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All the Gloucestershire criminals locked up in August
A lot of people have been jailed this month
Ed StilliardContent Editor
These seven criminals from Gloucestershire were jailed in August
A man who repeatedly punched his friend of seven years in the face in a racially-motivated attack and a motorist whose dangerous driving led to two people being seriously injured are some of the people who have been jailed in August.
They appeared in court in August and are proof that justice continues to be done at Gloucestershire's criminal courts, Gloucester Crown Court and the magistrates courts in Cheltenham and Cirencester, as well as further afield.
Some of these criminals have been locked away by judges and magistrates for lengthy spells for their criminal behaviour and acts.
Read more:The petty Gloucestershire thieves, shoplifters and burglars jailed this year
Gloucestershire Live reports on all manner of cases to ensure justice is seen to be done. Crown court is where the most serious cases are dealt with whereas magistrates courts generally deal with lower-level crimes.
Below are August's most high-profile cases which have resulted in people being locked up. To read more about each case, click the headline above each summary.
If you want to know why Gloucestershire Live reports on court cases and to know more about what we are and aren't allowed to publish then click here.
Get the biggest stories from across Gloucestershire straight to your inbox, click here
This story is correct as of Monday August 30. It will be updated on Tuesday August 31 if need be.
Cotswolds conwoman who lied about knowing Princess Anne
Fraudster Lois Bhagwan (Image: Thames Valley Police)
A conwoman who lied about knowing Princess Anne and other well-known figures to dupe investors was jailed this month.
Lois Bhagwan claimed to be a wealthy filmmaker who was friends with rich and famous people such as Princess Anne, Denzel Washington and the Dalai Lama.
But in reality the 56-year-old was using their investments to fund a lavish lifestyle including a cottage in the Cotswolds, a hired Range Rover and trips around the world.
Oxford Crown Court heard that in 1992 Bhagwan dreamed up the 'Lionheart' project which was originally to make a movie but later expanded to create a global network for likeminded 'Lionhearts' to share knowledge, skills and ideas for humanitarian projects.
By 2006, Bhagwan was running the operation from a cottage in Milton-under-Wychwood, which is between Bourton-on-the-Water and Charlbury, and claiming to know international figures such as Condoleeza Rice and Hillary Clinton to convince victims, including neighbours in the Cotswolds, to invest.
Woman held captive in Cheltenham flat and repeatedly beaten up
Darren Averiss, 59, of Vittoria Walk, Cheltenham, admitted two charges of assault causing actual bodily harm. (Image: Gloucestershire Live)
A man held his ex-partner captive in his Cheltenham flat and repeatedly beat her up causing "absolutely shocking" injuries before she finally escaped to freedom, a court heard.
Darren Averiss, 59, of Vittoria Walk, had been in an on-off relationship with the woman for some time before she arrived in Cheltenham on April 18, 2019 to attend a funeral.
She had intended to return home three days later but bumped into Averiss and because they then got on well she decided to stay with him, prosecutor David Scutt explained to Gloucester Crown Court.
Man performs 'donkey kick' on police officer after claiming he'd swallowed a razor blade
A police officer received a 'donkey kick' and was subject to homophobic abuse when she tried to arrest a man at a Gloucestershire pub.
Officers from Gloucestershire Constabulary were called to the Old Nelson pub in Stroud to arrest Martin Burns on an unrelated matter on April 18, 2019, Gloucester Crown Court heard.
But then the 53-year-old lashed out at officers at the Stratford Road pub and "had to be restrained", prosecutor Simon Goodman told the court earlier this week.
Burns, a serving prisoner, but formerly of London Road, Gloucester and Nursery close, Stroud , pleaded guilty to assaulting an emergency worker and battery of an emergency worker.
Judge Michael Cullum told Burns: "At the age of 53, numerically, your court appearances for convictions outstrip your age. You have 58 previous sets of convictions and have been sent to prison several times since you committed these offences two years ago."
Traveller in Gloucester 'left man for dead' after bare knuckle fight over caravan vomit
Bernard McDonagh, 28, of Draycott, Cam, but formerly of Mount View Caravan Park, Naas Lane, Quedgeley, assaulted James Quilligan on June 23, 2020. (Image: Gloucestershire Live)
A 28-year-old man left his victim to die after subjecting him to a severe beating at a Gloucester caravan park.
Victim James Quilligan had to have an emergency operation which involved placing a piece of his fractured skull inside his stomach so it could be kept alive and replaced when the time was right, Gloucester Crown Court heard (Aug 4).
Prosecutor James Haskell said Bernard McDonagh, 28, of Draycott, Cam, but formerly of Mount View Caravan Park, Naas Lane, Quedgeley, assaulted Mr Quilligan on June 23 last year.
The incident effectively started on the previous evening of June 22 when the two men were drinking in McDonagh's home at Mount View and fell out with each other because Mr Quilligan vomited inside the caravan.
Two men jailed for 'cold-blooded gang attack' at Gloucester home
Scene guards in place on Salisbury Road (Image: Samuel Port)
"A brutal, premeditated and utterly cold-blooded gang attack" cost two men 26 years' jail.
Kevin McNeil and Sadique Thomas were two of the masked, armed raiders who attacked a man at his home in Salisbury Road, Gloucester, on August 2 last year.
Bristol Crown Court heard Nico Kent suffered life-threatening injuries in the terrifying assault, where others were present including a baby.
Initially both men denied wrongdoing But after a trial had started McNeil, 20, of Great Western Road, Gloucester, and Thomas, 22, of Desford Close, Abbeymead, Gloucester, pleaded guilty to inflicting grievous bodily harm. (GBH)
Man who 'went mad' with hammer and fractured neighbour's skull jailed
Jerome Fryer, 36, has been jailed for 22 months
A 36-year-old Cheltenham man 'went mad' with a hammer and attacked a neighbour, fracturing his skull and nose.
Prosecutor Chloe Griggs said Jerome Fryer was living in the same block of flats as Andrew Birchall at the time of the assault and there had been a history of disputes between them, Gloucester Crown Court heard.
Most recently, Fryer had accused Mr Birchall of damaging the communal intercom and puncturing the front tyre of his bike.
"Things came to a head on New Year's Day this year when Mr Birchall heard a noise coming from the communal hallway," said the prosecutor.
The judge said Fryer "could have killed him" during sentencing.
Shocking footage of Audi drink drive crash which left woman pinned to wall screaming in pain
Loic Freeman, 26 from Bullinghope in Hereford had skipped a red light which led to a collision that seriously injured two people last year has been jailed for his reckless actions
Terrifying dashcam footage of a man who crashed his Audi while drunk was released earlier this month after he was jailed.
Loic Freeman, 26, skipped a red light which led to a collision that seriously injured two people last year.
One of those injured was Nadine Wood who was pinned to the wall of a bridge just a minute's walk from her home.
She had gone to stand with a group of other people at Halfpenny Bridge waiting to see Elon Musk's Spacex satellite train spectacle pass overhead.
She ended up with injuries to her pelvis, hip and spine forcing her to learn to walk again as well as suffering psychological trauma from what happened.
Freeman, of Bullinghope in Hereford, appeared at Gloucester Crown Court (August 12) where he was sentenced to prison after previously pleading guilty to causing serious injury by dangerous driving.
A shocking video showing the moment of the crash is below. WARNING: It may be upsetting.
Forest of Dean farmer jailed after sheep died in 'filthy squalid conditions'
A Forest of Dean farmer has been jailed for causing a sheep to suffer.
Officers discovered an extremely thin dead sheep on a filthy bed of wet muck alongside two other live sheep, which were showing signs of sheep scab. This causes itching and soreness and is painful for affected animals.
A dead turkey and a dead chicken were also found in other pens on Keith Barber's farm.
Keith Barber, aged 71, of Joys Green, Lydbrook, feeding cattle
The 72-year-old, of Joys Green, Lydbrook, appeared at Cheltenham Magistrates' Court on Wednesday, August 11, to be sentenced.
At a hearing in June, which was adjourned while a pre-sentence report was made, he had pleaded guilty to five charges brought by Gloucestershire County Council's trading standards service, relating to the welfare of his sheep and his failure to dispose of carcasses appropriately.
Man attacked after shopping at Cheltenham Sainsbury's while on his way home
An attacker who twice punched a man in Cheltenham High Street was jailed last weekend after a jury rejected his claim that he acted in self-defence.
Daniel Walsh, 28 of Waterloo Street, Cheltenham, assaulted Szymon Mejnarowicz on Monday, December 14 just after 8pm.
Daniel Walsh
Neil Treharne, prosecuting, told Gloucester Crown Court that Mr Mejnarowicz was returning home from purchasing some milk from the Sainsburys store in the High Street when he was attacked.
Walsh pleaded not guilty to the unlawful and malicious wounding of Mr Mejnarowicz on December 14, 2020 and after hearing all the evidence from both sides the jury convicted him before he was jailed.
Man left 'disfigured for life' after row over Black Lives Matter photo
A man was left "disfigured for life" after a racially motivated attack over a Black Lives Matter picture.
Lee Hawkins, 33, of Monkscroft, Cheltenham, shouted "I apologise to you John. I hope you get better soon" when he was sent down for racial assault causing grievous bodily harm.
Lee Hawkins had a heated argument with John Anderson before repeatedly punching him in the face at a friend's flat leaving him with a fractured cheekbone and damaging his eye socket, a court heard.
The attack was so severe that Mr Anderson told Gloucester Crown Court: "My face looks like I have suffered a stroke."
Hawkins, 33, of Monkscroft, Cheltenham, admitted racially assaulting Mr Anderson causing him grievous bodily harm on June 11 this year and apologised to Mr Anderson as he was sent down.
But in an interview with Gloucestershire Live days later, Mr Anderson said the sentence Hawkins received was too lenient.
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Gloucester shopkeeper gave under-age girls cigarettes in return for French kisses
Racist thug who brutally attacked me was my friend of seven years, says Cheltenham victim
Abbeymead
Quedgeley


