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Cagli Adventure Part Due
Last year I had the opportunity to participate in a study abroad program through Marquette University in Cagli, Italy. The four week program is based on a digital story telling format that allowed those with an interest in journalism to experience working in an international environment.
This year I was asked to return as a Cagli Student Instructor (CSI) which has provided me with an entirely new outlook on the learning experience as well as the town itself. I have gotten to know more of the locals on a personal level and was even invited to lunch at Mauro and Camilla's along with CSI's Arica VanBoxtel and Kyle Stanley. Mauro use to be professional soccer player in Italy's Seria A league and was a part of the Italian national team, gli azzurri, before he stopped playing and moved to Cagli where he met and married his wife Camilla. The two now own a small restaurant in town called Squaquà. If I have been getting better at Italian at all it is because of the conversations I have had with these two. We traveled to Camilla's parents house just a short ways out of the city for lunch and the view was beyond breathtaking.
For lunch we had pasta in a vodka sauce to start, then sides of prosciutto, sausage, pomodori (tomatoes), mozzarella, cetriolo (cucumbers) and pane (bread), and we finished with a dish of fruit with some gelato on top. This type of serving is very typical in the Italian culture. It is served one course at a time and you eat as slowly as you want. It's all about the enjoyment and not about the time. Our lunch lasted almost three hours with Mauro picking the three of us up at 12:30 p.m. and dropping us off at 3:00 p.m.
One of my goals this year was to become more comfortable with the Italian language (I am currently fighting the urge to post this entire entry in Italian). Because I am planning on minoring in the language this experience as a CSI has been even more helpful in my practice. Socially I have been able to help students converse with the locals which in turn has helped my use of conversational speaking. I planned our lunch with Mauro and Camilla Wednesday night and was able to talk with the both of them for almost two hours. Not only has this immersion helped with my speaking, though, but also with my overall knowledge of the culture.
But of course this amazing day did not end with a great lunch and beautiful view. For dinner just a short while later what else should we have but homemade pizza made by a few other local friends, Alessandro, Giacomo and Leonardo. We ended up making six different assortments of pizza and they were the best I have ever tasted. Maybe it's just the fact that everything tastes better in Italy but either way I was proud to say that I successfully tossed some pizza dough in the air without it sticking to the ceiling.
This day was not an everyday experience and the three of us agreed that we should take the popular phrase "YOLO" to heart with the time we have left. You only live once.
La Cultura
Wine is worldwide. Its origins have always been rooted in Italy, though. So, as part of the intercultural experience we of course had to try the best of the best. Then again what isn't the best in the historical land of vino? These wines we tried were specific to the region named Morro d'Alba. The vineyard, Azienda Agricola Stefano Mancinelli, is known for the production of the Lacrima grape. Here we had the opportunity to sample seven of the wines as well as the option to try grappa if we wanted. These wines, as described by signor Mancinelli himself are only made from the best grapes. "The quality of the wine begins with the quality of the grapes," he said. Now, grappa is a whole different story. It's described as a grape-based brandy type of liquor that holds a high alcohol content. Small sips were given and lets just say that I'm not a huge fan. Although, after living in Italy for two summers now I can say I've become a fan of wine. It's more than just a craft in the area, though, it's a tradition that continues to be appreciated among the nation.
Corpos Domini
This religious ceremony took place in Cagli on Sunday June 10, and is similar to America's Corpus Christi. Last year, when I was a student in the Cagli program, Corpus Domini fell on the Sunday after we had left. So, this year I was excited to get the chance to participate. We were able to help by lining the streets and piazza with flowers and herbs which the procession then walks over. Students used a mixture of green, yellow, red and white flowers and rosemary to make designs in front of one of the local barber shops and caffès.
The men of the group even got to participate in a more formal matter, carrying the procession canopy as the priest walked below to the towns 13 different churches. The ceremony was beautiful and the townsfolk were out and around in full force to help with the mornings festivities. And of course Arica VanBoxtel and myself had our own fun with the left overs after the festivities.
42 Hours In Cinque Terre
A little late to post but as you can imagine it's hard to describe the beauty of what literally translates to "the five lands". Cinque Terre, located just south of Genoa, lies along the Ligurian Sea. A mix of sheer cliffs, fresh sea air and hiking trails made up the variety of experiences I claimed as part of a perfect ending to my month long adventure in Italy with a great traveling partner and friend Arica VanBoxtel. We spent a total of about 42 hours discovering what the small coastline villages had to offer and I wouldn't have traded a second.
June 22, 2012
We started off the morning in Rome with breakfast and a quick trek accross the street with all of our luggage to Stazione Termini to catch a train to La Spezia Centrale. Four short hours later through a terrain of sea and mountains we found ourselves at our next stop looking to jump on the regional train to Manarola where our hostel, Ostello Cinque Terre, was located. It was about 4:30 p.m. by the time we had checked in, changed and set out to test out our surroundings. With such limited time why wait? Because it was already late the shortest and easiest hiking trail to Riomaggiore seemed like our best bet. This route between Riomaggiore and Manarola is known as the Via Del'Amore. Once in the town we took advantage of some Italian ice a seaside breez and, of course, meeting some new friends. These two just happened to be from Michigan State University - what can I say, Michiganders are everywhere.
Making our way back to Manarola Arica and I decided to indulge in a seat with a view and a drink along the trail at Bar & Vini "A Piè de Mà". For dinner we went to Trattoria Il Porticciolo where we took to the local seafood. We then ended our first night by taking in the nightlife with a walk down by the Ligurian Sea and the local bar La Cantina Dello Zio Barmante for a celebratory salute.
June 23, 2012
Day two started bright and early with a simple cappuccino and pastry breakfast at the hostel before we got on an early train to Monterosso, the northern most of the five cities. This was our day of relaxation and taking in the best Cinque Terre had to offer. Here we wandered for a bit before finding a beach. Our plan was to spend a couple hours in town and hike down to the next town, Vernazza. So at about 12:30 we took to the trail – the most difficult rout between the five towns according to our personal tour guide Rick Staves. It took about two hours, and being the frugal travelers we claimed to be we brought some bread, peanut butter and honey with us for a little picnic with a view.
That hike was one of the highlights of our trip. When we arrived in Vernazza we grabbed some gelato from Gelateria Vernazza, found a rock and jumped in to swim again. It was the most awe inspiring and relaxing day I had experienced in a very long time. We had our final dinner in Cinque Terre at Ristorante Belforte and watched the sun set before heading back to Manarola for a glass of the local wine and bed.
June 24, 2012
Our last five hours were spent in Manarola. It's small but still one of the most beautiful towns in my opinion. We woke up at 7 a.m., ate breakfast at da Aristide and went for a morning swim before checking out. This was by far my favorite part of our time in Cinque Terre. Swimming in the small bay of Manarola and watching the sun rise above the top of town behind us was the perfect ending to a much needed Italian seaside adventure.


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0 items
Super sharp forged wire finished in anti-corrosive black nickel. Special wide gape that will give unrivalled presentation to bulky baits like crab and squid. This has all the qualities of the extremely popular Manta Extra but features the special up-turned eye which makes it the perfect top hook for big pennel rigs when targeting cod, bass and ray both from boat or shore.
Size 6/0 - Box of 30 Hooks

