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Summer/Fall 2019, Intervention
HIV/AIDS Then and NOW
A Positive Blood Test Was Almost Like a Death.
From the early 1980s, when it was first identified, through the mid-1990s, the prognosis was dire: Almost uniformly, it was fatal. And, very likely, the end was not kind.
Those afflicted with the disease often literally wasted away. With their CD4 or T cells destroyed and the virus constantly replicating, their immune systems became powerless to fight off infections. Lesions often developed in their brain, causing stroke-like symptoms and signs of dementia. Thrush, a painful fungal infection, ravaged their mouths, throats and esophagus, impairing their ability to swallow, eat or drink. A virus destroyed their retinas and their eyesight leading to blindness. Spots and nodules appeared on their skin; usually painless, but marking them as lepers of this insidious and stigmatizing condition.
Hospitals in New York City were overwhelmed. Doctors, nurses and funeral homes often kept their distance for fear of contagion. Government resources to fund research in search of better treatments were grossly inadequate.
Today, nearly four decades later, HIV/AIDS is a chronic and often manageable disease. No change in a previously lethal condition has been more dramatic for patients and practicing physicians of a certain age. Patients who are compliant with their meds can expect to live long and essentially normal lives.
Dr. Ed Telzak, Chair of the Department of Medicine at SBH and an infectious disease specialist, remembers when he was a young attending physician at a major Manhattan cancer center with a very large HIV population. At first, the clinical presentation of patients with this new disease left even experienced infectious disease doctors feeling bewildered and isolated. Eventually, infectious disease physicians from the city's major health institutions – through weekly Intercity Infectious Disease Rounds – gathered to discuss and share their experience about this puzzling illness. This helped them identify new risk groups and the importance of such things as screening prior to blood transfusions. Still, it was like putting together a 1,000-piece jigsaw puzzle with the clock ticking.
"One of the very strong memories I had at the institution where I was working was that a lot of young people died from cancer and a lot of young people, overwhelmingly men, died from HIV/AIDS," says Dr. Telzak. "The people who died from cancer, their rooms were filled with family at the end. The people who died from HIV, they were alone. Sometimes they had a partner, sometimes a crying mother from the Midwest. But most people died alone. Not only did the staff feel an obligation to care medically for these patients, but they also had to support them emotionally an spiritually when they were dying because no one else was there."
Dr. Telzak treated his first AIDS patient when he was an intern training in Boston in 1981. The patient was a young gay man about his age who had been transferred from a hospital in Cape Cod. A lung biopsy showed the patient had pneumocystis, a serious fungal infection of the lung. Doctors put the patient on a ventilator and treated him with a daily injection of Pentamidine, a medication so rare it needed to be flown in by the CDC and picked up at the airport.
"I remember giving him this daily injection in the ICU because he had failed Bactrim, which was a known treatment for pneumocystis based on trials in a childhood leukemia population who developed this infection," says Dr. Telzak. "Bactrim was a proven therapy but our patient was getting worse. I gave him these daily IM injections…in his thigh, in his right and then in his left. He died over the course of 10 days and that was the beginning of a series of patients, all young gay men, who came in extremely ill. Many had pneumocystis, but also a range of very unusual infections that even very experienced ID doctors had not seen before."
Within several years, hospitals in New York City and other major American cities became overwhelmed with HIV positive patients. Dr. Judy Berger, Director of Infectious Diseases at SBH, remembers seeing this first as resident and fellow at hospitals in Manhattan and Brooklyn, before becoming an attending physician at St. Barnabas Hospital in the early 1980s. Even more heartbreaking, her hospital rotations would take her to pediatric units where a growing number of young patients were cared for.
"I was in medical school from 1976 to 1980 and HIV was not a known entity, but we began to see IV drug users come in with lymphadenopathy and we were doing biopsies and finding what is called hyperplasia," she says. "We had no idea what it was. Maybe, we thought, it was something these drug users were injecting, some kind of antigen stimulation. But, there was something else going on, only we had no idea what. In hindsight, I am sure we were seeing HIV."
She would treat patients with toxoplasmosis in every organ – the brain, the pancreas, the lungs. This would later be found to be the most common central nervous system infection in AIDS patients not receiving appropriate prophylaxis. At that time, however, the condition was still a mystery.
The disease, says Dr. Berger, was initially focused around the 4H's: homosexuals, Haitians, hemophiliacs, and heroin. That would soon change.
Dr. Jonathan Samuels saw patients with conditions he had never seen before when he came to New York City to train after completing medical school in Chicago.
"I remember there was one Christmas where we were going around giving everyone presents," he says. "There was just so many patients with AIDS and they were so sick and they weren't going to get better. It was so sad. Then AZT came out and some would get better for a little while. Their hair would grow back and they would gain weight and they would start to feel better and then after a year or two they would begin to deteriorate, and they would get really sick and die."
Recent research shows that the AIDS virus first landed in America a decade earlier, around 1971, with the time between infection and onset of symptoms taking, on average, about 10 years. Contrary to the once accepted premise that an Air Canada male attendant was "patient zero," spreading the disease through sexual partners along his route, it is now believed to have started in the city of Kinshasa in the Congo as far back as the 1920s. According to the journal Science, the virus then spread as the result of a roaring sex trade, rapid population growth and unsterilized needles, by rail and river around the world after the Congo gained its independence in 1960.
During the 1980s, AIDS patients in the U.S. typically sought treatment in the later stages of the disease. Their reasons were part stigma and part denial – after all, there was no rush to begin treatment. Once a patient was diagnosed as HIV positive, little could be done.
"People were not motivated to be tested," says Dr. Telzak. "Many of the patients we saw throughout the '80s already had AIDS [marked by a T cell count under 200, compared to 1,000 for healthy people and with an opportunistic infection] by the time they were tested. The median lifespan was 12 to 1 months after first diagnosing AIDS.
"As time went on and treatments became better, there was much more motivation to be tested earlier. People started out at a much healthier position. The trick was to keep the patients alive until something better came around to treat them."
The drug AZT, which received FDA approval in 1987, gave patients and providers hope, but in retrospect, Dr. Telzak calls it no better than a "C minus drug." Dr. Michelle Dahdouh, an infectious disease expert at SBH, remembers some of the drug's side effects. "Pancytopenia, fatigue, headaches, diarrhea. For a subset of patients, taking the medication was almost equivalent to the disease," she remembers. "I remember with AZT it was very difficult for them to tolerate. They had to take it every four hours, but it would keep them alive longer."
There were increasing concerns during and after the deaths of these patients, as the fear of transmission grew. In some cases, healthcare professionals didn't want to take care of them. Surgeons didn't want to operate on them. Nurses didn't want to enter their rooms. Funeral homes didn't want to bury them.
"I remember young people going down very quickly," says Dr. Dahdouh. "There was even a question of where they would be buried. One family came to me and said, 'Who is going to bury her?' I said I didn't know which funeral homes would accept HIV patients, and called a doctor I knew. It was a problem. A lot of funeral parlors refused to take HIV patients."
In many hospitals, HIV positive patients were isolated from the general population. Dr. Telzak says he often felt like a palliative care doctor and spent as much time helping his patients die as he did trying to keep them alive. Keeping patients alive for days or weeks was often a pyrrhic victory. Dr. Berger remembers the precautions taken by staff. "We started wearing gloves for the first time," she says. "When it was first suggested we wear gloves, it wasn't accepted readily by the medical staff. They felt that the patient would feel stigmatized. It was really an issue of educating people. It was decided that as long as you wore gloves for everybody, it wasn't a matter of being stigmatized."
Acknowledging the Disease
There became more clarity within the medical community when The New England Journal of Medicine published on June 7th, 1981, a report from a Los Angeles physician on his treatment of five gay men at UCLA Medical Center who had come down with Pneumocystis carinii pneumonia. A month later, on July 3rd, The New York Times ran its first article on the subject with the headline "Rare Cancer Seen in 41 Homosexuals." According to the article:
"Doctors in New York and California have diagnosed among homosexual men 41 cases of a rare and often rapidly fatal form of cancer. Eight of the victims died less than 24 months after the diagnosis was made.
"The cause of the outbreak is unknown, and there is as yet no evidence of contagion. But the doctors who have made the diagnoses, mostly in New York City and the San Francisco Bay area, are alerting other physicians who treat large numbers of homosexual men to the problem in an effort to help identify more cases and to reduce the delay in offering chemotherapy treatment."
By the end of that year, the disease better known then as GRID (for gay related immunodeficiency) had affected at least 335 people and killed 136.
In the mid-1980s the NIH developed a consortium of clinical trial units throughout the country with several at major New York City institutions. This led to incremental improvements in care with the arrival of a variety of individual drugs. Doctors were still working in the dark, however, doing whatever it took to keep their patients alive. Dr. Carol Epstein, who was a fellow in infectious diseases at a hospital in lower Manhattan, recalls counterintuitively treating AIDS patients with prednisone during acute episodes of Pneumocystis pneumonia. These patients were immunosuppressed, yet prednisone literally saved their lives by calming the inflammation, she says. Yet, it did nothing to restore their immune systems. Many patients lived a little longer. It was putting a band aid on a hemorrhaging wound.
Occasionally, a patient survived after diagnosis and remained well for a very long period of time. These "elite suppressors" or "long-term non- progressors" were the outliers, blessed with robust immune systems that allowed them to stand up to the infection and beat the long odds. Dr. Epstein continues to care for one AIDS patient she has been treating for nearly 30 years.
In the late 1980s, organizations like Act Up (AIDS Coalition to Unleash Power) rang the bell in search of answers. Dr. Telzak, who at this time was also working at the New York City Department of Health, believes it was their more vocal and visible approach that ultimately helped save patients. "It was the beginning of very intense patient and group advocacy," he says. "They could be very disruptive, taking over the commissioner's office so no
one could do their work [and holding demonstrations at the New York Stock Exchange and in the theater district and at other highly visible locations]. But, over the long term, they had a dramatic effect on the amount of investment the federal government made. [The administrations of] Reagan and Bush had not been terribly interested in dealing with the disease or with the marginalized patients who developed the disease. Some felt it was a message from God. Act-Up's mission was to get funding for treatment at earlier stages. The hell with three years of randomized control trials. You have a hint of a benefit, then you give the drugs out. In fact, they sped up the FDA process not only for drugs that worked against HIV but for many other diseases as well."
Hope, At Last
In the summer of 1996, hope surfaced when scientists presented startling new data at the International AIDS Conference in Vancouver. Revealed was the extraordinary power of new antiretroviral drugs, called protease inhibitors, which, when used together with other available drugs, formed what became known as combination therapy (or HAART, for highly active
antiretroviral therapy). Although not a cure, the drugs would overnight change the course of the epidemic. Doctors, for the first time, were able to treat the underlying cause of their patients' opportunistic infections.
There was a good deal of skepticism about the drugs at first – and the taste of the medication was foul. Dr. Berger remembers how patients coated the insides of their mouths with peanut butter to soften the taste. The drug companies gave out water bottles with the pills because patients had to drink eight ounces three or four times a day. But these patients, who had been wasting away, started to gain weight and their T cell levels improved dramatically. This proved to be a truly defining moment.
"The world changed," says Dr. Berger. "Our attitudes towards taking care of HIV patients changed. Why? Because we had something to offer. It wasn't just seeing patients and treating their opportunistic infections and trying to be positive. We all of a sudden had something to offer them."
HIV/AIDS Today
Patients who were HIV positive and facing death soon found themselves planning for the future. Ralph Belloise, director of HIV at SBH Health System, has been on the front lines in treating HIV positive patients for 29 years. He says that in New York State, where the cost of treatment and social support is subsidized, the rates of HIV infection continue to drop annually. Testing goals are continually surpassed. The rate of those in the Bronx who get engaged in care in a timely fashion stands at an all-time high of 84 percent.
"There are people who have been HIV positive for years, who are now able to work," says Belloise. "If you take your meds every day, you'll do well. You do have a section of the population who will be virally suppressed before they adhere to their treatment plan. And you have those who quasi take care of themselves and fall off and say, 'Maybe I'll take a break.' In two months, their levels could be back in the upper stratosphere. And it could become resistant. And then you have the small but challenging group who pays no attention to their care because of their complex psycho/social situation. But we're not seeing a large portion of the population that is not taking care of themselves."
The phrase "treatment as prevention" is pervasive today. Medication cannot only virally suppress patients, reducing the amount of HIV in their blood to undetectable levels, but it can prevent the sexual transmission of the virus. PrEP, or pre-exposure prophylaxis, can lower the chances of individuals at high risk for HIV from getting the disease. Those who had an unprotected sexual encounter with someone whose HIV status is unknown can now take post-exposure prophylaxis to prevent infection. Unlike in the '80s, intravenous drug users today can walk into any pharmacy and get clean needles. Belloise says he still occasionally sees patients with T-cell levels like in the '80s, patients with very compromised immune systems. These are mostly the homeless and mentally ill. But, they are the exception, not the rule.
"We don't use the term AIDS any longer, our epidemic is predominantly HIV positive," he says. "Most will never have an AIDS diagnosis, just an HIV infection, as long as they are put on medication early and are compliant in taking their meds."
To date, more than 100,000 New Yorkers have died from AIDS-related causes. This includes both celebrities like Arthur Ashe and Perry Ellis and Halston, and those from small towns and cities whose families chose to abandon them as they lie dying in isolated hospital rooms. And while an estimated 125,000 HIV positive people live in the city today, 20 percent do not realize they are infected. Hence theimportance of ongoing testing for HIV.
The prognosis is a positive one. Dr. Berger met last week with a recently diagnosed HIV positive patient. "I told him that he will live a long life if he takes his medications," she says. In addition, she recently wished happy birthday to another HIV positive patient. He was turning 80.
A companion piece on the evolution of HIV/AIDS treatment can be heard on SBH Bronx Health Talk, SBH's weekly podcast, at http://www. sbhbronxhealthtalk.org/e/the-hivaidepidemic-a-look-back.


