He denied that what he was doing was "clandestine" and said that he made no attempts to "cover his tracks", even posting on Facebook about his Libor related trades.
From 2001 to 2004 he worked for Royal Bank of Scotland, before moving to Royal Bank of Canada for two years.
"The motive was a simple one: it was greed".
The verdict opens the door to more prosecutions across the City, which could take years to bring to trial. He joined Citigroup in late 2009, but was fired in September 2010 for Libor manipulation. It was there, the court heard, that his Libor-rigging education began by "osmosis – picking it up from the people he sat next to".


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Light, let it be Light!
Category II, "Light, let it be Light!" is a material-based representation of the classical Greek concept ex-stasis. A concept describing the experience of being or standing outside one self, and where through a temporary state of euphoria one is being given something perceived as being of essence.


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In a time when Brexit could putting a lot of industries at risk as a result of foreign nationals moving back to their primary country, British employees could further threaten the success of companies by switching careers. According to a recent independent poll commissioned by the Oxford Open Learning Trust, the UK is set for an unprecedented change in employment with over a quarter of British workers (28%) considering a career change in the next 10 years.
The YouGov survey which was taken on over 2,000 British adults found that money could be a big motivator for this change, with nearly 11% considering a move in the next year. Aside from this, many workers stated better working hours, their employer's location and personal interests as key determiners for wanting to move on.
It's often said that a change is as good as a rest, and this is clearly in the mind set of many employees across the country. Such is the determination to move professions that nearly 3 in 5 (58%) would consider training/retraining for a new career. Whilst for some this may create unnecessary student debt, the survey shows that changing careers seems to pay off with over a third of workers polled (34%) stating that a move had dramatically increased their wage.
Nearly 1 in 20 (6%) went further by saying that their salary had leaped by at least £10,000 after the first year of moving jobs. Whilst we all know that money isn't everything, employees from across the country seem to think otherwise.
Aside from the prospect of earning more, working hours were considered as the second biggest deciding factor when choosing a new position (57%), followed by location (49%) and personal circumstances (48%). Job status and the opinion of family members were generally considered to be the least important reasons when moving careers with only 8% and 10% choosing these options.
If you're considering moving careers and would like to know more about how you can switch into a new industry, please email email@example.com or call 0330 111 5353.


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SALE Mephisto Kenneth - Hazelnut smooth Leather
Comfortable men's sandals
The heavenly, comfortable
walking miracle
The shoes and sandals of the MOBILS Collection are the result of consistent developments and the search for the ideal shoe for natural and healthy walking. Each shoe and sandal style offers naturally soft and tireless walking with modern materials, designs and colours.
Fully adjustable clip and velcro leather sandal in soft waxy leather with suede leather covered anatomically shaped insoles. Tired feet? Never again!
Hand made by master shoemakers
Removable insoles allows insertion of own orthotics
From the 'Mobils' range by Mephisto of France
This exceptional MOBILS men's shoe with airy cut-outs scores top marks as a super comfortable everyday companion on warm days. The hook and loop fastener at the upper part of the heel guarantees that the shoe sits perfectly on your foot without pinching. The removable foot bed with integrated SOFT-AIR Technology and the shock absorber built into the heel ensure soft, stress-free walking.
- SALE Mephisto Kenneth - Hazelnut smooth Leather 0 stars (0 review)
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Heidi Lord
Transat has appointed Heidi Lord as Business Development Manager, Toronto, North & East York. She will be responsible for working with Transat's agency partners in Toronto's core and the 2 former boroughs.
"We are extremely excited to have Heidi join our team as she has extensive knowledge of the product, region and clients' wants and needs, which will help our partners grow their businesses," says Dan Prior, Transat's Sales Manager, Ontario & Atlantic Canada.
Lord brings 18 years of travel industry experience, 13 in sales, including roles involving inside and outside sales as well as key regional accounts. Her goal is to help her agents/agencies boost their sales in a variety of areas, including vacation packages worldwide, cruising and consolidator air.
An avid traveller, Lord has toured the Caribbean, Mexico and Cuba, cruised to Alaska, the Eastern Caribbean and Mexico and has visited Turkey and Ireland.


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In Stock, Ready to Ship!
Left and Right Sliding window kit with installation hardware for the Grumman/Morgan Olson. This sliding window kit will replace your existing roll up windows with a window opening size of 20-5/8"H x 26-7/8"W. It includes mounting rivets and weatherstrip for a complete installation for both windows. Windows are predrilled for a quick and easy replacement. Be sure to measure your existing window opening before you order.
