In its research & development phase at present, this project will see a diverse team of professionals and amateurs collaborate to design, build and furnish a compact house. The house will be compact, sympathetic to its rural context, architecturally exemplary and environmentally sustainable. A diverse team of professionals and amateurs will collaborate to design, build and furnish the house. For reasons of under-representation within Grizedale Arts and within the sectors relevant to the project the delivery team will be all women.
In response to recent development ideas, it has become clear that additional, more flexible accommodation at Lawson Park would be an asset. As an existing structure that occupies a discreet spot close to access tracks and the main Lawson Park buildings, the Black Shed presents itself as the best option for a site or structure to build on or refurbish. Lawson Park's main hostel sleeps a maximum of 6 people in 4 ensuite rooms, a manageable number for the current organisation staff to host and an affective scale for the kinds of activity most often undertaken by visiting artists and volunteers in the current programme.
However, there are frequent instances where more capacity would significantly enhance the opportunities for us to deliver and develop our programme. An additional small house could allow small families, artists with dependents and curators to visit and stay at Lawson Park independently whilst the main hostel is occupied, experiencing much of the communal activity on offer in the main building. The project will also produce an occasional income stream from short lets to visitors.
Just as importantly, the process of designing and building this replacement structure offers exciting opportunities for a new project that can bring together architects, artists, self-builders and engineers to create a unique rural dwelling. This goal also furthers ambitions to address concerns recently identified in extensive community consultation in Coniston: in particular, the challenge of identifying and producing rural housing suitable for younger and older people.
We will soon be recruiting for participants in the project; if you would like to know more please email info@grizedale.org for initial information.


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Even though my last relationship ended badly and I was hurt beyond belief, I survived. I know that sometimes things just aren't meant to be. That's OK. We are working on being better people and being the best possible parents we can be to our children. We just weren't good together.
I didn't want to admit it at first but it soon became painfully clear that we just didn't click anymore. It was hard to admit that to myself as I felt like a failure. I desperately clung to the dreams we had made and I tried so hard to make him feel the way he felt in the beginning.
That was a big part of the problem. I couldn't change his feelings and I resented him for not wanting what I wanted. I resented him for a lot of things. Mostly I resented him for being happy without me and without our family. Does this mean that I still resent him? Maybe, sometimes, yes. It still hurts to know that he could just walk away from what I felt that we had. It hurts that he could walk away from our family like he did. It's not fun and I hate that he left me alone. I felt like that was so totally unfair.
Well, that's on him. I can only control how I feel and what I do. If he felt that I wasn't what he wanted then that's OK. If he felt that his family was too much of a burden and that they were cramping his life style then that's OK too. I know that there is still a chance that I may find my happily ever after. Maybe I already have. My relationship status doesn't define who I am or how I should feel. My past doesn't necessarily define my future.The fact that I have a large family does make matters a little more complicated. I need to be aware of how everything affects my family.
That doesn't mean that I can't dream. I still believe in fairy tales. Maybe it won't be a knight in shining armor that steals my heart away but I know there are still good men out there. They may be really hard to find but I know they are there. There are men who put their families first and who work hard each and every day. They aren't afraid to get dirty and they will do what it takes to get the job done. They can be tough as nails but still be sensitive when you need a shoulder to cry on.
I believe there will come one who takes my breath away and causes my heart to flutter. One who makes me smile at just the thought of him and I know he will feel the same about me. One who will wash away all the pain from my past and show me how it feels to be treated right.
So for now I will be patient. I will try everyday to be a better person than I was yesterday. I will be stronger and I will learn from my mistakes. I will have faith that my fairy tale will have a happy ending.


Sundial compass brand West London - Replica!!
The compass works and has a locking button.
Clock marker in swiss brass with symbols.
In wooden box with detailed lid.
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adjustment is not working properly.
I think this comment is not for the item you purchased.
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El artículo ha llegado óptimamente sin ninguna incidencia. Estoy muy satisfecho con mi compra. Gracias.
Bon produit et surtout vendeur très méticuleux car envoi recommandé assuré, arrivé Impeccable. Je suis absolument ravie et j'ai remercié le vendeur d'ailleurs.


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Britney Spears's ''Toxic'' Helps 13-Year-Old Girl Recover From Brain Surgery and Stroke
In Toxic's name we trust.
By Laura Beck
Maegan Johnson, a 13-year-old from Phenix City, Alabama, is lucky to be alive. After have a ruptured brain aneurysm at just 7 years old, the young girl was flown to a hospital for emergency surgery. During the 10-hour procedure, she had a stroke, and afterward, she couldn't speak for six weeks.
Luckily, this brave little lady had Britney Spears on her side. During Maegan's long recovery, nothing could motivate her to get better like Brit's perfect anthem "Toxic."
She writes on her Facebook page:
Special visitors came to the hospital like cheerleaders, clowns and dogs for therapy to cheer us up, but nothing worked. Until.... one day someone played one of my cds. The first song did nothing, but the next song was Toxic by Britney Spears-I smiled, tried moving my hips and lifting my arm waving it back and forth in the air trying to dance. That song was incorporated in ALL Therapy Sessions.
As anyone who has ever given it their all while dancing to "Toxic" in the bathroom mirror can tell you, this song has healing powers. Now it's basically been proven by science!
Maegan is hoping to get on Ellen to share her story with Britney and the world. I kinda think this has to happen? Britney must know of her own glory!
Now it's time for a dance break:
Update 8/1: Because she's an earth angel, Britney Spears responded on her Facebook page! She writes, "Thank you for sharing your incredible story, Maegan! I'm so inspired by you and I'm touched my music helped you get through such a difficult time. #JustKeepDancing, sweetie!! You are AMAZING!"
Follow Laura on Twitter.
Laura Beck Laura Beck is a Los Angeles-based TV writer and frequent contributor to Cosmopolitan.com — her work has appeared in the New York Times, New Yorker, Jezebel, and the Village Voice.
Watch Britney Spears's Mom Rock Out to "Toxic" in Her Car
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And This Is Britney Spears's Go-To Starbucks Order, FYI
Britney Spears's Woody Woodpecker Impersonation Is Genius

redpajama_set_name: RedPajamaCommonCrawl


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Media Democracy
Business, Fashion, Ideas, News & Current Affairs
Maluma Bio, Net Worth, Age, Affairs & Controversies
September 29, 2018 by Sarah Marie Leave a Comment
Juan Luis Londoño Arias is often known for his stage name Maluma, is a famous Colombian singer and songwriter. He has sung several singles that have been charted on the top ten on billboard latin songs. He signed sony music and sony music Colombia. He started performing on different cafes, as he has no any other platform to pursue his career professionally. It was Maluma's uncle, who recognized the talent, and helped him in broadcasting his song on the radio.
@maluma
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His Career:
He pursued his music career in 2010. After his song, "Farandulera" got hit. He received an offer from Sony music and Sony music Colombia, they released his first solo album, Then a song inspired by the "rampant and uncontrolled love" named "Loco". In 2012 his one album " Magia" was released. "Miss Independent" was the song that was ranked number two in the Colombian song chart report.
His same album was also nominated for the best new artist. He has also judged the show on Caracol's television. In 2015 he again released his mixtape and collaborated with many artists. In Fifa 2018, the beautiful Spanish version was also recorded by the Maluma.
How Rich Maluma Is?
The Colombian singer is undoubtedly wealthy enough as at the age of 24 he has a net worth of $13 million.
Personal & Professional Details About Maluma
Hometown: MedellíN, Colombia
Favorite color: Red & Blue
Education: N/A
Nationality: Colombian
Years active: 2010-Present
Hight: 5ft 10In
Siblings: Manuela Londoño Arias
Occupation: Songwriter & Singer
Significant Roles: Magia (Album)
Girlfriends: Belinda, Mexican Singer (2014-2015), Anitta, Brazilian Singer Yeinly Castro, Venezuelan Model
Spouse: Unmarried
Movie Debut: N/A
Children: N/A
Star: Aquarius
Cars: Lamborghini, BMW, Porsche
Residence: Medellín, Colombia
Instagram: @maluma
Facebook: @MALUMAMUSIK
Twitter: @maluma
Youtube: Channel Link
Filed Under: Celebs, News
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Thyridaria of bloedkorrelzwam is een geslacht van schimmels behorend tot de familie Thyridariaceae. De wetenschappelijke naam van het geslacht werd voor het eerst in 1875 geldig gepubliceerd door Pier Andrea Saccardo.