The Sako Quad had the ability to change calibers, based on what you need. The 17HM2, 17HMR, 22LR and 22 WMR. We have this rifle in 22LR and it is always one of the first ones taken from the safe when we are going to shoot rimfire rifles.
Many of you are familiar with the Sako rifles, Built on Riihimaki in Finland they are known for quality and reliability. As you know GRS produce stocks for the Sako 75 and Sako 85 family of actions but did you also know we produce our laminate stocks for the Sako Quad rifles?
It took only 1 months time after we launched the GRS laminate models before the first enquiry for the Quad rifle was received, after talking about it with by brother Håvard we deceded we wanted to make our stocks for these and other 22 rifles such as the CZ 452 and CZ 455.
GRS manufactures the GRS Hunter, GRS Sporter (most popular) and the GRS Hybrid for the Quad rifles which matches the rifles perfectly. Knut Erik Rognes used this rifle out to 450 meters at one time, hard to spot a miss and even a hit at that range.
Many Scandinavian competition shooters use this rifle for their winter training. The 17 HMR version of this rifle is also used on the running moose competition. It has a fast bullet so the lead does not need to be so great compared to the 22 lead.
Next time we will show you the famous Ruger 10/22 rifle.


If you click on the Tab in the Menu titled St. Joseph's Art Workshop, and scroll down, you will find my recent addition (as of April 26, 2018) on painting a sacred image. That new post – LESSON 2 – describes obtaining, drawing, and applying a sacred image to a wood panel. Enjoy!
Good day, I just posted, starting at # 8 in the list, Part 3: Pigments and Mediums, required to paint the sacred image. Please note that the pigments in bold face are the ones you need to purchase for the sacred image in Exercise Number 1. Please remember that you will have to scroll down in the St. Joseph's Art Workshop Tab in the Menu at the top of the site in order to reach the new post. Thanks.


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Showing results for tags 'Circle City'.
Circle City
MNN - Multicultural News Network (Circle City + Cox) - est. 2021
Roadrunner posted a topic in General TV
INDIANAPOLIS: DuJuan McCoy, owner and CEO of Circle City Broadcasting, plans to launch the Multicultural News Network (MNN), a "non-partisan national news network" dedicated to (including, but not limited to) the Black, Hispanic, Asian, Middle Eastern, Native American, and LGBTQ voices and communities. Content will be delivered by those from each respective community. MNN will be based in Indianapolis in the same facility housing WISH and WNDY. Most notably, McCoy has partnered with Cox Media Group for resources, including stations, newsrooms, and news bureau resources. McCoy has ambitions of making MNN in Indianapolis into what CNN is now (or has been) in Atlanta. The new network is scheduled to launch in the second half of 2021. Sources: McCoy teams up with Cox Media Group to launch the 'Multicultural News Network' – The All Inclusive News Network [WISH] WISH-TV owner launching inclusive news network in Indianapolis [Indianapolis Star] (I just lightly summarized the details; if you want the exact press, click through the links provided)

redpajama_set_name: RedPajamaCommonCrawl


Beer lovers have enough reason to celebrate this September 7 cause users of the Mia Adora 3D Fiber Lash Mascara can chug down beers without having to worry about raccoon eyes. With the best 3D Fiber Lash Mascara in town, the celebrations can last longer since this mascara can stay on the lashes for twelve hours or more.
The Mia Adora 3D Fiber Lash Mascara is an improved formulation from the Mia Adora eye makeup line. It comes with non-toxic ingredients that have proven to be gentle on the eyelashes. This makes it a 3D Fiber Lash Mascara that works best for those with sensitive skin.
Each kit comes with a magnifying gel, a 3D Fiber Micro Lash tube, and an eyelash comb. The entire kit is encased in a personal traveling case to ensure that the mascara is neatly organized and properly stored. This also makes the Mia Adora 3D Fiber Lash Mascara kit the perfect gift for any beer-loving ladies out there.
It employs a three-step program, which makes it easy to follow by people that haven't tried using 3D Fiber Lash Mascaras before. There is also an eyelash e-book that details the correct application of this 3D Fiber Lash Mascara complete with other tips and tricks to maximize the use of this dry fiber mascara.
Take it up a notch and pair the Mia Adora 3D Fiber Lash Mascara with the Mia Adora Call Me Unshakeable Eyeliner.