Estimated Shipping Dimensions: 30" x 28" x 5"
Weight: 28.69 lbs
Mill Supply has been the #1 supplier of step van parts for over 30 years. If you have a Workhorse, Utilimaster, Grumman, Morgan Olson, Supreme, International or other type of walk-in van you have landed on the right page. You will not find a more complete listing of parts for stepvans anywhere! With research and development on-the-go, new products are constantly being added to keep up with the growing industry. You can count on great customer service, fast shipping, and discount prices when you shop with us. It doesn't matter if you use your truck on-the-job, for deliveries, or run a food truck, you can count on Mill Supply to keep your vehicle in top shape. We distrubute parts for Todco, Whiting, Velvac, and Kason. If you have any questions don't hesitate to either contact us via email or give us a call at 800-888-5072 between 8:00 a.m. - 5:00 p.m. E.S.T. and one of our experienced representatives will be happy to help you.
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Coach gives Morgan break over his near-interception
Derrick Morgan is still adjusting to a new position. After four seasons as a defensive end, the fifth-year pro is playing outside linebacker in new Titans coordinator Ray Horton's 3-4 scheme.
The job description calls for Morgan to drop into pass coverage when he's not going after the quarterback or defending the run.
Morgan appeared to make a good play in the preseason opener against the Green Bay Packers on Saturday. He got two hands on the football while breaking up a pass attempt.
Or was it a good play?
"There's been a raging debate about that play, about whether it should have been an interception or a PBU, a pass break-up," coach Ken Whisenhunt said with a grin Sunday. "We've talked about that a number of times today."
Whisenhunt said he thought Morgan played well, was disciplined and displayed good technique in his new position. But should he have intercepted the ball?
"Of course, as an offensive coach, I'm going to say he got two hands on the ball, so he should have caught it," Whisenhunt said. "But as a guy who has had his hand on the ground for a number of years, there were a number of people who were just pleased he batted it down."
Injuries: Team doctors have evaluated linebacker Colin McCarthy (shoulder) and center Chris Spencer (ankle). Both players were injured against the Packers.
McCarthy is out indefinitely. It's unclear how much time Spencer will miss.
The Titans aren't faced with an immediate decision about placing one or both players on Injured Reserve, Whisenhunt said.
Moving on: Whisenhunt declined to elaborate on his decision to bench linebacker Zach Brown for the first series against the Packers after violating a team rule.
"Zach has done some good things for us in camp," he said. "I have really said all I wanted to say about Zach and that situation last night. We are moving forward. Zach has an understanding of what he has to do. He has physical ability to play that position and he needs to continue what he has been doing, and that is to continue to buy in."
Standouts: Whisenhunt identified running back Bishop Sankey and safety Daimion Stafford as players who got his attention for good play in the preseason opener.
As far as players who saw limited snaps, he mentioned defensive linemen Jurrell Casey, Sammie Hill, Ropati Pitoitua, Karl Klug and rookie DaQuan Jones.
"There's a number of guys who did good things," Whisenhunt said, "but there's also a lot of work to do."
Wet footballs: The Titans went through 40 footballs on Saturday — 16 in warmups and 24 during the game. They became so waterlogged they won't be used again.
"I've been around a lot of NFL games, and that was the wettest I've ever seen footballs," Whisenhunt said. "I don't think there was any way to keep them dry."
Lewan review: Rookie tackle Taylor Lewan played 48 snaps in his NFL debut and "he didn't do badly," Whisenhunt said. "I like Taylor, and I think he has a chance to be a good player."
Next up: The Titans face the Saints in New Orleans on Friday. Whisenhunt said he hasn't determined how much the first-teamers will play.
Reach Jim Wyatt at 615-259-8015 and on Twitter @jwyattsports


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In a Twitter chat, Prabhu Deva said that Thalapathy Vijay is a man of masses and classes. On his upcoming film Gulaebaghavali, Prabhu said "It has come out very well. It's a complete fun film & I enjoyed doing a film like this after a long time.. Hoping you enjoy it too".
Prabhu also talked about how he handles success, the Devi actor said: "Success always gives happiness but it also brings the pressure of doing better.. So I try to keep a cool & take success & failure with equal spirit".
Talking about his new film 'Mercury' with Karthik Subbaraj, Prabhu said "Mercury will be an interesting & exciting pan-India release".


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An investment in a swimming pool is a sure way to add a fun and versatile dimension to family time. Although the traditional model of swimming pool installation is a concrete bowl that requires excavation, time for building and a cement coating, there is another way to add a pool to your garden, without all that fuss.
The fibreglass pool is a simple option that can be disassembled too, so consider the best pool for you and your family, while also taking the design and shape into account. There are so many options from square to rectangular, kidney shaped and even an elegant infinity pool for a lavish experience and look.