subset: commoncrawl


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Evaluating Your Annual Taxes
This is the time of the year when taxes are paid. Most people are still feeling the sting. Not all operators wait till the end of the year to pay. Some make installment payments or remittances during the year (voluntary or mandatory). However, all good operators evaluate their tax liability for their prior year. It's not always an easy job, unless of course you didn't pay anything.
Looking at the total dollar figure and comparing it to your friend with the same type of truck and work ethic is not a very scientific method. There are just too many variables that can make thousands of dollars difference between the two. It's a little like judging the value of a truck by its shiny polished chrome; it can be very deceiving.
The chief indicator to determine tax liability or whether you have the right accountant is not the dollar figure you remit but the system that your tax preparer uses. The different reporting methods can produce as much as 80%+ difference. There are primarily three different systems: self-employed, incorporated and non-taxable benefits (which will also require incorporation).
In 2008 approximately 80% of all operators were self-employed. Today that number has declined considerably (with much different percentages in different provinces/districts). Since there are new operators getting into the industry all the time (5-15% of all operators turnover every year), many have not done adequate research on this issue.
For the sake of this article I will narrow my advice to legitimate methods and consultants, acknowledging that there are those "accountants" that simply lie/cheat or grossly misrepresent the facts to CRA. Though there are not very many of them, sooner or later (eventually) tax professionals get to see their work. When 80%+ of a firm's clients pay virtually nothing, tax professionals usually know what's going on. I once showed an operator his own paperwork as filed from a "cheater". It was virtually impossible to not see what they did. The light went on; the operator saw the lie but still chose to continue using "the cheater". In my 25+ years in operator tax preparing I have seen many (most) of these operators actually get away with not paying their fair share but I have never met one that (after 10+ years) was prospering. Many/most were in worse financial shape than they were before they started. In my opinion, dishonesty never pays off in the long run. I once asked my staff, 'what is the best policy at our firm'? I answered my own question by saying "…the policy implementing a 100% compliance to charging and remitting applicable taxes on all our revenue… no cash deals… no exceptions"
There are also many tax preparers who don't always follow the rules; they cut corners. For example, 80% of all operators do not prepare a personal vehicle log book for calculating the deduction of legitimate business travel. Under a tax audit this is called "low hanging fruit". The reason most firms do not submit one is the fear that operators would leave and find another firm who would "estimate" the percentage. Knowing this, most firms "allow" or even encourage these estimates. The firm is playing a game of "audit probability". Knowing approximately what number or percentage would flag an audit, they make sure the number submitted is within "reason" to appease a potential auditor. Every professional tax preparer knows (or should know) that log books for personal vehicles are mandatory. Failure to produce one at the time of audit may be catastrophic (depending on the diligence of the auditor and/or the sweet-talking ability of the accountant). I have met many operators who have been re-assessed on this issue… however I have probably met many more who have not (and have been estimating for decades).
Another example of not following the rules or cutting corners is using the simplified method (days gone X $51.00 or meals gone X $17.00) as a self-employed option. This corner cutting also falls under the regulation verses industry practice conflict but has one more twist. Depending on where you live in Canada, some auditors allow it while others do not. I have even seen it depend on which auditor is assigned rather than where you live in Canada. If a firm desires to follow the rules and guidelines precisely they should be asking the operator for meal receipts (if they are self-employed). Not asking for them means the firm is playing the "audit probability" game. The rules in this issue are slightly better for the firm but are still vulnerable to the IC73-21R9 (both the employer and employee must sign the TL2 in order to use the simplified method).
The best tax results will always come from the non-taxable benefits. Though it can only be used if an operator is incorporated, certainly not all incorporated operators use non-taxable benefits. Most tax preparers use the simplified method ($51.00 per day) for their incorporated clients. Though it does "legitimately" save about $2500-$3500 over the self-employed method, it just barely covers the additional costs of maintaining an incorporated company.
The non-taxable benefit system saves an average of $10-12,000 per year in taxes (per driver) over the legitimately filed self-employed method. It does have higher accounting fees than the self-employed method but it generally returns between 500-600% on your investment. Depending on the cost of filing your self-employed year, it may return as high as 900%+ every year. It's an investment that is well worth investigating.
So when evaluating your annual tax liability, look less at the figure you paid and more to the system your tax preparer used.
About the Author:
Robert D. Scheper is a leading Accountant and Consultant to the Lease/Owner operator industry in Canada. His first book in the Making Your Miles Count series "taxes, taxes, taxes" was released in 2007. His firm exclusively serves Lease/Owner Operators across Canada. His second book "Choosing a Trucking company" is the most in-depth analysis of the operator industry available today. He has a Master degree (MBA) in financial management and has been serving the industry since he and his wife came off the road in 1993. His dedication, commitment and strong opinions can be read and heard in many articles and seminars.
You can find him and his books at www.makingyourmilescount.com or 1-877-987-9787. You can also e-mail him at email@example.com.
Robert D Scheper operates an accounting and consulting firm in Steinbach, Manitoba. He has a Masters Degree in Business Administration and is the author of the Book "Making Your Miles Count: taxes, taxes, taxes" (now available on CD). You can find him at www.thrconsulting.ca and thrconsulting.blogspot.com or at 1-877-987-9787. You can e-mail him at: email@example.com.


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Tag Archives: Triduum
Paschal Triduum Message 2018
Dear Friends in Christ, With the Evening Mass of the Lord's Supper on Holy Thursday, we begin the most holiest days of the year called the Paschal Triduum. During these days, we walk with Jesus on "the way of love", … Continue reading
Posted in Holy Week, Lent, Missal, Paschal Triduum, Uncategorized Tagged Holy Week, Liturgical Reflection, Liturgy, Paschal Triduum, Sacred Triduum, Triduum Leave a comment
Triduum Holy Thursday: Celebrating Eucharist, Priesthood and Love
Holy Thursday begins the climax of the Liturgical Year which we call the Triduum. The word Triduum means three days. The Triduum begins with the Evening Mass of the Lord's Supper on Holy Thursday and ends with Evening Prayer II of … Continue reading
Posted in Catholic Reflection, Catholicism, Christian, Church, Eucharist, Holy Week, Lent, Love, Paschal Triduum, Pope Francis, Priesthood, Uncategorized Tagged Eucharist, Evening Mass of the Lord's Supper, Holy Orders, Holy Thursday, Holy Week, Jesus, Love, Mass, Pope Francis, Pray, Priest, Priesthood, Sacraments, Servant, Serve, Triduum, Virtue of Love, Washing of the Feet Leave a comment


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This week has been pretty overwhelming news wise. I feel so small only being able to sit in my home and simply watch the compounding tragedy in Japan. I can't even begin to fathom what those people are going through. I'm so thankful my family and friends are safe at this moment.
Instead of focusing on the bad, I thought I'd try to offer my small hand at some good, in way of help for those suffering.
Some authors are gathering together to help Japan. Here is a link to Rachel Harrie's new blog, Write Hope. I know I've seen others, if anyone out there has links, please add them in comments.
Incubus (the band quoted above, btw), has the incredible Make Yourself Foundation set up to help all sorts of great causes. It's no surprise that almost immediately, they updated their page to include donations to aid Japan.
I also thought I'd share some awesome author news that's been happening all around the blogosphere and beyond.
Carolina Valdez Miller and a Compuserve forumite, Beth, acquired agents. Yay! for them. It's so well-deserved!
Kristen and Linda G., both got book deals. Not only book deals. They both got two-book deals. Huge, massive, giant congrats to both.
Beyond the depression that has consumed me, I've had a busy/stressful time with a bunch of other things this week so I haven't been around to the blogs. I should be back on Monday. You've been warned ;-)
Please friends, share some more good news, or helpful links, in the comments. And have a super-terrific-safe-awesome weekend!
19 comments:
- Alex J. Cavanaugh said...
Did you hear about the Japanese college student in California? She couldn't reach her family who lived in one of the towns destroyed by the tsunami, and then she saw a video on YouTube of her mother holding a sign that said 'we are safe' and calling out to the news reporter to tell her daughter in America the family was safe? Thought that was an amazing story.
- March 17, 2011 at 7:28 AM
- Old Kitty said...
I'm sorry you're feeling low. I hope the coming weekend will ease things a little. Do take care. Besides what happier news is there than the weekend is nearly upon us! :-)
Take care
- March 17, 2011 at 8:10 AM
- Linda G. said...
Aww. *hugs* I know what you mean about feeling overwhelmed with the news from Japan. I too have a tendency to hole up and hide when the news in the world is to tough to handle. It sometimes takes me a while to process the bad stuff.
But thanks for the congrats & link to my blog. I'm still a bit overwhelmed by that news, too, though obviously in a much better way. :)
Take care.
- March 17, 2011 at 8:54 AM
- Tara said...
I hadn't heard that, Alex. Thanks for sharing!
Kitty - Ah. The weekend. Even better, hubby is taking the kids to our cabin for the weekend, so it will all about writing [in peace] for me. Sweet!
- March 17, 2011 at 8:54 AM
- Tara said...
You're welcome, Linda. I'm beyond excited for you :)
- March 17, 2011 at 8:56 AM
- welcome to my world of poetry said...
I am sorry Kitty you're feeling down, sure it was a terrible disaster but they are still finding people alive, someone from Scotland was found yesterday.
We all must have hope, without hope what is left.
- March 17, 2011 at 8:58 AM
- Anne N Kenny said...
I'm sorry you're down in the dumps. I know seeing all of the bad news is hard to take in. :( If it makes you feel any better, I LOVE Incubus. They were my favorite band in HS.
- March 17, 2011 at 9:06 AM
- Zan Marie said...
Hang in there. One of my buddies and I have a code for helping each other cope with depression--read one note of the music at a time. You can't sing more than one, so let your mind concentrate on what's in front of you. The weekend is near. ; )
- March 17, 2011 at 9:48 AM
- Angela Felsted said...
Thanks for the links to help with Japan. And I hope you can get out again soon.
- March 17, 2011 at 10:14 AM
- Alleged Author said...
Awww...get better! Always hard to read bad news and let it overflow into your life. Maybe you should read some Shel Silverstein poems. :)
- March 17, 2011 at 10:34 AM
- Angelina Rain said...
It really is a tragedy what happened. So many lives lost and many more destroyed. It's heartbreaking to watch it on the news. I can't imagine what it's like for the Japanese people.
- March 17, 2011 at 10:53 AM
- Lola Sharp said...
I know. I wept for an hour straight last night...husband was unable to console me. (brought on by CBS evening news...I was tearful watching it, but then they showed these two abandoned, injured dogs cuddling, and I lost my shit.)
I think the way to handle the sadness and grief over the devastation is to:
1) Give to the red cross and humane society, etc., earmarked for Japan. Even $5 can make a difference. (we've given a couple hundred so far, but I plan to also bid in the auction, etc. to help further)
2) Use this tragedy to gain fresh perspective...life is short. Sometimes we don't know just HOW short. Thus, LIVE LIFE FULLY, enjoy the little things, let people you love KNOW how much you love them. Do the things you've been meaning to do...the more spectacular the better.
3) Send Japan lots of positive energy, thoughts and prayers.
Also...CONGRATS to Linda and Carol and all our friends with good news. :)
Know that I love you, my friend.
- March 17, 2011 at 11:17 AM
- Carol Kilgore said...
Where to begin.
Here's a link to where authors can help: http://authorsforjapan.wordpress.com/
Also suggest your giving be to large established groups who have the means to distribute aid. Or whose aid mission is PLAINLY stated. I've heard a lot of tales of scams this week. Don't be a victim.
Like many others, it's been difficult to focus this week, but at least I've been a bit distracted because it's Spring Break Week in Texas.
Congrats to those with new agents and book deals. Yay!!!
- March 18, 2011 at 10:40 AM
- Erica Mitchell-Spickard said...
It is so tragic, and is effecting people in different ways. I'm sorry your feeling so down. I got this way A LOT and was very conflicted as my husband went to war three times. The amount of tragedy he saw that the news doesn't cover (thankfully) was so much to take on and I had such a bleeding heart. All we can do is help where we can and thank you for all the links. I hope you have a better and happy weekend!
- March 18, 2011 at 11:33 AM
- Jemi Fraser said...
It's so sad - I immediately donated to the Red Cross because they always do such an amazing job in these kinds of horrific situations.
Alex's story gave me absolute chills!
- March 18, 2011 at 12:03 PM
- LTM said...
((hugs)) to you, and hang in there! You have a wonderful weekend--maybe get outside? <3 xoxo
- March 18, 2011 at 12:41 PM
- Faith said...
I'm with the other commenters... it's so easy to get caught by the tragedies in the world that we sink into the sadness and forget that there are still good things happening. I'm not saying ignore the bad things -- that would be worse, in some ways -- but remembering that there are people doing good in the midst of tragedy, and you can help, may ease some of the sadness.
Hope your weekend is lovely :)
- March 19, 2011 at 9:40 AM
Hope you're having a nice weekend. :)
- March 19, 2011 at 5:48 PM
- Deniz Bevan said...
Hope you're having a better weekend, Tara!
- March 20, 2011 at 2:13 PM