Whether you're travelling interstate or internationally, be sure to plan for the financial aspects of your big trip.
Whether you're planning a safari through Botswana, backpacking in Vietnam or taking a gap year in London, your finances will probably take a hit. It's better to save as much as you can before you travel. This could minimise the reliance on credit cards while you're away and lower the risk of still paying off the holiday years after you return.
Some of the travel costs may include visas and passport charges, accommodation, entry fees to sights and activities, entertainment costs, emergency money, food and beverage, and roaming mobile phone charges and travel insurance.
Think about how you are going to access your money when travelling.
You could get a travel money card or talk to your financial institution about how you can access your money with your debit or credit card when travelling overseas.
With a travel money card you can load up with a number of different currencies. Better still, you can choose to lock in a currency's exchange rate and potentially use the travel money card to make purchases online, in stores and to withdraw money at overseas ATMs.
Some cards allow only a single currency to be loaded, while others allow for multiple currencies. It is a good idea to shop around to find the travel money card that is right for you.
Type of activities planned - Check the classification in each travel insurance policy; what one insurer might define as 'high-risk' could be regarded as merely 'outdoor adventurous' with another. The insurance premium could reflect this difference.
Personal belongings, baggage and specified items - The total sum insured, associated limits and excess amounts will determine the final premium. Have the right cover in place for your level of luggage.
Any pre-existing medical conditions? If so, are they covered? Importantly, what documentation or evidence might be required to even obtain the cover, apart from what may be needed in the event of a claim?
Age limits - Many providers do not impose age limits. However if coverage is needed for a minor (under 18), a parent or guardian may be required to include the detail as part of your application.
Cancellation and/or delay - Ensure your nominated cover amount equals the full cost of your trip, plus any extras just in case you have to cancel the trip due to any number of reasons as prescribed in the policy, such as natural disaster, lost or stolen travel documents, pre-departure relative emergency, or missed flight connections beyond your control.
Destination - The world is divided into travel insurance 'zones', and if the US is on your itinerary, there may be a bit more to pay for travel insurance given the historically high cost of medical treatment in this country.
No two policies are the same. Investigation and comparison-shopping could save you a whole lot of grief - and money - if the unforeseen occurs.
To find out more about travel insurance, visit Westpac's Travel Centre.
For more information on travelling and safety precautions, see the Government's Smart Traveller website.
Once you've cut back on your spending, make the most of your savings. For example, there is an option of saving your money where it will earn interest, such as a term deposit or a savings account. These accounts could give you a higher rate of interest than transaction accounts.
Daydreaming about your next holiday?
Travel has evolved significantly over the past 20 years, with many travelers looking for something with more adventure.
Ashley and Sam both in their early 30's want to save $50K within 24 months so they can go on a big trip overseas. Their problem finding the spare cash to put away each week.
Starting a new job is the beginning of an important financial journey. Discover what you need to know, and the steps to take, to set yourself up for the future.
Getting married is major milestone. There is plenty to plan for, goals to be shared and new steps to be taken to ensure you achieve your full potential as a couple.
The decision to rent or buy is just one of many to weigh up in this key life stage. We explain what to consider and how good financial advice can help.
Westpac Banking Corporation ABN 33 007 457 141, AFSL number 233714, Australian Credit Licence number 233714.


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The Judeo-Iranian languages (or dialects) are a number of related Jewish variants of Iranian languages spoken throughout the formerly extensive realm of the Persian Empire. Judeo-Iranian dialects are generally conservative in comparison with those of their Muslim neighbours. Judeo-Shirazi, for example, remains close to the language of Hafez.

Like most Jewish languages, all the Judeo-Iranian languages contain great numbers of Hebrew loanwords, and are written using variations of the Hebrew alphabet. Another name used for some Judeo-Iranian dialects is Latorayi, sometimes interpreted by folk etymology as "not [the language] of the Torah".  This refers to a form of the language in which the number of Hebrew and Aramaic loanwords is deliberately maximised to allow it to function as a secret code.  In general, however, the number of such loanwords is small compared with that in other Jewish languages such as Yiddish or Judaeo-Spanish.

The languages include:

 Dzhidi (literary Judeo-Persian)
 Luterā'i (a secret language combining an Aramaic and Hebrew vocabulary with Persian conjunctions and grammatical morphemes)
 Bukhori (Judeo-Bukharic, Judeo-Tajik, the Jewish language of the distinctive Jewish community centered in Bukhara)
 Judeo-Golpaygani (the Judeo-Persian language traditionally spoken in the environs of Gulpaigan and western Isfahan Province, Iran)
 Judeo-Yazdi = Judeo-Kermani (spoken in the environs of Yazd and elsewhere in Yazd Province, in central Iran; in Kerman and elsewhere in Kerman Province, in south-central Iran)
 Judeo-Shirazi (spoken in Shiraz and elsewhere in Fars Province, in southwestern Iran)
 Judeo-Esfahani (spoken in Isfahan and environs, as well as elsewhere in central and southern Isfahan Province, Iran)
 Judeo-Hamedani (spoken in Hamadan and elsewhere in Hamadan Province, in western Iran)
 Judeo-Kashani (spoken in Kashan, Abyaneh, and elsewhere in northern Isfahan Province, in western Iran)
 Luflā'i (a Kashani variant of Luterā'i)
 Judeo-Borujerdi (spoken in Borujerd and elsewhere in Lorestan Province, in western Iran)
 Judeo-Nehevandi (spoken in Nahavand and elsewhere in northern Hamadan Province, in western Iran)
 Judeo-Khunsari (spoken in Khansar and elsewhere in far-western Isfahan Province, in western Iran)
 Juhuri (Judæo-Tat) (A Jewish-Tat dialect spoken in the Republic of Azerbaijan, Dagestan (North Caucasus).
 Judeo-Aramaic (not to be confused with several Jewish Neo-Aramaic languages.

See also
 Jews in Iran
 Jewish languages

References

External links
Jewish dialect of Isfahan, Encyclopedia Iranica
Article from Jewish Languages site

Endangered Iranian languages
Jews and Judaism in Persia and Iran

redpajama_set_name: RedPajamaWikipedia


Home › Schmitt Stix Chris Miller Mini Cruiser Complete Purple - 8.5" X 28.125"
Schmitt Stix Chris Miller Mini Cruiser Complete Purple - 8.5" X 28.125"
Schmitt Stix Chris Miller Purple Mini Cruiser. Just pull it out of the box, jump on it and cruise the streets. Great size to carry, throw in the car or back pack.
Deck size 8.5" x 28.125"


An Authentic pair of Prada 130MM Pony Hair Platform Boots in size 37.5 (7.5 US). A hidden Platform ankle Boot. Side Zipper. Approx. heel height: 5" with 1 1/4" platform (comparable to a 3 1/2" heel). Approx. boot shaft height: 5 3/4". Calf hair upper/leather lining/leather sole. Made in Italy. These shoes retail for $1250 . You will love them and get compliments everytime you wear it!!!
New with out box but it looks like someone caught part of the trim in the zipper of the left boot - see photos.


Images About Pam Golding Properties In South Africa. Get expert advice and information on development management and investment property in Mauritius with Pam Golding Properties. Pam Golding Properties. Sign in or register to receive property alerts and to save your favourite properties to a wishlist.


The Self-Directed Violence Classification System (SDVCS) provides a common language to describe suicidal and suicidal-related behavior. Developed in a collaborative effort between VISN 19's Mental Illness Research, Education, and Clinical Centers and the Centers for Disease Control, the SDVCS nomenclature was adopted for use by the Veterans Health Administration in April 2010. The Center for Deployment Psychology (CDP) teaches the SDVCS as part of the course Assessing Suicidal Behavior in the U.S. Military: Strategies for Assessment, Crisis Intervention, and Treatment. This course is made available by the CDP to both military and civilian mental health professionals in an effort to educate them about the most current and empirically-supported ways to manage suicidal and suicidal-related behaviors.
In teaching the course about suicide prevention and treatment, I have noticed that one area seems to be highly likely to generate confusion (and disagreement) among the participants. (If you are not familiar with the SDVCS, now would be a good time to look at the information at the following link so the comments in this blog will make sense.
Notice that there is a modifier "interrupted by self or other" that can apply to non-suicidal self-directed violence, undetermined self-directed violence, and suicidal self-directed violence. The idea here is that in each of these categories, the behavior in question is interrupted (i.e., cut short, prevented, stopped). This interruption may originate from the person engaging in the self-directed violence or some other person or circumstance. The key here is that the self-directed violence does not occur if it's interrupted.
Answer: No. Because the pills were ingested, a suicide attempt actually occurred. Had the pills been lined up on the counter, or even put in one's mouth and spit out, the behavior would have been interrupted.
Answer: No, in this case a suicide attempt actually occurred.
It may be helpful to differentiate "interrupted" from "rescue." In the above examples, the suicide attempt was carried out, not interrupted. However, there was a post-attempt rescue in both cases, one by the individual him/herself and one by another person.
Regina Shillinglaw, Ph.D., is a Deployment Behavioral Health Psychologist with the CDP. She is located at Wright Patterson Medical Center in Ohio, where she is a faculty member and the assistant training director of the APA-approved pre-doctoral psychology internship training program.
Brenner, L. A., Breshears, R. E., Betthauser, L. M., Bellon, K. K., Holman, E., Harwood, J. E. F., et al. (2011). Implementation of a suicide nomenclature within two VA healthcare settings. Journal of Clinical Psychology in Medical Settings, 18(2), 116-128.