The swimming pool should be a place for the entire family to enjoy, so why not go ahead and plan your pool in the garden, you know you've always wanted to! You may need to contact a professional to ensure that the soil type and drainage is correct before going ahead. But once it's completed, those braai days can have a poolside element too.
So your backyard doesn't have enough space for that lovely large pool, but that's okay. A splash pool is a great way to relax on a summer day in the sweltering heat, and it will keep the kids entertained for hours too.
The vegetation and wall of the garden is incorporated into the design of the pool, allowing the space to be protected from temperature and wind. The depth of the pool should be related to the surface, so because this pool is only 8m x 4m in area, its depth should not be outside the range of 1 to 1.8 metres.
The kidney pool has the shallowest part located in the rounded area, while the area along the side has ample deckchairs for lounging in the sun and working on that tan.
This is another take on the kidney pool design, with a fun shape for a stylish terrace. The pool makes use of the space optimally and is a roomy spot to enjoy the sunshine.
This sloped ramp pool design gradually increases in depth, just make sure that your little kids stay at the shallow end.
The splash pool may only be 40 centimetres in depth, but it's a significant way to cool the kids down on a hot summer day. This swimming pool also has a great floating zone, with a gradual depth of 2.2 metres for the experienced swimmers.
The pool in this image is surrounded by gorgeous greenery and panoramic views. Consider which direction to place your pool in for the best and sunniest effect. This is a dreamy private pool, don't you think?
We've come to the end of this Ideabook, but we promised an infinity pool. So how about this spectacular pool that creates a mirror like image with the water and ground level at the same height? It's definitely fascinating, serene and inviting. The dirt and grime that collects in the pool is constantly moved through a system that never allows it to settle to the bottom, ensuring that this pool remains clean at all times. Here are: 11 highly affordable pool ideas that don't require any digging.


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My Daughter He: Transitioning With Our Transgender Children
Research shows that family acceptance is the single most important factor in protecting the health and wellbeing of gender nonconforming and transgender children and youth. When a child discloses, everyone is affected. Family members may initially experience a range of difficult emotions that can impede their ability to accept and support their loved one.
In My Daughter He, Candace Waldron undertakes a courageous and honest exploration of the 7 stages she traveled to move from denial and loss, to acceptance and advocacy. Steps along her journey may help chart the course for others.
• Anticipation and Attachment • Awareness of Difference • Asking Questions • Acknowledging Feelings • Accessing Help and Aligning Goals • Action Steps • Amazement and Advocacy
Candace Waldron, MDiv, is a writer, educator, administrator, and public policy advocate in violence prevention and women's health. She is the mother of a transgender son who disclosed at sixteen and transitioned at nineteen. She is cofacilitator of PFLAG support groups in the Boston metro area for parents of nonconforming and transgender children.
"My Daughter He should be required reading not only for parents and family members of trans children, but for teachers, counselors, and school administrators. Besides being an education, it's a story that keeps you on the edge of your seat. I couldn't put it down."
—Betty DeGeneres, Ellen's mother, is a national LGBT rights advocate and the author of Love, Ellen: A Mother/Daughter Journey and Just a Mom
"Candace Waldron has written a book for everyone! My Daughter He should be required reading not only for parents and family members of trans children, but for teachers, counselors, and school administrators. In fact, all of us will benefit from the information in these pages. Besides being an education, it's a story that keeps you on the edge of your seat. I couldn't put it down. All my love to the brave young man, Kai."
"This book is a must for anyone who wants support for or insight into the path that must be taken, by parent, child, and everyone around them, if our transgender youth and young adults are going to have the full opportunity to be the wonderful people they are."
—Diane Ehrensaft, PhD, Director of Mental Health, Child and Adolescent Gender Center, University of California, San Francisco, and author of Gender Born, Gender Made
"By sharing her own transition journey and that of her trans son, including issues around safety, schools, and mental health, Waldron has created an informative and comforting resource for other families."
—Rachel Pepper, gender specialist and coauthor of The Transgender Child: A Handbook for Families and Professionals and editor of Transitions of the Heart: Stories of Love, Struggle, and Acceptance by Mothers of Transgender and Gender Variant Children
"A groundbreaking resource for parents and educators that blends the emotional journey of parents with strategies for transitioning and the urgent need for safe schools."
—Jeff Perrotti, founder and director of Massachusetts' Safe Schools Program for LGBTQ students and coauthor of When the Drama Club Is Not Enough: Lessons from the Safe Schools Program for Gay and Lesbian Students


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L.G.R flagship store, a piece of Africa in Milan
The first boutique of the Italian brand draw inspiration from a family warehouse in Asmara
words Editorial Staff
Is the prestigious Brera district in Milan, at 36 Corso Garibaldi, the place where the Italian luxury eyewear company L.G.R will inaugurate this evening its first flagship store. The shop reminds the athmosphere of a fair city: Asmara, in Eritrea, where the grandfather of Luca Gnecchi Ruscone opened Ottica Bini, his eyeglass emporium. The 1000 sq. ft. brick-and-mortar is inspired by the shapes and colors of that place. Built by the Italians at the end of the 19th century, the building still exists and it is where Gnecchi Ruscone first discovered the original, timeless frames.