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While Liverpool's pursuit of defender Virgil van Dijk hit a sudden roadblock over irregularities and non-compliance of rules, the same in the case of Mohamed Salah seems to be highly unclear.
While the Reds and their boss Jurgen Klopp have shown keen interest in the winger for quite some time now, Roma warned Liverpool against initiating talks for his transfer, with their coach Eusebio Di Francesco insisting very dramatically that Roma is "not a supermarket."
With 19 goals and 15 assists in all competitions for his club last season, Salah has been on target for many top clubs, while Liverpool's initial £28 million bid for the player's signature is said to have been rejected.
But Liverpool fans would be happy to note that a presenter on middle east-based channel Bein Sports, who have been quite reliable with their info on this transfer, claimed that the Egyptian is close to signing for Merseyside outfit with a photoshopped image of Salah in the new Liverpool home kit.
Not content with that, the presenter went on to solidify his claim by adding that Salah will be a star at Anfield in no time.
The Egyptian winger could actually turn out to be just what Liverpool need for big challenges next season. If the presenter's prediction comes true, that is.
Check out @Afouad2020's tweet below –


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Glow in the dark paper turns ordinary paper craft projects into stunning creations once the lights are off. Cut glowing paper into shapes such as ghosts or bats for a Halloween banner, or a series of stars for your own starry wall or ceiling. Glow paper may be made with any color of paper such as construction paper for separate daytime and nighttime appearances; one side glows, the other is the original paper color. Create your paper shapes ahead of time to avoid wasting the glowing powder that transforms your project.
Things You'll Need
- Wax paper
- Paper, such as orange construction paper
- Scissors
- Shallow disposable container
- School glue or decoupage medium
- Glow powder
- Craft stick
- Foam brush
Video of the Day
Step 1
Cover the work surface in wax paper. Place the project paper atop the wax paper.
Step 2
Cut the paper into shapes, if desired, to cut down on the quantity of supplies needed to make the paper glow.
Step 3
Squirt some school glue or decoupage medium into a shallow disposable container, using enough glue to give the paper a thin coating.
Step 4
Charge the glow powder ahead of time by placing it near a light source for at least 20 minutes.This will make it easier to tell when you've added enough powder to your glue solution. Sprinkle some of the glow powder into the glue or decoupage medium in the disposable container. Stir with a craft stick until the powder is thoroughly mixed in. Turn off the lights or cup your hands over the bowl and look closely at it to determine if the liquid glows completely; if not, add more glow powder and stir it in again.
Step 5
Coat one side of the paper with the glowing school glue or decoupage medium, using a foam brush. Keep the coating thin and smooth to make it less obvious on the paper. Allow the paper to dry completely. Apply a second coat, if desired.


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26 Jan 2018
Note: This article is part of Morningstar's 2018 Portfolio Tuneup week. A version of this article previously appeared on April 6, 2017.
The past few decades have brought huge challenges for retirees and pre-retirees: two market crashes, the ebbing away of pension plans, and dramatically declining interest rates.
Christine Benz does not own shares in any of the securities mentioned above. Find out about Morningstar's editorial policies.


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Presbyterian Support Otago is delighted that all eight of our Enliven Homes have achieved four-year certification from the Ministry of Health. This is the highest level of certification status given to care homes in New Zealand.
This achievement has been reached following recent audits of three Enliven homes in Otago. These are Ross Home in Dunedin, and Elmslie House and Aspiring Enliven, both in Wanaka. Our other five homes also have four-year certification from audits in recent years.
Of the 70 care homes in the Otago and Southland area, 17 have four year certification and just under half of these are Enliven care homes.
"Four-year certification confirms that Enliven homes consistently provide service and care over and above sector standards, set by the Ministry of Health. It speaks volumes for the calibre of over 650 very committed staff, and the dedicated contribution of countless volunteers, in our homes," said Maurice Burrowes, Enliven Director.
"Achieving four-year certification has been a key area of focus for the Enliven team over the last decade. To achieve this has taken a real team effort from our staff and volunteers in all areas of our homes, along with regional support staff. We are very proud of our team."
Having all eight of our care homes at four-year certification is a phenomenal result. This is significantly ahead of certification rates for the rest of the sector, who average approximately 20% of their homes recognised with four-year certification.
"This recognition follows public acknowledgment of Presbyterian Support Enliven services, when we were named Most Trusted Brand for Aged Care and Retirement Villages earlier this year."
"All of our Enliven homes in Otago continue to see high levels of interest from potential residents and we always have names on our waiting lists. Residents and their families regularly provide feedback confirming high levels of satisfaction with the quality care and support our teams provide," said Mr Burrowes.
Enliven care homes provide accommodation for up to 468 residents at rest home, hospital and dementia level care.


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MIzuna Mustard Pesto
3-4 heaping handfuls mizuna
1-2 cloves garlic
1 cup sunflower seeds
1 cup olive oil
Salt to taste
- Grind sunflower seeds and garlic in a blender or food processor until mixture has a uniform consistency. Pour mixture into a bowl and set aside.
- Pour oil into blender or food processor. Blend mizuna with oil one handful at a time, until the mixture has a smooth texture.
- Mix the mizuna oil and sunflower seed/garlic together. Enjoy on crackers, pasta or sandwiches.