Access for recreational users has trumped concerns of local residents in the City of Red Deer's bid to build a new parking lot at Fort Normandeau.
Sep. 16, 2009 2:36 p.m.
With some compromises made to help meet concerns about noise and litter, Red Deer County's Municipal Planning Commission passed a bylaw on Tuesday approving the city's request to lease a parcel of land and build a 65-stall parking lot.
Improving access to launch points on the Red Deer River is an integral part of the region's recreational package, said county Councillor Reimar Poth.
"I really believe (the Red Deer River) is one of the premier resources that we have for recreation here," said Poth.
County and city staff had met previously with area residents to discuss their concerns, said community services manager Jo-Ann Symington in presenting a staff report on the bylaw.
From those meetings, the original proposal reduced the number of parking stalls from 135 to 65. A chain link fence will be built around the entire lot, with a gate to be locked after hours, said Symington.
A maintenance plan is being created and there will be a number of trash bins placed inside the parking lot to reduce litter.
The city, county and RCMP are working together to create an enforcement plant and county peace officers will patrol on weekends.
No Parking signs have already been placed on both sides of the road leading into Fort Normandeau.
The city will also create a media plan to advise people about ways to stay safe on the river, signs will be erected advising of operating hours and others will advise that there is to be no liquor on the site.


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Muslim Brotherhood General Guide tells human rights delegation: Visit Al-Adawiya Square
February 5, 2014 at 2:11 am | Published in: Africa, News
Hafez Abu Saada, a member of Egypt's National Council for Human Rights, a governmental body, has revealed that the General Guide of the Muslim Brotherhood, Mohamed Badie, refused to meet with the council's delegation to the Tora prison outside of Cairo on Tuesday, telling them to "go and visit Rabaa Al-Adawiya Square instead," signalling a demand to investigate the government's bloody crackdown on pro-Morsi supporters.
The Egyptian security forces and army attacked anti-coup protesters at the Rabaa Al-Adawiya Square to the east of Cairo and the Nahda Square to the west of Cairo on 14 August, leaving hundreds dead and thousands injured, according to official figures. The peaceful protesters were objecting to the military ouster of Egypt's first democratically elected president, Mohammed Morsi.
The Muslim Brotherhood accuses the Egyptian security forces of killing pro-Morsi supporters during the infamous operation, while the army claims that the pro-Morsi supporters had arms which they were using to attack the security forces.
Abu Saada told Anadolu news agency that the delegation met with several representatives of the Muslim Brotherhood including: Saad Husseini, a Brotherhood leader and the former governor of Kafr El-Sheik; and Ahmed Abu Baraka, another Brotherhood leader. Also attending the meeting were Hazem Salah Abu Ismail, the head of the Salafist Al-Raya Party and Abul Ela Madi, the head of the Islamist Al-Wasat Party, along with his deputy Essam Sultan.
Abu Saada noted that Badie, his deputy Khairat Al-Shater, Saad Katatni, who is the head of the Freedom and Justice Party and Helmy Al Jazzar, another Brotherhood leader, had all refused to meet with the delegation, saying that the delegation only visited the Tora prison to check on their health conditions and to see if they were being treated in accordance with acceptable prison regulations.
According to Abu Saada, the delegation emphasized the prisoners were receiving good treatment but demanded that the prison authorities extend their exercise to more than two hours a day, as well as increase visitation hours and allow newspapers in.
Abu Saada explained that the delegation did not discuss any political issues during their meeting with the Muslim Brotherhood leaders, stating that: "Our organization is neutral".
The Egyptian authorities accuse the Muslim Brotherhood of inciting violence, while the Brotherhood stresses the group's peaceful approach and accuses the Egyptian security forces of killing demonstrators simply for refusing the military's ouster of elected President Morsi.
Abul Ela MadiAhmed Abu BarakaCoupEgypt UnrestEgyptian GovernmentEssam El-ErianEssam SultanHafez Abu SaadaHazem Salah Abu IsmailHuman Rights AbuseIslamist Al-WasatKafr El-SheikKhairat Al-ShaterMohammed BadieMuslim BrotherhoodPro-Morsi ProtestRabaaSaad KatatniSalafist Al-Raya Party

redpajama_set_name: RedPajamaCommonCrawl


Discover a lot of information on the number 11520: properties, mathematical operations, how to write it, symbolism, numerology, representations and many other interesting things!
How to write / spell 11520 in letters?
In letters, the number 11520 is written as: Eleven thousand five hundred and twenty. And in other languages? how does it spell?