Soorten
Volgens Index Fungorum telt het geslacht 32 soorten (peildatum april 2022):

Thyridariaceae
Schimmelgeslacht

redpajama_set_name: RedPajamaWikipedia


Five Skills Every Blogger Needs!
I know a lot of you are also writers, and seeing as my posts related to blogging tend to be more popular, I decided to write about traits you can manifest to be a great blogger. But first, I want to say that I am not an expert on blogging, quite the opposite honestly. I am learning as I go, and one of the best parts about this particular niche is that I can learn so much from other bloggers.
But over the last few months, I have picked up some skills that I think come in handy and have helped me improve at what I do.
Perseverance: Perhaps the most important tip to be a good content creator is to be consistent. That means putting out new content often, posting on social media, and interacting with your followers. If you're willing to put in the time, your blog will grow organically.
Attentive: You've got to be taking notice of everything. What are the latest trends? Would this lighting make for a good picture? What will I write about tomorrow? Blogging will most likely, almost always, be on your mind in some capacity. And that makes life so much more fun.
Unique: In the blogosphere, you won't get far being like everyone else. People will want to read your content because it's interesting and something they haven't seen before, so this is the time to let your freak flag fly and be creative. Be genuinely who you are online and you'll attract so many cool people who are a lot like you.
Adaptable: Blogging is in the creative field, and creative people are crazy. We change our minds all the time and are always branching out for new ideas. So you have to be willing to keep up with updated softwares, new apps, and trends, while still retaining your own personal writing style.
Previous Post My Top Ten Favorite Movies!


Burton Rugby Football Club are inviting you to the Staffordshire Beer & BBQ Music Festival!
21st - 22nd May at Lichfield Street, Burton on Trent.
There's also free children's entertainment, craft, arts and food stalls ... but most importantly beer, real ale, lagers and BBQ food!
Click on the image below for further information, and tickets!


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Our engineers have a brief talk with you to find out the problems you have experienced. A visual inspection of the boiler area, the boiler itself, and all the pipes is the actioned. We do this to make sure the boiler complies with all the current safety regulations, and there is no corrosion that can lead to leaks.
Annual boiler servicing allows us to catch any problems before they result in a break down that can leave your family shivering in the cold, literally. As for savings, annual boiler servicing keeps your boiler whistle clean and combusting efficiently. That means your boiler is not going to develop problems that result in costly repairs and also will increase the life of your boiler. Finally, a well-serviced boiler will burn less fuel and that translates into savings on energy costs.
Why choose East Goscote Plumbers for your boiler servicing?
All vital parts of your boiler will be cleaned, and that includes the flue, internal components such as the heat exchange and burner, and filters. All safety devices will be tested to ensure they are functioning properly. A special instrument analyses flue gas to check combustion efficiency.
And last of all, we will turn your boiler back on to make sure that it is performing well.


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Approx. 11 1/2" (25 cm). X 14" Patch features the DEAD KENNEDYS PICTURE design PRINT in WHITE & RED on black background. See Picture for details. A NEW Hard To Find BACK Patch, a must have for any fan or collector.


This topic contains 1 reply, has 2 voices, and was last updated by Anonymous 2 years, 9 months ago.
This forum is for discussions relating to the Processing programming/scripting platform, feel free to post your questions, ideas, sketches, etc.
Super nice! I'm very glad for the creation of this space for sharing and learning.


Yacht-builder Sanlorenzo has chosen to embark on a new collaboration with Volvo Penta, in confirming that an Inboard Performance System (IPS) model is an ideal choice for its new 'crossover' yacht line. The SX series has been developed to combine the best elements of a flybridge and compact explorer yacht, and the first vessel, the SX88, is making its global premiere at the Cannes Yachting Festival.
The SX88 is the first in a new line of crossover yachts by Sanlorenzo to be powered by Volvo Penta IPS.
Italian boat-builder Sanlorenzo has created the first in a new line of yachts that is aimed at transforming boating. The SX88 has only one helm station, in order to maximize space, and will cruise at 20-21 knots. Sanlorenzo has chosen to power the vessel with Volvo Penta IPS thanks to the system's excellent fuel efficiency and maneuverability, and its contribution to providing great on-board comfort.
Massimo Perotti, chief executive officer and chairman of Sanlorenzo, says that the company wanted to create a yacht that had plenty of space for on-board living as well as having the performance of a fast displacement vessel. "We had been thinking about how to create a new way of enjoying the yachting experience, and the idea was to attract the market that is passionate about the sea," he says.
Sanlorenzo was founded in 1958 and now has three shipyards in Northwest Italy. It makes several vessel lines, including planing motor yachts, semi-displacement motor yachts, the new fast displacement SX line, and superyachts. The new 'crossover' SX line is a combination of a flybridge and compact explorer yacht. In order to achieve the desired performance and layout space, Sanlorenzo selected triple Volvo Penta D13-IPS1050 to power the yacht.
Volvo Penta D13-IPS1050 is a complete package, powered by a 13-liter common-rail diesel engine with a twin-entry turbo and supercharger, for incredible, low rpm response. Its perfectly matched IPS pod features twin forward-facing counter-rotating propellers, for superior grip in the water below the hull. Volvo Penta IPS links all elements from helm to prop, and the individually steerable pods, directed via the Electronic Vessel Control and joystick systems, provide exceptional maneuverability. IPS provides high performance through acceleration and top speed, excellent fuel consumption and low emissions, reduced noise and vibrations, and more on-board space than a traditional inboard shaft installation.
Sanlorenzo will be at the Cannes Yachting Festival at Jetee 006, Jetee 148 and Palais 051. Volvo Penta will be at the festival from September 12-17, at Jetee 173.
Watch the episode at: www.volvopenta.com/boatingdreams.


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Home > Uncategorized > The Myth of the 4-Year College Degree
The Myth of the 4-Year College Degree
April 10, 2015 • min read by Christine DiGangi 0 Comments
Americans of all ages grapple with the cost of higher education, whether it's trying to save for the future, choosing a college or repaying student loan debt. Tuition and fees at U.S. colleges has increased an average of 5% every year for the last decade, and the $1.2 trillion in outstanding student loan debt is projected to grow. In the next few weeks, Credit.com will explore several of the answers, opinions and theories out there about why these numbers keep going up.
Choosing the right college involves some serious decisions. Where to attend, how much it will cost, and is it affordable, are usually the first questions that come to mind. Many people tend to base the answers to these questions on the annual tuition information posted by schools, and assume that it will take them four years to obtain a "four-year degree." But is four the right number? For many students, the answer is no. Studies show it can actually take anywhere from three to six years to complete a college degree. In fact, millions start college and never finish.
"Regardless of where you go, regardless of how you go, far too many of those students are not graduating," said Michelle Asha Cooper, president of the Institute for Higher Education Policy, a Washington-based nonprofit that researches and advises legislators on higher education policy.
College is expensive for a lot of reasons, but the difficulty in estimating the full cost of an education you may not complete for years can exacerbate the issue of unaffordable higher education.
College-Level Math Problems
For students who enter a four-year college seeking a bachelor's degree for the first time, only 39% of them graduate within four years of enrolling, according to 2014 data from the National Center of Education Statistics. Among students from low-income households, that graduation rate is only 20%, while 42% of high-income students graduate within four years, according to the Institute for Higher Education Policy. About 60% of students graduate within six years of starting at a four-year college.
Still, in the last 20 years, more than 31 million students started at an institution of higher education and left before earning a degree or certificate, according to a 2014 report from the National Student Clearinghouse Research Center.
"I think probably too few people take the time to graduation into account, and students and families should absolutely be asking colleges how many of their graduates graduate in four years, versus five years, versus six," said Debbie Cochrane, research director The Institute for College Access and Success, a nonprofit that operates the Project on Student Debt. "They should definitely use that information in how they're going to finance their education."
That's generally not a simple math problem. Even if you've worked out the details of your intended major and its course load, you may not know how much tuition will cost each year of your education, as schools re-evaluate what they'll charge students on a yearly basis, as part of making a budget for the entire university. Unless, however, you go to a school that locks in tuition rates — where if your first year is, say, $20,000, that's how much it will be each of the next three years, regardless of what the college decides to charge future incoming students. Otherwise, tuition rates have increased about 5% annually for the past 10 years, so you can use that as a guideline when calculating future costs.
There are also many other unknowns: Will your financial aid situation change from year to year? Will you be able to handle a course load that allows you to graduate on a specific timeline? What would you do if tuition increased more than you planned for? How will you cover unexpected costs?
The answers to these questions could significantly impact your financial situation after college. If you end up borrowing more than you can afford to pay back, and fall behind, it could ultimately affect your credit standing. This, in turn, could impact your ability to do things like rent your own apartment, get a credit card, buy a car or get a mortgage. (You can see how your student loans are impacting your credit by getting your free credit report summary from Credit.com.)
How to Graduate Without Paying More Than Expected
In the last few years, it has become easier to estimate total college costs. Schools are now required to put a net-price calculator on their websites, which estimate a student's eligibility for financial aid and all expenses associated with getting a degree at that institution, not just tuition and fees.
Additionally, the Department of Education released its Financial Aid Shopping Sheet in 2012 and asked colleges and universities to adopt the sheet as a universal template for financial aid award letters – and as of December 2013, the ED said more than 1,950 schools have adopted the shopping sheet.
Why are those letters so important? They represent the first time students and families see customized college costs, rather than just estimates. However, it's still not an entirely straightforward process. Because each school does award letters differently, it can make comparing them a challenge.
"Some award letters are clearer than others," Cochrane said. "Some will only put tuition, some will put net cost, some will separate grants and loans, others will bundle them together, making it hard to figure out how much needs to be repaid."
Even with improvements, figuring out how much school will cost, how likely you are to finish within a certain timeline, and how much your monthly student loan payments will be requires a lot of research, planning and shopping around for the best education.
Cooper said looking at graduation rates and career resources at a college is crucial to choosing a school that will be affordable in the long run.
"We have to make sure that we're approaching this from a consumer standpoint, from a wise investment standpoint," Cooper said. "The government has set up a number of student loan repayment plans, but honestly, graduation rates are more important, because if you don't graduate, you're not going to get that job. … It's good to make sure that the institution not only prepares you for your first job but also prepares you for a lifelong career path."
More on Student Loans:
How Student Loans Can Impact Your Credit
Can You Get Your Student Loans Forgiven?
How to Pay for College Without Building a Mountain of Debt


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Brodiaea is een geslacht van planten uit de aspergefamilie (Asparagaceae), afkomstig van de westkust van de Verenigde Staten, vooral uit het noorden van Californië. De planten bloeien tijdens de herfst.