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American Pride Painting & Remodeling
Write a Review
All Reviews
Dianne T.
2 weeks ago
Quick and good
Paul responded very quickly to my request for a painter. He came out and had the estimate done the next day. He showed up the next day. His work is quick, good and reasonably priced. I will definitely use him again.
Lynette G.
4 months ago
Wonderful job..
Paul did a fabulous job painting the outside of our home. His prices was very competitive. He is professional, friendly and a perfectionist. He makes sure everything is done just perfect down to the smallest details. I would recommend him to anyone.
Vicki G.
8 months ago
High quality service, professional and friendly
Paul did a wonderful job. The complete inside of the house needed to be repainted as well as the patio lanai. Paul was very easy to work with and the job was finished earlier than expected. Will definitely call Paul again for any painting needs in the future.
Lance H.
9 months ago
Takes pride in his work
Paul did an outstanding job painting our house. He was here everyday until the job was done. He takes his time and takes pride in his work. He is also very affordable!
Diana e.
10 months ago
Professinal and friendly
Paul is friendly ,on time neat and clean A great painter! I would and have recommended to my neighbors.
10 months ago
Excellent contractor - the business name fits
After seeking estimates from quite a few painters, I settled on American Pride and am glad I did. Paul shows up when he says he will and is a very hard worker, with a great sense of humor. He's just a good guy. He painted my 2 story townhouse and I could not be happier. He offered some advice on paint type and finish which I took and I have to admit my cold, stark white walled house turned into a warm home and looks spectacular. Can't wait to hire him again to work on my cabinets! You can't go wrong with Paul!
Brenda & Jack W.
10 months ago
Perfection !
I could not be happier with the work that Paul completed in our home . He painted two bedrooms and a bathroom and his work is absolute perfection ( I am VERY particular ! ) his prices were fair and when there was a slight mix up he immediately fixed the problem and completed the job promptly. It's so rare these days to find someone who takes pride in their work and gives 100%- American Pride certainly does . We are excited to have Paul paint the rest of our house . We highly recommend this outstanding local company for all your painting needs - you won't be disappointed!
Steve S.
11 months ago
Great Company
Paul's company American Pride came out to our condo gave a very reasonable quote for the painting of our living room, dining room, kitchen and hallway. He put us on his calender, stuck to that date, showed up and needless to say he did a fantastic job and actually went beyond what we ask for. We even asked for some last-minute painting of a bath ceiling which he did without hesitation..... can't thank you enough Paul.... look forward to hiring you again!
Angela R.
1 year ago
Highly recommend Paul. He did a great job painting our home. Was very professional, worked quickly & exceeded my expectations. Will use American Pride for my future projects.
Bill F.
1 year ago
good to have an honest contractor around!!
Paul did a fantastic job staining our 2 story house. Was on time and his quality and focus on details was what we were looking for! He works hard and is thorough and on time. Very dependable!! Thanks Paul!! Bill Freeman


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An adorable baby red panda that suffered horrific neck injuries has a second lease on life, thanks to a plush toy and a Sydney zookeeper.
Maiya, a two-month-old red panda cub born at Taronga Zoo, had to be separated from her inexperienced mother when she was a few weeks old, after she was injured while being carried in her mum's mouth.
She received urgent veterinary care for the neck wound and is now being cared for round-the-clock by keeper Tamara Gillies.
Maiya has also been given a plush red panda toy, which she snuggles while feeding and sleeping.
"She's definitely a little survivor," Ms Gillies said.
"She's guzzling down her milk formula, she's gaining weight every day and the wound on her neck has almost completely healed."
Ms Gillies said it was not uncommon for red panda cubs to be injured as mothers often carry cubs by the scruff of their neck.
Zookeepers are hopeful little Maiya will soon return to her parents' care, with steps underway to re-introduce her to them.
"It's good for her to be comfortable around us, but we want her to maintain the natural behaviours of a Red Panda and hopefully grow to raise cubs of her own," Ms Gillies said.
Red pandas are classed as endangered due to poaching and habitat loss in Asia and less than 10,000 are thought to remain in the wild.


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Action Figure Universe
Star Trek: NV/Phase II - Blood & Fire
Blood, Fire and... Soapboxes?
Revised April
12, 2012, by Will HooverMore recent episodes of Star Trek: New Voyages/Phase II, such as the heavy
handed, David Gerrold helmed Blood and Fire - Part 1 (Episode 04) and Part 2 (Episode 05), have been much less satisfying than some of the first installments of the show, yet the final stages of the five
year mission promised in the original series are definitely still unfolding (as web series creator James Cawley has intended), with several more episodes, still currently in production, yet to be released.Visit the Orion Press web page to get an accurate, up to date and, I believe, quite fair and unbiased overview of the much lauded web series' progress thus far.
Blood and Fire:
Parts I and II are disastifying, NOT because of the subject matter the otherwise talented Mr. Gerrold chose to tackle in his two
part episode (that was originally rejected as a Star Trek: The Next Generation script by Gene Roddenberry himself, by the
way), but simply the way he chose to deal with it.Perhaps if a number of the scenes in both parts of the story
had been executed better, and some more gratuitous scenes had been trimmed (not for the sake of censorship but for sheer sensibility
and attention to the actual PLOT of the show itself), Blood and Fire might have worked a little better overall.
As it is, mostly
poorly delivered lines such as, "He's not human. He's James T. Kirk," "You are in my way"
and "You just wanted to get my shirt off," don't lend much credence or believability to the production.
But then, that may be why having George Takei and Walter Koenig guest star in previous installments made those two particular
episodes work so well for so many fans who, like myself, were initially on board - despite the show's long standing reputation
for bad acting.
Whatever the case
may actually be, I certainly hope that the lengthy opening tribute (diatribe?) that appears at the beginning of the first
act of Blood and Fire isn't referring to anyone the producers of the episodes may have ever known in particular.The AIDS Epidemic is definitely serious and should always have been taken as such from the very beginning, but to use inflamatory and
accusatory words like, "inaction," "hypocrisy" and "cowardice" in what should otherwise
be a hearfelt tribute statement at the beginning of a fan produced Star Trek episode...? Hmm....That's
only the beginning actually. In fact, both parts of the story feature much stronger language in dialogue than previously
seen in any incarnation of a mainstream Star Trek production that I can personally ever recall.
"Bones, you
sanctimonious bastard!" Cawley's Kirk sneers furiously at the ship's chief medical officer in
part 2 and McCoy (played by John Kelley, whom I was really beginning to like, before I saw his character become
so blatantly abrasive in this episode) is no slouch either when it comes to insults and a meaness that, sorry...
seems to go much, much too far, and certainly way beyond the pale in comparison to DeForest
Kelley's more tempered and consistent portrayal of the good doctor.
Admittedly, the chief
medical officer of the original series was often a pretty grumpy, even volatile guy, but he was far from
being cruel. And at least the producers of the classic show (and all the subsequent movies the character
appeared in) seem to have had the good sense to never let the good doctor's fits of anger border on blatant rudeness
and verbal abuse.Yet the Leonard "Bones" character in Blood and Fire is especially abrasive,
particularly when admonishing Peter Kirk's medical technician lover Freeman, in a particularly
over the top scene set in Enterprise Sickbay. "Freeman, you move too long in one place." Phase II McCoy hurtles
even more frequent verbal putdowns at his young female medical assistant, disparagingly barking, "Fontana,
go heal something." Ouch!
Despite the fact
that the sets, props, costumes, effects and music all seem flawlessly authentic, while watching Blood and Fire, one may be
left wondering, 'Is this REALLY supposed to be Star Trek?' Or is it something else entirely?Personally,
I may have been able to stomach Ronald D. Moore and David Eick's more "adult," sometimes even
seedy and at times needlessly graphic revamp of Battlestar Galactica, but I'm not so sure that I really want to see THAT happen to classic Star Trek. Yet, such decidely
dark frontiers is where the Star Trek: Phase II web series unfortunately seems to be headed. If Blood
and Fire is any indication, that is.
All in all, without
the addition of wonderfully gifted original series alumni (and perhaps someone to mind the store in their absence), I'm
afraid episodes 04 and 05 of Star Trek: Phase II simply fall short of the mark. And even the addition of Star Trek veteran
special guest stars such as Denise Crosby and Bill Blair do little to help either installment along.In fact, prior to catching Blood and Fire on the Web, I was
a big fan of the show. Now, not quite as much. And I can say with certainty that my appraisal of the
fan produced project has absolutely nothing to do with the overriding theme of acceptance of homosexuality that Gerrold clobbers
us over the head with in his single minded two parter, that might actually just be summed up by invoking the tried and
true old adage; "Too much, too little, too late."
Gay rights are one
thing, but Blood and Fire: Parts 1 and 2 collectively come off as little more than an excuse to comment on... just
exactly that, with not much more real story driven substance or appeal to offer fans of other persuasions that may actually have
rights to self expression of their own.And that's kind of sad, coming from a man that I have always
respected and admired very much, having written one of the finest original Star Trek series episodes ever made, the perennial
fan favorite, The Trouble with the Tribbles.
In any case, my dissatisfaction
is certainly not with David Gerrold himself, since I greatly admire his passion and courage in mounting such an ambitious
production. In fact, I sincerely believe that Mr. Gerrold is a fantastically gifted creative force in
the entertainment industry, and I hope he continues to be a major contributor to not only Star Trek Phase II, but
to any and all future Star Trek productions. Naturally, the same can be said of the talented and always industrious James
Cawley, without whom, the show wouldn't exist at all.Although webisodes 4 and 5 may have fallen
a bit short of the mark, overall, the New Voyages/Phase II series and most aspects of its execution over the years since
its inception, have been nothing short of truly remarkable. That said however, Blood and Fire Parts 1 and 2 seem
to serve as a stark lesson of what can happen when a fan generated production of this nature is given far too
much latitude to perhaps too freely re-interpret the original material.
But don't just
take my word for it. Visit the Star Trek: New Voyages/Phase II website and download Blood and Fire Part 1 and Part 2 for yourself. You can also watch both webisodes online, or view any other installment in the series you
may not have yet seen. If you have seen them all, you can always watch 'em again or look for updates about
upcoming productions.The one to watch right at the moment is S04E08: Kitumba, which is also currently streaming online. The New Voyages website is quite well done and features
a collection of truly impressive posters, desktop wallpapers (the link to which was down at the time of
this writing) and even a beautifully illustrated eMagazine companion. So... what are you waiting for? Energize!