The boutique features shop windows inspired by neo-Gothic/Venetian shapes, reminiscent of Ottica Bini's windows in Asmara. Core materials such as wood and coir, a coconut fiber, reflect the brand's blended heritage of African adventure and Italian elegance. Pale green and blue hues are used for the interior space, evoking the Eritrean skies and seas. 'The space on Corso Garibaldi will celebrate our DNA, allowing customers to immerse themselves in the universe of L.G.R – says Gnecchi Ruscone – this opening is just the first step in a retail strategy that we hope will soon bring us to major cities around the world'.


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We have worked with Roberts Signs for the past 6 years on numerous projects and signs. Their service and end product quality are unmatched. Banners are printed on location with quick turn around time and professional store front signs are bent and milled in house. If you are looking for artists that have perfected their trade, then Roberts Signs is for you. If not there are 100's of quick print operations that will be glad to over charge and farm out the work.
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'Standard quantum mechanics': the Copenhagen interpretation"A philosophical extravaganza dictated by despair" (Schr¨odinger)
1. System completely described by wave function representing observer's knowledge of the system, or 'potentiality'. The wave function is all there is. 'Hidden variables' impossible. (Heisenberg)2. Description of nature essentially probabilistic. Probability of event related to square of amplitude of wave function related to it (Born rule). 'Measurement' randomly picks out exactly one of the many possibilities allowed for by the state's wave function through nonlocal 'collapse process'.3. Heisenberg's uncertainty principle: observed fact that it is not possible to know values of all properties of system at same time; those properties not known with precision must be described by probabilities. Properties in fact supposed to be indeterminate not uncertain.4. Complementarity principle: there is no logical picture (obeying classical propositional logic) that can simultaneously describe and be used to reason about all properties of a quantum system. Example: matter exhibits a wave-particle duality. An experiment can show the particle-like properties of matter, or wave-like properties, but not both at the same time. (Niels Bohr)5. Measuring devices are essentially classical devices, and measure classical properties such as position and momentum.6. The 'correspondence principle' of Bohr and Heisenberg: the quantum mechanical description of large systems should closely approximate to the classical description.Now well-known that Copenhagen cannot be reconstructed as a coherentphilosophical framework - it is a collection of local, often contradictory, argumentsembedded in changing theoretical and sociopolitical circumstances.. ..riddled withvaccillations, about-faces and inconsistencies. [See Mara Beller book 'Quantum Dialogue']
- Towler Bohm Lecture 1On Jul 16, 2012, at 3:14 AM, JACK SARFATTI wrote:Michael Towler wrote about Bohr:"(Circular) demonstrations of consistency disguised as compelling arguments of inevitability. [Those who do not agree are] 'unable to face the facts' and disagreeing with the masters of the universe thus becomes bad for your career."in his Cambridge lectures on Bohm's quantum theoryWell and good, but the same flaw is found in the proofs prohibiting entanglement signaling.The no-cloning theorem is incomplete. It only forbids a small class of devices like Nick Herbert's FLASH based on linearity and unitarity.There are other ways to skin Schrodinger's Cat.


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Press release from the issuing company
International Paper today announced that it has completed the acquisition of a 75 percent stake in Andhra Pradesh Paper Mills (APPM). International Paper purchased 53.5 percent of the APPM shares from Mr. L.N. Bangur and related family members and affiliates for approximately US$226 million in cash. These sellers have also entered into a covenant not to compete, for which they received a cash payment of US$57 million. In addition, International Paper acquired an additional 21.5 percent of APPM shares in a public tender offer completed on October 8, 2011, for approximately US$105 million in cash. Paul Brown, president, IP India, will become executive chairman of the APPM Board of Directors, effective today.
"As we complete this phase of the process and move into majority ownership, International Paper is well-positioned to help serve a rapidly growing Indian market," said John Faraci, International Paper Chairman and Chief Executive Officer. "We look forward to building on Andhra Paper's tradition of excellence while introducing the global best practices that make International Paper an industry leader. We are delighted to welcome these new employees to International Paper."
APPM is one of the leading integrated paper manufacturers in India, and operates two mills with a combined annual capacity of 250,000 tonnes of uncoated freesheet paper. The existing management team and 2,500 employees of APPM will continue to operate the business, supplemented by additional International Paper leadership and professional and technical resources.
