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Camuy River Cave Park, Puerto Rico
Bats are the wildlife heroes of Puerto Rico's Camuy River Cave Park (Parque de las Cavernas de Rio Camuy). Thirteen species hang out in the 10 miles that has been mapped up so far of these natural limestone caves and underground waterways, carved out by the third-largest subterranean river in the world.
A multimedia tour was needed to enhance the visitor experience.
A tour scripted, written, recorded and produced by Imagineear included dramatisation and character acting by 'bat', who takes a lead role in the action. A multi-voice soundtrack available in two languages – Puerto Rican Spanish and American English – was created and provided on 700 Imagineear MediaPacker™ players.
What We Are Proud Of
Visitors can learn more about the natural wonders on display such as impressive stalactites, stalagmites, giant sinkholes, views deep down to the river and, of course, thousands of bats.
Acute Oncology App, Wessex Strategic Cancer Network
Eiffel Tower, Paris
Moving Masterpiece: The Song Dynasty As Living Art
Rijksmuseum, Amsterdam
ABBA: Super Troupers The Exhibition


Gunnera tinctoria (Chilean rhubarb) listed in the NPPA. Photographer: Graeme Lacock.
The National Pest Plant Accord (NPPA) is a cooperative agreement between the Nursery and Garden Industry Association, regional councils and government departments with biosecurity responsibilities. All plants on the NPPA are unwanted organisms under the Biosecurity Act 1993. These plants cannot be sold, propagated or distributed in New Zealand.


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Mitar Tarabich's Prophecies
Ronan May 11, 2006
Mitar Tarabich was a Serbian farmer living in the 19th century. He predicted many events with great precision occurring in the 20th century and now. Most of his predictions have already been realized. It is the best prophet which have ever been studied. It makes us believe that his predictions for our future have great chance to happen. Mitar Tarabich was born in 1829 and died in 1899 living in a small farmer village called Kremna. He gave his predictions about the future to his uncle, the priest Zaharije Zaharich who then wrote these conversations on paper. The book have been kept generation after generation. Only some part have been burnt during an accidental fire. These predictions, due to their validity have been called "the black prophecies" by Serbians.
His first prophecy was about the war against Turkey (the Ottoman empire) done by an alliance between Serbia, Greece, Bulgaria and Montenegro. He guessed the exact number of allies as well as to which river Serbia territory extended after the war: the river Lim. He also predicted the first world war calling it the Great War (name still used nowadays by European countries). Furthermore, he predicted the death of his uncle. He was correct about the year and he also announced the death of the uncle's children and he was completely accurate.
He didn't stop there, he also predicted the second world war an the social tendencies of Serbia between the two war. He guessed that there will be separation among people and a civil war will explode between the different ethnicity inside Serbia. He predicted the creation of Yugoslavia as well as the escape of its king Petar after the Nazi came into Europe.
He then knew that Tito will come on a white horse and save the country and will be able to reunified Yugoslavia in peace. Furthermore, he also said that it will be the end of Yugoslavia after the second world war. He was again correct. Before it, he announced that Yugoslavia will know an economic and social growth. He saw the futuristic technologies such as plane and cars. He then described the cold war and the emergence of new countries due to their wish of independence all over the world.
All of his prophecies were correct in the details. In the future, he predicted that scientists will become more and more fool and that they will try to be like god. At the same time, people will become more aware of their spirituality. But it will be too late for most of us. Many illness will appear . The only chance for humans will be to hide themselves in mountains. Only few will survive! And then, peace will come.
Tarot Cards: The Major Arcana 1
Scary Movie List: Vampires (the 80s)
Can shifting the phase and/or frequency Create A time reversal wave
Haunted England: London
April Birthdays: Astrological Myths 2
Cleopatra To Christ
Artifacts that point to Aliens Visiting Earth
Interview with Greg Bishop
Exploring Unusual Deaths in Ancient Times
Next Step in Dinosaur Cloning?

redpajama_set_name: RedPajamaCommonCrawl


Eastman, Guild and Art & Lutherie have all recently come out with easy-to-recommend instruments in an easy-to-afford price range. We have an excellent selection in stock, with more on the way.
As always, we do a thorough set-up on each guitar before it goes out the door. And we invite you to stop back with your guitar after a couple of months. If your guitar needs a bit more tweaking after it's been out in the real world, we'll take care of it.
has introduced their PCH1 series ("Pacific Coast Highway 1") of guitars, which we are pretty hard to beat, especially for the $239 price. Models with cutaways and pickup systems are $279. Three body styles are available: Dreadnoughts, OMs, and Grand Auditoriums. The Grand Auditoriums come with cutaways and pickups. Models come in either natural or classic finishes. These guitars all feature solid Sitka spruce tops with mahogany backs and sides. We have a selection of gig bags and hard shell cases available for them.
We have an extensive selection of other Eastman guitars, some of which are on special. The Eastman AC120 is $329 including a gig bag (list price $550). Eastman's AC122CE, which includes cutaway and pickup, are $379 (list $675).
has brought out their "Archback" series of affordable guitars as part of their Westerly Collection. Models start just under $400. All include solid Sitka spruce tops, pickups and gig bags. They offer a good variety of body styles ranging from a "Junior Jumbo" to a concert size guitar. Archback construction is a time-honored approach to building that Guild has been using since the 1960s.
are new here! Built in Canada, they feature solid Sitka spruce tops, cherry backs and sides, and are available in Dreadnought, Concert and Parlor sizes. Cutaways and pickups options are offered on dreadnoughts and concert models. We automatically include gig bags with these guitars. Prices start at $439 including case.