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1Remove silverside from packaging, rinse, place in slow cooker
2Slice each lemon and lime in half and add to slow cooker
3Pour over 1.5L sparkling mineral water
4It's ok if it doesn't completely cover the silverside. I turn mine over half way if I'm home. I don't worry if I don't.
5Cook on high for approx 6-7hrs
Sides (optional)
1Peel/wash vegetables of your choice.
2Place them in an over bag.
3Tie bag and pierce at top as per oven bag instructions to allow venting.
4Slowly submerge the bag gently into the slow cooker beside your silverside at the desired time remaining (below), leaving the pierced area and tie above water level.
5Times: Hard vegetables like potato, carrot, sweet potato etc add bag 3hrs prior to silverside finish time. Soft vegetables like zucchini, asparagus, broccoli etc add the bag approx 1hr prior to silverside finish time. You can add multiole bags if they fit 🙂
6Check vegetable tenderness to be sure it's done to your liking.
Submitted by Paulene Christie
0 Reviews
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The Corona del Mar High girls' soccer team clinched its second straight outright Pacific Coast League title on Tuesday, without playing a game.
The Sea Kings (18-1-1, 7-0 in league) will be in first again after University beat Beckman, 1-0. Beckman and Northwood are both tied for second at 4-3-1 in league, but neither team can catch CdM.
CdM is ranked No. 6 nationally by ESPNHS, as well as No. 2 in the state. The Sea Kings are also No. 2 in the CIF Southern Section Division I coaches' poll, and Coach Bryan Middleton said his team needs to win its last three games in league to make sure it secures a seed in the playoffs.


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Why Register in Driving Lesson in Ireland?
Being a responsible driver needs you to know adequate info and have certain skills. Not only that, possessing the perfect behavior and attitude towards driving is also imperative. Due to this, top driving schools make sure that there will be theoretical and practical trainings in lessons offered. Relevant materials and also several types of vehicles are offered in order to help students get license the soonest time possible. Having these things will make you equipped for the trials of driving.
What to anticipate from Your Driving Lessons
Under the law, taking the Essential Driver Training is now compulsory for those who want to learn how to drive. New drivers can benefit with this structured training since it helps them improve their skills on safety driving. The road safety in Ireland has made better by making EDT compulsory. The 12 EDT syllabus, wherein there are 12 trainings at one hour each participated by students are followed by trustworthy training centers.
The person who is experienced in road safety and regulations is called an Approved Driving Instructor, or ADI. If you'd like to have driving lessons in Ireland, these are the only pros who are accredited to be your instructor. You'll be learning to drive in Ireland successfully with an ADI at your side, it's because they will be closely observing you throughout every session aside from managing your lessons. These instructors also have outstanding skills to make any student into a great and efficient driver. After you are through with your lessons, you can take are supplementary lessons with your ADI if you'd like to be better at driving.
Things to Perform Before Driving test
It is important to have a learner's permit. Obtaining that however will need you to pass the Theory Test. This is the reason why many driving schools provide their students practice tests for better chances of passing. The required materials will be offered by the institution too. Remember to take your driving lessons in Ireland seriously. It is also necessary to listen to your ADI because they can correct your errors, may it be technical or behavioral errors. By doing so, you won't have trouble in qualifying the Practical Test.
In your driving practice, having a sponsor is also great. It is because constant practice is necessary when learning to drive in Ireland. It is a great help to have a sponsor while you are practicing. You can opt for a family member instead or somebody who is very skillful at driving to be your instructor. It is also important to read reviews regarding the driving school you are thinking about. By this, you will make certain that you will have one that is worth your time and cost.


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* Real name ''Giuseppe Prestipino Giarritta'' is a Italian arranger, composer, conductor, record producer, bass player,music productions for the italian television.
Pino Presti was very young when he first entered the music business. He started as a bass guitar player, than gradually began as an arranger, composer, orchestra conductor and record producer. Among his collaborations in different genres of music like jazz, pop, funk, soul, and Latin music are Mina (the most famous Italian pop singer), Gerry Mulligan, Astor Piazzolla, Quincy Jones, Wilson Pickett, Shirley Bassey, Franco Cerri, Maynard Ferguson, Stéphane Grappelli, Shirley Bunnie Foy, Aldemaro Romero and Tullio De Piscopo. He is considered one of the most important Italian arrangers/conductors.
Alto Saxophone – Attilio Donadio (tracks: A1)
Arranged By, Electric Bass, Conductor, Producer – Pino Presti
Backing Vocals – La Bionda
Baritone Saxophone – Sergio Rigon
Congas – George Aghedo
Congas, Percussion – René Mantegna
Drums – Ellade Bandini
Electric Guitar, Acoustic Guitar – Andrea Sacchi, Claudio Bazzari, Massimo Luca
Guitar Synthesizer – Alberto Radius
Harmonica – Bruno De Filippi (tracks: B5)
Harp Guitar – Riccardo Zappa (tracks: B6)
Lead Vocals, Written By – Ronnie Jones (tracks: A3)
Organ, Synth, Piano – Alberto Mompellio
Photography By – Karin Hemp
Synth, Marimba – Alberto Baldan Bembo
Tenor Saxophone, Flute – Giorgio Baiocco
Trombone – Gianni Caranti
Trumpet – Fermo Lini, Giuliano Bernicchi
Violin – Arturo Prestipino, Sergio Almangano, Umberto Benedetti Michelangeli
Tracklist :
A1 Smile
A2 L'Estate Di Laura
A3 Funky Bump
A4 Aspettando Il Giorno
A5 Aghedo Asanwonyi (Preghiera Nigeriana)
B1 Angie (Sorpresa Di Un Mattino)
B2 E Se Non Arrivasse
B3 C .so Buenos Ayres
B4 Firefly
B5 Sunny
Bonus Tracks :
1) Funky bump (Long version)
2) Disco Shitan (Part 1 & 2)
Style : Jazz,Disco,Funk/soul,Jazz,Stage & Screen,Instrumental/Orchestral
Buy Vinyl :


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The real remedy of tension - Positive Thinking
By mallu30
@mallu30 (463)
May 5, 2011 6:06am CST
Thinking is an integral part of our life. We cannot do anything without thinking and most of the time negative thinking brings tension which is the root of all diseases. Thinking is a great art. If you let your thoughts run unconstrained, they may damage your present happiness by opening the past chapter of your life which may be bitter or getting into future which is unknown and uncertain. Thus it may turn your life into a miserable one. The most important journey you can take is the journey within. This is a journey to the truth of who you really are. This is the place, just beyond everyday consciousness, to choose creative thinking rather than automated thinking, response rather than reaction, peace, love and harmony rather than stress, conflict and chaos. There is a story of an engine driver who was always in cheerful mood and positive in thinking. He used to see the brighter side of every affair. One day, he met with a serious accident. A car ran over him. One of his legs was seriously injured and it had to be amputated. His friends thought, "Now he will not see the bright side of life". They went to meet him in the hospital, but it was a great surprise to find him in the same cheerful mood. It was he who consoled the visitors rather than being consoled by them. He said smilingly "Now I have to buy and clean only one boot. So it will save both my money and time". Thus, we can solve our problems jut by maintaining a heallthy and positive approach to life thereby keeping our mind balanced. Nowadays, we invite tensions as a result of which many chronic diseases, such as diabetes, depression, frustration, heart disease, hypertension, etc., have erupted. Under tension which has become almost traumatic nowadays, we cannot take proper decision and are unable to distinguish between right and wrong. If we think positive, we can do good deeds and our outlook becomes positive. Peace, happiness and contentment are eternal gifts. A poor man also may be happy and he may lead a tension-free life if he has developed contentment in life. Hence, the answer to the question - 'what is the solution for removing our tension?' is very simple. If we begin our journey within and realize that in this world, we have nothing to lose but we are sure to receive 'what is allotted to us' in terms of our actions that we take - this frame of mind will help us to overcome tension.
1 person likes this
1 response
@Professor2010 (20201)
• India
5 May 11
Hi mallu, welcome to mylot Cograts for this nice discussion. I agree with your views on thinking. In my opinion tension, stress, sadness are part of our life, like happiness, joy etc, So let us take things lighly, we will be happy, stressfree soon too. Thanks for sharing Cheers. God bless you, have a nice day ahead. Professor 'Bhuwan'. .


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This motion Discover More activates the pores and skin's purely natural wound therapeutic course of action by releasing fibroblasts and growth factors that build collagen and elastin.