De bloemen worden gebruikt als snijbloem.

Soorten, ondersoorten en variëteiten
Brodiaea appendiculata
Brodiaea californica
Brodiaea californica var. californica
Brodiaea californica var. leptandra
Brodiaea coronaria
Brodiaea coronaria subsp. coronaria
Brodiaea coronaria subsp. rosea
Brodiaea elegans
Brodiaea elegans subsp. elegans
Brodiaea elegans subsp. hooveri
Brodiaea filifolia
Brodiaea insignis
Brodiaea jolonensis
Brodiaea kinkiensis
Brodiaea minor
Brodiaea orcuttii
Brodiaea pallida
Brodiaea purdyi
Brodiaea santarosae
Brodiaea stellaris
Brodiaea terrestris
Brodiaea terrestris subsp. kernensis
Brodiaea terrestris subsp. terrestris

Brodiaeoideae


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Welcome to St Joseph's
Father Stephen Dye, Rev Deacon Raymond Keogh and our parish community welcome you to our parish website of the Roman Catholic Parish of Rutland.
Our parish covers the county of Rutland which includes the two market towns of Oakham and Uppingham and the many villages of Rutland.
Holy Mass is celebrated everyday in the parish church of St Joseph's in Oakham with Latin Mass on a Friday evening. Holy Mass is also celebrated each Sunday in the 19th century private chapel at Exton Hall and once a month on Sunday in the Chapel at Uppingham School.
We are a thriving Parish with many activities and prayer groups that meet both at the church and in private homes.
St Joseph's Mission Week
Call to Holiness in Today's World
Our Parish mission week will be from October 7th until October 10th.
Each day will start with morning Mass at 9.30 with sermon by Fr John Farrell, Prior Provincial of the English Province of the Order of Friars Preachers, followed by Exposition for 30 minutes and a short Benediction followed each evening with a series of talks and meditations using Scripture and Pope Francis' Exhortation On the Call to Holiness in Today's World, "Gaudete et Exsultate".
Kairos Prison Ministry
Kairos is a Christian Mission which goes into prisons to show the transforming love of Jesus Christ to inmates. The mission is a five day programme which explains and demonstrates the Christian faith in action. Through the Bible, personal testimony and unconditional love, inmates come to understand that they can be forgiven, accepted and transformed through encountering Jesus.
Mary's Meals Update
Thank you for the dress, towels and toothpaste left this week. There is a very moving tiny film that has just been made showing lots of backpacks being distributed to very excited little children! Click on this link One of the backpacks could even be ours!
VOLUNTEERS NEEDED FOR CHILDREN'S LITURGY
We are urgently looking for volunteers to join the children's liturgy group as catechists.
Aid for Chad
The charity was started back in 1984 to help and support a small Catholic bush mission in Benoy, southern Chad.
The Mission at Oakham - Souls are perishing
Letter to the Editor of the Tablet 20th Jan 1883. SIR,—Allow me to call the attention of your readers to my appeal in your columns. It is my last appeal. It is indeed most urgently needed that I should build next March at Oakham. Souls are perishing.
Mystery Worshipper visits St Joseph's
On Sunday, 22 November 2009, a mystery worshipper attended 10.30am Mass, here's what he/she reported.