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Published: 3/1/03
DANIEL BUCKMAN was born in Rockford, IL in 1967. He served as a paratrooper with the US Army's 82nd Airborne Division and attended the University of Illinois. He currently lives and works in Chicago. His works include Water in Darkness and The Names of Rivers.
Catalog » Browse by Title: W » Water in Darkness
Water in Darkness
By: Daniel Buckman
A taut, disturbing novel that examines the Vietnam War's living legacy and plumbs the depths of human sadness.
"Just when you think it is safe to forget about the Vietnam War, something forces it back into consciousness. Perhaps it is former Nebraska Sen. Bob Kerrey's nightmare of having to relive, live on CNN, the horror of a night 30 years ago in the Mekong Delta. Perhaps it is a book like Daniel Buckman's Water in Darkness."
"This book should carry an R-rating for violence, language and sexual situations, but unlike the average movie, it earns these elements by making them part of the bricks and mortar . . . Buckman's novel is filled with sour truths about the ways men use race and ethnicity to erect barriers, walling themselves off from those who might otherwise grant them solace."
"Simply put, Water in Darkness is a superb novel, a tasty piece of storytelling. Daniel Buckman's tale is a roller coaster ride, told from that blunt, dark place where the rubber meets the road. And the writing is gritty, precise, and vivid—like a dream. Here is an earthbound 'Chicago' style that harkens back to Studs Lonigan, and reminds one of the close-to-the-bone, walk-the-plank stories of Mike Royko, Stuart Dybek, and Nelson Algren. Buckman speaks for a new, young generation of soldiers who thought they were at peace. Water in Darkness is a sterling piece of work—the best new fiction I have read in a good long while."
—Larry Heinemann, author of Paco's Story, winner of the National Book Award
"Water in Darkness is a strong, thought-provoking first novel that works on several different levels: life in the army, the day-to-day ghetto life in post-Vietnam America, and a deep humanity of people trying to survive. It is disturbing, tragic, heartbreaking, and heartwarming. A rich canvas bordering on surreal, with a dream-like poetic style—the kind of book that draws you like a magnet to be read again and again."
—Yuri Kapralov, author of Once There Was a Village and Devil's Midnight
Water in Darkness is a taut, disturbing novel that examines the Vietnam War's living legacy and plumbs the depths of human sadness. The book opens in the late 1980s in the last months of Jack Tyne's enlistment in the US Army. Jack is a young soldier haunted by the death of his father at Hue City during Vietnam, and by childhood memories of watching his stepfather molest his sister. On the evening before his discharge from the Army, Jack covers his ears and hides in self-loathing while an effeminate soldier, also orphaned by Vietnam, takes a beating.
Jack ultimately returns home to Watega, Illinois and wanders among the ruins of steel mills long gone South, only to discover the same frustrated America which had forced his escape into the Army. He drifts north to Chicago and works as a day laborer, hoping to beat memory, evade conscience, and become invisible. There he meets Danny Morrison, a Vietnam Veteran dismissed from the Chicago Police Department for cocaine abuse. This violent, dispossessed man, filled with his own strange lusts, becomes a surrogate father for Jack Tyne, quickly pulling him into the dark heart of our violent culture.
Heir to the impressionistic tradition of Ernest Hemingway and Cormac McCarthy, Buckman uses psychological landscapes and terse dialogue to tell his story of the skeletons of Vietnam. Buckman's America is a wasteland of depraved cities and drought-stricken cornfields where the moral high-ground afforded it after VE Day lingers like an ironic mirage—a place where there can be no illusions of innocence, only reminders that innocence is itself illusory.
Subjects: Literary Fiction
Tags: Daniel Buckman, historical fiction, Vietnam War
Excerpt from Water in Darkness
IBSN: 9781888451382


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Conversion Rate Optimization - the biggest failure on the web
Tim Ash, noted author and conversion rate champion, tackles a subject that is a catastrophic failure for 95% of the companies that publish a web site, which is almost everyone. Or, everyone that counts. What earthly good does it do to have 5,000 visitors a month and ten leads? The host, Jim Obermayer interviews Ash and asks why companies go 99% there in building a web presence and leave off the 1% that will give them 90% of their success: website conversions that turn into sales leads. This is a can't miss show.
About Tim Ash
Tim Ash is the author of the bestselling book Landing Page Optimization, and CEO of SiteTuners (a firm that improves website conversion rate via conversion-focused redesign blueprints, landing page testing, and training of internal optimization teams). A computer scientist and cognitive scientist by education (his PhD studies were in Neural Networks and Artificial Intelligence); Tim has developed an expertise in user-centered design, persuasion and understanding online behavior, and landing page testing. In the mid-1990s he became one of the early pioneers in the discipline of website conversion rate optimization.
Over the past 19 years, Tim has helped a number of major US and international brands to develop successful web-based initiatives. Companies like Sears, Google, Expedia, eHarmony, Facebook, American Express, Canon, Nestle, Symantec, Intuit, Autodesk, Yahoo! and many others have benefited from Tim's deep understanding and innovative perspective.
Today, in addition to providing strategic consulting services, Tim is a highly-regarded keynote speaker and presenter at industry conferences worldwide including Internet Retailer, Search Engine Strategies, PubCon and countless others. He is the founder and chairperson of Conversion Conference and a frequent contributor to print and online publications such as ClickZ, Website Magazine, Visibility and others. Since 1995, he has authored more than 100 published articles. In addition, Tim is the online voice of conversion optimization as the host of the Landing Page Optimization podcast on WebmasterRadio.fm.
Tim earned a dual-major Bachelor of Science degree "with highest distinction" in Computer Engineering and Cognitive Science from UC San Diego while studying on under a U.C. Regent's Scholarship (the highest academic scholarship awarded by the UC system). During his PhD studies at UC San Diego he also earned his Master's degree in Computer Science.
About SiteTuners
SiteTuners is a premier conversion rate optimization agency that has worked with more than 1200 clients worldwide since 2002. It provides support for high-converting website redesigns, landing page testing, and the training of internal optimization teams. CEO Tim Ash wrote the book on Landing Page Optimization, and founded the Conversion Conference.