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Last Thursday I travelled down to London to celebrate the 10th birthday of my publisher, Legend Press. The celebration party was held in the Warren Room of the Radison Blu Edwardian Grafton Hotel, the setting of their first ever book launch party.
Legend have achieved an awful lot during their ten years in book publishing. In 2011, they were shortlisted for the Independent Publisher of the Year and this year they had two books longlisted for the prestigious Baileys Prize.
Managing Director Tom Chalmers gave a humorous speech on his idea for a collection of short stories and an internet shop under his flat which sparked the idea for the publishing company that exits today, while behind him pictures of book launches and author events across the last decade were displayed on a wide screen.
It was lovely to be a part of the celebrations and meet members of the publishing team that I hadn't already met, and also to meet some of the other authors like Bea Davenport and Kat Gordon, who I've got to know so well online.
A fun packed evening full of wine (and lots of cake!) was had by all. You can find more details on their tenth birthday celebrations on the Legend website. In the meantime, here are my highlights in pictures (as usual, please excuse my poor photography):


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African Drylands Institute for Sustainability
College of Agriculture and Veterinary Science
University of Nairobi
P.O. Box 29053 00625
Nairobi , Kenya
Email:firstname.lastname@example.com /firstname.lastname@example.com
Tel: 254-020-2133086
Fax: 254-020-632121
The pasture week aimed to inaugurate pasture production demonstrations- land preparation and broadcasting of the grass seeds
Farmers learning to construct a semi-circular band, a micro-structure for rainwater harvesting and conservation in Wajir County
National Dialogue on Policy Frameworks for Climate Change Adaptation, Disaster Risk Reduction, and Rangeland Management and Governance in Kenya's Rangelands
|Dr. Stanley Khainga Ominde Publications
|Free Flaps In A Resource Constrained Environment: A Five-Year Experience-Outcomes And Lessons Learned.
Click to View Abstract
Introduction. Free flap surgery is a routine procedure in many developed countries with good surgical outcomes. In many developing countries, however, these services are not available. In this paper, we audit free flaps done in a resource constrained hospital in Kenya. Objective. This is a five-year audit of free flaps done in a tertiary hospital in Kenya, between 2009 and 2014. Materials and Methods. This was a prospective study of patients operated on with free flaps between 2009 and 2014. Results. A total of one hundred and thirty-two free flaps in one hundred and twenty patients were performed during the five-year duration. The age range was eight to seventy-two years with a mean of 47.2. All the flaps were done under loupe magnification. The overall flap success rate was eighty-nine percent. Conclusion. Despite the many limitations, free flaps in our setup were successful in the majority of patients operated on. Flap salvage was noted to be low due to infrequent flap monitoring as well as unavailability of theatre space. One therefore has to be meticulous during surgery to reduce any possibilities of reexploration.
|Dual Omental Flap In Obliterating Post-pneumonectomy Bronchopleural Fistulae
Click to View Abstract
Background: Post-pneumonectomy bronchopleural fistulae is associated with high mortality and morbidity. The omental flap has been widely used to manage this condition either through laparoscopic or open surgery with varied degrees of success. We present a modification of the omental flap by using two flaps of the omentum in obliterating the bronchopleural fistulae. Objective: To evaluate the effectiveness of dual omental flap in obliteration of postpneumonectomy bronchopleural fistulae Design: A prospective clinical study. Setting: The cardiothoracic unit at the Kenyatta National Hospital between January 2010 and December 2013 . Subjects: Five patients with post-pneumonectomy bronchopleural fistulae managed in a period of four years. Results: Pneumonectomy were due to cancer of the lungs in two patients and tuberculosis in three patients. All the patients had previously attempted repair with a pleural patch without success. Dual omental flap was utilised to repair the fistulae. All patients had successful repair of the fistula and no recurrence was noted at one year of follow up. Conclusion: Dual omental flap offers an alternative technique in obliterating postpneumonectomy fistula. The two flap technique allows for one flap to completely seal the fistula while the second flap provides an additional airtight closure over the first flap and hence prevents any leakages. This ensures higher success rate with few recurrences.
|Analysis Of Soft Tissue Injuries And Scarring Following Terrorist Bomb Explosion At The American Embassy In Nairobi, Kenya
Click to View Abstract
|Epidemiology Of Burns In Patients Aged 0-13 Years At A Paediatric Hospital In Kenya
Click to View Abstract
|FAMM Flap In Reconstructing Postsurgical Nasopharyngeal Airway Stenosis.
Click to View Abstract
Introduction. Postsurgical nasopharyngeal airway stenosis can be a challenge to manage. The stenosis could be as a result of any surgical procedure in the nasopharyngeal region that heals extensive scarring and fibrosis. Objective. To evaluate patients with nasopharyngeal stenosis managed with FAMM flap. Study Design. Prospective study of patients with nasopharyngeal stenosis at the Kenyatta National Hospital between 2010 and 2013 managed with FAMM flap. Materials and Methods. Patients with severe nasopharyngeal airway stenosis were reviewed and managed with FAMM flaps at the Kenyatta National Hospital. Postoperatively they were assessed for symptomatic improvement in respiratory distress, patency of the nasopharyngeal airway, and donor site morbidity. Results. A total of 8 patients were managed by the authors in a duration of 4 years with nasopharyngeal stenosis. Five patients were managed with unilateral FAMM flaps in a two-staged surgical procedure. Four patients had complete relieve of the airway obstruction with a patent airway created. One patient had a patent airway created though with only mild improvement in airway obstruction. Conclusion. FAMM flap provides an alternative in the management of postsurgical severe nasopharyngeal stenosis. It is a reliable flap that is easy to raise and could provide adequate epithelium for the stenosed pharynx.
|Pedicled Anterior Lateral Thigh Flap In Managing A Bilateral Groin Contracture.
Click to View Abstract
A fifteen-year-old female patient presented with a severe bilateral groin contracture for the last 8 years. She had sustained burns at the age of seven years. Three attempts to release the contracture with split thickness skin grafts had been done without success. A pedicled anterior lateral thigh flap was raised and advanced into the defect after the contracture had been released. Postoperatively the patient healed well without any complications and was able to achieve hip abduction of about 130 degrees.
|Retrospective Review Of Patients Operated On With Bilateral Cleft Lip Through Surgical Outreaches In Kenya
Click to View Abstract
This was a study to evaluate the characteristics and outcome of patients operated on with bilateral cleft lip through surgical outreach programs in Kenya between January 2006 and December 2011. Files for fifty-nine patients operated on during the study period were evaluated. The mean age for surgery was ten months with about forty-five percent of the patients more than one year of age. No presurgical orthopaedic devices were utilized on any of the patients. Mulliken surgical technique and the Manchester technique were the commonest surgical techniques in equal proportions. An overall complication rate of about 7.5 percent was noted. In conclusion we noted a delay in the surgical management of the majority of our patients. This resulted in a backlog of cases. There is thus a need to intensify more surgical outreach camps as well as training more surgeons to assist in the management of clefts. Cleft surgery is a relatively safe surgery that could be carried out in relatively remote centers through surgical outreach programs. This was evidenced by the low complication rates in our series.
|Reduction Mammoplasty Using Inferior Pedicle In Heavy Breasts (macromastia)
Click to View Abstract
Symptoms associated with heavy breasts are pain in the upper part of the body; back pains, poor body posture and headache. These patients also have difficulties in finding suitable clothes and experience poor self image and problems such as establishing sexual relationships. Reduction mammoplasty procedure provides weight and volume reduction of the breast as well as enhancement of the aesthetic appearance of the breasts. In this study, the inferior pedicle technique was used in reduction of thirty five patients over the last four years with macromastia. In all the patients except three, good results were achieved. One patient suffered nipple necrosis of the right breast and the other two had superficial wound infection of T-junction and were appropriately treated. The patient who lost the nipples had nipple reconstruction three months later.
Click to View Abstract
Laparostomy or the open abdomen can be a lifesaving intervention in surgical emergencies for abdominal compartment syndrome, wound dehiscence, trauma and intra-abdominal sepsis. However, the open abdomen imposes a significant burden on nursing staff caring for these critically ill patients due to the large volume of exudate and fluid loss.To achieve mechanical containment of abdominal viscera and active removal of exudate, we used NPWT to manage five patients with complex intra-abdominal sepsis laparostomy wounds. It took between 12 to 28 days to achieve full granulation for secondary closure of the wounds. The series shows that in the management of laparostomy wounds, NPWT provides an easier way to manage the large volumes of exudates and reduces the frequency of dressings changes required with traditional wound dressings.
Click to View Abstract
Wounds have provided a challenge to the clinicians for centuries and this scenario persists to the 21st century. Negative pressure wound therapy (NPWT) is one of the latest additions in wound management. It has been widely adopted in developed countries with foam as the default wound dressing although it has some limitations.
|An Outreach Experience With Cleft Lip/Palate Surgery In Selected Hospitals In Kenya
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|Restoration Of Anal Sphincter Tone By Graciloplasty: A Report Of Five Cases
Click to View Abstract
Stool incontinence can be as a result of congenital or acquired anal sphincter problems. It is a devastating state for a patient not to be able to control stools resulting into continued feacal soiling. It reduces an individual to a dejected and depressed person who becomes a social misfit. Hence any procedure that can alleviate this state is normally highly appreciated. Various techniques have been quoted in literature and use of gracilis muscle to form a neosphincter is one of them. Dynamic graciloplasty, is a technique whereby electrodes have been implanted into gracilis muscle and is connected to an implantable pulse generator which provides progressive levels of stimulation to convert the fast twitch, fatigue prone muscle fibres to a slow twitch, fatigue resistant firbres over eight week training period (1,2,3). This has shown improved efficacy over the static graciloplasty (3). In this case report, five patients with stool incontinence from different aetiologies are presented, all having been managed by static graciloplasty and intense physiotherapy with good outcomes reported.
|Use Of Combined Paracetamol And Low Dose Ketamine In Pain Control During Change Of Dressings In Burn Patients
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To determine the effectiveness of Paracetamol and low dose Ketamine in controlling burn pain during dressings. Setting: The burns ward of Moi Teaching and Referral Hospital, a 750 bed capacity tertiary centre in Western Kenya. Subjects: Consenting patients were recruited to the study on admission. Babies and minors had consent given by their parents or guardians. Results: Of the Fifty nine patients who were recruited into the study, seventy percent of them were children. Male to Female ratio was 1.2:1. There was statistically significant change in the pain score on both FLACC and VAS (both p<0.001) after the introduction of low dose Ketamine with Paracetamol. The patients and healthcare providers were satisfied with the new mode of pain management during change of dressings for burn wounds. Conclusion: The use of oral Paracetamol combined with the low dose intravenous Ketamine, is effective in controlling burn pains during change of dressings. It is a safe and cheap alternative, that can be applied in remote and resource limited medical facilities.
|Pressure Ulcers Presentations And Management At Kenyatta National Hospital And Spinal Injury Hospital
Click to View Abstract
To determine the presentation and management of patients with pressure ulcers. Design: A prospective study. Setting: The Kenyatta National Hospital (KNH) and National Spinal Injury Hospital (NSIH). Subjects: One hundred and thirteen patients were evaluated. Ninety six patients from KNH and seventeen from NSIH. Patients admitted at Kenyatta National Hospital and National Spinal Injury Hospital with pressure ulcers during the study period. Results: Of the 113 patients, 77 (68.1%) were male and 36 (31.9%) were female. Mean age of the patients studied was 38.1 years while the range was between 12 and 74 years. Paraplegia was the main associated medical condition accounting for 35.4%, followed by HIV/AIDS with 27.4%. The most common anatomical site for pressure ulcers was tronchanteric region with 43% of the ulcers. Pressure ulcers of grade III and IV accounted for 66.4% of the ulcers. Two hourly turning was the most common method of pressure dispersion used. Gauze dressing was the most common method used in wound care while 67.3% of the patients had their wounds cleaned with povidoneiodine. Fasciocutaneous flaps were the most common surgical procedure performed (81.7%) for closure of pressure ulcers. Overall, 59.3% of surgical procedures had been successful at one month. This was, however, reduced to 48.1% at three months. Conclusion: Majority of patients with pressure ulcers were in a relatively young age group with a mean age of 38 years. Most of the ulcers were located along bony prominence points of the pelvic girdle and the proximal femur. Most of the ulcers in this study were treated conservatively, with only a few ulcers subjected to surgical interventions. For the ulcers treated with surgical interventions the early outcome was good, however studies need to be done to determine long term outcomes.
|Causes And Pattern Of Unilateral Hand Injuries.
Click to View Abstract
To assess the causes and pattern of hand injuries in patients with isolated unilateral acute hand injuries managed at the Kenyatta National Hospital (KNH).
|Hand Injury: Association Of Handedness With Cause And Site Of Injury
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BACKGROUND: Most people have a dominant hand: right or left. The dominant hand for most purposes is that which is used for writing. The performance, reflex activity and exposure of
|The Diagnostic Role Of Ultrasonography In Patients With Thyroid Gland Enlargement At Kenyatta National Hospital, Nairobi, Kenya (E. Africa).
Click to View Abstract
|Reverse Sural Island Flap In Coverage Of Defects Lower Third Of Leg: A Series Of Nine Cases
Click to View Abstract
The distally based sural island flap was first described by Masquelet, et al., in 1992. It is a skin island flap supplied by the vascular axis of the sural nerve. The aim of this paper is to demonstrate that it can be applied in coverage of difficult wound in the lower third of the leg. We treated nine patients with nine distally based sural island flaps. All the flaps survived, most of the flaps had venous congestion. The largest flap was 10 x 8 cm and Doppler was used in only one flap. This technique is easy and quick to execute without sacrificing major arteries.
|"Graciloplasty" In Treatment Of Recurrent Complete Rectal Prolapse: Case Report.
Click to View Abstract
Gracilis muscle flap was used to treat a seven year old boy with a one year history of recurrent rectal prolapse. Initial perineal surgery in form of Thiersch stitch resulted into failure to control rectal prolapse and damage to anal sphincter. Graciloplasty corrected both problems.
|Extended Pedicle Rectus Abdominis Myocutaneous Flap For Groin Reconstruction: Case Report.
Click to View Abstract
Reconstruction of left groin defect following a failed left femoral aneurysm bypass procedure. The defect was occasioned by excision of a saccular aneurysm of left femoral artery, and repair with PTFE graft for an ilio femoral bypass. On the second postoperative day, the wound became septic and the graft extruded with a resultant wound defect of about 20 x 10 cm. The graft was later removed and wound coverage achieved by an extended contralateral pedicled rectus abdominis myocutaneous flap.
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ISLAMABAD, July 6 (APP): Shahnaz Sheikh Hockey Stadium at Rawalpindi is all set to get an astro-turf to be laid there this
Talking to APP, Olympian Shahnaz Sheikh said a Holland based company `GreenFields Sports Turf Systems' would be laying the astro-turf in the Stadium amounting to Rs 50 million.
"The officials of GreenFields Sports Turf Systems are here to lay the astro-turf and hopefully in a ten days time till July 14 the astro-turf would finally be laid," he said and added the whole stadium project is worth of Rs 140 million.
"A national tournament would also be held in the stadium once the astro-turf is laid," he said and added this stadium is a gift to
the people of Rawalpindi.
He said an academy is also in the plan to be established at the Hockey Stadium. "We would ask the Punjab Sports Board (PSB) for
their support in this regard," he said.
Shahnaz thanked Punjab government and PML-N leader Hanif Abbasi for their utmost efforts to encourage and promote the game of hockey in Rawalpindi.