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Welcome, welcome, to the Sping 2021 Anime Awards, where I, Jacob, Friendly Overlord, Ov, whatever you call me, is your host. I won't lie, this post went through a few different takes before I arrived at this, but I think it's the best I can do.
As some of you might know, this was my first season actively keeping up with anime in a while. I used to a few years ago, but then I fell away from anime and never got back into the swing of things. The blog now gives me an excuse to do just that. Now I can watch anime for long periods of time and call it "work." It's quite a good perk, really.
So, how do these awards work? Well, it's where I'll give out completely legit awards, completely backed by professional opinions (my own) to anime series that did certain things this season. Whether those things are good or bad, we accept all anime on the Side Of Fiction Anime Awards, alright? And these may be mostly the series I've watched. Unfortunately, I'm human, and we need sleep, food, and money, so I can't watch every anime. Sad really. I will throw some other things in there too, though.
Without further ado, let's begin.
Best Boy!
What? Are you surprised we have normal categories here? I can't come up with all of them, and this whole post isn't just satire; I'll have you know. I take this somewhat seriously. This was probably one of the hardest picks—lots of good boys this season. Yoshida from Higehiro was very close, so was Shin from 86. Both best boy contenders, but for reasons you'll see for the next award, I decided to give it to Iruma. Fushi was close, but he's not exactly a "he." If I had a best orb award, Fushi would get it.
Firstly, Iruma Goes to Demon School is just a really good series. Has a great season 2. Fun to watch, charming, breaks out into song, the whole deal, but that alone won't grant you best boy. Iruma is a pretty solid best boy already. He's super kind, has a somewhat tragic backstory, funny, has good reactions, looks great in a dress, all the points your best boy needs.
But what really upped Iruma this season was the few episodes he hit his evil cycle. For a short wonderful time, the adorable Iruma went full-on bad boy, and it was great. Not only was it a good change of pace, but it also showed us what Iruma could be like if he had confidence and learned to stop being so passive.
But above everything, I loved how regardless of his evil cycle, Iruma was still Iruma. He still helped everyone who needed it, and the entire reason he did anything in that arc was to help his friends. If that isn't best boy material, well, I really don't know what is. I award thee!
Best Girl!
There was really only one pick here, wasn't there? I wouldn't be surprised if Sayu sweeps the best girl of the year, really. She has a bit of everything. First of all, just look at that smile. She's absolutely precious, and I'm reminded daily that people would kill to protect her. A little aggressive, but fair enough.
But the only reason people feel so strongly is because of how well-written she is. Higehiro, despite a few hiccups, has a very good plot, and Sayu is at the center of all of it. What looks like it could be a bit of an iffy "hold on, Japan" anime is actually a very mature story about a girl who learns to value the self-worth she had forgotten after months of being on the street.
It's an incredibly wholesome anime that will restore your faith in humanity, and that's all because of Sayu. I mean, Yoshida too, but I don't want best boy and girl to be from the same series, and Sayu definitely beats him. Even the age gap aspect is handled pretty well. Seeing Sayu grow and realize how precious she herself is, is a big reason why people like her. Just looking at her makes you happy, and for that reason, I grant thee best girl.
Most Uncomfortable!
I love anime, you love anime, but we all know anime is weird. This is an award for when that weirdness doesn't pay off, and there's only one series I can think of that's deserving, and that's Koikimo.
I am not here to tell you whether this series is good or not. Truth is, I haven't seen all of it. But what I can tell you is that the whole plot revolves around an older man who constantly harasses a minor in order to earn her love, even though she repeatedly calls him creepy and makes it very clear that she isn't attracted to him.
Higehiro almost went down this route, but Koikimo decided to turn it up to 11. This is an example of an anime that makes some people think the entire medium is creepy, so I grant the insufferable blonde guy and his series this award!
Most Thought-Provoking!
86 snuck up on this one, but it just barely got beat out by Vivy. To Your Eternity was so close too, as I'm a sucker for plots about humanity, but I couldn't do it over Vivy. Vivy is about an idol AI that lives through 100 years in order to prevent AI and humans from coexisting because if they do, a war will break out, resulting in the death of humanity. Doesn't that sound fun?
To prevent humans and AI from loving each other, Vivy rewrites certain parts of history. She stops bills from getting passed, prevents AI from committing suicide so humanity doesn't think they have souls. It's not the most unique story in the world, but plots about sentient AI always get the gears in my mind turning. I just love thinking about it.
And Vivy handles it in a really cool way. Usually, the issue is with AI being accepted as human. Vivy flips this by making AI already on equal footing, but that's the event that causes human extinction, not the lack of coexistence. So it becomes a story about an AI that actively tries to prevent her kin from being treated equally. Add that in with time travel, and you have an incredibly fascinating plot. I grant thee to Vivy.
Most Disappointing!
I had very high hopes for this series. I thought I would finally see a cute Rom-Com where the childhood friend actually wins. But Osamake here decided that that wouldn't happen. You see, I wasn't specific enough about wanting a childhood friend to win. Osamake pulls a switcheroo and makes every love interest a childhood friend.
While I can't say the anime is lying, it sure pulled a fast one on all of us. But really, I'm not even mad. It got my attention. What I didn't really like was the series itself. It's weird. It's a bunch of convoluted events that are tied together with unlikeable characters. The best person in the show is actually the male lead, Sueharu, but most of the girls suck so bad, you'll just wish he ends up alone.
Really, the anime isn't that bad. It's just weird, and I like to joke about it a lot for shattering my dreams. But the fact remains that it's just ok, and for a series I had a lot of high hopes for, it really did disappoint me. I sadly award thee!
Best Story!
It was between 86 and Vivy for this one, and as much as I'd love to give it to my robo-idol girl (I almost did), I have to give this one to 86. I feel like Vivy has a better and more imaginative story than 86, but only slightly. What tipped 86 over was that I felt it did a better job than Vivy overall. Just a bit.
86 hits every note right. It feels like it knew what it wanted to do better and really drove the point home. They took the concept of racism, took it to a very extreme example, decided we needed killer bug robots, and made a fantastical character-driven story I won't forget anytime soon.
It's action-packed, it's an emotional rollercoaster, it has phenomenal characters, it will have you on bated breath, and it doesn't outstay its welcome. It comes in, does what it wants to do well, and leaves. Until season 2, that is. Which I look forward to. I award thee!
Best Characters!
This was a tricky one to think about. I could have given it to Vivy. Higehiro was real close since both leads were contenders for best boy and girl. But, I think if we're to go based on all characters in a series, and not just one or two, then I have to give it to 86 yet again. This anime uses its characters incredibly well. That's the entire point of the series.
86 aren't considered people, so when they die, they aren't counted as casualties—a war without loss. The character's lives are the entire driving point for the show's story. And loads of those characters die, let me tell you. It's not a spoiler because it just happens a lot. Take your pick at who will live, really. There's some who say those death don't have enough impact, but that's the whole point. 86 aren't people, right?
Really, the characters as a whole are great. They are work wonderfully, all have complex emotions, and make the story as a whole. As for the leads, they're all good. Shin was almost best boy. Come the next season, he may be. Lena would have been best girl in a season without Sayu. She is a literal angel. She's a good person in a society of racist sociopaths, and seeing her grow to realize her own bits of unconscious racism as she grows along with the 86 is incredible. 86 just nailed this department. I award thee!
Best Couple!
I'm not one to jump on the Sayu and Yoshida boat. I don't think they should be a couple. It goes against the moral of the story. Shin and Lena are great, but they're technically a ship as of now. Osamake, every character except for the little sister jack of trades girl sucked, so that really only leaves me with one possibility, but it's a good one either way.
Nagatoro and Senpai are incredibly cute. Ok, they aren't a thing yet but come on. They will be. For all the bullying and all the uncomfortable moments the series has towards the beginning, these two are actually a great couple, and I think that's what people miss. I talked about it a bit here, but shameless plug aside, the two help each other out a lot.
Nagatoro is good at heart, she just enjoying teasing and doesn't know how to deal with her feelings, so she often comes on too strong. Senpai is far too passive and acts like a doormat to everyone, but is also a kind, gentle person. Through their relationship, Nagatoro learns how to understand herself better and become a more gentle person. Likewise, Senpai learns to stand up for what he believes in. They both are exact opposites but have enough in common that they don't kill each other. They help each other grow and become better. If that's not a great couple, I don't know what else is. I award thee! And I never said "healthiest couple," ok?
Best Ship!
While I can't speak to anything that may or may not happen later in the story, Lena and Shin are nothing but a ship now. There is little to no romance between them, and the two have never even seen each other face to face. They've only talked. That in and of itself is, I think, really cool for their shipping potential, but honestly, they'd just make a great couple.
They've both already helped and relied on each other at multiple points throughout the story. Lena with helping Shin face his past and keeping him safe, and Shin giving a surprising amount of emotional support to her. There's certainly something to grab onto in terms of their romance, and they both seem good for each other.
But beyond all that, I just love what they would stand for. Their entire relationship would be blasphemous to the Republic, and Lena would disrespect her entire people, but I don't see the problem. She should. For a story about a bunch of racists, I can't think of any better couple than one that bridges that gap and accept each other for who they are. For the wonderful people they've grown into regardless of where they come from. I think Shin and Lena would grow a lot together and be a bit of a symbol of hope in 86's wartorn story. For that, I award thee!
Best Opening!
Now there wasn't too much competition here. Zombie Land Revenge's opening, "O Saga, Cry With Me!" is a certified bop 9 out of 10 experts agree. Much like the first season, this opening has very little to do with the actual series. None of our zombie idols ever fly through the sky in fighter jets, sadly.
But that doesn't stop it from having not only having great, smooth visuals, but like many songs from the series, it won't get out of your head anytime soon. It's great. Go listen to it. For an anime all about idols, it better have good music, or else it would be failing a pretty important area. I award thee! And if this didn't exist and wasn't so perfect, To Your Eternity would have grabbed it up. It was right there. Amazingly, Koikimo's OP slaps as well.
Best Ending!
I was pretty close to giving this one to Iruma as well. It has a great and very thematic ending. SSSS.Dynazenon would have gotten it if the visuals were a bit more interesting. Like 15 seconds of it is looking at a washing machine, for god's sake. But the best of everything was Shadow House's "Nai Nai."
This is one of those times that I'll tell you to just go watch it. The music isn't only fitting and super catchy. It is timed absolutely perfectly with the visuals. It one of those rare examples where the visuals aren't just there. They're made for the song. You just don't get endings like this often, and for that, I award thee! I'm also just a sucker for the style of the art too.
Best Soundtrack!
To Your Eternity is grabbing this one. Probably would have expected it to have more by now, huh? Truth is, it was close, but of all the anime I know of this season, To Your Eternity has by far the best music. Even more than Zombie Land Saga Revenge, which is all about music. And zombies. This kind of has a zombie too, huh?
The first episode uses music wonderfully, and I expected that to be its peak, but the truth is, I still don't think it reached it yet. The entire series has fantastic music that only helps the wonderful atmosphere of the entire story. It's one of those rare anime series where the music pops out at me instead of fading to the background. And as I said, the opening was really close to winning another award. I award thee for thy effort!
Best First Episode!
To those of you paying any attention around the start of this season, this pick won't be a surprise. Vivy has a decent first episode. I would actually say Nagatoro does too. 86 as well. Higehiro is good at setting its story. However, there's one that stands above the lot.
I'm not overstating it when I say you could make an entire anime film just based on the first episode of To Your Eternity. It has wonderful music. It has great atmosphere. It has intrigue. It has good world-building. It has good characters. It brings out emotions. It's hard for any series to make people cry, let alone for one episode to do it to so many.
In the coming seasons, I think this category could be a little tricky, but for this season, there's absolutely no contest. To Your Eternity steps up and grabs this nonexistent award like it owns the place. That's because it does. This particular place, at least. I award thee!
Best Finale!
This is one award that I didn't actually consider any of the big three for. To Your Eternity hasn't ended yet, 86 does have a great ending, but not perfect, and Vivy's finale is just alright. One series that actually had a surprisingly good ending was Nagatoro.
For a series about a young girl mercilessly bullying her senpai, you wouldn't expect a masterclass of storytelling, and really that's true. Nagatoro has fantastic character development, but as far as many of the actual arcs, they're pretty hit or miss. There are some great ones, and there are some that feel like they drag a bit. That's why the finale's so good.
Not only does it keep the decent, fairly perverted sense of humor the series has, this is probably the biggest arc for Nagatoro and Senpai's character development. Senpai gets a chance to face his past by duking it out in an art battle with Ms. Pres, making him a better artist, but also helping him realize his true feelings about Nagatoro: that he really wants to draw her.
This leads to an amazingly sweet episode that ends with a moment I think we've all been waiting for in the final seconds. The finale is Nagatoro in a nutshell. It's perverted, it's funny, it has a lot of character development, and is it sweet as hell. I award thee!
Worst Anime!
This is hard because I didn't think any anime I watched was really awful, so I'll do a joke pick instead. My real answer would probably be Osamake, but even that's not bad. Anyway, I do want to take a special moment here to talk about the loser of this season, according to My Anime List, at least, Hyper Positive Yogoremon.
Do you think, uh, Otarou cares what people think? Do you he, or whatever a Yogoremon is, cares that the series has no ratings? Do you think Otarou cares that nobody has written any reviews or seems interested at all? No, Otarou doesn't because Otarou is Hyper Positive.
So of everything you could take from this season, I want you to remember that. Not that you shouldn't bully the people you love, and not that you shouldn't be a racist. Not that you shouldn't let underaged runaways into your home, and not that you shouldn't chase after a minor's love even if you creep them out. You need to remember to stay positive, just like Otarou. We could all use a little of that. Ok, joke done. Let's talk about the best anime this season.
Standings!
Higehiro: 1
Iruma-kun Goes to Demon School: 1
Koikimo : 1
Osamake : 1
Positive Boi: 1
Shadow House: 1
Vivy: 1
Zombie Land Saga Revenge: 1
Nagatoro: 2
To Your Eternity: 2
Best Anime of Spring 2021!
Realistically, there were three possible picks: Vivy, To Your Eternity, and 86. I doubt that's a surprise. It's also probably not that big of a surprise when you see the standings. While it isn't always going to be like this, for Spring 2021, the anime with the most awards is also taking home the biggest prize.
I liked Vivy, but I think it's the worst of the big three this season. Honestly, if To Your Eternity was done airing, I would probably have given it best anime. It's baffling how consistently good it is. As long as it remains great and the ending is good, I really see it being anime of the year, no contest. But, based on what was started and completed this season, 86 takes it.
At this point, I would just be repeating myself as to why 86 is so good, and I don't want that. This post has already gone on too long. What I will do is a review for 86, however. To sum it up, though, 86 is short, sweet, to the point, hits every note right, and has great characters wrapped in a great story. Absolutely go watch it. That, To Your Eternity and Vivy. All of them are great. I award thee the highest honor!
Until Next Season!
And that wraps up the award show. We're all done here for about, what, 14 weeks or so? Then I'll be back. Things about this may change over time. New awards might be added. Some might be removed, etc. Still, of all the ways I could think to talk about the season as a whole, this was the best I could do.
Next season will also be put together a lot better. As I said at the beginning, I threw this together very quickly after quite a few iterations of the same post. There are like 5000 words you'll never get to read. So stick around next time. It will be better.
This was a really fun season, and I'm glad I watched as much as I did. I had a blast.
What was your favorite anime this season? I'd love to hear.
Tags: Action, Anime, Anime Awards, Anime Review, Comedy, Romance, Spring 2021
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86 Season 2 Episode 4 – Calm Before the Storm
I have Kaginado Idea What's Happening
deathby1kslimes 3 Jul 2021 Reply
Nice post! Seriously, thanks for putting 86 and Vivy on my radar, I'm grabbing torrents of those (and Fumetsu, once it's done airing) as soon as I can.
Jacob - Your Friendly Overlord 3 Jul 2021 Reply
Thanks! They're all great, and I expect to hear about all of them more when we pick anime of the year.
AK 4 Jul 2021 Reply
Good stuff. The only anime I kept up with this season was Nagatoro, and I was reading the manga anyway so that doesn't even count really since I knew what was going to happen already. But I agree that Nagatoro and Senpai make a great couple. They're good for each other; they just don't know it yet.
Nagatoro was a treat, honestly. I didn't know what to expect when I heard about it, but it was such a surprisingly sweet series.
Basic 10 Jul 2021 Reply
Good stuff .i..The winners are all deserving…not suprising 86 won most of the awards…
I really want to watch Hyper Positive Yogoremon. , to know how bad it is..