3rd Room of Music just added!
Now in its 12th year, NYE @ TELUS World of Science is consistently rated as Vancouver's #1 New Year's Eve party. Come experience why as we countdown to 2019.
NOTE: CASH BARS ONLY. Please bring cash to purchase drinks.
One of the most recognizable landmarks in Vancouver, Science World at TELUS World of Science, is home to what has become the most prestigious and spectacular New Year's Eve event in Vancouver! Ring in the new year with 1,100 select people, overlooking beautiful False Creek and the Olympic Village!
A party like none other!
Get your tickets early to avoid disappointment! This event sells out every year!
NOTE - if you are choosing the "Will Call" option to pick up your tickets at the door, please scroll to the bottom and read our "Will Call Policy"
TWISTED OFFICE - Email info@twisted.ca to schedule a pick up.
Includes a complimentary glass of champagne to toast the New Year!
Dress to impress. There will be a semi-formal New Year's Eve attire dress code for the gala. It will be strictly enforced at the door so please dress appropriately. NONE of the following attire is allowed: ball caps, sneakers, t-shirts of any kind (unless worn under a blazer or suit jacket), hoodies, sweatshirts, or sweatpants.
NO EXCEPTIONS: Only the credit card holder can pick up tickets at will call. Please make sure the credit card holder is present and has a valid piece of picture I.D. and the matching credit card. Only the matching credit card will be accepted. If your card is lost or stolen and has been replaced by your credit card provider, or if you do not have the card on hand we will NOT be able to process your order.
In event you do not meet BOTH criteria above you will be asked to pay the price of the ticket in cash at the door, and the original ticket price will be refunded to your card after the event. Please NOTE that service charges are non-refundable. If you know in advance that you cannot meet the criteria above, before you purchase your ticket contact our ticketing customer service at info@twisted.ca to arrange an advance pickup of the tickets for the credit card holder. For all purchases on visa debit cards that do not have a name on them, we must take copies of the front and back of your photo identification and visa debit card when you arrive at the event, otherwise entry will not be permitted.
General Admission. If you choose "Will Call" as your Delivery Method, please scroll to the bottom of the event listing for specific instructions - THERE WILL BE NO EXCEPTIONS TO THESE RULES.
VIP Admission (see event description for details of what is included). If you choose "Will Call" as your Delivery Method, please scroll to the bottom of the event listing for specific instructions - THERE WILL BE NO EXCEPTIONS TO THESE RULES.
INCLUDES: - 6 VIP Tickets - Private Table - Private Server - 26 Premium Drink Tickets - 1 Bottle of Rose Champagne. NOTE: If you choose "Will Call" as your Delivery Method, please scroll to the bottom of the event listing for specific instructions - THERE WILL BE NO EXCEPTIONS TO THESE RULES.
INCLUDES: - 8 VIP Tickets - Private Table - Private Server - 40 Premium Drink Tickets - 2 Bottles of Rose Champagne. NOTE: If you choose "Will Call" as your Delivery Method, please scroll to the bottom of the event listing for specific instructions - THERE WILL BE NO EXCEPTIONS TO THESE RULES.
INCLUDES: - 10 VIP Tickets - Private Table - Private Server - 52 Premium Drink Tickets - 2 Bottles of Rose Champagne. NOTE: If you choose "Will Call" as your Delivery Method, please scroll to the bottom of the event listing for specific instructions - THERE WILL BE NO EXCEPTIONS TO THESE RULES.
INCLUDES: - 4 VIP Tickets - High Top Table with Server - ! Bottle of Premium Champagne (eg Moet or Veuve). NOTE: If you choose "Will Call" as your Delivery Method, please scroll to the bottom of the event listing for specific instructions - THERE WILL BE NO EXCEPTIONS TO THESE RULES.


This page displays sold house prices for Riverside Close in Southampton.
Riverside Close in Bartley, Southampton consists predominantly of detached houses. Properties on Riverside Close typically have values around £400,000 - £500,000, but larger detached houses can command upwards of £500,000.
Map showing Riverside Close in Southampton.


In front of what were windows, on smudged shutters, time and grime spat a generation's worth of neglect and disdain for the kids on the inside.
The kids who would soon come outside, busting through glass and wood to paint their generation's worth of rage and contempt for what they were left with, what they had to take upon themselves to break out of, and in the process, destroy.
Generations repeat generations, shutters sideways until the next kid bursts through.
A statement of purpose, poems and poetry as life's breath, expressed as the metric length to exhale "saying" what needed said.
Astonishment at the mere minutes it took to industrially harvest a five acre cornfield.
Inspired by Hugh Kenner's 1971 publication of The Pound Era, Ling conjures an experience of awe before the ineffable. Ezra Pound's study and use of the Chinese character in his poetry attempted to suffuse direct action, transitiveness, into western poetic form.
Ling Diary dedicates itself to that timeless principal in story poems.
An old friend who has inspired so many, certainly, and actually hitchhiked from Connecticut to Hawaii, inspired me to write my second novel, Complicity. I hope he's chuckling over having his poetry remembered with our live audio.
Explores the awkward moments when one asks, "is this happening?" Searches for words almost without success.


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The Free Library > Communications > News, opinion and commentary > South Wales Echo (Cardiff, Wales) > August 26, 2016
The Free Library > General Interest/Informational > General interest > South Wales Echo (Cardiff, Wales) > August 26, 2016
The Free Library > Date > 2016 > August > 26 > South Wales Echo (Cardiff, Wales)
Soap watch.
<a href="https://www.thefreelibrary.com/Soap+watch.-a0461585823
MLA style: "Soap watch.." The Free Library. 2016 MGN Ltd. 16 Jul. 2019 https://www.thefreelibrary.com/Soap+watch.-a0461585823
Chicago style: The Free Library. S.v. Soap watch.." Retrieved Jul 16 2019 from https://www.thefreelibrary.com/Soap+watch.-a0461585823
APA style: Soap watch.. (n.d.) >The Free Library. (2014). Retrieved Jul 16 2019 from https://www.thefreelibrary.com/Soap+watch.-a0461585823
EMMERDALE ITV, 7pm AFTER ignoring his phone for a bit of conjugal delight, Zak is later tortured with guilt when he realises it was Belle.
The police find a body And things get worse when the police inform the Dingles her phone has been found near a homeless shelter, and he's forced to confess to Lisa that Belle had called him, but he and Joanie were otherwise engaged.
Understandably furious, when the police return and say a body has been found, Lisa swears she'll never forgive Zak if it's their daughter.
CORONATION STREET ITV 7.30pm and 8.30pm SO Nick and Leanne are back together, much to the delight of Simon and Eva.
Tracy blabs the good news And they're moving things on at warp speed, with Nick asking her and Simon to move in - and suggesting they lie and tell people the baby is his.
Leanne wants some time to think about it, but - thanks to Tracy Barlow's big gob, blabbing the happy news all over the Rover's, to the open-mouthed shock of the rest of the Platts - she ends up having to decide rather sharpish EASTENDERS BBC1, 8pm IT'S time for Stephen to face the music, as Jane confronts him about his dodgy dealings in front of Ian and Lauren - although it soon becomes clear there's more to the crime than meets the eye.
Jay plans to leave After everything that's gone on with Honey and the kids, Jay decides it's best if he leaves Walford for good. But when Ben takes him down the Arches for a heart to heart, the pair of brainboxes come up with a plan that sounds like even more trouble
The police find a body
Tracy blabs the good news
Jay plans to leave
South Wales Echo (Cardiff, Wales)
Olympians recreated by food artist.
Oh brother... who art thou? PICK OF THE DAY CELEBRITY BIG BROTHER: LIVE FINAL (CHANNEL 5, 9pm).