Note: US$ monetary amounts are based on an average Indian Rupee to U.S. Dollar exchange rate of INR 48.25 per US$.
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Thyroid malignancies, after proper workup and diagnosis, can be separated into three rough categories:
As with other tumors, the role of oncogenes and tumor-suppressor genes in thyroid cancer cannot be overstated, and transformation of a proto-oncogene to an oncogene or loss of a tumor suppressor gene is often the key step toward the initial malignant transformation. A point mutation in the BRAF gene is associated with up to 40% of cases of papillary thyroid cancer and often associated with anaplastic thyroid cancer. RET, another proto-oncogene, was activated in nearly 60% to 70% of papillary thyroid cancer occurring after irradiation. Inactivating mutation of the p53 tumor suppressor gene is common in patients with anaplastic thyroid carcinoma.[1][2][3][4][0]
Thyroid cancer, as compared with other types of malignancies, is more closely associated with irradiation. Patients exposed during childhood have a much higher risk of developing thyroid carcinoma, and this risk is further compounded by higher dosages of radiation, up to 1500 cGy due to thyroid cell killing at even higher dosages.
Thyroid cancer remains a rare malignancy, representing 1% to 4% of all malignancies in the United States. Chances of diagnosis have risen over the past several decades due to improved diagnostic modality and increased use of thyroid ultrasound, and death rates have remained stable. It is the fifth most common malignancy for females, with females having a 2 to 3 times greater chance of being diagnosed with thyroid cancer compared with males. As was mentioned earlier, most thyroid cancers are derived from the follicular epithelium, with cases of papillary thyroid carcinoma (PTC) and follicular thyroid carcinoma (FTC) far more common than anaplastic thyroid cancer (ATC).[0][4][7][0][0]
The cytology and histopathology of papillary thyroid carcinoma are unique in their roles in the diagnosis of the malignancy. Well-recognized cellular histomorphology of PTC include ample papillar projections and the so-called psammoma bodies, which are calcified clumps of cells likely derived from necrosed papillae. Also paramount to a diagnosis is findings of intranuclear inclusion bodies and nuclear grooving in individual cells, with the nuclei often described as large, clear, ground glass, or "Orphan Annie"-eyed.[10][0][0]
Follicular thyroid carcinoma, as another member of follicular cell malignancies, can represent a much wider range of morphologic variability. Diagnosis of FTC is dependent on abnormal positioning and spread of thyroid follicles, including extracapsular and vascular invasions. Nuclear atypia itself may or may not be present, although it does indicate a worse prognosis when present. Given that individual cellular morphology is insufficient for FTC diagnosis, a fine-needle aspiration (FNA) biopsy cannot be used to diagnose FTC fully.
Medullary thyroid carcinoma (MTC) originates from the parafollicular C cells. Given its origin, its histologic diagnosis and later prognosis can be demonstrated by the presence of amyloid deposition and calcitonin immunoreactivity in the sample.[0]
ATC can be differentiated from the others because of its extremely poor prognosis, including a poorly differentiated histology portending a more grim outcome. Often, multinucleated giant cells with intranuclear invagination can be observed microscopically.[0][0]
Most commonly, patients first present with a neck mass, which may represent a primary tumor or metastatic lymphadenopathy. Other times, the mass may be nonpalpable and found incidentally on neck imaging. For patients with a family history of thyroid malignancies, the RET oncogene or MEN2 elective early thyroidectomy may result in findings of early malignancies that are only observable through the microscope.
A thorough history and physical, unfortunately, is rarely sufficient for the diagnosis of thyroid malignancy, and its diagnosis is contingent on cytologic or histologic findings on biopsy. Nevertheless, findings in the history and physical can help guide the skilled physician toward later necessary workups. Features such as childhood radiation to the head and neck, iodine deficiency in endemic areas, and a well-documented family history of thyroid malignancies should spark immediate concerns. Evolution of symptoms such as rapid growth of a thyroid nodule over weeks and months, development and worsening of dysphagia and breathing, and systemic symptoms such as weight loss and fatigue should be queried. Physical examination should include a thorough study of the neck and regional nodes for possible firmness, irregularities, and adherence to the underlying tissue of the dominant nodule.
A thyroid function test for patients presenting for possible malignancies is appropriate, as a hyperthyroid state often correlates with a lower risk of malignancy.
Evaluation of the thyroid nodule for malignancy should begin with a diagnostic ultrasound, which has become popular both in the clinic and in the operating room due to its ease-of-use, portability, and cost-effectiveness. A diagnostic ultrasound should begin by identifying features suspicious for malignancy, such as microcalcifications, hypoechoic interiors, an ill-defined margin, nodularity, greater height than width, or vascular flows that are often chaotically arranged. On the other spectrum, a purely cystic nodule usually can be safely classified as benign. Taking into account the risk of malignancy in addition to the size of the nodule, the physician may proceed with an FNA biopsy of the nodule using a small, 23 to 27 gauge, needles. In general, all moderate-to-high risk nodules greater than 1 cm should undergo biopsy, whereas a low-risk nodule may only require observation until it is 2cm or larger.