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A business appointment letter, as its name suggests, is a letter that you can utilize to set up or reschedule business appointments such as proposal presentations, deal finalization, business meetings, etc. They serve as a great means of communication between business enterprises.
The eight Sample Letters that we have here for you will help you out when it comes to writing a good business letter. The samples we have are all free and are readily available for download. They are all downloadable in PDF and Word Document format that you can easily modify the current office applications available on your devices. See all of the samples we have below!
In writing a business appointment letter, you have to ensure that you include basic information that is relevant to the appointment. These letters are usually written when a company has decided to hire a new employee or promoted an employee to a higher position. It is a tool that can be used as a means of congratulating the employee about getting the new job. Here are some things to remember when you start drafting your very own business appointment letters.
Make sure you provide the most basic information about the job such as the job title, start date salary package, and other benefits that may be deemed as vital for the position. Avoid any discussion that is associated with the contract.
Discuss any requirement needed such as background checks, credit checks, medical checks, etc.
Make sure that there are two copies available. This will serve as a legal binding between the employee and employer. One copy will be kept by the employee and the other one will be kept by the employer. Ensure that the necessary signatures are affixed in both copies.
The legal team in the company can proofread and make any necessary corrections to your letter to ensure everything is covered.
You can check out more appointment letter samples at Sample Appointment Letters.
Formatting a letter properly helps to ensure that your message is easy to comprehend and that there would be lesser misunderstandings that may come up. A business appointment letter should follow business letter format (see Sample Business Letters). The following details should be incorporated in your letter.
Writing the date in your letter is extremely important especially if you want the recipient to respond in a timely manner.
For the salutation, it is usually written as "Dear Mr./Ms. [Last Name]." You may use the recipient's first name if and only if you know the individual well enough, unless you're in the military where it is a necessity to use only the last name of the recipient.
The body of your appointment letter may be composed of one to two paragraphs. You can enlist what you want to tell the recipient in bullet form to make it easier to read.
Your closing paragraph should tell the recipient what is expected from them. Ensure that you offer to answer any further queries that they might have and leave your pertinent contact information.
With the help of the sample letters that we have for you in this article, we are sure that you will be able to write your very own business appointment letters in no time.