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May 2019 Combined Pulmonary Fibrosis and Emphysema Versus Idiopathic Pulmonary Fibrosis...
Archivos de Bronconeumología (English Edition)
Archivos de Bronconeumologia (http: www.archbronconeumol.org) publishes original studies whose content is based upon results dealing with several aspects of respiratory diseases such as epidemiology, pathophysiology, clinics, surgery, and basic investigation. Other types of articles such as reviews, editorials, special articles, clinical reports, and letters to the Editor are also published in the Journal. It is a monthly Journal that publishes a total of 12 issues, which contain these types of articles to different extents. All manuscripts are sent to peer-review and handled by the Editor or an Associate Editor from the team. The Journal is published both in Spanish and English. Therefore, the submission of manuscripts written in either Spanish or English is welcome. Translators working for the Journal are in charge of the corresponding translations. Manuscripts will be submitted electronically using the following web site: http://ees.elsevier.com/arbr, link which is also accessible through the main web page of Archivos de Bronconeumologia. See more
Access to any published article, in either language, is possible through the Journal web page as well as from Pubmed, Science Direct, and other international databases. Furthermore, the Journal is also present in Twitter and Facebook.
4.214 (2018)
The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.
Impact Factor 2018
Vol. 55. Issue 5.
Pages 269-270 (May 2019)
Scientific Letter
DOI: 10.1016/j.arbr.2018.07.026
Combined Pulmonary Fibrosis and Emphysema Versus Idiopathic Pulmonary Fibrosis Versus Emphysema: A Clinical Perspective
Comparación con perspectiva clínica de la combinación de fibrosis pulmonar y enfisema, la fibrosis pulmonar idiopática y el enfisema
Maria Aurora Mendes
mamendes88@gmail.com
, Miguel Guimarães, Sofia Neves, Sérgio Campainha
Pulmonology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal
Table 1. Comparison of pulmonary function test results at diagnosis between the three groups of patients.
Combined pulmonary fibrosis and emphysema (CPFE) was first described by Cottin et al. in 2005 as a distinct entity characterised by upper lobe emphysema and lower lobe fibrosis on high-resolution computed tomography (HRCT) of the chest resulting in preserved lung volumes and markedly impaired carbon monoxide diffusing capacity of the lung (DLCO).1 Since then, a wide heterogeneity of radiological features of CPFE has been described and a consensual definition or a standard diagnostic algorithm has not yet been reached.2–9 From a clinical standpoint, it is sometimes a challenge to distinguish emphysema from fibrosis and whether both conditions coexist.10–11 Pulmonary function tests may be a useful adjunct tool in these uncertain cases. In view of that, this study aims to identify functional features that can help to distinguish CPFE from idiopathic pulmonary fibrosis (IPF) and/or emphysema.
We performed a retrospective analysis of patients with CPFE and IPF followed in an Interstitial Lung Diseases (ILDs) Outpatient Clinic between 2011 and 2016. A convenience sample of patients with emphysema attending a Chronic Obstructive Pulmonary Disease (COPD) Outpatient Clinic was obtained.
The diagnosis of CPFE and IPF was established by multidisciplinary discussion. The diagnostic criteria for IPF were applied according to the 2011 ATS/ERS/JRS/ALAT guidelines for diagnosis and management of IPF. CPFE was only considered in patients with emphysema involving at least 10% of the whole lung. The diagnosis of emphysema was established by visual assessment of HRCT.
Demographics, pulmonary function test results and evidence of pulmonary hypertension (PH) at diagnosis were reviewed from medical records. Only data regarding pulmonary function tests and echocardiograms performed up to 6 months within the baseline HRCT was included. PH was defined as a systolic arterial pulmonary pressure≥40mmHg plus central venous pressure on echocardiogram.
Kruskal–Wallis test was used to compare pulmonary function test results at diagnosis between groups. Statistical significance was set at p<0.05.
We identified 14 patients with CPFE, 49 with IPF (35 UIP pattern; 16 possible/inconsistent UIP, who underwent lung biopsy) and 57 with emphysema. Overall, 85% were men with a median age at diagnosis of 68.5 years (IQR 61.0–75.0) and 21% were never smokers. All CPFE patients were male and all but two were current or ex-smokers. The median age at diagnosis was 66.5 years (IQR 60.8–77.0) and 30.8% of CPFE patients had PH at diagnosis. No significant differences between patients with CPFE and patients with IPF or emphysema were found regarding gender, age at diagnosis, smoking history or prevalence of PH at diagnosis.
The pulmonary function test results at diagnosis are presented in Table 1. Compared to patients with emphysema, those with CPFE had lower RV% pred (p 0.005), TLC% pred (p 0.012) and RV/TLC ratio (p 0.001), and higher FEV1% (p<0.001) and FEV1/FVC ratio (p<0.001; all pairwise comparisons). FVC% pred (p 0.104) and DLCO% pred (p 0.118) did not differ between the three groups of patients. No significant differences in analysed pulmonary function test parameters were found comparing patients with CPFE and IPF.
Comparison of pulmonary function test results at diagnosis between the three groups of patients.
n=120
CPFE
n=14
RV% preda 108.6 (79.5–180.5) 105.2 (81.5–118.5) 84.6 (74.1–92.2) 182.2 (143.2–223.7) 0.000
TLC% preda 96.5 (77.8–118.6) 95.8 (80.2–103.3) 77.7 (69.2–91.1) 119.6 (111.4–137.0) 0.000
RV/TLC ratioa 46.2 (39.8–57.5) 39.8 (33.5–47.4) 43.3 (38.7–45.8) 56.8 (49.7–64.6) 0.000
FEV1% predb 70.0 (46.2–90.2) 92.5 (77.0–106.9) 84.5 (76.9–104.2) 46.3 (38.9–55.2) 0.000
FVC% predb 83.0 (74.0–98.7) 95.5 (83.0–110.4) 81.3 (69.9–92.7) 84.0 (75.3–98.5) 0.104
FEV1/FVC ratiob 69.9 (43.4–82.3) 77.2 (71.0–85.3) 82.5 (79.8–87.2) 43.2 (35.6–50.6) 0.000
DLCO% predc 45.8 (36.5–61.1) 37.8 (33.9–64.0) 53.1 (38.9–64.7) 44.0 (35.7–58.4) 0.118
% pred: predicted percentage. RV: residual volume. TLC: total lung capacity. FEV1: forced expiratory volume in the first second. FVC: forced vital capacity.
27 patients without RV% pred, TLC% pred and RV/TLC ratio results up to 6 months within the baseline HRCT.
4 patients without FEV1% pred, FVC% pred and FEV1/FVC ratio results up to 6 months within the baseline HRCT.
23 patients without DLCO% pred results up to 6 months within the baseline HRCT.
In our study, CPFE was mainly diagnosed in elderly male smokers, as previously described.1,3,5–9,12–14 Almost a third of CPFE patients had PH at diagnosis, and this prevalence did not significantly differ in comparison with IPF or emphysema patients. However, there is previous evidence that PH is more frequent in CPFE than IPF or emphysema patients.1,5–9,12
To the best of our knowledge, RV/TLC ratio has not been described in CPFE, or even compared between CPFE, IPF and emphysema patients. We found that CPFE patients had significantly lower RV/TLC ratio than emphysema patients (39.8 vs. 56.8). Accordingly, a normal (lower than 40) or slightly increased RV/TLC ratio could help to discriminate patients with emphysema and superimposed fibrosis from patients only with emphysema.
CPFE patients had significantly lower static lung volumes and higher FEV1% pred and FEV1/FVC ratio compared to emphysema patients, which is in accordance with previous studies.3,5
A trend towards higher lung volumes was seen comparing CPFE and IPF patients, but did not reach statistical significance. Our IPF patients had median lung volumes at diagnosis within the normal or near-normal range, which could underestimate the difference between these two groups of patients. Kohashi et al. also did not find significant differences in FEV1% pred, FVC% pred and FEV1/FVC ratio between IPF alone and IPF-emphysema.14 However, other studies have consistently shown higher lung volumes and lower FEV1/FVC ratio in CPFE versus IPF.5,13,14
Although CPFE patients presented the lowest median DLCO% pred, this functional parameter did not significantly differ between the three groups of patients. This result is not accordant with previous studies. More than 20 years ago, Wells et al. showed that patients with IPF and emphysema had lower DLCO% pred by approximately 15% as compared to patients with IPF alone,15 and subsequent studies have also suggested that DLCO% pred is significantly lower in CPFE versus IPF.3,5 It is possible that the extent of fibrosis and emphysema (i.e. stage of disease at diagnosis) and PH could have influenced our results as suggested by other studies.9,12,14
The main strengths of our research are: (i) direct comparison of static lung volumes and DLCO% pred between CPFE, IPF and emphysema patients, (ii) use of "real-life" data, and (iii) pre-specified threshold of at least 10% of emphysema to define CPFE.
This study has also some limitations: (i) its retrospective nature, (ii) the relative small number of CPFE patients analysed, (iii) the lack of a quantitative evaluation of the extent of fibrosis or emphysema and (iv) selection bias of emphysema patients from a COPD Outpatient Clinic; all emphysema patients had evidence of airflow obstruction, which is not always observed in clinical practice.
In daily clinical practice, to accurately diagnose CPFE may be difficult as it shares many clinical and radiological characteristics with other smoking-related lung diseases. This study showed that a lower RV/TLC ratio could be a potential surrogate to distinguish between CPFE and emphysema when diagnostic work-up raises doubts.
V. Cottin, H. Nunes, P.Y. Brillet, P. Delaval, G. Devouassaux, I. Tillie-Leblond, et al.
Combined pulmonary fibrosis and emphysema: a distinct underrecognised entity.
Eur Respir J, 26 (2005), pp. 586-593
P. Brillet, V. Cottin, P. Letoumelin, F. Landino, M.W. Brauner, D. Valeyre, et al.
Combined apical emphysema and basal fibrosis syndrome (emphysema/fibrosis syndrome): CT imaging features and pulmonary function tests.
J Radiol, 90 (2009), pp. 43-51
M. Inomata, S. Ikushima, S. Awano, K. Kondoh, K. Satake, M. Masuo, et al.
An autopsy study of combined pulmonary fibrosis and emphysema: correlations among clinical, radiological, and pathological features.
BMC Pulm Med, 14 (2014), pp. 104
V. Cottin.
Combined pulmonary fibrosis and emphysema: bad and ugly all the same?.
Eur Respir J, 50 (2017), pp. 1700846
H. Lin, S. Jiang.
Combined pulmonary fibrosis and emphysema (CPFE): an entity different from emphysema or pulmonary fibrosis alone.
J Thorac Dis, 7 (2015), pp. 767-779
R. Jen, C.J. Ryerson.
Combined pulmonary fibrosis and emphysema.
Curr Respir Care Rep, 2 (2013), pp. 254-259
The impact of emphysema in pulmonary fibrosis.
Eur Respir Rev, 22 (2013), pp. 153-157
M.D. Jankowich, S.I.S. Rounds.
Combined pulmonary fibrosis and emphysema syndrome: a review.
Chest, 141 (2012), pp. 222-231
A.I. Papaioannou, K. Kostikas, E.D. Manali, G. Papadaki, A. Roussou, L. Kolilekas, et al.
Combined pulmonary fibrosis and emphysema: the many aspects of a cohabitation contract.
Respir Med, 117 (2016), pp. 14-26
M. Akira, Y. Inoue, M. Kitaichi, S. Yamamoto, T. Arai, K.AT Usual interstitial pneumonia and nonspecific interstitial pneumonia with and without concurrent emphysema: thin-section CT findings Toyokawa.
Radiology, 251 (2009), pp. 271-279
T. Watadani, F. Sakai, T. Johkoh, S. Noma, M. Akira, K. Fujimoto, et al.
Interobserver variability in the CT assessment of honeycombing in the lungs.
Y. Kohashi, T. Arai, C. Sugimoto, K. Tachibana, M. Akira, M. Kitaichi, et al.
Clinical impact of emphysema evaluated by high-resolution computed tomography on idiopathic pulmonary fibrosis diagnosed by surgical lung biopsy.
Respiration, 92 (2016), pp. 220-228
A. Bodlet, G. Maury, J. Jamart, C. Dahlqvist.
Influence of radiological emphysema on lung function test in idiopathic pulmonary fibrosis.
Respir Med, 107 (2013), pp. 1781-1788
J. Jacob, B.J. Bartholmai, S. Rajagopalan, M. Kokosi, T.M. Maher, A. Nair, et al.
Functional and prognostic effects when emphysema complicates idiopathic pulmonary fibrosis.
A.U. Wells, A.D. King, M.B. Rubens, D. Cramer, R.M. du Bois, D.M. Hanssel.
Lone cryptogenic fibrosing alveolitis: a functional-morphologic correlation based on extent of disease on thin-section computed tomography.
Am J Respir Crit Care Med, 155 (1997), pp. 1367-1375
Bronchial Laceration as a Complication of Transbronchial...
Lung Cancer in Patients With Combined Pulmonary Fibrosis...
Guidelines for the Medical Treatment of Idiopathic...
Lung Cancer Screening: Use of Low-Dose Computed Tomography
Archivos de Bronconeumología (English Edition) is a member and subscribes the principles of, the Committee on Publication Ethics (COPE)