Nine years. 3,285 (give or take) days. 78,840 hours.
45 times longer than Kim K's marriage.
A long time when you're only 32 years old. And yet, it seems like not much time at all.
23 year old Jared. Ha, he thought he knew about life, but he was wrong. He thought he know about love, and he did, to an extent. He thought he knew what "for better or for worse, for richer or poorer, in sickness and in health," meant, but he didn't.
I still remember that day and the previous day pretty clearly. There was the "fight" the night before, resulting in a pretty sweet rut in our back yard. The good times with friends, waking up to breakfast at Crossroads B&B, the nearly cloudless wedding day, the minister calling me "Brian" when it was time to kiss the bride, the EPIC best man speech, dancing the night away with friends – so many great memories.
And yet that was 1 day. One of 3,285. And while it was an important day, our marriage has been made in the 3,284 days since. In jaw pain, in owning a puppy, training a puppy, having a miscarriage, having Fitzy, experiencing more loss, going through church struggles, developing couple friendships, experiencing more loss, having our marriage commitments tested, going through anxiety and depression….you get the picture.
As I look back, all of these things, and thousands more, have shaped me into the man I am today, and I wouldn't trade that for anything.
Happy Nine Years, babe. Even knowing everything I do now, I'd do it all again. In a heartbeat.
Nine years ago I woke up with a headache – which is the norm for me. But I remember thinking – not today. Please not today.
Thankfully my girls distracted me and we started hair and make up and had a relaxing morning. I got ready and dressed at my future in-laws house – with those most dear next to me.
The dress fit perfectly – the day was beautiful – I was ready.
Cus that"s what a wedding is about. A beautiful dress and no pimples to hide! Perfectly manicured hair and nails and a bright shining sun in the sky. Looking your best. With all your friends.
Oh – and then walking down an aisle to say I DO and kiss. Dancing the night away with your friends and family. And gifts.
That's totally what a wedding was about. That's totally what a wedding IS about.
And it shouldn't be. A wedding should be about your marriage. Not the dress – not the weather – not the party. You and this boy pledging your love and commitment to each other for all time. No matter what. In rain or in shine. In craptastic days and fantastic days – or weeks or months or years. In pain and sorrow or in good health and joy. In newlywed bliss or brand new baby tiredness. In every moment that takes your breath away and every moment that you want to scream.
I look back on today – nine years ago – and think. The nerve. The nerve I had to look Jared in the face in front of all the people dearest to us – and God – and tell him that I loved him. Yes. I will be there for you. Yes. I will love you. Yes. I will support you. Yes. Yes. Yes. I had NO idea what I was talking about. I had NO idea what marriage was really about. Sharing your hopes and dreams and life and loves. Putting Jared and his needs before me and mine.
I love him so much more today – than I did nine years ago. And it's about more than love. Our trust has been tested. Our dreams and desires have been put on hold at times. What I wanted – it isn't about me anymore. It's about us. And believe it or not – that's a hard concept for me. And I'll bet it is for you too. I love him so much more today – but it's also a deeper love. I know what it's like to be scared. To look at my marriage and ask the really hard questions. To listen to – and give – hard answers. To sacrifice.
To think about the vows we promised each other. To trust each other.
I wrote about how I'm a little bit crazy – okay – a GIANT bowl full of crazy. And to think that Jared has lived with me – loved me – supported me – stayed in the same house as me – for nine years. Nine crazy long years. It makes me cry. He is kinder than I am. He is more patient than I am. He is more giving than I am. I've always said that I wanted to have a baby with Jared – because he is the best person I know. I know that Fitzy gets his kindness and gentleness from his dad. Thank You Jesus.
While I am still in the midst of crazy Danielle (I'm working on it) and while we've been through some really ugly days and weeks and months – when I look at my life. It's beautiful. It's blessed.
Your wedding day should be one of the happiest days of your life. I am so thankful that my husband has made every day since then even better. And next year – I will love him even more.
At least technically I am.
Or, better put, I struggle with anxiety which at times is mixed with depression. So yeah, I am a little bit crazy.
And I forget things. A lot. Just ask Danielle if you don't believe me. She'll confirm it in a heartbeat. And it always seems to be the things she NEEDS me to remember. It's almost like I try so hard to not forget that I end up forgetting. Go figure.
But I digress. Living with anxiety and depression is the worst. I would probably rank it right under living with a terminal physical illness. And this might sound harsh, but if you've never experienced it, you don't understand, at least not fully.
And I'm speaking from my point of view. I can't imagine the toll it has taken on Danielle during the 3-4 significant bouts I've had since we've been married. I can't say "thank you" enough to her for sticking it out with me. Many other women would have left, and honestly, I wouldn't fault them for it.
When Danielle refers to herself has crazy, I think of it more as OCD/control issues. Not literally crazy. Maybe annoying would be a better word, but you didn't hear that from me.
So while her "crazy" is trying to deal with at times, I think it pales in comparison to what she went through standing by my side. Let me give you a little glimpse.
It's Monday morning. 7:15 AM. The alarm has been on snooze at least 3 times now. My side of the bed is drenched in sweat, and I've been up off and on since 4 AM. My stomach is knotted up unbelievably tight, and the though of just getting ready for the day is a daunting, if not impossible, task. Imagine thinking everyone is upset at you or that every little thing you do is wrong. You constantly second-guess yourself. You've been going to the gym for a month or so, but now it's been 3 months, and you haven't canceled your membership, because that would be "giving up" and really admitting you have a problem.
Welcome to my world from August 2012 through February 2013.
That's a small glimpse of what Danielle lived with for half a year. HALF A YEAR. She's a saint in my book.
Of the two of us, I'm the crazy one. But I'm glad my best friend is fighting with me.
No – seriously. And Jared will agree with me.
I'm usually pretty crazy anyway. But being pregnant – makes it much worse.
I feel horrible. Cranky – moody – irritable (I realize those are all the same thing – but believe me – you can describe me right now with each of them – capitalized if you'd like). I'm not complaining. I've been pregnant 5 times and when I feel like this – it's a good sign that a baby is here to stay. So the worse I feel – the better I feel. If you know what I mean.
BUT – that doesn't help Jared. And the people around me that are exposed to my craziness. But like almost anything – I try and put on the best face I can for my friends and family. So – Jared ends up getting the WHOLE ball of craziness. Awesome.
We've gotten good news about this pregnancy. A baby on a screen. A heartbeat (seen and heard). No signs of tearing or bleeding. But the slight spotting continues. And I think – I was bigger with Fitzy – but I was also 20 pounds heavier in general. And I worry. And I try not to. And I know that it's in God's hands. I know that He has given us a word and a promise. I know that. I do. And yet I worry. And I try not to.
So what happens – is I start to control the things that I can control. Mostly things being picked up and neat and orderly and having a place. I have some OCD tendencies – but they've been able to be under control – for the most part. But there are certain places in my life where you can see them – very evidently.
My business. I pay my taxes on the first day of the month – not the 20th when they are due. I pay quarterlies a month ahead of time. I have a spreadsheet calculating my taxes and mileage and sessions. When I do a session – the first thing I do when I get home – is open three little spreadsheets and mark down all the info – before I even download any pictures. Because it"s what I've always done. Because if I don't – it's just not right. Nothing bad will happen – it's just what needs to be done. Crazy. I know.
My desk. Pens go here. Sticky notes go there. Bills go here. Checkbooks go there. And you don't move them. Ever. Because that's where they go. And I get crazy about it.
With my business and my desk – I"m like this all the time. Thankfully – with the rest of the house – I have chilled out – a lot over the years – because I am pretty sure Jared would have left by now. But when I'm where I am right now – it starts to spill over. And shoes NEED to go here. Plates HAVE to go here. Dishes NEED to be done NOW. Toys MUST be organized. EVERY SINGLE THING has a spot and it must be in it. And when I have to ask – oh no – much worse. Because you should already KNOW that all these things MUST be done this way. I mean – we have been married for almost 9 years – haven't you figured it out yet?
Jared assures me that I'm not THIS bad all the time. Today he told me that I usually keep it at a manageable level – but it's just out of control right now. In his exact words – you're just crazy right now. And he tried to think of a better way to say it. I said – just say it. So he did. And I said. I know. We need to talk about it – cus I'm not happy right now. I'm not happy with you – not happy with me – just not happy. And that's the way it is with OCD and control issues. People think you do it to make yourself happy. But you do it to maintain the crazy that's spilling out ever so slowly – or in my case – pretty rapidly.
I deal with anxiety – always have. And my anxiety comes out this way. With control issues. Jared knows this. He knew this when we started dating – it was much worse then. And he still chose to stay with me. And while I'm not happy with him right now – and his inability to live up to my crazy standards – we talked. Because mostly – I've just been sighing and crying and saying ONCE AGAIN – you didn't do this – you didn't do that. And I feel better. Tons.
But – I'm still crazy.