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HomeFeaturedMind the gap! Who cares for patients after treatment is over?
Mind the gap! Who cares for patients after treatment is over?
Simon Crompton
25 May 2018 Featured, Systems & Services 0
Specialists feel responsible for their patients, but lack time to offer long-term care. Patients feel abandoned as their treatment ends, but lack resources to seek the care they need. GPs lack confidence to deal with cancer-related issues, and feel it is not their job. Simon Crompton asks how health systems can overcome these barriers to get cancer patients the long-term care they need to get their lives back.
The treatment is over, the cancer cured or controlled. What happens next? One, five, ten years later? For many people with cancer, 'next' is the hardest bit.
"It was this feeling that, 'I ought to be better by now,' says Kathy from the East Midlands in the UK, who finished treatment for colorectal cancer two years ago. "I've struggled lately with depression. I felt oddly guilty. It sounds bizarre, but I finally put on all the weight that I'd lost when I was ill after surgery, and everybody's saying, 'You look well, it must be so nice to be back to normal,' and it's very hard to actually say, 'No, I feel awful.'"
One reason Kathy felt awful was there was little incontinence care after she came out of hospital, and she experienced regular diarrhoea problems. "I went to see the GP, who said, 'I don't know what's going on and I can't really treat you with anything because I don't know what the hospital are doing.' It made a big hit on my quality of life because I was always scared about going out.
"There needed to be somebody who offered the support as a routine, because you're not in a very good place to go and think, 'I need some help here and I'm going to go and find out how to access it and get it myself.'"
What Kathy needed after cancer was structures recognising that treatment for a severe life-threatening illness isn't an event, but a beginning. The support needs to go on. Yet the long term has been all too rarely in the sights of cancer clinicians, researchers and funders.
There are hundreds of thousands of Kathys across Europe. Around half of those with cancer live for at least 10 years after diagnosis, and there's evidence that one in three are still struggling with physical well-being two years after discharge, and one in four have poor health over the long term. Research by the Nuffield Trust has shown that, 15 months after diagnosis, people with cancer are 60% more likely to attend accident and emergency units than the general population.
This isn't just the result of cancer, but its treatments. The late effects of treating the more common cancers, such as impotence and urinary and bowel incontinence in prostate cancer, are well documented. But there are countless others for virtually every cancer – physical, psychological, long-term, under-researched, but becoming alarmingly plain as evidence grows.
A 2016 study in the Journal of Clinical Oncology, for example, showed that people with multiple myeloma, non-Hodgkin lymphoma and cancers of the breast, kidney, lung/bronchus and ovary are up to 70% more likely to develop cardiovascular disease as a result of their treatment than someone who has not been diagnosed with cancer (JCO 2016, 34:1122–30).
The reality of cancer long-term, then, can be a dark and mysterious place. Cancer patients making their journey into it all too often have to carry the physical and psychological burdens without support. Research from the University of Pennsylvania Abramson Cancer Center, published in 2016, found that two out of three women (65%) who had been treated for breast cancer and considered disease-free for at least three years had an unmet need for help with side effects (Cancer Res 2017, 77(4 Suppl):Abstract # P5-13-12).
The irony is that, while cancer is increasingly becoming a chronic disease, media and professional attention, and research and care resources, continue to coalesce around the dramatic 'cure' phase of cancer – the one-off interventions that save lives, not the measures that make the long-haul of life worth living.
As the American surgeon and author Atul Gawande recently wrote in the New Yorker, we may have too heroic an expectation of how medicine works. Chronic illness is commonplace and treatments have complications that require attention. "We have been poorly prepared to deal with it," he wrote. "Much of what ails us requires a more patient kind of skill."
The 'survivorship' agenda
Is the tide beginning to turn? Living with and after cancer has now become commonly known as "survivorship" – a term that doesn't go down well with all cancer patients. Some feel it implies a triumph that many don't feel, and has the same judgemental quality as "victim" and "victor". Nevertheless, survivorship is now high on the research agenda in some countries.
In the UK, moves to improve understanding of what surviving means have been led by the charity Macmillan Cancer Support, which funds the University of Southampton's Macmillan Survivorship Research Group. This year Macmillan produced a report powerfully documenting the experience of many people like Kathy (above) after cancer treatment (Am I meant to be okay now? Macmillan Cancer Support, October 2017).
"Much of what ails us requires a more patient kind of skill"
"There is still much to do to support those who are struggling in silence or not getting the support they need," says Claire Foster, who heads the research group. "We need to make sure we are supporting those with complex needs and those who are less likely to engage with more self-directed follow-up.
"But I think we are now learning much more about quality of life after cancer treatment and recognising that many people continue to need support to manage consequences of treatment in the years beyond treatment. Important research is going on."
Foster's own research has already uncovered interesting findings about those who may need most support. For example, depression and confidence in managing illness-related problems before treatment were found to be key predictors of quality of life two years after surgery for colorectal cancer.
There are now Europe-wide survivorship initiatives to try to build understanding about what is experienced by cancer patients after treatment. The European Organisation for Research and Treatment of Cancer (EORTC) is developing an infrastructure to optimise long-term follow up among patients treated in clinical trials and promote data sharing. The aim is to foster scientific collaboration on long-term outcome research (see 'Gathering long-term data on what happens next', Cancer World Spring 2018).
And survivorship and rehabilitation was a main work package of the EU-funded Comprehensive Cancer Control Joint Action (CanCon), which ran between 2014 and 2016. This resulted in a series of recommendations for EU countries, including personalised follow-up care plans for every person emerging from cancer treatment, and more research to provide data on late effects and the cost-effectiveness of supportive care. These are to be followed up by the European Commission's newly announced Innovative Partnership Action against Cancer.
People who have had cancer fall down a crack between secondary and primary care
But if Europe seems finally convinced of the importance of knowing more about long-term needs, the main challenge remains: creating services and structures that actually mean something to people who are struggling in a myriad of ways after they are supposed to be 'better'.
Redesigning services and structures
Who takes responsibility for the welfare of survivors? All too often, patient accounts suggest, people who have had cancer fall down a crack between secondary and primary care. Though health systems vary across Europe, the problem seem similar: specialist care loses interest or contact after treatment is deemed successful; general practitioners feel ill-equipped to address related issues arising; and the patient ends up feeling in no-man's land.
As CanCon pointed out in its final report, lack of coordination between secondary and primary care, lack of funding, and limited capacity mean that in most countries effective long-term support remains an aspiration rather than a reality.
"There's a recognition that secondary care just can't cope any more with the increasing numbers of cancer survivors – incidence is increasing, survival is better, people have comorbidities," says Eila Watson, Professor in Supportive Care at Oxford Brookes University and Chair of the British Psychosocial Oncology Society.
Various new models are being tested. Some are led by secondary care, using phone, postal or 'self-triggering' follow up, which allows people to get back into the hospital system after discharge if they have a symptom or worry. But many countries, such as the Netherlands, Denmark and the UK, are transferring more responsibility to primary care. To some extent, this is a response to pressures on secondary care, but it also makes sense that general practice is better adapted to providing the kind of personal, 'incremental' care that Atul Gawande believes is at the heart of good medical systems.
"We definitely need systems to provide ongoing support to those who need it, and primary care is often suggested as the place where this could happen," says Eila Watson. "But at the moment, primary care does not have a structured formalised role in terms of follow-up after the diagnosis and primary treatment are over." She says she currently knows of nowhere in Europe where this is the case.
Why is this? Why is ongoing support in primary care such a problem to organise? Lack of resources, lack of professional confidence and lack of coordinated support planning seem to be significant barriers.
Netherlands: primary care/specialist agreed care plans?
Henk van Weert, Professor of General Medical Practice at the University of Amsterdam, believes GPs are quite capable of providing support to people who have been treated for cancer and should lead support planning. Yet his research is indicating that many GPs are reluctant to carry out follow-up care of cancer patients because they don't feel capable of dealing with many cancer-related issues – and also aren't being paid for it.
"In the Netherlands, GPs keep on seeing cancer patients, but not on a scheduled scheme," he says "They might give support to patients as normal patients, but it will be unstructured. Most GPs I know tell me that they won't start off talking to them about cancer: they say they think the patient won't like it."