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text:
Following is a list of Lebanese restaurants:

 Aladdin's Eatery
 Boustan
 Habibi Restaurant, Portland, Oregon, U.S.
 Hoda's, Portland, Oregon
 The Middle East
 Newport Restaurant
 Nicholas Restaurant, Portland metropolitan area
 TarBoush, Portland, Oregon
 Ya Hala, Portland, Oregon
 Zankou Chicken

Lebanese

redpajama_set_name: RedPajamaWikipedia


text:
Training obstetrics and gynecology residents to be effective communicators in the era of the 80-hour workweek: a pilot study
Omar Maurice Young1 &
Kristiina Parviainen1
To ensure optimal patient care, physicians must establish effective patient-physician relationships and thoughtfully incorporate their patients' perspectives into their counseling. Historically, these skills are acquired with increasing clinical experience. However, given increasing work-hour restrictions, OB/GYN residents have fewer opportunities to develop these skills. Therefore, the objective of this study was to determine if an interactive learning method is an effective tool by which to teach OB/GYN residents how to communicate with complicated patients.
An experiential simulation model was developed to teach OB/GYN residents effective communication skills for dealing with patients experiencing a pregnancy-related complication. A simulated patient interaction was designed for first-year residents. Specific scenarios were constructed based on challenging clinical scenarios identified by second-year residents. Non-judgmental communication, culture competency awareness and reflective listening were key skills that were taught as part of the clinical scenarios. Both acceptability and utility of the exercise with the first-years was assessed by a follow-up survey.
Seven first-year residents participated in the education session consisting of four physician-patient interactions with specific learning objectives for each. These first-year residents all indicated that they would employ the skills practiced during the intervention into their future practice of medicine, and that their comfort level in caring for complex obstetric patients had increased. Moreover, all first-year residents endorsed that this educational strategy was potentially applicable to other aspects of their training.
Simulated patient exercises can be utilized in multiple arenas to teach OB/GYN residents communication skills, while simultaneously addressing their clinical knowledge deficits. Early implementation of such a curriculum in an OB/GYN residency will lay the foundation for the development of empathetic and culturally competent physicians.
With the introduction of resident work hour restrictions by the Accreditation Council of Graduate Medical Education (ACGME) in 2003 and subsequent modifications in 2011, there is a growing debate among the medical and surgical specialties regarding how to most effectively train residents to become fully independent practitioners with less time[1]. The apprenticeship model of medical education in the setting of current duty hour restrictions is increasingly challenging. In this current environment of restricted resident work hours, physician-educators must strive to balance formal didactic and hands-on training. A recent survey of physician-educators in obstetrics and gynecology (OB/GYN) by Espey et al. reported concerns regarding the negative impact of resident work hours on resident education[2]. Nearly 63% of the respondents felt that the global education of an obstetrics and gynecology resident was worse, as compared to what it had been prior to the implementation of work hour requirements by the ACGME[2]. With the implementation of the 16-hour workday restriction for first year residents, senior level general surgery residents (94% of second- through fifth-year residents) expressed that such restrictions would adversely impact the education of their more junior counterparts[3].
The aforementioned problem is exacerbated in OB/GYN, as residents have a vastly broad body of knowledge and technical expertise to master in a 4-year span under the umbrella of restricted work hours. At the conclusion of an OB/GYN residency, the resident is expected have a broad knowledge of generalist topics; however, this may come at the expense of having only cursory knowledge of the sub-specialties of family planning, reproductive endocrinology and infertility, gynecologic oncology, uro-gynecology and maternal-fetal medicine (MFM). In the management of an obstetric patient, however, a seemingly routine case within the scope of practice of a generalist OB/GYN can quickly evolve into a more complex maternal-fetal issue, with the patient expecting her doctor to manage the situation with expertise. Given the unpredictable frequency of these clinical situations for trainee participation, simulations for such scenarios as shoulder dystocia and operative vaginal delivery continue to evolve not only for clinical skills development but also for competency assessment.
"Role-playing", or simulated patient interactions, have been applied in various aspects of medical education, particularly in the education of medical students[4]. In a British study looking at the benefits of role playing on medical student education, of the 274 students responding to a post-role playing assessment, 96.5% found the session to be helpful to allowing them to develop their skills, receive feedback and obtain perspective from other participants[5]. Numerous suggestions were offered by those that participated regarding how the role-play could have been even more effective. These included increased time to role-play, increased personal feedback, and making scenarios as close to real-life situations as possible[5]. Nevertheless, it is unclear as to whether or not such an educational tool can be successfully applied to the education of OB/GYN residents. Thus, we propose an innovative and experiential approach at our institution to teach OB/GYN residents effective communication techniques utilizing complex obstetric scenarios relevant to their daily clinical responsibilities. We hypothesize that such an approach will enable OB/GYN residents to become more facile in communicating with even the most difficult patients under the most complex of circumstances and that a simulated patient exercise would be a means by which to accomplish this. Because junior residents are often the initial faces of the care team, it is important for residents to commence the acquisition of these skills early on in their training.
We developed a simulated patient exercise at Magee-Women's Hospital of University of Pittsburgh Medical Center, which is a tertiary care center with greater than 10,000 deliveries annually and a busy perinatal referral service for maternal-fetal medicine. As part of formal resident didactic education at our institution, first-year residents participate in "Intern Ed", a separate five-hour session once per month dedicated to level-specific skill building. These skills include emergency/crisis management, placement of long-acting forms of reversible contraception and the navigation of issues of systems-based practice. We utilized the designated two-hour session for patient counseling for our simulation exercise.
In preparation, we e-mailed the current second-year residents with a link to an on-line survey with questions querying their readiness to handle various obstetrical situations commonly encountered on a labor and delivery unit, based on their experiences as interns. The content of the survey may be found in Additional file1. As part of the survey, we asked second-year residents (PGY2) to review a list of common complicated obstetrical scenarios as noted in Table 1, including: peri-viable preterm premature rupture of membranes, counseling for a trial of labor after a cesarean delivery, and refusal of blood products by a Jehovah's witness. Using a 7-level Likert scale, we asked second-year residents to rank these scenarios from "most comfortable" to "least comfortable" in terms of how confident they felt in their personal ability to provide the requisite counseling. These choices were pre-selected by the investigators as clinical issues commonly encountered by junior residents at our institution. Based on these results, we developed four scenarios for simulation, from among the ones identified by the PGY2s as the "least comfortable". These scenarios can be seen in Additional file2. Second-year residents did not undergo the simulated patient exercise.
Table 1 Second-year resident comfort level with counseling patients with complicated obstetrical issues
Prior to the Intern Ed session, we sent all current first-year residents a separate on-line survey to assess their past experiences with simulated patient interactions. We also shared with them details of our proposed educational module. This content may be found in Additional file2.
In order to ensure sufficient clinical knowledge given the timing of the session during the academic year (early October 2013), we e-mailed all first-year residents one week prior to the simulation with formative articles related to the clinical scenarios to be addressed in the simulation[6–9]. Prior to starting the simulation exercise, we set the following expectations and ground rules: 1) Treat each scenario as an actual clinical encounter; 2) Option to pause the scenario at any time to ask questions; 3) Anything occurring or said in the room would remain confidential. We divided our cohort into groups of two to three residents. For each scenario, we provided each group with a sealed, opaque envelope with explicit instructions for the role of "patient", "physician", or "family member". The groups were then provided five minutes to strategize how they would approach their scenario. While the scenarios provided an opportunity to apply knowledge of complicated obstetrical issues to simulated cases, they were targeted to promote practice of key skills in establishing an effective physician-patient relationship:
Non-judgmental communication: ensuring that personal bias does not enter into a conversation with a patient to influence clinical decision-making [10];
Culture competency awareness: appreciating how the nuances of a patient's belief system influences their health care decisions and a physician's counseling of that patient [11]; and
Reflective listening: listening to what the patient is saying and then repeating what he or she has said so as to confirm that one has understood [12].
Once each group had designated an actor for their respective roles, the actors simulated the obstetrical scenario in front of the entire room. Initially the residents played out each scenario until its completion, without interruption. Then, we asked the participants how they felt playing their individual roles and if they would have changed anything. In the discussions, we linked the events of the simulated patient exercise with the readings provided prior to the intervention to broaden participants' clinical knowledge base. At the end of each scenario, we asked the collective group to answer the following questions:
What were the challenges of this scenario?
How else could you have approached this scenario?
If you have been confronted with this scenario, how did you manage this?
What are the take-home points from this scenario?
The actual scenarios used can be found in Additional file3. After the conclusion of the simulation, all participants were asked to complete a follow-up survey to evaluate the acceptability and the utility of the exercise for their overall education. We tabulated descriptive statistics for our survey questions via STATA 12.0 (StataCorp, College Station, TX). This education research study qualified for exempt status as determined by the University of Pittsburgh Institutional Review Board, #PRO13070456, on August 16, 2013.
Second-year residents
Our second-year class is comprised of ten residents, including nine women and one man, whose ages range from 27–36 years. Nine out of ten (90%) second-year residents responded to the second year survey. Six (67%) of 9 second-year residents responded that their experiences as a first-year resident only somewhat prepared them to effectively communicate with high-risk obstetrical patients. Five (55%) of the respondents stated that they felt intimidated when asked to evaluate a MFM patient in OB Triage or on the antepartum floor. Eight of the nine (89%) second-year respondents reported that either journal clubs or lectures were the least effective methods by which to learn new material. The majority of second-year residents (77%) reported that case-based learning was the most effective way to learn new material. Only one of the respondents indicated that he or she had not participated in simulated patient exercises prior to or during residency.
Of the obstetrical scenarios provided in the survey, the majority (>50%) of second-year residents felt uncomfortable counseling patients with the following issues: placenta accreta; those with a sentinel bleed from a placenta previa; pre-viable preterm premature rupture of membranes; and those patients requesting a vaginal birth after a cesarean delivery. These clinical issues were the basis for the four scenarios in our simulated patient exercise. Both pre-simulation on-line survey respondents (PGY2 and PGY1) selected case-based and simulation-based learning as the most effective learning method, and lectures as the least effective format for learning.
First-year residents