text:
Welcome to Glasgow. UK Border Force style.
As Glasgow does its very best to embrace the world, through its hosting of the XXth Commonwealth Games, with great success so far, spare a though for seven American teenagers who arrived at Glasgow Airport last night to help a friend of mine who has, for many years, run a youth Summer activities camp on the shores of Loch Lomond.
These seven volunteers had obtained their Visas in plenty of time and two were already on Scottish soil, through the barriers, when the third innocently replied, when asked the purpose of her visit by UK Border Force "Oh, we're here to help out at a summer camp, as volunteers."
Cue flashing of red lights, extreme "computer says no" warnings and loud cries of "you're fucking nicked".
The two despots on UK soil were immediately returned to the cattle pen that is UK Border Control and were summarily despatched back to the land of opportunity at 9am this morning.
Volunteering is considered to be 'working' and they didn't have Work Visas, they had Tourist Visas.
We've had a look at the US Visa website and can find no mention of this (apparently it's a recently introduced ruling).
UK Border Force. I hope you're feeling good about yourselves.
Brilliant attention to technical detail.
Well done on stopping what could possibly have been a massive terrorist invasion.
Or a complete destruction of the UK Economy.
Alex Salmond will no doubt point out that this was UK Border Force, not Glasgow Airport or anything Scottish whatsoever.
As for the poor kids at summer camp who are now seven organisers short. Send UK Border Force a postcard from Loch Lomond, eh? They probably don't get many good wishes.


Godfather's Pizza offers employees an opportunity they can't refuse.
Godfather's Pizza has announced a new best-in-class benefits program to all employees, including franchisees. The program, called "An Opportunity You Can't Refuse," allows part-time and full-time employees up to $5,250 per year when they enroll at Bellevue University as a full-time, degree-seeking student.
Family members can receive up to $2,500 of tuition reimbursement annually toward their chosen degree. The new program is available to all employees and their immediate family members after just 30 days of continuous employment.
Studies indicate that learning and development are important benefits to talented employees. In fact, 93 percent of millennials see development as critical to their careers; learning and education opportunities are cited as the top non-cash benefit.
Bellevue University was chosen for its understanding of the strategic needs that working adults have in pursuing education. The university has a well-earned reputation for serving adult learners and offers more than 50 career-relevant bachelor's degrees and 20 master's degrees.
"At Godfather's Pizza, we are eager to build our own leaders by giving motivated team members access to career-relevant learning programs," said Roxanne Mason, Human Resources Manager.
Learn more about the new benefits program at http://godfathers.corporatelearning.com/.


Wounded soldier needs £1700 to pay for brain operation… can you help? – Soldier On!
As part of his treatment, in 2007 he had to have a titanium cranioplasty implanted over a large portion of his brain to reconstruct his skull. This caused him no issues until, in January 2018, it wore away his skin on his head, became infected and had to be removed – leaving him with a hand-sized portion of skull missing on his right hand side, and in constant threat of receiving further injuries due to his brain being unprotected in this area.
The NHS will provide a free titanium cranioplasty but, as this has already worn through his head once, it has been deemed to be an unsuitable option by his consultants.
A newly developed material has been recommended, at a cost of £1700, which will eventually integrate with his skull and provide a seamless, strong and secure covering for his delicate brain. The NHS are not prepared to fund this new material, and instead want to use titanium – despite it being deemed unsuitable by his doctors.
With three small children, he is struggling day-to-day to do everyday tasks such as cook, clean and play with his kids. He suffers constantly from headaches and vertigo as a consequence of having an incomplete skull.
We have already secured a donation of £500 to cover the cost of the new material and need to raise a further £1,200. Please can you help?
We are not going to the press with this one simply because the person in question wishes to remain anonymous.
Please contact me, nicholas@soldieron.org.uk or 07884 365 054 if you can help. Thank you.
'History' found in Wales; 'Well-being' found in all.
I am the Deputy Chair of the British Airborne Forces Club. Clearly this chap is of interest to us as I too am ex 3Para. Let us talk!


text:
Rashida Jones, Singer, Sounds Pretty Damn Great On New Throwback Dance Jam
Julianne Escobedo Shepherd
Filed to:jams
It should not come as a surprise that Rashida Jones is a talented singer, even though the actors-singing genre is generally quite bleak. It's not even that her pops is Quincy Jones, one of the most important producers in America and the world—just because your dad produced Thriller doesn't guarantee you'll be born without tone deafness. She's let us in to her raspy contralto before, in films like Monogamy and Park & Recs. But this new jam, "Flip and Rewind," is neither twee nor melodramatic, folky or comedic: she's going in like an early '80s dancefloor starlet, the way only a person who grew up internalizing the tone and groove of the Mary Jane Girls and Teena Marie could.
"Flip and Rewind" is actually the creation of Boss Selection, the new project from producer Sunny Levine, who's worked with a roster so varied it includes both Scarlett Johansson and Pete Yorn. He's also done the score for Celeste & Jesse Forever, that Jones/Andy Samberg rom com, so the Jones connection is there—but even if he didn't know her from the movies, even if she weren't a famous actor or the daughter of the man who created some of the funkiest songs in the history of music, he was smart to reach out. Clearly Boss Selection is going for that post-disco, loping BPM glam that really hit its sweet spot around 1982; it wouldn't have been prudent to get a flashier vocalist, as those jams were all about letting the vibe wash over you, not being zapped into the wave. And if this portends Boss Selection's album, forthcoming December 8, he will have hit his own sweet spot with throwback jams nestled cuddly in our hearts. His last single, with ORELIA, nailed it just as well. Looking forward to this one.
Contact the author at julianne@jezebel.com.
Image via Press Here PR.


It's often during the tail end of winter that kids can get sick often. But just because the season is nearly over, it doesn't mean you just have to grin and bear it. There's still time to boost your kid's immune system naturally.
Over winter, I've seen a lot of kids who have had recurrent infections, or not bouncing back as quickly from sickness. The problem is that it takes a toll on the whole family. Germs can pass around a family quickly, and parents need to take days off work to care for their little ones. So prolonged sickness can affect the quality of life for the whole family, even if the infections are minor.
Watch the video or continue reading below to find out more about how to boost your kid's immune system naturally.
The first thing to remember is that sickness is normal, especially for children. During childhood, the immune system is still developing. Kids are also more likely to spread germs thanks to their less-than-ideal hygiene!
But a true sign of a strong, healthy immune system is how quickly they bounce back from illness. You want them to be back to their vibrant, energetic selves! What you don't want is for them to catch every bug that goes around school or kinder. If they are taking longer to recover, or if they get recurrent infections like ear infections or respiratory infections, it might be a sign that their immune system needs some TLC.
There are many factors that can suppress immunity. But there are three major causes that I see popping up frequently.
The first is a low nutrient intake. There are a few reasons why your child might have a low nutrient intake. They might be fussy eaters, and refuse to eat a variety of foods. Their diet might be higher in refined foods, so they aren't getting enough of the nutrients that are essential for immunity. Or they might not be consuming enough wholefoods to give them these necessary nutrients. Often, it can be a combination of all three.
The second is compromised gut health. The gut plays an essential role in immunity – around 70-80% of the immune system is actually in the gut. So if the gut isn't healthy, the immune system can suffer. Common causes of compromised gut health include a low fibre diet, medication use including antibiotics and an imbalance in gut bacteria.
The third is an imbalanced immune system. This is common in children, as their immune system is still finding its balance. An immune system that's reactive uses up a lot of resources, which leaves little behind for protecting the body from infections. Common signs of an imbalanced immune system include conditions such as eczema, asthma, allergies and intolerances and hayfever.
The good news is that there are heaps of way to boost your kid's immune system naturally. Things like nutritional supplements and herbs have their place, but they need to be customised to your child's case by a practitioner.
But the best way for you to supercharge your child's immunity is using plenty of nutrient-dense wholefoods. These simple tips can be beneficial for everyone, and address all three factors that could be causing low immunity.
Antioxidants are a group of nutrients that include like vitamins A, C and E and zinc that power the immune cells. So to boost immunity, we want to add more antioxidants into the diet.
It's easy to spot a plate that is high in antioxidants, because it is full of natural brightly coloured foods. The more colours on a plate, the better! Some of my favourite high-antioxidant foods for kids are berries, carrot, sweet potato, pumpkin, citrus fruits, kiwifruit, different coloured capsicums and beetroot. Deep green leafy vegetables are also great, but many kids don't like the taste. In this case, you can add a little bit into things like sauces and smoothies.
One important thing to remember is that heating, processing, and even freezing can reduce the levels of some antioxidants. So even in the middle of winter, you want to include some raw fruits and veggies in the diet. You could add some capsicum slices into the lunchbox or even find a winter-friendly salad recipe to try.
Herbs and spices are little extras, but they pack a punch when it comes to immunity. Many are anti-microbial, antioxidant and contain other immune-boosting nutrients.
For spices, garlic, ginger and turmeric are some of my top picks. When it comes to adding garlic to a meal, there are two tricks to remember. The first is that adding it at the end of cooking instead of the start means that you'll reap more of the medicinal benefits. This is because many of its properties are sensitive to heat. The other way to boost up the powers of garlic is the chop it up and let it sit for a minute or two before adding it. As it sits, the medicinal properties are activated.
For herbs, oregano, thyme, parsley and dill are all good options to add into the family meals. Growing your own herbs is an easy and affordable way to have a year-round supply. Herbs can have a strong flavour, so if your kids aren't used to them, try adding them to a favourite dish. Popping some chopped parsley or oregano onto a pizza is a good starting point. Start with small amounts, and build it up.
Fermented foods can improve gut health by adding good bacteria. But fermenting vegetables can also enhance the nutrient status of the food. So it's a two-for-one deal for your immune health.
The biggest issue with including ferments is compliance – a lot of kids don't like the taste. This is where you can experiment, either with making your own or finding a tasty, good quality option at your local health food store. A little bit goes a long way with fermented food, and you want to give your child time to adjust their palate to the taste. So try adding a few slivers of sauerkraut on the side, or mix it in with a sauce.
Looking for more ways to boost your kid's immune system naturally?
The best way to support immunity is to include plenty of nutrient-dense wholefoods. I've included all of my best tips for boosting your child's intake of wholefoods in my free ebook, Essential Wholefoods For Kids. To grab your copy, click here.