It is relevant that, although a diagnostic ultrasound can be used to assess the anatomic characteristic of a nodule, a radioisotope scan can be used to assess the functional characteristic of a thyroid nodule, when the patient has previously suppressed TSH. As with thyroid function tests, a hyperfunctioning "hot" nodule demonstrating avid uptake of radioisotope is rarely associated with malignancy, whereas malignancy may be the expectation in 15% to 20% of "cold" nodules.
An FNA biopsy may be performed with or without ultrasound guidance, although non-palpable or posteriorly-placed lesions should be biopsied under guidance to increase the diagnostic accuracy of the sample. The FNA biopsy result is then reported by on the Bethesda Criteria for Reporting Thyroid Cytology, which stratifies the result of the biopsy based on cytology and recommended course of action. It cannot be overemphasized that FNA allows for analysis of individual cellular feature and not the overall architecture of the nodule. As such, while FNA is excellent for diagnosis of PTC, the most common thyroid malignancy, it cannot detect capsular or vascular invasions by FTC with discrete cytologic characteristics. As a result, while FNA can categorize certain findings as suspicious for FTC, a diagnosis of FTC cannot be made until the final pathology is confirmed.[16][0][0]
While CT and MRI are not routine modalities in the evaluation of thyroid nodules for malignancies, their use may be appropriate in assessing for local spread in more advanced diseases or those with enlarged cervical nodes in association with a suspicious mass. For patients with thyroid mass with extension into the substernal region confirmed by ultrasound or plain radiographs, a CT would be advised. Also of concern regarding CT with iodinated contrast is its use on hyperthyroid patients, which has the potential to trigger an uncontrolled life-threatening thyroid storm. Note the use of iodinated contrast for patients scheduled to undergo future radioactive iodine (RAI) ablation as sufficient depletion of iodine is necessary for therapeutic RAI ablation of thyroid malignancies.
Surgical resection of differentiated thyroid cancer, including both PTC and FTC, remains the mainstay of treatment in association with RAI ablation and TSH suppression. Radiation and systemic chemotherapy seldom play a significant role in treatment, although they may be used in advanced cases refractory to conventional methods. The decision to use any one or all three modalities is one that should involve the physician and the patient regarding the goal of care, future prognosis, risks of recurrences, ease of surveillance, and the relative costs and morbidities involved with each method.[0][0]
Appropriate surgical resection of thyroid malignancies can range from hemithyroidectomy/thyroid lobectomy to total thyroidectomy, with or without lymph node dissection. For indeterminate nodules or smaller unilateral thyroid cancers without evidence of metastasis, sometimes a lobectomy may suffice, with the advantages of preservation of viable thyroid tissues and contralateral parathyroids and nerves. However, there is the potential for subsequent completion thyroidectomy, which is a decision the physician should explore with the patient. Traditional guidelines favor total thyroidectomy for lesions greater than 1cm, because of the multiple foci often present in PTC and also to facilitate RAI ablation and future surveillance with Tg marker. However, the current trend has been toward more careful patient selection in total thyroidectomy as more recent studies have called into question the mortality benefits associated with total thyroidectomy. Some well-supported indications for total thyroidectomy include DTC larger than 4cm, those with extrathyroidal extensions, and those with local or distant metastasis. For DTCs smaller than 1cm, there is no clear surgical indication for resection unless there exist significant cervical lymph nodes, extrathyroidal extensions, or a notable family history of thyroid CA or clinical history of irradiation.[0]
The decision for lymph node dissection should be made on a patient-by-patient basis, and there remain controversies about the proven survival benefit for prophylactic node dissection. Regardless, all patients with proven or suspected PTC should undergo a thorough examination of both the central and lateral neck for possible nodal metastasis. While the lateral neck can be easily accessible via ultrasound pre-operatively, the central neck and its compartment nodes are more difficult to assess as they lie in a more anatomically challenging position. As such, careful inspection and palpation of the central neck should be performed at the time of surgery, with subsequent compartmental neck dissection should abnormal nodes be found. Again, the role of prophylactic neck dissection in the absence of nodal metastasis is uncertain, and while proponents of routine prophylactic central compartment dissection will point to lower recurrence risk in their patient, other studies show higher risk of nerve injuries and hypocalcemia without an improvement in survival benefits. The lateral neck compartments, as they are not routinely entered in thyroidectomy, should be assessed pre-operatively with ultrasound and subsequent FNA biopsy if there is a concern for abnormal nodes. If pathologic nodes are confirmed, an ipsilateral neck dissection should be carried out, with a formal clearance of defined lymph node compartments as opposed to isolated "berry-picking" of diseased nodes.[0][0][0]