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A Streetcar Named Desire Essay Examples (6)
A Streetcar Named Desire: Williams' Message To The Audience Regarding Mental Health
For decades, the topic regarding mental health has been looked down upon, with many considering it as a taboo that should not be discussed or mentioned. But as more awareness is raised, society becomes increasingly aware of those in distress, encouraging many worldwide to end...
Gender Roles Issue In Streetcar Named Desire By Tennessee Williams
The mid-twentieth century was a period of extraordinary social change. The two world wars had placed power into the marginalized groups, and for a brief timespan the perceived leverage between the sexual orientations had shifted. However by the 1950s, men had taken back the advantage....
Symbolism In The Works Catcher In The Rye By Jerome David Salinger And Streetcar Named Desire By Tennessee Williams
The word symbol, derived from the Greek verb symballein, 'to throw together', is an animate or inanimate object that represents or 'stands for' something else.1 They use a concrete image to express implicit ideas or emotions, to be interpreted by the reader. In the 20th...
The Dramatic Devices To Portray Blanche's Deteriorating Mind In A Streetcar Named Desire By Tennessee Williams
'A Streetcar Named Desire' written By Tennessee Williams in 1947. In A Streetcar named Desire Williams uses a range of drama devices to present Blanche's deterioration mind. Drama devices are techniques used by playwrights to substitute for the reality presented to the audience through performance,...
Female Oppression In A Streetcar Named Desire And A Thousand Splendid Suns
A Streetcar Named Desire Oppression
The notion of gender is fundamental to both the texts of A Streetcar Named Desire by Tennessee Williams and A Thousand Splendid Suns by Khaled Hosseini. They each centralise female characters who face oppression at the hands of their superior male counterparts as well as...
The Gender Stereotypes In The Play A Streetcar Named Desire And Film All About Eve
Subsequent to the great depression, America's economy quickly collapsed and many lives were taken during the time. This led to many individuals being left homeless with little to no money on hand. Today the great depression is remembered as a big mistake and downfall of...
A Raisin in the Sun
Hamlet Theme
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Here Are Ratings for the ABC and NBC Town Halls
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ABC | Events | NBC | Politics | Ratings
By A.J. Katz on Oct. 16, 2020 - 3:01 PM Comment
NBC News Group and ABC News went head to head in the 8 p.m. ET hour yesterday with highly publicized town halls featuring the two presidential candidates.
Despite airing its town hall across multiple networks, it appears NBC came up short to ABC.
According to early Nielsen data released this afternoon (that will be adjusted up later today), the two-hour ABC News Town Hall broadcast with former vice president Biden, moderated by George Stephanopoulos, delivered 13.9 million total viewers and 4.57 million adults 25-54 from 8-10 p.m. ET.
Meanwhile, NBC News' hourlong town hall with President Trump, moderated by Savannah Guthrie, delivered 13.1 million total viewers and 3.62 million adults 25-54 across three networks from 8-9 p.m. ET.
ABC's 13.9 million total viewers figure represents its largest average audience in that particular two-hour time period in over 10 years.
Head-to-head against the Trump town hall, the first hour of the Biden town hall (8-9 p.m. ET) averaged 14.1 million total viewers and 4.49 million adults 25-54.
Last night's town hall with Biden significantly outdrew the 90-minute ABC News town hall with Trump on Sept. 16, which averaged just 3.97 million viewers. That's a +250% difference.
NBC's Trump town hall was +96% in total viewers and +163% in adults 25-54 versus its Oct. 5 town hall with former vp Biden, which drew 6.7 million total viewers across NBC, MSNBC and CNBC; 3.85 million of whom watched on NBC and 2.67 million on MSNBC (the rest watched the CNBC simulcast).
MSNBC's simulcast of the Trump town hall drew 1.8 million total viewers, and 432,000 adults 25-54. If that sounds low for MSNBC's 8 p.m. hour, that's because it is. On the previous Thursday, Oct. 8, the network's regularly scheduled 8 p.m. show, All In With Chris Hayes, drew nearly 2.6 million total viewers and 450,000 25-54. It's also -31% from what the network drew for the Joe Biden town hall on Oct. 5.
Aided by its Shepard Smith lead-in, CNBC's simulcast of the town hall drew 720,000 total viewers and 218,000 adults 25-54.
Once again, please note that this post will be updated with more accurate figures once they become available later in the day. These are prelims, not final live-plus-same-day data.
Oct. 15 town halls:
NBC News Group
• Total Viewers: 13,900,000 13,100,000
• A25-54: 4,569,000 3,616,000
Oct. 15 town halls (8 p.m. hour only):
Roughly 73 million viewers watched the first debate, and while second presidential debates rarely outperform first debates, the difference isn't particularly severe.
Keeping that in mind, it's obvious that these candidates lost an opportunity to reach for more Americans, and if they wanted to bring their message to a wider swath of the public, they probably should have participated in an actual presidential debate, one-on-one.
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SAN DIEGO Fresh new towards an unpredicted off working day, the San Diego Padres confront a bizarre foe: the Texas Rangers. The groups begin a 4-sport, house-and-dwelling established upon Monday at Petco Park. The Padres last sport of their a few-activity collection with the Los Angeles Dodgers was rained out upon Sunday. It marked exactly the 3rd rainout inside of Petco Park because it opened in just 2004. San Diego (12-20) is seeking the rain is absent and the black cloud that incorporates been clinging in the direction of the Padres too exits the moment the Rangers occur https://www.texasrangersfansstore.com/mike_napoli_jersey-22. The rebuilding Padres contain appeared each and every little bit which include an asymmetric club a short while ago, wasting 4 video games within a row. In the meantime, the Rangers, the 2-period preserving American League West winner https://www.texasrangersfansstore.com/texas_rangers-4, are hoping in direction of rebound versus a dismal commence as soon as slipping towards 13-19 with a 4-3 reduction at Seattle upon Sunday. Texas consists of struggled offensively maximum of the period. The Rangers just scored 8 operates earlier mentioned the weekend from the Mariners. Weve received in the direction of obtain a course in direction of shift very last and maintain grinding, Texas supervisor Jeff Banister stated. Is it annoying? Certainly. We can feel at option variables. We can overall look at us 1-for-9 with runners in just scoring point (Sunday). That as a great deal of a concern as the (Rangers pitchers issuing 6) walks. It 1 detail for the Padres, with an target upon youth and achieving .500 within a number of many years, in the direction of be in the vicinity of the cellar. The Rangers, although, entered this year acquiring a acquire-previously state of mind with a staff developed in the direction of move deep into Oct Jose Leclerc Jersey. As a substitute, right after harm in direction of ace Cole Hamels (indirect) and All-Star 3rd baseman Adrian Beltre (calf), some are pondering if Texas is snake-little bit. No, that a loser mindset, Rangers GM Jon Daniels informed MLB.com. This is baseball. These kinds of aspects take place. On your own program for them by means of designing detail. Naturally, by yourself dont snap your arms and substitute Cole Hamels. Taking in Hamels out is disappointing in the direction of the Rangers and the plenty of Hamels lovers within the San Diego local. He went in direction of community Rancho Bernardo Substantial College and would comprise embraced pitching from the staff members he grew up cheering. He attended several online games at Qualcomm Stadium, the Padres prior residence, with stellar reliever Trevor Hoffman currently being between his favorites. Sad to say, getting Hamels out probably until finally July is a different hill for the battling Rangers toward climb. However, Texas incorporates an probability towards specifically the send out inside the future 7 days owing within just element in the direction of interleague enjoy. As soon as a few of online games within just San Diego, they will entertain the Padres for 2 video games starting up upon Wednesday. Then when a a few-video game dwelling preset with the Oakland A, the Rangers resume interleague participate in with a few from the Philadelphia Phillies. That 10 game titles in opposition to 3 groups nicely down below .500. Then back, individuals squads may well be eying the Rangers and pondering the exact same point despite the fact that a lineup that characteristics Rougned Smell, Nomar Mazara, Elvis Andrus and Joey Gallo can be unachievable toward navigate. Trevor Cahill (2-2, 3.60) will deal with that issue Monday, and it is a harmless guess he will be packing his wipe out curveball. That pitch includes found his strikeout share climb in the direction of 30 % this period https://www.texasrangersfansstore.com/cole_hamels_jersey-12, up against 17 p.c in just his profession. His curveball incorporates been extraordinary Rougned Odor Jersey, and he contains excellent secondary pitches, Padres supervisor Andy Inexperienced claimed. That is the place his electricity is. Specifically-hander Nick Martinez (0-1, 4.91) will become the nod for the Rangers. Martinez, who includes in no way confronted the Padres, is 2-0 inside interleague engage in with a 4.88 Generation. Martinez took his to start with reduction of the year Wednesday the moment he authorized 7 operates 6 attained and 9 hits within just 5 1/3 innings of a 10-1 overcome toward the Houston Astros. Cahill is 9-4 with a 2.83 Generation in just 16 job starts off vs. Texas.


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From the early years of the third century BCE upper-class male Romans usually had three names, e.g., Gaius Julius Caesar (101-44 BCE), the general, politician, and writer widely known in English as 'Julius Caesar'; Marcus Tullius Cicero (106-43 BCE), the orator and writer ('Cicero'); and Publius Vergilius Maro (70-19 BCE), the epic poet ('Virgil').
The first of these three names - in Latin the praenomen (from prae, before, and nomen, name) - was a given name, i.e., the equivalent of a forename or Christian name in English personal names.
The second name - in Latin simply the nomen, 'name' - was adjectival in form and indicated the clan (gens) to which the individual belonged. Thus Gaius Julius Caesar was a member of the Julii, or Julian gens, while Marcus Tullius Cicero was a member of the Tullii, or Tullian gens. A clan was a group of families linked by their shared name and shared belief in descent from a common ancestor.
The third name - in Latin the cognomen (from co-, together, and nomen, name) - was the name of the family (domus) to which the individual belonged.
The correct plural form in Latin of nomen, and the words formed from it, is nomina (and praenomina, cognomina and agnomina. Pedants may at times insist on these forms in English.
Ancient Romans are usually referred to in English either by their nomen or by their cognomen. Thus Caesar is referred to by his cognomen, as is Cicero - though in earlier centuries Cicero was more commonly known as Tully, i.e., an anglicised form of his nomen was used; Virgil too is referred to by an anglicised version of his nomen. There is no rule to tell you what is correct in the particular case: you must simply discover, and follow, the convention.
Women and slaves in ancient Rome normally had a single name. This was followed, if necessary, by the name of the adult male (e.g., father, husband, master) to whose authority they were legally subject.
This page was last modified on 4 September 2017, at 12:06.