Our first-year class is also comprised of ten residents, all of whom are female ranging from 24–31 years of age. Nine residents (90%) responded to our pre-session survey. Seven of the first-year residents (78%) stated that they were "somewhat comfortable" with discussing the risks and benefits of a medical decision. All respondents reported that they had participated in a simulated patient interaction prior to residency, with only one person reporting a negative experience. As seen in Table 2, none of the respondents (0%) reported that either lecture or journal club was an effective method by which to learn new material. All respondents selected case-based learning and simulations as the best ways to learn new material.
Table 2 Preferred learning style of first-year residents
Seven first-year residents were able to participate in the "Intern Ed" session. All being satisfied with the experience as evidenced by the post-exercise survey, (found in Additional file4) the first-year residents indicated that they would employ the strategies learned during the session in their daily practice of medicine. When asked the question What do you think was most valuable thing that you learned from today's session?, one intern responded with the following: "I think it's helpful to see other people model difficult conversations, so that I can incorporate different styles/strategies that work for me into my own practice". Another intern stated that "the medical knowledge of PPROM and repeat C-section counseling" was most valuable. All respondents to the post-exercise survey (100%) reported that they would use the strategies that they have learned during the simulated patient exercise in future clinical encounters.
In further consideration of the post-exercise survey, the first-year residents appreciated the practical application of medical knowledge. While one intern stated, "I think the topics were covered were appropriate and helpful", two interns responded that they wished that we had included a scenario on how to counsel patients with fetal loss. Two other interns also reported that they thought discussing patients with substance abuse/dependence and how physicians' biases may influence the management of these patients. Three (43%) of the participated wished that they had more time to read the provided articles. Only one of the seven first-year residents participating indicated that he/she did not like role-playing, which was consistent with this individual's past experience with this education technique.
When asked to provide feedback on the session, three interns stated that they had a positive experience with the simulation, with one reporting "I very much liked this as a learning tool". Two others had no suggestions for feedback for the simulation. In reference to the pre-intervention articles provided, one intern stated, "That was an imposing reading list" and another wanted them to be sent earlier. These survey results indicate that the participants appreciated various aspects of the simulation and were able to obtain skills that could be used in clinical practice. However, some of the participants determined that the structure of the simulated patient exercise could be used for a variety of other clinical situations.
To satisfy the multitude of learning objectives, OB/GYN training programs have come to rely on including structured lectures, formal intraoperative experience, discussion groups, journal clubs and "one-on-one teachable moments". "Role-playing", or simulated patient interactions, is an educational technique that allows for simultaneous assessment of multiple domains of competency. We implemented a simulated patient interaction session in order to teach our interns interpersonal communication skills. In order to create a richer experience, we based the simulated cases for our interns on cases that their peers, the second year residents, had encountered the year prior. Our post-session survey results support the use of this educational technique. All of the first-year residents participating in this exercise felt that this simulated patient interaction was beneficial for their education. In the era of work hour restrictions, educational experiences need to be relevant to the learner. Our session utilizing resident-identified clinical knowledge gaps and focusing on skills translatable to other patient-physician interactions was well received and valued by the participants.
It is important to understand the context in which our results were obtained. We implemented our educational tool during the first quarter of the intern year, a time during which a majority of our interns have completed at least one clinical rotation on an obstetrical service. Therefore, it is highly likely that these interns may not yet possess to the clinical acumen to handle such obstetrical scenarios presented during our simulation. Our simulation allows interns to become exposed to novel clinical situations in a safe, non-threatening environment in which effective communication skills can be learned, practiced and then implemented in actual patient encounters. Thus, after the completion of our simulation, the interns have a framework upon which to build for the entirety of their residency.
In an effort to establish more efficient guidelines for the assessment of resident achievement, the ACGME announced the Obstetrics and Gynecology Milestone Project in September 2013[13]. The milestones represent key areas in which OB/GYN residents are expected to attain proficiency prior to graduation. Each milestone contains levels in order to represent the progression a resident should have from intern year to chief year[13]. Our educational intervention can be generalizable to other residency programs, as all residency training in obstetrics and gynecology in the United States must attain proficiency in the milestones of both professionalism and systems-based practice. Importantly, simulated patient exercises enable OB/GYN residents to refine their interpersonal/communication skills and develop their sense of professionalism in a safe, non-judgmental environment. Simulated patient interactions allow coached practice on how to interface with various types of patients, while expanding their medical knowledge base through interactive discussion with peers. The scenarios used in our intervention are commonly encountered in practice, and thus relevant to the practice of general obstetrics and gynecology.
Our study does have limitations. As a pilot study the small sample size may limit external validity of our results. It is also important to note that such a simulated patient exercise among colleagues may not perfectly reflect real-life clinical scenarios. However, the intention of our intervention was to provide participants with a framework upon which to build for actual patient interactions. Additionally, 43% of the first-year residents indicated that they would have preferred more time to read the pre-intervention articles provided to them. In planning the next education session, we anticipate sending our any supplementary material earlier with more explicit guidance on how this will be utilized in the session.
While we constructed a simulated patient exercise using obstetrical scenarios in order to teach effective communication skills, we assert that simulated patient interactions can be readily adapted to address other topics in obstetrics and gynecology, including those focusing on risk-benefit analysis, informed consent, and end-of-life discussions. Further investigation is warranted to determine resident retention of these skills and how well they translate to the bedside. Such assessment could be accomplished by recorded patient encounters, patient satisfaction surveys and patient interviews.
Given the success of our intervention, we anticipate its use with subsequent first-year classes and, possibly, the residency at large. Future research to assess residents' acquisition and retention of core knowledge using this educational technique is necessary. It is our hope that providing a foundation in proper patient-physician communication during the first year of residency training will lead to a graduating resident who is competent in this domain and who eventually will be ready for independent practice.
OMY is a clinical fellow in the Division of Maternal-Fetal Medicine at Magee-Women's Hospital/University of Pittsburgh Medical Center in Pittsburgh, Pennsylvania. He is a member of the Association of Professors in Gynecology and Obstetrics.
KP is an assistant professor in the Division of Maternal-Fetal Medicine and the assistant residency program director at Magee-Women's Hospital/University of Pittsburgh Medical Center in Pittsburgh, Pennsylvania. She is a member of the Association of Professors in Gynecology and Obstetrics.
OB/GYN:
ACGME:
Accreditation council of graduate medical education
MFM:
Maternal-fetal medicine.
Mazotti LA, Vidyarthi AR, Wachter RM, Auerbach AD, Katz PP: Impact of duty-hour restriction on resident inpatient teaching. J Hosp Med. 2009, 4 (8): 476-480. 10.1002/jhm.448.
Espey E, Ogburn T, Puscheck E: Impact of duty hour limitations on resident and student education in obstetrics and gynecology. J Reprod Med. 2007, 52: 345-348.
Lee DY, Myers EA, Rehmani SS, Wexelman BA, Ross RE, Belsley SS, McGinty JJ, Bhora FY: Surgical residents' perception of the 16-hour work day restriction: concern for negative impact on resident education and patient care. J Am Coll Surg. 2012, 215 (6): 868-877. 10.1016/j.jamcollsurg.2012.08.005.
Coonar AS, Dooley M, Daniels M, Taylor RW: The use of role-play in teaching medical students obstetrics and gynecology. Med Teach. 1991, 13 (1): 49-53. 10.3109/01421599109036756.
Nestel D, Tierney T: Role-play for medical students learning about communication: guidelines for maximising benefits. BMC Med Educ. 2007, 7: 3-10.1186/1472-6920-7-3.
American College of Obstetricians and Gynecologists: ACOG Practice bulletin no. 115: Vaginal birth after previous cesarean delivery. Obstet Gynecol. 2010, 116 (2 Pt 1): 450-63.
Practice bulletins No. 139: premature rupture of membranes. Obstet Gynecol. 2013, 122 (4): 918-30. 10.1097/01.AOG.0000435415.21944.8f.
Wing DA, Paul RH, Millar LK: Management of the symptomatic placenta previa: a randomized, controlled trial of inpatient versus outpatient expectant management. Am J Obstet Gynecol. 1996, 175 (4 Pt 1): 806-811.
Gyamfi C, Gyamfi MM, Berkowitz RL: Ethical and medicolegal considerations in the obstetric care of a Jehovah's Witness. Obstet Gynecol. 2003, 102 (1): 173-180. 10.1016/S0029-7844(03)00236-9.
Leonard M, Graham S, Bonacum D: The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care. 2004, 13 (Suppl 1): i85-i90.
Minkoff H: Teaching ethics: when respect for autonomy and cultural sensitivity collide. Am J Obstet Gynecol. 2014, 210 (4): 298-301. 10.1016/j.ajog.2013.10.876.
Rautalinko E, Lisper HO, Ekehammar B: Reflective listening in counseling: effects of training time and evaluator social skills. Am J Psychother. 2007, 61 (2): 191-209.
Bienstock J, Adams KE, Connolly AM, Edgar L, Frishman GN, Goepfert AR, Higgins RV, Learman LA, McAlister R, Turner MJ, Wendel G, Zahn CM, Brigham TP, Ciotti M, Gilstrap LC, Lawrence HC, Potts JR: Accreditation council for graduate medical education: the obstetrics and gynecology milestone project.http://www.acgme.org/acgmeweb/Portals/0/PDFs/Milestones/ObstetricsandGynecologyMilestones.pdf,
This project utilized REDCap™ online survey software (Version 5.0.16, © 2013 Vanderbilt University) provided by the University of Pittsburgh Clinical and Translational Science Institute (CTSI). Furthermore, the authors would like to thank all the OB/GYN residents who participated in this project.
Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Women's Hospital/ University of Pittsburgh Medical Center, 300 Halket Street, Pittsburgh, Pennsylvania, 15213, USA
Omar Maurice Young & Kristiina Parviainen
Omar Maurice Young
Kristiina Parviainen
Correspondence to Omar Maurice Young.
OMY conceived of the study, participated in the construction of the educational intervention and its implementation, participated in data collection and data analysis and drafted the initial manuscript. KP participated in the construction of the educational intervention and its implementation, participated in data analysis and made significant contributions to the writing of the manuscript. Both authors take full responsibility for the quality and the integrity of this manuscript. Both OMY and KP have approved the final version of this manuscript.
Additional file 1:Second-Year OB/GYN Resident Survey.(DOCX 18 KB)
Additional file 2:First-Year OB/GYN Resident Pre-Intervention Survey.(DOCX 16 KB)
Additional file 3:OB/GYN Intern Education Simulated Patient Scenarios. These are the clinical situations used for the simulated patient exercise. Each scenario allows the participants to take on either the role of the patient, the physician or another member involved in the medical decision-making. Each scenario allows the participants to more fully understand the spectrum of patients they will encounter in everyday practice. This includes the "angry" patient, issues of cultural competency, relationship dynamics and the influence of religious practice on health care. (DOCX 17 KB)
Additional file 4:First-Year OB/GYN Resident Post-Intervention Questionnaire.(DOCX 14 KB)
Young, O.M., Parviainen, K. Training obstetrics and gynecology residents to be effective communicators in the era of the 80-hour workweek: a pilot study. BMC Res Notes 7, 455 (2014). https://doi.org/10.1186/1756-0500-7-455
Physician-patient relationship
Simulated patient encounters
ACGME milestones