Van Weert says there is no evidence that continuing to receive specialist care long after treatment is over benefits the patient. If patients feel worried about their GP's lack of specialist knowledge, the key is to reassure them that there is quick and easy access back to secondary care. In the Netherlands, it is possible to get a patient to a specialist the next day, says van Weert. "We need to end the misunderstanding that if they start going to their GP, hospital specialists won't welcome them anymore."
He wants to see support care plans agreed between primary and secondary care. But the picture is complicated by the fact that the required support needs vary so much from cancer to cancer and patient to patient. "In colorectal cancer, for example, you'll need a fairly uniform protocolised care plan, which is quite safe in the hands of a GP. In breast cancer, defining the GP role may be more difficult because there are so many different types, and lots of the therapies that go on for years."
Denmark: redefining responsibility for follow-up
In Denmark, the government has encouraged a greater role for primary care in long-term survivor support. But following a major review examining which cancers might be best suited for GP support, it became clear that cancer specialists were often reluctant to give up control. Bolette Friderichsen, a Danish GP and Board member of the Danish College of General Practitioners, says that many hospital doctors have been reluctant to lose contact with patients because of ongoing research and fear of losing out financially.
"In turn, I'm aware that many of my GP colleagues are reluctant to take up this task because they are not oncologists, and are worried about missing late effects or recurrence. We are not trained in this."
"But the important point is that we already have these patients in our waiting rooms in general practice. They have very reasonable expectations about what their family doctor should be able to provide. So whether or not we want this task, it is on our table. We might as well lift it."
She is all too aware that former cancer patients don't know where to go for help, or simply don't go anywhere. "I hear many of my patients say, when they come out of secondary care, that they feel like a piece of meat. They say: 'I'm very grateful for the quick and competent treatment, but I saw a different person every time I went to hospital, they didn't tell me what I need to know, and I was confused. What went on? Where am I now? Am I cured?' It's almost as if they have symptoms of post-traumatic stress disorder."
It is the GP's role, she says, to be able to address this. "The comprehensive and continuous care gives us some possibilities that oncological specialists do not always have," says Friderichsen. "Of course, my patient needs to be assured that we can get help from other specialists when there is a problem. But little by little I want my patients to know that I am another kind of specialist than a hospital specialist. I am a specialist in my patients.
"At a hospital appointment, when you see a different person every time, does a woman who has had breast cancer get the chance to talk about issues to do with sex – for example, if her husband feels awkward about touching her new breast? In hospital, will they be able to spot depression coming on, or give people the opportunity to talk about feeling guilty that they are sad even though they have survived?"
World's first GP guidelines
The Danish College of General Practitioners has just completed what are believed to be the world's first guidelines for cancer follow up in general practice. Work on this has been led by Friderichsen. The aim is to give GPs more confidence in dealing with cancer. The first part addresses the need for family doctors to keep in contact with people being treated for cancer, and gives guidelines on touching base with the patient after active treatment has ended, addressing any psychosocial issues, and agreeing a personalised support plan that also takes into account the comorbidity issues. The second part is more biomedical, providing a basic oncological knowledge base with details about adverse and late effects, and guidance on early palliative treatment.
The devil of the detail, predictably, relates to how this is coordinated with secondary care. Like Henk van Weert, Friderichsen believes it is crucial that patients know they can be referred back to secondary care almost instantly if there is a hint of recurrence.
"Little by little, I want my patients to know that I am another kind of specialist. I am a specialist in my patients"
Under Danish cancer packages, former patients can get back to the hospitals and specialists that treated them before. But the responsibility of coordinating the whole of a patient's cancer journey is still fraught with difficulty.
"There are so many different models of organising services, even in a small country like Denmark," says Friderichsen. "There's a political aim of having one 'patient-responsible' doctor you always refer to in a hospital. We suggest that the family doctor works in partnership with the patient-responsible doctor in the hospital, but we have some doubts about how well the patient-responsible doctor scheme will work, because they have so many other priorities."
What if long-term supportive care were given a national priority, so that across the country structures that overarched primary and secondary care ensured that the wide-ranging physical and psychosocial needs were met?
France: extending multidisciplinarity to primary care
That is the model being aimed for in France, where survivorship care has been a focus of the National Cancer Plan, launched in 2009. According to Claudia Ferrari, head of the Care Pathways Department at the Institut National du Cancer, and one of the authors of the CanCon recommendations, finding ways to effectively coordinate survivorship care plans between primary and secondary care is key.
"We're very aware of this," says Ferrari. "Our systems are very hospital-centred at the moment. The difficulty is to link hospitals and primary care, because they function with a different logic. Hospitals are more inclined to retain what they have done, because they have their own resources, instead of sharing it with primary care."
But gradually, and step by step, things are moving forward as the national cancer plan drives the concept of survivor care plans – and crucially, according to Ferrari, allows resources to be mobilised.
New multidisciplinary platforms that include nurses, social workers, psychologists, nutritionists and other health professionals are now being established outside hospital structures to support people when they leave secondary care. A trained co-ordinator – most likely a nurse – will coordinate between primary and secondary care, ensuring there is sufficient oncology input if necessary. "We know that this kind of coordination works at hospital level, but we still have to work on coordination with the primary care professionals," says Ferrari.
To address this, the Institut National du Cancer is leading the development of a new national guide to support patients and the professionals involved in their care, as they leave secondary care, along with a framework for minimal standards in follow-up care plans. The guide will alert people to the issues that may arise after treatment, explain the need for a follow-up plan, set out healthy lifestyle issues, and provide access to patient organisations and networks of support.
Ferrari stresses that France does not yet have all the answers. But she knows that multidisciplinary teams and good co-ordination are absolutely fundamental. "We don't want patients to fall in the gaps of a very complicated system. If we are not able to create something which is simultaneously simple and effective, no one will put it into practice. So it's step by step, by hospitals and GPs in parallel."
UK: Finding a national solution
In England, as in France, the key to progress – even if slow – seems to be making what happens 'after cancer' a national policy priority. The National Cancer Survivorship Initiative was launched by the Department of Health and Macmillan Cancer Support in 2010, and researched best practice, piloted ideas, and developed recommendations which gave rise to Macmillan's Living With and Beyond Cancer Programme. This aims to improve local cancer services, with planned and tailored support for every person leaving treatment.
Various arrangements are being piloted across the UK but, as Eila Watson points out, there will not necessarily be one single national solution. "I think there's definitely a general move away from consultant-led follow-up, but I don't know if you ever get one universal way forward," she says. "You need some sort of core underpinning principles about the best way to organise services, while also recognising that you need flexibility to suit local health service set-ups. I think that nurses, whether clinical specialists or primary care practice nurses, are likely to have a key role in most arrangements."
The key to progress seems to be making what happens 'after cancer' a national policy priority
The irony is that, given the universal shortage of health resources, making long-term support personal, incremental and local requires the coarse population-based strokes of national policy. And even then, progress is too slow for many people to notice. The cracks remain, and as the personal testimony provided by the new Macmillan report testifies, sometimes it seems there will never be a way out.
"I had to find all the help myself, whether that was trying to get referrals for cognitive therapy or meditation, it was just me that was doing it," said Frances, from Leeds, who finished treatment for Hodgkin lymphoma four years ago, and found that physical problems continued, and anxiety problems were just beginning. "When I look back on that initial year, the support definitely dropped off a cliff, and the effects are lasting."
Drug research failing on late effects
Only in the past 20 years have trials of cancer treatment started to evaluate the effect of treatment on long-term quality of life, as well as classical outcomes such as survival.
A systematic evaluation of oncology drug approvals by the European Medicines Agency (EMA) in 2009–13, published in the British Medical Journal last year, found that most drugs entered the market without evidence of benefit on quality of life.
A recent analysis in the American Economic Review concluded that pharmaceutical company investment is distorted away from studying the long-term effects of treatments.
This year Dutch epidemiologists reported in the British Medical Journal that industry-funded post-marketing studies do little to improve understanding of long-term adverse effects.
GP guidelines
national policy priority
"Help a Dane": a brilliant online campaign against melanoma
News 21 February 2017 0
Brachytherapy: halting the spiral of decline
Cover Story, Featured 17 March 2019 0
Improving outcomes – a practical guide
Cover Story, Featured 25 May 2018 0