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John Holland writes
If you look at the GCC Cabinet report on the new library strategy (page 20), or in more detail at pages 65-69 of GCC's Context and User Needs Assessment, you can read what GCC wants you to know about its mobile library service i.e. principally that it is an expensive service to run.
However, the facts are a little different.
There are currently 3 community mobile libraries in Gloucestershire which mainly support rural communities over 2 miles from a library building. They currently make nearly 250 stops throughout the county.
Every other rural shire county in the country has a mobile library service but none can be as inefficiently managed as Gloucestershire's. To sum up the situation, the intention should be to try to maximise use of the mobile libraries and minimise costs. In Gloucestershire's case, use has been deliberately minimised and costs maximised.
How so?
Let's look at each mobile library in turn.
The Central Mobile based at Stroud Library is on the road for 17 days out of every 20 (based on a 5 days week), meaning it is operating at 85% of capacity.
The East Mobile based at Moreton-in-Marsh Library is on the road 13.5 days out of every 20, meaning it is operating at 67.5% of capacity
And the West mobile based at Lydney Library is on the road for 8 days out of 20 meaning it is operating at 40% of capacity.
Every librarian knows that the way to maximise mobile library use is to operate them as regularly as possible i.e. on a weekly schedule of visits so that customers grow used to a same time-same place approach. Traditionally the service has been operated fortnightly which is probably acceptable. However, every librarian knows too that monthly stops do not work as the gap between visits is too long and customers forget which week the vehicles are arriving. Thus levels of use drop. In the case of the East Mobile 4 routes are now only maintained on a monthly basis and in the case of the West Mobile every single route i.e. all 8 is now operated monthly. This cannot be efficient, and is not acceptable service.
Overall the 3 mobiles together are operating at only 64% of their capacity based on a 5 days week. If one considers having mobiles operating at weekends when people in rural areas are more likely to be at home, then based on a 7 day week, the current mobiles are operating at 46% of their capacity. No wonder that use is low and costs are high.
But that's not all.
Costs of some of the mobiles libraries are currently high partly because of the inefficient staffing policies. It is generally acknowledged that one driver trained as a library assistant, or, alternatively, a library assistant trained as a driver is perfectly able to operate the mobile library service alone. So what do we find on the Central (Stroud) Mobile Library? For the last 18 months GCC has employed an agency driver accompanied by a library assistant on every route for every stop. Reason – it has no trained driver/assistant, so instead pays exorbitant charges to an agency to provide a driver who is not allowed by the agency to help customers or undertake any library assistant duties. Thus the vehicle is double staffed by a library assistant. When the vehicle is being driven the assistant sits and watches the countryside go by, and when the vehicle is open to customers the driver sits and reads his paper. And the county council has the nerve to tell us the service is too expensive to operate!!
So, how is this new mobile library service with monthly stops doing? Levels of use (measured by loans) dropped by 25% in one year! i.e. from 81,943 loans in 2009-10 to 61,190 in 2010-11. That's a huge unprecedented drop.
Partly, this will also be because the stock (book) fund was cut be 60% in 2009-10, so new books are really hard to come by in the 250 isolated communities currently served. Partly too, because when the vehicles cannot go out because of mechanical problems or staff shortages (there have been a lot of staff shortages over the last 3 years) the routes are just cancelled.
It is the responsibility of the county council under the 1964 Public Libraries & Museums Act to "provide a comprehensive and efficient library service for all persons desiring to make use thereof…" That includes people in rurally isolated communities and in significant communities like Chalford and Northleach of 4,000-6,000 people with no library building
The county council's information about mobile libraries is disingenuous at best. But watch out for more of the same. With next to no stock (book) fund, inadequate opening hours and volunteers instead of trained staff, this spells a reduced service and reducing levels of use. Now, for GCC, that's more opportunities to cut services.
Note that in the GCC new Library strategy there has been no proposal yet this time to axe all the "community" mobiles (unlike Home Link and Share a Book which will be axed). It's up to you to let GCC know what you think. "Consultation" officially starts on 30 January and lasts 6 weeks.
John Holland