text:
René Payot, né le  à Corcelles-près-Concise (Vaud) et mort le  à Genève, est un journaliste suisse.

Biographie

René Payot suit des études de lettres. En 1918, il est dépêché par le Journal de Genève en Bavière pour y suivre les soubresauts révolutionnaires qui secouent l'Allemagne au lendemain de sa défaite.

Rentré en Suisse en 1920, il est nommé correspondant du même journal à Berne puis, en 1933, rédacteur de la politique fédérale et locale. Il se révèle alors un polémiste redoutable, sous le pseudonyme Puck, s'en prenant sans ménagement à la politique du parti socialiste dont il dénonce les prétendus liens avec Moscou. Succédant à William Martin, il devient la même année rédacteur en chef.

Dès octobre 1941, à la demande du directeur du studio de Genève de la Radio suisse romande, René Payot accepte de commenter, chaque vendredi, la situation internationale. Très rapidement ses chroniques passent les frontières. Durant la période de guerre, Français et Belges se passionnent pour ses commentaires considérés comme objectifs, lucides et soucieux de la vérité. Ses chroniques de politique internationale dureront jusqu'en 1969, dans le cadre, tout d'abord des Instants du monde, puis du Miroir du monde.

Distinctions et hommages
 Ruban de commandeur de la Légion d'honneur française.
 Membre de l'Académie florimontane depuis le .

Une petite place triangulaire porte son nom, entre la rue du Général-Dufour et la rue du Conseil-Général, entre le bâtiment Dufour de l'Université et le parc des Bastions. Selon l'État de Genève, .

Bourse René Payot
Chaque année, depuis 1982, en mémoire de René Payot est offerte, par les radios des Médias Francophones Publics (Radio France, la Radio télévision suisse, la Radio-Télévision belge de la Communauté française, Radio-Canada et Radio France Internationale) une bourse portant son nom. Dotée d'un prix de 7.000 Euros, elle récompense un(e) aspirant(e) journaliste.

Bibliographie
Michel Caillat, René Payot, un regard ambigu sur la guerre, Genève, 1997

Notes et références

Journaliste genevois
Commandeur de la Légion d'honneur
Membre de l'Académie florimontane
Naissance en août 1894
Naissance dans le canton de Vaud
Décès en mai 1970
Décès à 75 ans


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redpajama_set_name: RedPajamaGithub