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Dramatist Hideto Iwai connects with his audiences in ways he never could have imagined by being honest about his own life experiences
Notes on the home: A family reunion sets up the story of Hideto Iwai's 2013 production "The Hand." | © WAKANA HIKINO
by Nobuko Tanaka
When he was 16, Hideto Iwai was perplexed as to why everyone around him unquestioningly jumped onto society's student-to-salaryman conveyor belt. So, he broke free, dropping out of high school and picking up casual jobs where he could find them.
"But then I had problems at work because I couldn't interact with people as cleverly as everyone else could," he recalls. That caused the Tokyo native to become a hikikomori, retreating into his room in the family home and withdrawing from society for four years before emerging in 1994 at the age of 20.
The now 44-year-old dramatist doesn't fret over those lost years, though.
"Those experiences have worked positively in terms of my writing because I've been able to introduce many questions about our society into my plays," he tells The Japan Times.
Iwai founded his own theater company, Hi-bye, in 2003 ("hai hai" is the term for babies crawling, and "bye" comes from the English sendoff). That same year, his new troupe made its debut with an autobiographical piece by Iwai titled "Hikky Cancun Tornado." It has since been rerun several times and has spawned spin-offs in a so-called "Hikky" ("Hikikomori Man") series, which has become a popular staple of Hi-bye's repertoire.
Iwai has written on a variety of themes but still returns to his dysfunctional family for subject matter. Two such heartfelt (and surprisingly hilarious) dramas based on his past are "Te" ("The Hand") and "Fūfu" ("The Husband and Wife"), and to celebrate Hi-bye's 15th anniversary the playwright will present both pieces in different spaces at the Tokyo Metropolitan Theatre from Aug. 18. The concurrent performances will let spectators see both shows on the same day if they'd like — a matinee and a soiree.
"The Hand," which premiered in 2008, portrays a rare visit by two daughters and a younger son (Iwai's position in his own family, played here by Kentaro Tamura) to their family home, where their parents, older brother and grandmother all live together.
There, the father becomes increasingly belligerent as his children assail him with stories of how violent he was when they were growing up — behavior he insists he has no memory of. As the reunion increasingly turns into a shambles, the grandmother, who suffers from dementia, quietly passes away unnoticed.
"Before I wrote 'The Hand' I'd tried in many ways to raise the entertainment factor by casting men to play women and using nonobjective props such as waist-high stands with doorknobs that the actors would symbolically have to turn in order to leave or enter rooms," Iwai says. "However with this play I started writing about my own family instead — though I did have a man, Kazuyuki Asano, play the mother."
Whereas people used to come up to him after a show to talk about the sets or the acting, Iwai says bringing his own experience into the story produced quite unexpected responses.
"Suddenly everyone wanted to talk about their own families and life stories — and that was when I realized what doing theater really means to me: It's about sharing experiences and feelings."
As a result, Iwai says he was increasingly encouraged to write his own feelings and experiences into a story — especially ones that evoked anger. This method is apparent in his 2016 drama "The Husband and Wife," which premiered just months after the real events it covers occurred.
In this play, about Iwai's parents, the story begins when his dictatorial father — an elite surgeon played by Iwai, who admits that even after acting the role he still doesn't understand his dad — is diagnosed with lung cancer and has an operation at the hospital where he works, expecting to be home in about 10 days. Months later, however, he's still there when the character of Hideto (played by Eiji Sugawara) is summoned to his father's bedside by his mother (male actor Takaya Yamauchi) because his father is about to die.
It's revealed that the hospital has made some mistakes, but more baffling to Hideto is the behavior of his parents, who have barely spoken to each other in decades. Hideto watches them reminisce and laugh together, and is even more stunned when he sees how nice his father is to the doctors and nurses, despite having been a tyrant at home.
"When I did this play two years ago the events were really too recent to handle coolly and calmly, but if I hadn't written it then I would have lost the feeling," Iwai says. "So this is a very primitive type of play, but it's very faithful to basic human instincts.
"However, I'm revisiting it now with a different state of mind, so I'm tackling its core point — that life is neither simple nor straightforward — from a wider perspective."
Part of this rethink also involves Iwai presenting his actors with a new challenge by urging them to bring their real selves to the stage, not to just act their role, so that together they create a play that's unique to them and specific to that time.
"These days I think more about the meaning of each actor's existence," Iwai says. "They are not replaceable puppets, and there needs to be a reason why they play their role how they do on stage."
For some time now, the director has been putting this idea into practice in theater workshops he has conducted with students and amateur actors, typically asking them to write about notable episodes in their lives and choosing a few on which to build performances.
"The idea really took off when I created 'Wareware no Moromoro' ('All Kinds of Things About Us') in that way with the seniors' company Saitama Gold Theater in April," he says. "The older performers were spontaneous and spoke freely, and I think that was because the play was their actual story. In all honesty, they were often too free and would speak without any cues from me! (Laughs) But they all told me they had great fun doing theater."
Iwai sums up by stressing how important it is that "theater makes both the actors and the audience question their own lives and identify with what is happening on stage." Then, perhaps speaking from his hikikomori experience, he adds: "Of course, most situations are impossible to explain logically in words."
"The Hand" and "The Husband and Wife" run from Aug. 18 to Sept. 2 at the Tokyo Metropolitan Theatre in Toshima Ward. For more information, visit www.geigeki.jp or www.hi-bye.net.
In line with COVID-19 guidelines, the government is strongly requesting that residents and visitors exercise caution if they choose to visit bars, restaurants, music venues and other public spaces.
theater, Hideto Iwai