You need a scorecard to know all the players, whether in a ballgame or in home mortgage financing.
Today, with a large number of loan options available, it helps to have basic definitions of each kind of mortgage, says Robert G. Walters, senior vice president and general manager of Baird & Warner`s residential sales division.
`scorecards` because they let the home buyer or seller know what the options are in the mortgage field,'' Walters noted.
-- A conventional, or fixed-rate, loan is made between a lending institution and a borrower without a third-party participant, such as the Veterans Administration (VA) or Federal Housing Administration (FHA).
Most types of conventional loans are paid off in equal monthly payments spread over 15, 25 or 30 years. The interest rate stays the same for the life of the loan, therefore the monthly principal-and-interest payment also remains constant.
Terms of a conventional loan vary, but basically a loan can be obtained with as little as a 5 percent downpayment. When the downpayment is less than 20 percent, it is necessary for the borrower to purchase private mortgage insurance to protect the lender. Overall, a conventional mortgage offers quick processing with little red tape.
-- With Veterans Administration loans, qualified veterans can take out loans up to $110,000 with no downpayment, or up to $125,000 with some downpayment. VA-guaranteed loans can be combined with second mortgages and are assumable by a qualified future buyer. Payments are fixed for the full term.
-- With a Federal Housing administration insured loan, the home buyer can make a small downpayment, such as 3 percent of the first $25,000 of the purchase price and 5 percent on the remainder. The maximum loan amount is $87,250. No secondary financing is permitted. FHA loans are especially designed to help first-time buyers.
Because there`s often a significant difference between an FHA rate ceiling and the conventional or ''market'' interest rate, the lender may charge ''points'' (prepaid interest) to the seller or, in some cases, to the buyer.
-- Second mortgage. One of the five owner-assisted mortgage formats, under this loan the seller lends money to the home buyer. The loan is enough to make up the difference between the purchase price and the downpayment, plus the first mortgage balance.
--generally five to 15 years--are based on a buyer-seller agreement. This type of loan is suited to the buyer with little downpayment cash, but with monthly income high enough to handle two mortgages simultaneously.
-- Wrap-around mortgage. The seller makes a money advance that encompasses, or wraps around, both the balance due on the old assumable mortgage, plus a new loan, at a below-market interest rate. The term, or length of time, on the wrap is the time remaining on the old mortgage.
-- Shared appreciation mortgage (SAM). The seller gives the buyer a loan at a reduced rate in exchange for a share of the profit when the home is resold. With this option, the lender also may be a third party. This type of loan appeals to a buyer who wants to make a low downpayment and pay a below-market interest rate.
-- Adjustable rate mortgage (ARMS). The interest rate may go up or down over time and is keyed to a financial market index. Interest rate increases are made at the lender`s discretion, based on pre-arranged contract agreements. Monthly payments also may be adjusted periodically.
-- Graduated payment mortgage. A GPM is one of many FHA-backed loans. With a graduated payment mortgage, monthly payments start low and increase gradually each year for five to 10 years. In the metropolitan Chicago area, there is a maximum loan limit of $87,250.
-- Growing equity mortgage. A GEM is one of the newer types of home loan financing. Here, the buyer gets a mortgage at a fixed interest rate, but the monthly payments are increased on a regular schedule, such as 7 percent each year after the first six years. These increased amounts are subtracted from the loan`s principal, saving the buyer a substantial amount of interest.