Radioactive Iodine (RAI) therapy, as a mainstay of treatment, functions to ablate remaining thyroid tissues for improved future surveillance of recurrence and as adjuvant therapy for detected or occult metastasis. As mentioned, RAI should be a routine recommendation for patients with grossly extrathyroidal spread or distant metastasis with clear benefits toward survival benefits and recurrence risks. Patients with high-risk malignancies, including those with larger than 4cm PTCs, microscopic extrathyroidal extension, or nodal metastasis, should also be offered RAI therapy. PTCs smaller than 4cm or without evidence of nodal, local, or regional metastasis are not routinely given RAI therapy. Patients who are candidates for RAI therapy should maintain a low iodine diet for 1 to 2 weeks to ensure iodine depletion of the cells and be cautioned against large iodine administrations such as through iodinated contrast or amiodarone to improve the avidity to iodine uptakes of the cells. Equally important is the association iodine uptake has with high TSH level, with a goal of 30mIU/liter. This level of TSH can be achieved either through withdrawal of thyroid hormones or administration of exogenous recombinant human TSH.[0][0]
TSH suppression, as the last element in general treatment of DTCs, is successful because TSH receptors continue to be expressed in DTCs, and TSH has been found to be growth factors in DTCs. A high dosage of exogenous thyroid hormone usually is given, although there must exist a careful balance between the risk of malignancy versus the multiple adverse effects caused by hyperthyroidism, including possible atrial fibrillation. In patients with high-risk malignancies, the goal TSH should be no more than .1mIU/liter, and in patients with intermediate risks, the goal TSH should be between .1-.5mIU/liter. Those with low risk may have TSH in the lower reference range, between 0.5 to 2.0mIU/liter.[27]
With regards to the treatment of MTC, genetic testing for germline RET mutation is also recommended prior to treatment. When there is a concern for MTC, serum calcitonin, carcinoembryonic antigen, and biochemical testing for the presence of coexisting hyperparathyroidism and pheochromocytoma are all standard facets of treatment. Serum catecholamine especially must be obtained, as the presence of pheochromocytoma must be confirmed or excluded before treatment of the MTC.
In general, total thyroidectomy is the standard of care for patients with MTC with resection of local and regional metastases. A PTC should be performed prior to the age of 1 in patients with confirmed MEN2B RET mutation, and patients with other RET germline mutation should receive PTC before the age of 5. In patients with confirmed MTC, prophylactic level VI nodal dissection should be performed at the time of the total thyroidectomy, with bilateral level VI dissection if there is confirmed central neck metastases. Patients with confirmed lateral zone nodal metastases should receive lateral compartment dissection, central neck dissection, and total thyroidectomy. Patients with confirmed distant metastases, however, may be advised to undergo a less aggressive approach due to the extensive risk of morbidity involved in surgery, and mostly palliative surgical options should be considered if there is concomitant neck pain or dysphagia. Of note, as MTC is not of follicular origin, there is no role for radioactive iodine ablation or TSH suppression in the management of MTCs.[28]
There is little to no role for surgery in the treatment of ATC. Distant metastases are common in patients with initial diagnosis due to its rapidly progressive course, and local invasion into the trachea or vasculature commonly makes the malignancy unresectable. Mortality approaches near 100% for ATCs. A conservative surgical approach for palliation should be considered in these patients.[0]
Staging for Thyroid Cancer most commonly uses the American Joint Committee on Cancer (AJCC) TNM (Tumor, Node, Metastasis) classification system, as endorsed by the American Thyroid Association, given their predictive values in prognosis and mortality. The system accounts for such factors such as the size of the tumor, presence, and extent of extra-thyroidal invasion, the number of nodal metastasis, and whether there is the presence of distal metastasis. As previously noted, age is a significant factor in predicting mortality in thyroid cancer patients, and its role is also significant in staging the disease. Patients under 55 years old at the time of diagnosis will receive a stage II diagnosis at the most.[29]
Prognosis for thyroid cancer can vary greatly, depending on its type, size, patient's age, and amenability to resection. In general, the prognosis is good, with up to 95% 5-year survival rate for patients across all ages and races, with worse prognosis given to patient's based on the size of the tumor, the presence of extra-thyroidal extensions or metastasis, older age, or unfavorable tumor types such as undifferentiated cancer.[30]
Left alone, thyroid cancer can be locally invasive, into the airway, esophagus, or other nearby neurovascular structures. Distant metastasis most commonly involves the lung, bone, and other soft tissue structures.