London-based consultancy Kapitza has worked on a series of Kaleidoscope Flower stamps for the US Postal Service.
The consultancy was contacted in June 2011 by Studio A, the US consultancy art directing the stamps, after Studio A art director Antonio Alcalá saw Kapitza's font release Roto, a picture font of 52 distinct flower illustrations 'inspired by exploring rotating shapes and clusters', according to Kapitza.
Kapitza has developed illustrations for a set of four stamps, each featuring the same flower image in a different colour combination – red and blue, green and purple, orange and violet, or pink and green.
The contrast of the two colours in each graphic create an illustion that the patterns recede or move forward, lending them their Kaleidoscope Flower name.
The stamps can be preordered now in the US and will become available in January.


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Last Updated on Tuesday, August 06, 2019
Eleni Z Tsigas
Eleni Z. Tsigas is the CEO of the Preeclampsia Foundation and member of the Board of Directors for Preeclampsia Foundation Canada. As a preeclampsia survivor herself, Eleni is a relentless champion for the improvement of patient and provider education and practices, for the catalytic role that patients can have to advance the science and status of maternal-infant health, and for the progress that can be realized by building global partnerships to improve patient outcomes.
She has served on the Guideline Development Group and as a technical advisor to the World Health Organization (WHO) and participated in the Hypertension in Pregnancy Task Force created by the American College of Obstetricians and Gynecologists to develop the national guidelines introduced in 2013, as well as a similar task force for the California Maternal Quality Care Collaborative (CMQCC). Eleni also serves on behalf of the Preeclampsia Foundation as a voting member of the Council on Patient Safety in Women's Health Care, the Patient Advisory Board of IMPROvED (IMproved PRegnancy Outcomes via Early Detection), Ireland, and the Technical Advisory Group and Knowledge Translation Committee for PRE-EMPT (funded by the Bill & Melinda Gates Foundation). Eleni is frequently engaged as an expert representing the consumer perspective on preeclampsia at national and international meetings, and has been honored to deliver keynote addresses for several professional healthcare providers' societies.
Eleni has collaborated in numerous research studies, has authored invited chapters and papers in peer-reviewed journals, and is the Principal Investigator for The Preeclampsia Registry.
A veteran of public relations, she has secured media coverage about preeclampsia in national consumer magazines, as well as newspapers, radio and online. Eleni previously spent 8 years executing and managing strategic communications and public relations for technology and biotech companies with Waggener Edstrom Worldwide and for 6 years prior in the television industry.
Prior to serving as CEO, she served in a variety of volunteer capacities for the organization, including six years on the Board of Directors, two as its chairman. Working with dedicated volunteers, board members and professional staff, Eleni has helped lead the Foundation to its current position as a sustainable, mission-driven, results-oriented organization.
She is married, and has two of her three pregnancies seriously impacted by preeclampsia.
Valerie Holloway
With over 20 years in healthcare leadership, Valerie Holloway began her career in hospital public relations. She has served as a physician relations coordinator advancing to Director, Corporate Vice-president of Marketing, System Vice-president of Customer Service, and Vice-president at a 500-bed major medical center with oversight for quality, patient satisfaction, ancillary service departments, and volunteer services.
In addition to her healthcare experience, Valerie has worked in fundraising and not-for-profit management and served as a consultant in strategic planning and a leadership coach. She holds a bachelor's degree in Speech Communication from the University of Southern Mississippi and a master's degree in Management and Leadership from Webster University.
Valerie lives in Melbourne, Florida with husband Darrell, an aerospace engineer, has an adult daughter who works in maternal health, and recently became a grandmother.
Valerie feels everything she has done professionally has led her to this position and her ability to lead a team that can have far-reaching impact inmaking childbirth safe.
Rebecca Britt
Director of Education and Engagement
Rebecca Britt is the Director of Education and Engagement for the Preeclampsia Foundation. Her calling to advocate and support those who often don't have a voice led her to earn a Bachelor of Science in Social Work from the University of Vermont.
Rebecca has worked with varying populations including children in foster care, adults surviving with persistent mental illness, and women facing fertility challenges. She is passionate about reducing isolation for preeclampsia patients and survivors by building community connections and raising awareness.
Before coming to the Preeclampsia Foundation, Rebecca started her own nonprofit developing life skills in foster and adopted children utilizing community mentors and equine-facilitated learning. Through that, she developed a mentorship curriculum that could be implemented at therapeutic equine facilities nationwide.
Rebecca is a visionary and global thinker. She is currently earning her master's degree in Program Evaluation, in hopes of providing the Preeclampsia Foundation the best strategy for collecting data and demonstrating impact of their programs. Upholding the Preeclampsia Foundation's mission, Rebecca aims to provide the education and tools necessary to empower patients to advocate for systemic change to save lives.
Chris McGahee
Chris McGahee comes to the Preeclampsia Foundation with many years of experience in the corporate marketing communications, public relations, and fundraising fields. He has supported the marketing communications needs of a large, integrated health system with four-hospitals that include mother/baby services, outpatient and wellness, level II trauma center, and emergency departments. Chris recently served in roles in the fundraising and finance departments for a K-12 private school, and is well-versed in donor relations, donor communications, and database management of donor records. He is especially skilled at utilizing a variety of communications platforms and messaging strategies to create long-term, beneficial relationships. Chris has a bachelor of science degree in Organization Management from Eastern Florida State College, and has earned numerous awards including Star Performer of the Year from Health First, four Mark of Excellence awards from the Florida Hospital Association, and multiple gold and silver Addy awards. He also served as chairman of the Greater Palm Bay Chamber of Commerce.
Julie Scott Allen
Government Relations Director
Senior Government Relations Director, Powers Pyles & Verville (PPSV)
Julie Scott Allen serves as an outside consultant and government relations director for the Preeclampsia Foundation, advocating for preeclampsia research and funding to treat and develop a cure for preeclampsia. Her work for the Foundation led to the successful passage of the Preventing Maternal Deaths Act to establish and grow maternal mortality review committees throughout the U.S. Julie has worked to advance legislative, regulatory and advocacy agendas for both non-profit and for-profit clients and national organizations in DC for over two decades. Her strong policy knowledge and political instincts, along with her experience navigating Congress and the Executive Branch, make her a key partner for foundations, business leaders, association executives, and advocacy organizations alike. Julie has represented foundations, companies, associations, and other non-profit organizations on a range of health care and other matters, including, disease and patient advocacy organizations health and hospital systems, health care practitioners, pharmacies, clinical laboratories, life sciences companies, and medical device manufacturers and suppliers.
Julie previously served as the Senior Vice President at the District Policy Group/Drinker Biddle for 9 years. Before that she was the Vice President and Managing Director at Thompson Advisory Group, a federal marketing and lobbying firm that she helped to establish. Prior to launching the firm, she worked as a Vice President at the Jefferson Consulting Group, helping clients grow their business within the federal market. Earlier in her career, Julie lobbied for health providers, including the American Dental Association and the American College of Obstetricians and Gynecologists.
Julie earned her bachelor's degree, cum laude, from Marymount University. In addition to her love of politics and creative problem solving, Julie enjoys kayaking and kickboxing. Julie lives in Virginia with her two active sons and two equally active Westies.
Alina Brewer
Registry Manager
Alina brings a diverse background of implementing research initiatives in a variety of medical fields. She received a Bachelor's degree in Cultural Studies from Brigham Young University-Hawaii and started her career in research in 2007 enrolling participants for a genetic Scoliosis study. Since then, she has coordinated participant enrollment, interfaced with physicians and institutional review boards, and developed study websites and patient communications for several studies including a variety of pediatric motor disorders (such as spinal muscular atrophy), degenerative disc disease, and also worked for a non-profit organization on the start up of a Recurrent Pregnancy Loss and Pre-Term Labor study. Alina cares deeply about research and the positive outcomes for families and individuals that can result from the efforts of both researchers and participants. She has a passion for helping others and feels fortunate to work with women and families affected by preeclampsia with the goal of advancing our knowledge of this poorly understood disorder.
Kelly Breese
Kelly Breese is responsible for handling the fundamental aspects of the Preeclampsia Foundation's financial record keeping, including recording financial transactions and managing accounts payable and receivable. She has over 17 years experience in the accounting field, primarily working in the private sector as CFO for a regional telecommunications company. Kelly received her Bachelor of Science in Business Administration with a concentration in Finance in 2000 at the California State University, Sacramento. Kelly moved from California to Florida in 2011 with her husband and three children, and has been an active volunteer with various local elementary and middle schools. She is excited about making a difference in the lives of women and children by supporting the mission of the Preeclampsia Foundation.
Marty Mercado
Marty Mercado is the National Events Manager for the Preeclampsia Foundation. Her focus is on Promise Walk for Preeclampsia, the signature event for the Foundation. Marty enjoys helping the hundreds of volunteers organize their walks and watching the community comes together, empowered to fundraise and help save the lives of mothers and babies. She has had a long career in fundraising and volunteer management with several national nonprofits. Her focus is on coaching volunteers to raise funds and awareness. Marty enjoys getting to know her volunteers and helps them focus on their strengths to create success.
Marty began her career as a professional ballerina and danced with the University of South Florida (USF) Student Dance Company in Tampa. After her dance education at USF, she danced professionally with Milwaukee Ballet, Pittsburg Ballet, Tampa Ballet, and Joffery Ballet. Marty is also very proud of the fact that she ran her own non-profit dance company for 15 years that focused on healing arts for students at risk and students with disabilities.
Marty enjoys working with people and creating relationships that help build humanity and make change in our world. She is excited to be part of the Preeclampsia Foundation and "making strides and delivering hope."
Becca McFadden
Becca McFadden is the Program Assistant for the Preeclampsia Foundation. She received her Bachelor of Science degrees in Biomedical Engineering and Mathematical Sciences at Florida Institute of Technology, where she joined a service organization called Alpha Phi Omega her sophomore year. After graduation, Becca joined the national staff of Alpha Phi Omega as a consultant and spent two years travelling across the country in order to provide support and resources for its members. She found her passion for nonprofit work after directly seeing the impact these organizations can have on their communities. Becca is excited to be starting her career at the Preeclampsia Foundation and using her education and experiences to help further the mission of making a difference in the lives of women and children.
37th Annual Pregnancy Meeting
We'll be Speaking Here
AWHONN Indiana
Invite Us to Speak at Your Event
Faces of Preeclampsia
What's Happening on Twitter
Preeclampsia Fndn @preeclampsia
preeclampsia We are a proud supporter of the #yearofthemother! Want to get involved? See the link! https://t.co/JRq2h7Avja
preeclampsia Have you heard? 2020 is officially the #yearofthemother! We are proud to join this movement to continue bringing th… https://t.co/jhYCNs2PtQ
preeclampsia RT @acog: Stay tuned for the upcoming edition of Your Pregnancy and Childbirth: Month to Month this spring, and stock up on the current ver…
White Papers & Publications