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'Trolls World Tour' becomes biggest Digital New Release Movie
'Game of Thrones' Actor Kristofer Hivju Reveals He Recovered Coronavirus
'New York Yankees' Co-Owner Hank Steinberg Dies at 63
Entertainment, International News, Latest News, Sports
Hank Steinbrenner, CO-Owner of the New York Yankees team, died Tuesday at the age of 63 after a prolonged illness.
Hank gave New York Yankees' Team Ownership his elder son George Steinbrenner and his brother Hal due to his ill health in 2010.
Also Read: Anthony Causi NY Post Sports Photographer Died due to Coronavirus at 48
Hank's family told the news agency on his death that "Hank was a genuine spirit who treasured the deep relationships he formed with those closest to him."
"He was introduced to the Yankees organization at a very young age, and his love for sports and competition continued to burn brightly throughout his life."
Also Read: NBA Player Karl Anthony Towns Mother Dies due to Coronavirus
"Hank could be direct and outspoken, but in the very same conversation show great tenderness and light-heartedness. More than anything, he set an example for all of us in how comfortably he lived by enjoying his personal passions and pursuits. We are profoundly saddened to have lost him and will carry his memory with us always. "
Also Read: Former NFL QB Tarvaris Jackson Dies in Car Crash at 36
Hank has four children, including two boys and a girl, Jennifer and Jessica.