Both thyroid lobectomy and total thyroidectomy resections carry the potential for neurovascular injuries, with the most common involving the recurrent laryngeal nerve, leading to hoarseness of voice and potential respiratory failure with bilateral injuries.
There is no regular screening currently recommended for patients. Risk factors, such as prior radiation and family history as previously discussed, should heighten the provider's concern for malignancy, especially when in combination with the presence of rapidly enlarging nodule, nearby lymphadenopathy, or hoarseness.
Optimal outcome for the patient is contingent on an interprofessional, interprofessional team well with physicians and mid-level providers versed in endocrinology, surgery, radiology, and oncology. Nursing staff should assist in making sure the patient is involved in every step of their care, including pre-operative planning, to create a strategy that can accommodate the patient's current quality of life while promoting optimal prognosis. Therapies such as total thyroidectomy should be discussed in conjunction with the expectation for likely RAI therapy postoperatively, with continued lifelong surveillance and TSH monitoring.
|Khatami F,Tavangar SM, A Review of Driver Genetic Alterations in Thyroid Cancers. Iranian journal of pathology. 2018 Spring [PubMed PMID: 30697281]
|Martínez JRW,Vargas-Salas S,Gamboa SU,Muñoz E,Domínguez JM,León A,Droppelmann N,Solar A,Zafereo M,Holsinger FC,González HE, The Combination of RET, BRAF and Demographic Data Identifies Subsets of Patients with Aggressive Papillary Thyroid Cancer. Hormones & cancer. 2019 Jun [PubMed PMID: 30903583]
|Zarkesh M,Zadeh-Vakili A,Akbarzadeh M,Nozhat Z,Fanaei SA,Hedayati M,Azizi F, BRAF V600E mutation and microRNAs are helpful in distinguishing papillary thyroid malignant lesions: Tissues and fine needle aspiration cytology cases. Life sciences. 2019 Apr 15 [PubMed PMID: 30890403]
|Pancer J,Mitmaker E,Ajise O,Tabah R,How J, A thyroid gland with over 30 foci of papillary thyroid carcinoma with activating BRAF V600E mutation. Endocrinology, diabetes & metabolism case reports. 2019 Mar 18 [PubMed PMID: 30884463]
|Echanique KA,Govindan A,Mohamed OM,Sylvester M,Baredes S,Yu-Lan Ying M,Kalyoussef E, Age-Related Trends of Patients Undergoing Thyroidectomy: Analysis of US Inpatient Data from 2005 to 2013. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2019 Mar [PubMed PMID: 30829140]
|Means C,Clayburgh DR,Maloney L,Sauer D,Taylor MH,Shindo ML,Coussens LM,Tsujikawa T, Tumor immune microenvironment characteristics of papillary thyroid carcinoma are associated with histopathological aggressiveness and BRAF mutation status. Head & neck. 2019 Aug [PubMed PMID: 30896061]
|Wang TX,Song YT,Xu GH,Yu WB,Wei W,Zhang B, [Fine-needle aspiration for the diagnosis of lymph node metastasis in papillary thyroid carcinoma]. Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery. 2019 Jan 7 [PubMed PMID: 30704165]
|Yoon BH,Lee Y,Oh HJ,Kim SH,Lee YK, Influence of Thyroid-stimulating Hormone Suppression Therapy on Bone Mineral Density in Patients with Differentiated Thyroid Cancer: A Meta-analysis. Journal of bone metabolism. 2019 Feb [PubMed PMID: 30899725]
|Rosario PW,Mourão G,Calsolari MR, Risk of recurrence in patients with papillary thyroid carcinoma and minimal extrathyroidal extension not treated with radioiodine. Journal of endocrinological investigation. 2019 Jun [PubMed PMID: 30353424]
|Tuttle RM,Alzahrani AS, Risk Stratification in Differentiated Thyroid Cancer: From Detection to Final Follow-up. The Journal of clinical endocrinology and metabolism. 2019 Mar 15 [PubMed PMID: 30874735]
|Park SY,Kim HI,Kim JH,Kim JS,Oh YL,Kim SW,Chung JH,Jang HW,Kim TH, Prognostic significance of gross extrathyroidal extension invading only strap muscles in differentiated thyroid carcinoma. The British journal of surgery. 2018 Aug [PubMed PMID: 29663333]


text: Above would be the Official Destination X Ride Route Map. It lays out the main destinations thus far. Along the way grassroots cause related organizations/events will be woven into the ride as it pushes on. I am going to try to cover as much of the United States as I possibly can along the way. I very much want the ride to take on a life of it's own. Surprises around every turn. Just how a ride adventure should be. Follow along, I promise it will be worth it.