text:
// Copyright 2020 The Chromium Authors. All rights reserved.
// Use of this source code is governed by a BSD-style license that can be
// found in the LICENSE file.

package org.chromium.chrome.browser.profiles;

import org.chromium.base.annotations.CalledByNative;
import org.chromium.base.annotations.NativeMethods;

/**
 * Wrapper that allows passing a OTRProfileID reference around in the Java layer.
 */
public class OTRProfileID {
    private final String mProfileID;

    @CalledByNative
    public OTRProfileID(String profileID) {
        assert profileID != null;
        mProfileID = profileID;
    }

    @CalledByNative
    private String getProfileID() {
        return mProfileID;
    }

    /** Creates a unique profile id by appending a unique serial number to the given prefix. */
    public static OTRProfileID createUnique(String profileIDPrefix) {
        return OTRProfileIDJni.get().createUniqueOTRProfileID(profileIDPrefix);
    }

    @Override
    public String toString() {
        return String.format("OTRProfileID{%s}", mProfileID);
    }

    @Override
    public int hashCode() {
        return mProfileID.hashCode();
    }

    @Override
    public boolean equals(Object obj) {
        if (!(obj instanceof OTRProfileID)) return false;
        OTRProfileID other = (OTRProfileID) obj;
        return mProfileID.equals(other.mProfileID);
    }

    @NativeMethods
    public interface Natives {
        OTRProfileID createUniqueOTRProfileID(String profileIDPrefix);
    }
}

redpajama_set_name: RedPajamaGithub


This loose cushion glider adds the perfect finishing touch to the nursery. Comfortable and stylish, this glider is available in a variety of fabric options to coordinate with any decor. Glider features a removable seat cushion. The unique parallel rocking motion is similar to a porch glider and the no-sag, nine-gauge sinuous springs are closely spaced for superior comfort. Precision balanced linkage offers unrestricted rocking without the use of springs. Includes an attached 51 ball bearing swivel action. The steel tubular ring base allows for greater stability in all positions.
Glider can also be upholstered using customer's own material (COM) for a truly custom look; requires 9 yards of fabric. There are two tiers of COM.
Tier 1 includes solid fabrics and most tiny prints; Tier 1 usually does not require an up-charge.
Tier 2 requires an up-charge and includes patterns, stripes, plaids and other fabrics that do not fall into Tier 1.
Shown here in Serendipity Azure. Please note that COM orders may take longer to complete. Please call and speak to a design consultant before placing a COM order to ensure that your order is processed correctly. Matching pillow and arm covers are available as options.
Fabrics Options with an (*) asterisk require an upcharge.


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text:
Quentin Massys
Flemish artist
Last Updated: Jan 1, 2020 See Article History
Alternative Titles: Quentin Matsys, Quentin Messys, Quentin Metsys
Quentin Massys, Massys also spelled Matsys, Metsys, or Messys, (born c. 1465/66, Leuven, Brabant [now in Belgium]—died 1530, Antwerp), Flemish artist, the first important painter of the Antwerp school.
Trained as a blacksmith in his native Leuven, Massys is said to have studied painting after falling in love with an artist's daughter. In 1491 he went to Antwerp and was admitted into the painters' guild.
Among Massys's early works are two pictures of the Virgin and Child. His most celebrated paintings are two large triptych altarpieces, The Holy Kinship, or St. Anne Altarpiece, ordered for the Church of Saint-Pieter in Leuven (1507–09), and The Entombment of the Lord (c. 1508–11), both of which exhibit strong religious feeling and precision of detail. His tendency to accentuate individual expression is demonstrated in such pictures as The Old Man and the Courtesan and The Money Changer and His Wife. Christus Salvator Mundi and The Virgin in Prayer display serene dignity. Pictures with figures on a smaller scale are a polyptych, the scattered parts of which have been reassembled, and a later Virgin and Child. His landscape backgrounds are in the style of one of his contemporaries, the Flemish artist Joachim Patinir; the landscape depicted in Massys's The Crucifixion is believed to be the work of Patinir. Massys painted many notable portraits, including one of his friend Erasmus.
Massys, Quentin: Virgin in AdorationVirgin in Adoration, oil on panel by Quentin Massys (and studio), after 1507; in the Los Angeles County Museum of Art. Photograph by Beesnest McClain. Los Angeles County Museum of Art, Los Angeles County Fund, 62.19
Although his portraiture is more subjective and personal than that of Albrecht Dürer or Hans Holbein, Massys's painting may have been influenced by both German masters. Massys's lost St. Jerome in His Study, of which a copy survives in Vienna, is indebted to Dürer's St. Jerome, now in Lisbon. Some Italian influence may also be detected, as in Virgin and Child, in which the figures are obviously copied from Leonardo da Vinci's Virgin of the Rocks.
"The Money Changer and His Wife," painting by Quentin Massys, 1514; in the Louvre, Paris Lauros—Giraudon/Art Resource, New York
Massys's two sons were artists. Jan (1509–75), who became a master in the guild of Antwerp in 1531, was banished in 1543 for his heretical opinions, spent 15 years in Italy or France, and returned to Antwerp in 1558. His early pictures were imitations of his father's work, but a half-length Judith with the Head of Holofernes of a later date, now in the Museum of Fine Arts, Boston, shows Italian or French influence, as does Lot and His Daughters (1563). Cornelis Massys (1513–79), Quentin's second son, became a master painter in 1531, painting landscapes in his father's style and also executing engravings.
medal: The Netherlands
…of Erasmus of 1519, by Quentin Massys, made in Antwerp, is the grandest northern Renaissance medal, but it had no progeny. Of the regular professional medalists some, like Steven van Herwyck (c. 1530–67) and Jacob Jonghelinck (1530–1606), who worked in Italy for Leoni, adopted the Italian style, somewhat more idealized…
…were transformed and revitalized by Quentin Massys and Bernard van Orley. Rogier's art was also a vehicle for transporting the Flemish style throughout Europe, and during the second half of the 15th century his influence dominated painting in France, Germany, and Spain.…
…movement in the work of Quentin Massys, who had introduced a more intimate and more human conception of sacred themes. David's Deposition (c. 1515) and the Crucifixion (c. 1510–15) were painted under this influence and are remarkable for their dramatic movement.…
c. 1465 or c. 1466
movement / style
Early Netherlandish art
The Catholic Encyclopedia - Biography of Quentin Massys
Web Gallery of Art - Biography of Quentin Massys