text:
The Professor's Lecture
A reinterpretation of the Prisoner has been long overdue ladies and gentlemen. Soon after the original series had hit the screen, even in 1968 ladies and gentlemen, there was talk of another series. A series in which Angelo Muscat, who played the role of the Butler, and Alexis Kanner, were going to be in a series which saw them running around the world, pursued by the forces of the village! What a load of old tosh I thought when I first heard that story.
And ever since that time ladies and gentlemen, there's been talk of a remake, for television, and a Hollywood blockbuster. Patrick McGoohan had in fact submitted his own script to Hollywood film producers, but they threw it out, saying that people would never understand it! In 1996 it was announced at a Prisoner convention that year, that the cameras were about to "roll" on a Hollywood remake. Names were put forward as contenders for the role of No.6, Mel Gibson being one such name. But all the rumour came to nothing. The Truman Show, you remember that film, which I suppose was a kind of Prisoner based film, but without the numbers. And then with all the poor substandard remakes such as The Avengers, The Saint, Randall And Hopkirk {Deceased}, amongst others, it began to look as though the Prisoner should be left well alone.
But now, the world, well America, are but a few days away from seeing a reinterpretation of THEPRIS6NER. Sadly there is no room for the likes of me. No painted back-drops of the Village, Rover has grown up, into a computer generated image, which means no fishing line tied to the belt of Jim Caveziel's trousers with the village guardian tethered to the other end!
The Professors Lecture
Spotlight On The Prisoner
60 Second Interview With - The Man With No Name
Tonight On The Video Channel
The Man Out There
If It Isn't the Prisner - Then What Is It?
The Prisoner Under The Spotlight
Pictorial PRIS6NER
MAGIC NUMBER 6
What's That No.6 Been Up To?
John Drake's Gadget of The Week
Big Bill - Big Ben
60 Second Interview With An Interim No.2 - An Heir...
What's So Special About Number 6?
Sir's Inauguration And The Transfer Of Ultimate Po...
Better Be Killed Than Frightened To Death
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Free Research Proposal About Provision Of Private Healthcare In Canada
Type of paper: Research Proposal
Topic: Health, Health Care, Canada, Confidentiality, Medicine, Government, System, Public
Healthcare in Canada is provided by a publicly funded system regulated by the government. The healthcare services are free at the point of use. Although the healthcare system is government, there are a myriad of services provided by the private sector. The Canadian Healthcare Act of 1984 regulates private and public healthcare services. The Canadian health care system is administered provincially to increase the administrative simplicity. The Federal government is not encompassed in the daily administration of healthcare services, the information exchanged between the patient, and the doctor remains confidential. The Canada Healthcare Act does not cover home care, the provision of glasses, the prescription of drugs and dental care. Most Canadians pays out of pocket for these services or rely on the private insurance to cover the costs. Private health care expenditure amounts to 30 % of the national healthcare financing.
Canada uses the Beveridge model of healthcare system. The system relies on the government for funding just like the military and the police force. The Canadian healthcare system also recognizes private players in the health sector. In Canada, the government is the major player but not the single player. Doctors working for the government are not allowed to practice in the private sector. The interplay between the Beveridge model and the out of pocket model has raised a lot of controversy in healthcare debates across Canada. The government-controlled model is the best for Canadians since it caters the needs of both the affluent citizens and the citizens who live in reduced circumstances. The current model of healthcare is appropriate since it provides for the mental and physical health needs of those interested in the private sector and public sector.
Some of the questions that the paper will attempt to answer how is the history of the healthcare in Canada affecting the provision of private health care systems. The second issue that the paper will explore is whether the system is effective in the delivery of the health services. The next area of concern for the paper would be does the publically funded health care system affect service provision in the private sector. Why is Canada experiencing an excess of doctors and yet a shortage of physicians has been recorded in some parts of Canada? How does the provision of the private health care services affect the excess of doctors in Canada and the inadequacy in some regions of Canada?
History of Healthcare in Canada
In the 18th-Century, health care in Canada was provided through non-profit making organizations. Hospitals were centers for providing healthcare to the elderly and the sick. The Catholic churches and Protestant churches funded them. The government regularly subsidized the healthcare to alleviate the burden of covering healthcare. In 1820, the first medical hospital was established providing medical education to young would be physicians. William Osler played a crucial role in the establishment of medical school in Canada. Osler wrote 'The Principles and the Practice of Medicine' a book, which dominated the medical education for over forty years. Calls for the greater government involvement began during the great depression. Canadians suggested the idea of national insurance system, and it started to gain popularity. Doctors who had initially rejected the idea began to support it since the involvement of government would stabilize the already suffering medical community. Government involvement in medical coverage started in the provinces. Soon every province authorized the provision of healthcare services. It is apparent that the original organization of healthcare delivery was out of pocket payment. The Canadian government was not directly involved in the provision of healthcare services in Canada. The Canadian Health Act of 1984 delivered an enormous blow to the private healthcare sector. However, the private industry still survived the total private healthcare expenditure is 30 percent of the national healthcare spending. The Canadian Healthcare Act of 1984, though a landmark legislation did not cover costs such as the prescription of drugs and dental care. Private healthcare centers have flourished under these loopholes. Private healthcare is gaining the ground as a reliable health care system in Canada. It provides an assortment of services such as dental care, cosmetic surgery and other luxurious treatments not available under the public healthcare system. Private medical insurance cover is also willing to cover the costs of cosmetic surgery and dental care. The waiting lists in the government hospitals make the affluent members of the society prefer private hospitals to public ones.
The private healthcare system in Canada is more efficient than the public healthcare system. The long wait list in public hospitals is a catastrophe and a patient is likely to die in the public health hospitals than in the private sector. The cost of medical care in the private hospital is expensive, but the threat of litigation makes the provision of health care in private hospitals to be of high quality. Inadequate policy and decision making in the public health sector makes patients to prefer private hospitals to public hospitals. The current system is aligned to the quality of the hospitals rather than the quality of the healthcare delivery. The costs are high in the private sector, but the quality of healthcare delivery corresponds to the quality of healthcare.
The Canada Healthcare Act
Privately funded healthcare services are allowed under the Act of 1984. The prime intention of the Act is to protect and promote the physical and mental wellbeing of all Canadians. One of the weaknesses of the Act is that it does not cover the provision of services such as abortion. Since at the time when the act was passed the provision was contentious, the Canada Healthcare Act does not include abortion as a medical service. The Act seeks to promote public administration of health care, comprehensiveness and the universality of the healthcare. The standards, as mentioned above, are also applied in the private sector. Doctors working in the public sector are not allowed to work in the public sector. The public administration of health services was meant to tame the wild market of private health sector players. Private healthcare services are highly scrutinized to ensure that they meet the standards mentioned in the Act. The judicial system also applies the same level of scrutiny.
A student of the Canadian health care system will eventually realize that the Canadian system is a two-tier system of healthcare. The private sector operates under the same principles outlined in the Canadian healthcare act. Services in the private sector are expected to adhere to the same standards as the public sector. The private health sector is prone to litany of medical malpractice suits. The doctors in the private sectors do not receive an annual salary, but they receive pay per visit fees. In some provinces, there are laws that prohibit the provision of private healthcare services. In 2005, the Supreme Court of Canada ruled in Chaoulli v. Quebec (Attorney General) held that the prohibition of private healthcare violated the fundamental freedoms and rights of all those concerned. The landmark ruling is said to have opened the doors to the private sector involvement in the heath area.
Excess of doctors
The Canadian government trained physicians to handle the number of patients in the public hospitals. It allowed doctors from other parts of the world to study and practice in the Canada. The increased number of physicians was meant to handle the rising number of the elderly in Canada. The influx of doctors happened between 1990s and 2000. At the same time, Canada was also concerned about the increase of clinicians to bypass the physician's population ratio. The Canadian government realized the mess that was about to happen raised the qualification of medical students. The number of doctors increased for some time then reduced. The majority of the physicians who were trained during 1990s and 2000 before the Canadian government increased the qualification often find themselves unemployed. Since the public health care system cannot absolve all of them, the private sector absolves some of them. The menace of unemployed doctors, when there is a shortage of physicians around the world is a policy misapplication by the decision makers in the health sector. The majority of the unemployed physicians are concentrated in the urban centers of Canada while the remote areas especially the northern region recording an acute shortage of doctors.
Adams, D. (2001). Federalism, Democracy and Health Policy in Canada. Alberta: Queen's University Press.
Baylise, F. (2011). Health Care Ethics in Canada. New York: Cengage Learning.
Caulfield, T., & Tigerstrom, B. (2002). Health Care Reform & the Law in Canada: Meeting the Challenge. Alberta: University of Alberta.
Fierlbeck , K. (2011). Health Care in Canada: A Citizen's Guide to Policy and Politics. Toronto: University of Toronto Press.
Gratzer, D. (2002). Better Medicine: Reforming Canadian Health Care. Quebec: ECW Press.
Marchildon, G. (2006). Health Systems in Transition: Canada. Toronto: University of Toronto Press.
Maynard, A. (2005). The Public-private Mix for Health: Plus Ça Change, Plus C'est la Même Chose? New York: Radcliffe Publishing.
Samuels, R. (2003). Constitutionalizing universal public healthcare in Canada: integrating quality-of-life considerations with the Charter of Rights and Freedoms. New York: Agora Cosmopolitan.
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text:
Established 1989. Building Contractor, Aggregate supplier & Plant Hire.
Martha Terrace, Wick, Caithness
Tel: 01955 604664Fax: 01955 606989 Mob: 07770 807550
Caithness Stone
GMR Henderson
Established in 1989, GMR Henderson has gained an enviable reputation as a Main Contractor and has been highly active in the field of construction, building, renovation and civil engineering throughout the Highlands of Scotland. We provide all types of recycled aggregates, type 1, sands & decorative gravels. We also supply Caithness building stone sourced direct from our quarry. Caithness stone is world-renowned & used globally on all manner of construction projects from paving streets to drystone dykes.
Enjoying continued expansion GMR Henderson operates all the Crushing & Screening of Stone from Spittal Quarry which covers over 100 acres and is the oldest operating Quarry in Caithness and has gone from strength to strength under the guidance of Gerald Henderson and his dedicated team of professionals. Supplying all types of crushed stone, decorative aggregates and various grades of sand that can be delivered direct to the client's site.
We operate an extensive range of Plant for Hire, with or without operating technicians, with a fleet of over 20 machines ranging from Mini Excavators to 33 Tonne Track Excavators, Wheel Diggers, Telescopic / Manitou / Forklift machines, Breakers, Rollers, Dumpers, etc.
We also have a fleet of Lorries that range in sizes from 7.5 Tonne to 44 Tonne. Our in-house Fitters carry out all the Maintenance and Servicing of all our Lorries, Plant and 18 General Purpose Vehicles within our fully equipped Garage.
Our Quarry
Quarry View 3
Our Crusher 2
Our Crusher
Just one of our crushers which provides us the facility to…
Dry Stone Dyke
A typical dry stone dyke built in the traditional way that…
Quarry Blasting
Professionally blasting (in a strictly controlled zone) to source fresh new…
A modern home built by GMR Henderson & utilizing stone sourced…
Established in 1989, GMR Henderson has gained an enviable reputation as a Main Contractor and has been highly active in the field of construction, building, renovation and civil engineering throughout the Highlands of Scotland.
Working within the company we have a wide range of highly skilled Qualified Technicians / Operatives, Finishing Joiners and First Fix Joiners, Fitters, HGV Drivers, Stonemasons, Bricklayers, Concreters, Concrete Finishers, and specialists in Roofing, Drainage, Plaster, Rough-casting, Scaffold Inspectors and Scaffolders.
Gerald has made major investment in the quarry machinery, upgrading all the machines which has enabled the quarry to become more efficiently run, with the end result being that they are capable of accepting much bigger contracts.
Professional and friendly service is how the company has built their reputation having a
"no job is too big or too small" approach. Gerald Henderson, the director of GMR Henderson applies a "hands on" approach overseeing all contracts and ensuring work and safety procedures are enforced at all times.
House Building
Martha Terrace,
Wick, Caithness,
KW1 5EL
Quarry: 01847 841327
Emergency: 07770 807550
(C) GMR HENDERSON LTD - 1989-2015


1. The standard cork planter can be lined along a windowsill or bunched together in your garden; this planter goes just about anywhere. To make these, fill old wine corks with plant cuttings – ones that can thrive in small containers like spider plants, jade, string of pearls, bonsais, mini ferns, dwarf mosses, or micro-orchids – water gently with an eye dropper, plant mister, or dollhouse watering can, then watch your granular garden transform even the smallest of spaces! Follow Crafts Unleashed's instructions for creating these delectable seed spots.
2. For a functional twist, turn your cork planters into refrigerator magnets. Upcycle That has instructions here!
Try your hand at one of these wine cork crafts for the start of spring, or tell us your own method for recycling corks and/or building planters!


text:
Q: Convert Android.Graphics.Bitmap to Image I am trying to get screenshot of the view as follows. I am getting Bitmap and I need to convert it to to Image to add into PDF generator.
using (var screenshot = Bitmap.CreateBitmap(200, 100,Bitmap.Config.Argb8888))
{
    var canvas = new Canvas(screenshot);
    rootView.Draw(canvas);

    using (var screenshotOutputStream = new FileStream(screenshotPath,System.IO.FileMode.Create))
    {
        screenshot.Compress(Android.Graphics.Bitmap.CompressFormat.Png, 90, screenshotOutputStream);
        screenshotOutputStream.Flush();
        screenshotOutputStream.Close();
    }
}

My question is how to convert Android.Graphics.Bitmap -->screenshot to Image ?
I want to replace the url with Image itself which comes from BitMap.
String imageUrl = "myURL";
Image image = Image.GetInstance (new Uri (imageUrl));
document.Add(image);

A: You can use this method:
public Bitmap getScreenshotBmp() {

    FileOutputStream fileOutputStream = null;