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#45 Tanna McClure Season 2023
Baton Rouge, La.
Central HS
Exceptional all-around athlete who has a promising future with the LSU pitching staff.
Earned three letters in baseball (pitcher, third base), three in basketball (guard) and three in football (quarterback) at Central High…posted a 7-3 mark with a 1.85 ERA and received 1999 all-district honors.
Full name is Derrick Tanna McClure…parents are Leo and Brenda McClure…his two older brothers, Trey and Todd, were both outstanding athletes at LSU…Trey, an infielder, was a four-year baseball letterman (1996-99) who served as team captain of the Tigers' 1997 national championship team…Todd was a four-year (1995-98) football letterman at center, earning first-team all-America honors in 1998…Tanna credits his brothers with having the greatest influence on his career…interests include fishing…plans to major in management at LSU…born May 6, 1981.


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Vander UV Lamp UFO LED Grow Light 150W Grow Plant Round Full Hydro. 1 LED Type: 3W High Power LEDs from Bridgelux and Epistar LED. 3 Working Voltage: 85v - 265v. 5 Product Weight:1.2KG.
6 Operating Temperature: 90°F -110°F (32.2°C - 43.3°C). 7 12bands Spectrum: 430nm 450nm 460nm 630nm 640nm 660nm, 3500K, UV, IR, Yellow, Orange. 8 Product Dimension(DiameterHeight): 175x60mm (6.89x2.37inches). 9 Coverage Area about 6 x 6 Square Feet (The lighting area and the height are changeable according to different plants and environments).
50 LED chips : (2yellow +2Orange +30 Red +10Blue + 4 Whie+1UV+1IR). 1 A brand-new, 100% New unused , unopened, undamaged. Combined US power plug and 1 set hanging wire. 2 Full spectrum 12 bands(White 1200K 6000k , Red 630nm 640nm 660nm, Blue 430nm 450nm 460nm, UV 380nm, IR 730nm, Yellow, Orange). 3 It Can be used with most of all plants and flowers , any growing method - hydroponic, aeroponics, soil. 4 Environmentally friendly - No Mercury, 100% recyclable , Easy Maintenance: No bulb replacements , Up to 65% energy savings compared to HID. 5 Each LED chip is 3 Wattages, powerfuland good performance. Long LED Lifespan: 50,000+ hrs. Spectral range effects on plant physiology. 280nm 315nm influence on morphological and physiological processes is minimal.
315 nm 420nm chlorophyll absorbs less impact photoperiod effect, prevent stem elongation. 420 nm 500nm (blue) chlorophyll and carotenoids absorbed the largest proportion, the greatest impact on photosynthesis. 500 nm 620nm dye absorption rate is not high. 620nm 750nm (red) chlorophyll absorption rate "high", has a significant influence on photosynthesis and photoperiod effect. 750nm 1000nm absorption rate, stimulate cell elongation, impact of flowering and seed germination.
> 1000nm converted into calorie. Packaging : 1 pc 150W LED Grow light + 1 set hanging wire. Please make sure your address is correct before you pay. For defective items (excluding items damaged and/or misused after receipt). All our products have been checked and packaged in good condition. We maintain high standards of excellence. Is very important to us. Feedback, we can satisfactorily address your concerns. If you have any problems or concerns whatever with your order or products, please message us and give us a chance to assist you before you leave any feedback. We believe we can produce a positive outcome to any situation and will work hard to earn your praise. We are currently specialized in Womens and Kids Fashion.
We value each individual customer as well as wholesale customer. Our warehouse is located inshen zhen, the largest small commodities market in China. We offer our customers amazing savings compared to prices offered by traditional retailers for similar or identical products. We provide native-speaking customer service in English and Chinese. Why pay more when you can pay less?
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The item "150W UFO LED Grow Light Lamp Full Spectrum for Hydro plants Flower Grow &Blossom" is in sale since Sunday, August 28, 2016. This item is in the category "Home & Garden\Yard, Garden & Outdoor Living\Gardening Supplies\Hydroponics & Seed Starting\Grow Light Kits". The seller is "uslight2013" and is located in California.


Guest blogger Stacie Connerty of The Divine Miss Mommy shares her ideas for making a new mom's first Mother's Day extra special. If you also want some ideas for writing the perfect card, consult our quotes about Mother's Day and make it one to remember.
A woman's first Mother's Day is an incredibly special day. This is the day to celebrate the moment she brought life into this world (or adopted) and became a parent.
I remember my first Mother's Day like it was yesterday although it was almost 12 years ago. It was a very emotional day for me because I was still new at this parenting thing and the best gift of all was really my child.
However, my husband made it even better by giving me a few gifts that I still cherish to this day. Even though your wife may say that she doesn't want anything, do not let her first Mother's Day go uncelebrated.
After having breakfast in bed, he told me that my first Mother's Day has just begun and to wait to see what he had in store.
He wrote a card and told me that this plant symbolized our child. The plant would grow as our son grew. To this day, the plant is beautiful and thriving just like our son. I look at this plant every day and it still blooms but all I remember is the sentiment behind my husband's words.
He waited until later in the afternoon and they just appeared on the counter with a small note that said, "Thank you for making our family complete." I might have cried a little.
My necklace had the sweetest picture of our son on it that he had taken to surprise me. I still wear this necklace all of these years later.
Every woman likes to be pampered. Buy some peppermint foot lotion (it revitalizes) and give her a foot run. Buy her favorite scent of lotion and give her a back rub that would rival any masseuse.
This is always an appreciated gift. How often does anyone get to eat breakfast in bed? Make her favorite foods, squeeze some fresh orange juice and put a flower in a small vase.
Tell your wife how much you love her, how special she is and how you married the most beautiful woman in the world. I never get tired of hearing that from my husband. I keep all of his letters and love re-reading his words.
Put some of her favorite foods together and head to your local park.
Yeah this is an oldie but a goodie. Perfume is the one thing that I just always forget to buy myself. My husband bought me a bottle of my favorite scent last year and I was touched that he remembered. Now I wear it daily and think of him.
Every year my husband asks me what I want. I have a Pinterest board created called Dear Husband, Gifts for Wife but honestly I truly appreciate him asking me if there is something special that I had in mind because sometimes there is something that I have my eye on.
Nothing says I love you and I am thinking about you more than flowers. I am an equal opportunity flower lover. I love all kinds. I know that my husband was thinking about me whenever I get flowers and I love it!
There is no need to spend thousands of dollars to make her first Mother's Day special. With a little planning, you can show her how special she is and make certain that her first Mother's Day is memorable.
We'd love to hear your favorite ideas for that very first Mother's Day. Share them in the comments below.