text:
Tulsi Nails it on National TV… US Regime-Change Wars
© Photo: Flickr / Marc Nozell
No wonder Democratic Party bosses and mainstream media are trying to bury presidential contender Tulsi Gabbard. She is the only candidate, perhaps the only politician in the US, who is telling the American public exactly what they need to know about what their government and military are really up to: fighting illegal regime-change wars, and to boot, sponsoring terrorists for that purpose.
It didn't come much clearer nor more explicit than when Gabbard fired up the Democratic TV debate this week. It was billed as the biggest televised presidential debate ever, and the Hawaii Representative told some prime-time home-truths to the nation:
"Donald Trump has blood of the Kurds on his hands, but so do many of the politicians in our country from both parties who have supported this ongoing regime-change war in Syria that started in 2011… along with many in the mainstream media who have been championing and cheer-leading this regime-change war."
The 38-year-old military veteran went on to denounce how the US has sponsored Al Qaeda terrorists for its objective of overthrowing the government in Damascus.
It was a remarkably damning assessment of US policy in Syria and elsewhere in the Middle East. And it was by no means the first time that Gabbard has leveled with the American people on the brutality and criminality of Washington's so-called "interventions".
The other 11 Democratic candidates on the stage during the TV debate looked agog after Gabbard's devastating and calmly delivered statement. All the others have proffered the false narrative that US forces are in Syria to "fight terrorism". They deplore Trump's announcement last week to pull back US troops from northeast Syria because, they say, it will undermine the fight against Islamic State (IS or ISIS) and other Al Qaeda affiliates. They also condemn Trump for "betraying Kurdish allies" by his partial troop withdrawal.
President Donald Trump talks about "ending endless wars" and "bringing our troops home". But he still premises his views on a credulous belief that the US under his watch "defeated ISIS 100 per cent". In that way, he essentially shares the same corny view as the Democrats and media that America is a force for good, that it is the "good guys wearing white hats riding into the sunset".
On the other hand, Gabbard stands alone in telling the American people the plain and awful truth. US policy is the fundamental problem. Ending its regime-change war in Syria and elsewhere and ending its diabolical collusion with terror groups is the way to bring peace to the Middle East and to spare ordinary Americans from the economic disaster of spiraling war debts. American citizens need to know the truth about the horror their government, military, media and politicians have inflicted not just on countries in the Middle East, but also from the horrendous boomerang consequences of this criminal policy on the lives and livelihoods of ordinary Americans, including millions of veterans destroyed by injuries, trauma, suicide, and drug abuse.
Following the TV debate this week, it seems that Gabbard won the popular vote with her truth-telling. A major online poll by the Drudge Report found that she stole a march on all the other candidates, winning approval from nearly 40 per cent of voters. Top ticket candidates Elizabeth Warren, Bernie Sanders and Joe Biden were trailing behind with 7 per cent or less.
Gabbard has clearly struck a deep chord with the US public in her honest depiction of American wars.
Despite her shattering exposé and seeming appreciation by the public, most mainstream media tried to bury her after the TV debate. Outlets like Vox and CNN declared that Warren was the winner of the debate, whose talking points were mainly about domestic policy issues. Like the other candidates, Warren plies the propaganda narrative of US forces "fighting terrorism". Vox even slated Gabbard as "a loser" in the debate and claimed she had made "blatantly false" statements about the US' role in Syria.
Other mainstream news outlets chose to ignore reporting on Gabbard's demolishing of the official propaganda about American wars. Earlier this week, CNN and the New York Times smeared her as a "Russian asset" and an "apologist for Assad", referencing a visit she made to Syria in 2017 when she held talks with President Assad.
The Democratic National Committee is claiming that Gabbard does not have sufficient support in polls it deems worthy for her to qualify for appearing in the next TV debate in November.
International events, however, are proving the Hawaii Representative right. US troops, as with other NATO forces, have been occupying Syrian territory illegally. They have no mandate from the United Nations Security Council. The pullback of US troops by Trump has created a vacuum in northeast Syria into which the Syrian Arab Army is quickly moving to reclaim the territory which US-backed Kurdish fighters had de facto annexed for the past five years. Several reports show the local people are joyfully welcoming the arrival of the Syrian army. The scenes are reminiscent of when Syrian and Russian forces liberated Aleppo and other cities previously besieged by terror groups.
America's war machine must get out of Syria for the sake of restoring peace to that war-torn country. Not because "they have defeated ISIS 100 per cent", as Trump would conceitedly claim, nor because "we are betraying Kurds in the fight against terrorism", as most Democrats and US media preposterously claim.
Peace will come to Syria and the Middle East when Washington finally ends its criminal regime-change wars and its support for terrorist proxies. Tulsi Gabbard seems to be the only politician with the intelligence and integrity to tell Americans the truth.
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text:
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Opera 10.62 Portable Edition
Try this powerful multi-platform web browser
By Chris Wiles | Oct 11, 2010
Think of a web browser and some people would say Internet Explorer, whereas others Firefox is their obvious choice. Ask them to think again, and they'll pause. However, there are many other decent browsers available on the market. One of the oldest is Opera and it's recently had a major upgrade. Hard to believe for some, but Opera has been an innovator in so many areas and the first to launch new features in their browser.
Opera 10 is now available and it's a release worth investigating if you're not yet an Opera user. The first thing you'll notice is the user-interface. Well designed and arguably the best-looking browser user-interface of any of the main 'big four' web browsers. Indeed, some of the UI features planned for Firefox 3.7 and, later, 4.0, take design cues from the current Opera 10. Again, leading the pack.
The next thing you'll notice is the speed. Already fast, Opera 10 now ships with a 'turbo mode' if you're surfing the Internet on a slower connection, such as through a 3G modem. It can be set to automatically detect your Internet connection, so if you're back on your ultra-fast broadband connection, later, the turbo mode will be switched off.
If you're already an Opera user, there are still many enhancements, such as the improved Speed Dial, which super-sizes the way you see your favourite websites, when you open a new tab. The new browser now checks your spelling in any web form, which is handy. It also ships with support for the latest web standards, including HTML 5, CSS3 and is 100% ACID3 compliant, something that Internet Explorer would dream to achieve.
You can also share your data, such as your bookmarks, across your Opera browsers, across different operating systems, through MyOpera. There's little negative to say about Opera. The only small problem we find from time to time, is that banks and other sites will not allow you to browse their site in anything but Internet Explorer and Firefox. Not because Opera can't cope is insecure - quite the opposite, in fact. Apart from this, we suggest you give this fantastic browser a look. We've only covered the basics here and there are numerous advantages that Opera brings to your web browsing experience.
Note that this is the portable version of Opera.
This browser just gets better and better, yet it's baffling it's not as popular as Firefox. Definitely worth a look.
Specification: Opera 10.62 Portable Edition:
Windows XP,Windows Vista (32 bit),Windows 7 (32 bit),Windows Vista (64 bit),Windows 7 (64 bit),Windows 2000
Download Opera 10.62 Portable Edition for Windows
Opera launches turbo-charged browser Google Chrome 10 review


text:
Een excursie is een uitstapje door een groep mensen, meestal met educatieve of amuserende doeleinden.

Voorbeelden van educatieve excursies zijn:
 bezoek aan de Deltawerken
 rondleiding in een natuurgebied
 bezoek aan een bedrijf zoals een kaasboerderij of een bierbrouwerij

Vaak zijn excursies een aanvulling op een langere reis, vakantie of een bezoek aan een plaats.
Zulke excursies worden meestal geregeld via de reisbegeleider, die op de eerste of tweede dag van de vakantieperiode een overzicht geeft van de mogelijke excursies. Meestal regelt de reisorganisatie alles van tevoren, zodat de reizigers alleen maar in de bus hoeven te stappen en de reisgids hoeven te volgen. De reizigers betalen soms voorafgaand een bedrag bij de reisorganisatie, maar men kan ook pas op de plaats van bestemming bepalen om de excursie te doen.
Men kan er ook vaak voor kiezen om een gemengde excursie te doen, waarbij de bezoekers meer dan één bezoek plegen. Dit is bijvoorbeeld een bezoek aan een natuurpark, opgevolgd met speleologie.

Typische voorbeelden van aanvullende excursies zijn:
Snorkelen, meestal in een tropisch gebied;
Bezoek aan een ruïne, bijvoorbeeld een Romeins amfitheater;
Bezoek aan een museum
Bezoek aan een wereldwonder;
Een bezoek aan een natuurpark, dierentuin of een vlindertuin;

Zie ook
 Schoolreis
 Zakenreis
 Picknick

Toerisme


COLOMBO – Sri Lankan great Kumar Sangakkara will quit international cricket during the test series against India in August, the island nation's most prolific batsman said on Saturday.
"I have decided to call it a day…(after) the second test of the India series," the 37-year-old told reporters on the sidelines of the ongoing second test against Pakistan of his decision to end a 15-yer-old illustrious career.
Sangakkara said he wanted to quit all formats of the game after Sri Lanka's World Cup campaign this year but promised to be available for the back-to-back home series against Pakistan and India.
"But at the same time I said that I would be unable to play six test matches. I could do four and if that was okay, I will give my 100 percent commitment to these four test matches," said Sangakkara who will skip the third and final test against Pakistan.
India arrive in early August to play three tests in Sri Lanka but the dates and the venues have not been finalised.
"I wish I could keep on playing but I know when the time comes you have to go and I know this is my time," he added.
Sangakkara made his international debut in 2000 and is currently playing his 132nd test against Pakistan, having amassed 12,305 runs at an average of over 58 and including 38 centuries.
Sangakkara is the fifth highest test scorer of all time and is one short of Australian great Donald Bradman's record of 12 double centuries in tests.
Before giving up keeping, Sangakkara made 20 stumpings to go with his 179 catches in tests.
His ODI record is no less impressive, having totalled 14,234 runs in 404 matches, averaging nearly 42 and including 25 centuries. He took 402 catches in ODIs and has 99 stumpings against his name.
Adjudged ICC Cricketer of the Year in 2012, the former Sri Lanka captain was part of the 2014 Twenty20 World Cup-winning squad.
He was also a member of the teams which reached the 50-over World Cup finals in 2007 and 2011.
Sangakkara's retirement, following that of his former team mate Mahela Jayawardene, creates a big void for Sri Lanka but the he has no doubt the team under Angelo Mathews will cope.
"Angelo is a fantastic captain, a fantastic cricketer. I think he is the ideal man to lead this team of youngsters," Sangakkara said.