    File path = Environment
            .getExternalStoragePublicDirectory(Environment.DIRECTORY_PICTURES);

    String uniqueID = UUID.randomUUID().toString();

    File file = new File(path, uniqueID + ".jpg");
    try {
        fileOutputStream = new FileOutputStream(file);
    } catch (FileNotFoundException e) {
        e.printStackTrace();
    }

    screenshot.compress(Bitmap.CompressFormat.JPEG, 30, fileOutputStream);

    try {
        fileOutputStream.flush();
        fileOutputStream.close();
    } catch (IOException e) {
        e.printStackTrace();
    }
    return screenshot;
 }

redpajama_set_name: RedPajamaStackExchange


The environmental considerations of any project stand at the top of the central, regional and local government agendas. Regulations are complex and penalties for contravention often punitive. In recent years businesses have had to look beyond their immediate local concerns and pay attention to challenges facing us all – on a global stage.
Our specialist environmental lawyers are highly experienced in working with a diverse range of clients on a wide range of issues. We are adept at highlighting sensitive issues, defining potential risks and liabilities and providing sound practical advice on the management of those risks to make sure everyone knows exactly where they stand.
Our team is highly regarded and advises clients in both the private and public sector and has for many years been ranked as "Top Tier" by legal directories. We have developed a deep understanding, proven track record and expert resource to advise clients on environmental issues, both contentious and non-contentious.


text:
MASS writes to World Bank chief, may agitate if livelihood, environmental concerns are not addressed
Dr Kim
In a letter to World Bank president Dr Jim YongW Kim, Dr Bharat Patel, general secretary of the Machimar Adhikar Sangharsh Sangathan (MASS), writing on behalf of the "affected communities" of the Tata' Mundra ultra mega power plant (UMPP) in Kutch, Gujarat, has said, even "almost three weeks" after the Compliance Advisor Ombudsman (CAO) published its report there is no action on the Tata plant from the Bank's arm, International Finance Corporation, which is part-funding the project. The letter comes close on the heels of a protest to Dr Kim by several US and European NGOs expressing concern over his failure to act despite CAO raising serious environmental and livelihood issues (click HERE).
Dr Patel said, "As complainants to CAO we invested a lot in the process – when the company and the IFC were refusing to divulge information about the project and its impacts, we dug them up and brought it to the notice of CAO. As fishing communities, our access to information which was only in English and not in our local language, were curtailed and we had to seek the help of many different organizations and individuals to understand them. We do not have researchers, but we got all basic data to back up our concerns about the project. We put complete faith in the process. We trusted the independence of the CAO and hoped that the findings of the CAO will help addressing our concerns."
MASS' problem has gone complicated because the CAO, in its report, while taking objection to the IFC's failure to take "cumulative impact" of the UMPP, the Adani Power's 4,620 MW plant (being implemented not far away), and the Mundra Port and Special Economic Zone (MPSEZ), has said it is "reluctant to review IFC management decisions on project selection." Instead of recommending any punitive steps, such as suspension of loan on environmental or livelihood grounds, the report rejects the view that the project is not feasible to "not finance new business activity that cannot be expected to meet the Performance Standards."
The CAO submitted its audit report on August 22, which was made public on October 23. The refusal came despite the CAO report's reference to how Tata Power has overlooked the need to take a detailed view of environmental destruction of the region and adverse impact on the marginalized communities, especially fisher people. It stated to how MPSEZ, which is "a major industrial development", and its owners, the Adani Group, "have been the subject of multiple allegations of environmental wrongdoing in recent years, particularly in relation to the destruction of mangroves around MPSEZ".
Dr Patel in his letter said, "To our utter disappointment, there wasn't even a whimper from the IFC, or from you as head of the institution, on the CAO findings, than rejecting it outrightly", wondering, "In hindsight, Dr Kim, would you have counseled us not to put faith in the CAO? That the CAO process is not more than a farce?" It added, "The CAO confirmed all our concerns. It confirmed that the environmental and social risks and impacts of the project were not considered and addressed; there is no social baseline data; IFC's policies for land acquisition not applied, despite physical and economic displacement, Inadequate attention was paid to the requirement of biodiversity conservation; IFC failed in its review and supervision of the impacts on airshed and marine environment and IFC failed to examine the cumulative impact of Tata Mundra."
The letter further said, "Dr Kim, by deciding to stand by IFC and company, you have chosen to be with the violators, both of human rights as well as that of environment norms and policies. Rejecting the findings based on scientific research and thorough investigation, and opting to support narrow political interests of IFC has betrayed all that we have heard from you so far – right from your climate concerns to accountability and shared prosperity. How could you, Dr Kim, with your background and exposure, burry your own head and buy the falsehood and propaganda of IFC and the company?"
Demanding "appropriate actions" to address the findings of the CAO, "starting with a remedial action plan to mitigate the impacts already shown on the ground and the withdrawal of IFC financing from the Tata Mundra coal project", the letter said, "You and your advisors might have thought that we will take this lying down, and this may vanish from the public memory soon and our supporters will move on with their priorities and our concerns may get a silent burial."
However, he threatened, MASS and its supporters will "move on", adding, "We do not have an option than to keep fighting this project. This project is hitting us hard where it hurts the most – our livelihood and our health, especially that of the children and elderly. We would not stop our efforts of seeking justice and making you and your IFC accountable. Your apathy and your betrayal of our trust have only firmed up our resolve to intensify our fight."
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text:
Krush Groove
Krush Groove is a 1985 Warner Bros. film that was written by Ralph Farquhar and directed by Michael Schultz. This film is based on the early days of Def Jam Recordings and up-and-coming record producer Russell Simmons, portrayed by Blair Underwood in his feature film debut. Russell Simmons was the film's co-producer and story consultant; he also ...more on Wikipedia
Krush Groove is listed on
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Ok, I'll look into it.
I've not been able to reproduce it. I had 50 domains running all cat'ing /dev/urandom and I was able to input/output large amounts of data without corruption to another domain.
frequently on, but I haven't seen it on other machines..
Sorry, I wasn't clear. I haven't been able to reproduce it with the consoled code. It happens quite frequently for me under the old Xend code.
With that said though, I'm still not convinced it's fixed completely because I don't think xcs buffers everything correctly. The new console drivers should do the trick though since we won't need to go through xcs.


text:
Couple Launches New Christian Brothers Franchise In West Chester, Ohio
Growing auto repair brand now has more than 150 locations open
Houston-based auto repair franchise Christian Brothers Automotive continues its nationwide expansion with Mike and Florence Campbell's new shop in West Chester, Ohio.
The 105,000-square-foot, nine-bay garage opened its doors in September. The Campbells first became aware of Christian Brothers four years ago while living in Atlanta, Georgia. Impressed with the brand, they researched how to get involved with the franchise, but didn't do so until a year after their son, Johnathan Joseph (JJ), died in a car accident. They wanted to pursue a commercial venture that would honor their faith, God, and JJ.
"We were examining our faith, and it seemed like the right time to revisit an opportunity with Christian Brothers," Mike Campbell says.
Christian Brothers is a highly rated, faith-based auto repair franchise with a unique financial model. Christian Brothers assumes a majority of the risk by purchasing land and constructing "built-to-suit" buildings, where the franchisee owns and operates the business. Christian Brothers does not charge a franchisee based on the top-line revenues like virtually every other franchisor, but instead on a share of the profits, which is calculated after expenses. Franchisees also pay themselves a salary before they pay the franchisor a nickel.
Why the Christian Brothers franchise appeals to families
Hours of operation for the new West Chester Township location are 7 a.m. to 6 p.m. Monday to Friday and, for the first three months, 8 a.m. to 2 p.m. on Saturday. After six months, the business plans to be closed on Saturdays, one of the unique facets of the franchise.
Christian Brothers respects faith, family, and employees and is focused on spiritual well being, not just the bottom line. That's why the shops take the unheard of step of closing on Saturdays and Sundays (after the initial six-month opening phase).
"We give our employees a full weekend because we know they will have more time to spend with their families and friends, and because in doing so we are able to attract the most talented mechanics," says Josh Wall, Vice President of Franchise Development for Christian Brothers. "Having weekends off is a sought-after perk in the auto repair business."
Christian Brothers is projected to have more than 150 locations by the end of 2015.
A franchise concept that's built to last
Christian Brothers opened its first store in 1982 and began franchising in 1996. The company has never closed a franchise, earning it one of the best reputations in the franchise industry.
Total investment for a Christian Brothers franchise starts at $403,100, with an initial investment of $75,000.
Because Christian Brothers purchases the land and pays for the building, it's possible to get into the car repair industry with far less investment than other auto repair franchise options.
Learn more about Christian Brothers
For in-depth details about the Christian Brothers Automotive franchise opportunity, contact us today!


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Your agency Lair Real Estate of Saint Pierre des Nids, offers you for sale this beautiful house located at the edge of the river "La Sarthe".
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