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Since I'm always on the lookout for titles dealing with mental illness, when I saw Publisher's Weekly described this as "a vivid picture of teenage social and mental health issues," I knew I had to have it. The fact that it's set in a boarding school and is filled with pranks, a la the inimitable Disreputable History of Frankie Landau-Banks, was a bonus.
At his small town high school, James was all but invisible. So when he is accepted to a prestigious boarding school for the gifted and talented, he takes the opportunity to re-make himself into a brooding punk with a history of carjacking and back alley brawls. He quickly falls in with a new group of friends, and even gets a hot girlfriend. Only two people remain unimpressed: the school's ice queen Ellie (who inspires boyfriends to pull crazy stunts like run half naked around campus out of love for her) and ghost44, another student who communicates with James only via IM and sees right through his facade.
During the day, life is going well for James, as he and his friends begin an escalating prank war with a few guys down the hall (and also stage some epic performance art level protests against the awful cafeteria food). But nighttime is a different story, as James begins to dream of being a demon hunter. While the dreams are exciting at first, they begin to bleed over into James' real life, distracting him from his friends and his studies, and inspiring James to attempt deadly feats when he's awake. Will he be able to pull himself out before he gets out of control?
While the pranking wasn't on the epic level of Disreputable History (Frankie's pranks all had some sort of philosophical point behind them while James' are petty and silly), this is definitely an excellent book on identity, belonging and mental illness. James and one other major character have some major psychological struggles (I'm maintaining the anonymity of the other character because the big reveal doesn't come until the final chapter), but it's handled sensitively and deftly. There are no big revelatory scenes, rather James' illness progresses smoothly through the book so even the reader doesn't realize just how dangerous his dreams are until well into the story.
And those dreams - damn are they spooky. I often see dreams used as a sort of lazy plot device, a way for a character to metaphorically examine events of the story without relying on pages of exposition and internal monologues. Here the dreams form a whole other narrative where it isn't immediately clear what bearing they will have on the rest of the story, or if they will at all, and it's all fabulously creepy. The pranks and humor throughout James' waking moments provide and excellent and much needed counterpoint to the seriousness of his dreams and inner thoughts.


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"Game of Thrones" Embroiderer Michele Carragher Talks Dragons and Dresses
BY: Stephanie McDaniel | Nov 13, 2013
Warning: Spoilers. For 10 weeks during the summer, viewers step out of their ordinary lives and enter a world filled with political intrigue, courtly settings, and ice zombies. The HBO series Game of Thrones made the world of George R.R. Martin's novels feel real—as if you could hop aboard a ship and sail to the far-west continent Westeros, anchoring at the infamous spot on the map that reads "Here Be Dragons." Of course, much of the show's believability stems from its talented actors and special effects. But it's the details—right down to the stitches on a queen's gown—that complete the illusion. Helmed by costume designer Michele Clapton, a team of armorers, weavers, and embroiderers create the entire wardrobe of Game of Thrones from scratch. We talked with Michele Carragher (below in her studio), the chief embroiderer for the show, to see how her artistry helps bring to life an era of political and magical warfare. Painting with Thread In Westeros, noble families—or "houses"—carry sigils that feature lordly lions, direwolves, and fish. Carragher's job is to create the embroidered pieces that decorate the costumes, many of which visually reference the wearer's personality or house sigil. When embroidering one of Cersei Lannister's queenly dresses, for example, Carragher may want to incorporate a lion's head—the symbol of House Lannister. She starts by researching photographs, sculptures, architecture, and other historical artworks that feature lions, so that she can "use elements of each and fuse [them] together." Carragher then sketches ideas for the design on tracing paper, referencing the costume to help her determine width and placement. Finally, she embroiders beads and threads in layers that gradually become the three-dimensional image of a lion's head. This process is painstaking and often takes a long time—embroidering Lady Sansa Stark's wedding dress (below), for instance, took 11 10-hour days of careful stitching. Carragher compares her approach to that of a painter or sculptor who continually frets over a work in progress. Even when the design has been applied to the costume, she says, "I'll work into it again and add more stitches, and it grows." Characters Captured in Fabric In her role as costume designer, Michele Clapton envisions clothes that portray a character's history and mindset. Catelyn Stark (née Tully) has the Tullys' silver trout swimming across her collar, whereas her daughter Sansa's wedding dress incorporates various house symbols, such as the Starks' direwolf and the Lannisters' lion. "It's an interpretation of Sansa's life so far, embroidered around her," Carragher explains. When asked about her most complex character projects, Carragher mentions the dragon-scale dress of Daenerys Targaryen. This ornate piece involved "building up a texture" over three stages to reflect the character's growth in strength and her dragons' growth in size. Carragher began with a light dragon-scale texture on the shoulders, which she created with an American smocking stitch (below left). As the story progressed, she added more spots of scaly texture that traveled down the dress. In the third stage of the costume's evolution, Carragher used a "richer paper silk that had more dragon-scale smocking on the shoulders (below right), and embroidery stitching coming down the bodice and skirt." By stacking flat, square-cut beads, she made the reptilian transformation even more pronounced. On the other hand, some designs rely on subtlety to give the viewer a deeper understanding of the character. The blue bird on Cersei's dress (below), for instance, "reflects her position at the time," Carragher explains. "She wants to be an equal with the males in the male world she inhabits. The soft feminine look of the embroidery belies her underlying intentions of power." When Days of Work Go Unseen Though the crew puts a great deal of effort into their costume pieces, much of it is obscured on screen. "You may work on something for days and days, and ... it may be completely cut from a scene," Carragher says. And, when the costumes are visible, they're usually not pristine. The pieces go to a "team of breakdown artists" who "dirty them down" before they're worn by an actor. That way, they're grimy enough to befit the setting. Carragher is confident that, even if you can't inspect the embroidered patterns under all that grime, they still make an impact on the show's aesthetic. "You'd miss it if it wasn't there," she says. At the end of the day, she finds her job immensely rewarding—especially when she sees the final product. "After you've been working on a costume, you still don't know how it's going to look on the actor. The actor breathes life into the costume and it all comes together." For Carragher, who previously worked resturing historical textiles for private collectors and museums, there's a thrill in seeing her work in motion. Royal Ensembles for Everyone When asked what her personal Game of Thrones outfit would look like, Carragher admits, "I probably wouldn't know where to stop; I'd be covered in all sorts of organic material and bugs and little birds flying about the place. I'd have it all." For fans hoping to work a Carragher-caliber design into their own wardrobes, there are two options. The first is to explore the couture end of the market. The Valentino, Elie Saab, and Alexander McQueen lines "always have beautiful embroidery and detail," Carragher says. This is even true of those designers' more affordable pieces, such as "necklaces and hosiery with baroque embellishment on the legs." The second option is for fans with a DIY streak. "You can find decorative trim or lace embroidery motifs to apply to cuffs and collars, or make a brooch-like appliqué," Carragher suggests. Even if you've never tried to create your own clothing accents, she believes that "everyone should have a go" at embroidery—"It's not hard. ... It's only stitching." To see more of Carragher's embroidery for film, television, and exhibition, head to her website. Photos: costumes © Michele Carragher; portrait of Michele © Scott JG Flockhart
BY: Stephanie McDaniel
Stephanie McDaniel is a political theorist-turned-novelist from South Carolina. On the rare occasion she's not writing, she spends her time folk dancing, singing, and adding sea salt to Lake Michigan.


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