Abt 1834 - 1857 (~ 23 years) Has 34 ancestors and 3 descendants in this family tree.
[S40] "Bredgar Parish Registers - Volume 6 (CD-ROM 19)," database, Kent Family History Society, accessed 22 Oct 2013), Burial of Emma Whitehead. (Reliability: 3).


Communicated with the Mirador Hall and with the Los Naranjos Restaurant, it is ideal for small banquets and celebrations, private and discrete meetings, incentive programs or panel discussions. The Viñuela Hall is connected with other halls for larger events.
It can be accessed from the gardens or from the restaurant, and like most of our public spaces, has magnificent vistas of the Viñuela reservoir and our landscaped gardens.
Its direct connection with the restaurant allows for an immediate and exquisite catering service tailored to the demands of each client.


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It's an interesting read, so, do read it all at the link above. While the Russians may wish to maintain the status quo, concerning Cyprus, it is not likely, in my opinion, they want open warfare in Cyprus. This would not serve their interests. I can understand where the status quo suits them just fine. This is tied to Egypt, Turkey, NATO, the EU and more.
Of course, share some thoughts
What has been billed as the last chance for Greek and Turkish Cypriots to reunite the island nation appears to be tantalizingly within reach -- but it might not get there without a nod from Russia.
Now, Greece, Turkey and the U.K., which has bases in Cyprus, are the guarantor states of a military status quo. Along with the leaders of the two Cypriot states, United Nations Secretary General Antonio Guterres and European Commission President Jean-Claude Juncker took part in the talks in Geneva this week. After breaking down on Thursday, the talks are scheduled to pick up next week at a lower level.
Flashback: Greek Minister Responsible for Derailing Cyprus Talks: Obvious Provocation!
Russia offered to attend but it wasn't invited; there's no formal reason for that. Yet there are plenty of informal ones for Moscow's interest in the Cyprus process. Though Russia has officially voiced support for a settlement, the final deal -- depending on which way it sways -- could hurt its many interests in the region.
About 40,000 Russians live on the island, which has a population of 800,000. They own real estate and businesses in both the Greek-run and Turkish-run areas. Thanks to its history as an offshore haven for post-Soviet money, tiny Cyprus is officially the biggest source of foreign direct investment in Russia. According to the Russian central bank, in the second quarter of 2016 (the latest for which data are available), it accounted for $2.8 billion in investment, more than twice as much as the next country.
They are also a major source of tourist revenue for Cyprus. According to the Cyprus government, 525,000 Russians visited the island in 2015; only Britain provides more tourists.
In short, Cyprus is an important place for Russia and Russians.
But reunification would only benefit Moscow under certain conditions.
Russia seeks to weaken and divide the North Atlantic Treaty Organization, but a settlement could strengthen it by resolving a longstanding conflict between Greece and Turkey -- members both . It could also mean an end to Russia's military foothold in the region, gained in 2015 when Cyprus opened its ports to Russian warships taking part in anti-piracy and anti-terrorist operations. The U.K. has criticized the move. Russia hasn't used the official agreement to help its military action in Syria, but it appears to have used Cyprus ports to smuggle jet fuel to Syria despite an EU
President Vladimir Putin is also seeking to forge an energy partnership with Turkey's President Recep Tayyip Erdogan to sell gas to southern Europe, but reunification threatens to clear the way for a competing one. Big natural gas discoveries in the eastern Mediterranean and a warming of relations between Israel and Turkey made the construction of a pipeline carrying Israeli gas to Turkey a possibility -- though the Greek government of Cyprus has linked the pipeline to reunification.
The competing pipeline would involve Israel.. mentioned in this post
Flashback : Israel-Turkey pipeline hangs on Cyprus peace talks- A Fail Benefits Russia
All of these interests have naturally created suspicions about Russia's role in the unification process. The local press has reported that the Russian ambassador, Stanislav Osadchiy, recently attended an anti-unification political gathering and was applauded by its participants. After that, the Cypriot foreign ministry reportedly demanded an explanation.
More likely, however, Russia is merely signaling -- as it has often done in recent years -- that it will need to be consulted for a successful result to be achieved.
The success of the Geneva talks, which the UN envoy on Cyprus has called "the moment of truth," hinges on the resolution of tangled property issues -- but at this point, that's not what's holding up the deal. Greek Cypriots are against any special security guarantees for the reunited island, which will be an EU member. Turkey, however, insists on its guarantor status.
Since the Turkish Cypriots are in the minority, the guarantor status seems like something they would want. It has also been reported the Turkish Cypriots want some Turkish troops to remain.
A complete breakdown of the talks would be fine with Putin/Russia. (But not open warfare) It would preserve and perhaps deepen the Greek-Turkish rift within NATO, ( keeping Turkey in Russia's sphere of influence and weaken NATO) stave off gas pipeline projects in the eastern Mediterranean, (reduce competition) allow Russia to keep Cyprus as the EU playground for its business and a neutral but friendly port of call for its ships.
If reunification does finally take place, Russia will need to know how its interests will be protected. What it clearly doesn't want is for NATO to be strengthened and for Cyprus to join it -- a possibility after unification. If Moscow is not satisfied, it could undermine the deal both inside Cyprus and in the UN.
As mentioned, that small island figures larger in the region then many realize
Labels: Britian, Egypt, EU, forgotten history, general interest, Israel, kurds, middle east, NATO, Syria, Turkey, UN, US
greencrow January 16, 2017 at 4:09 PM
Hi Penny:
Thanks for mentioning the role that tourism plays in this geostrategic issue. So often tourism and the wealth it brings to a country is totally left out of the analysis. IMO, cutting off tourism is a major tactic in international relations. That is why there are so many "false flags" in tourist hot spots.
http://interfax.com/newsinf.asp?pg=4&id=727703
Kyrgyzstan manas. Turkey nightclub shooting. China embassy bombing. "Wolves"
http://tass.com/society/910524
Ukrainian commandos become increasingly active in Crimea - Patrushev
brennan warning to Trump on Russia followed by Biden urging sanctions. Provocation coming?
They have to make hay while the sun shines...ergo...all the provocations in Ukraine, Syria (Israel bombing of Damascus) and false flags in Turkey. Once Trump is in power it's game over.


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MEPs challenge Liam Fox to publish list of countries that have agreed to continue EU trade agreements during transition period
26 February 2019 by Media
MEPs from the International Trade and Economics Committees in the European Parliament have written to international trade secretary, Liam Fox, challenging him to publish a list of countries that have agreed to continue to trade with the UK as if it were an EU country during the transition period. The letter from Molly and Jude Kirton-Darling MEP points to the fact that 36 EU trade agreements span more than 60 countries, and while the EU has assured the UK it will ask these countries to treat the UK as an EU member during the tradition period, this is not binding and the UK's trading partners will need to consent to this arrangement.
Molly, who sits on the Economics committee, said:
"Dr Fox – he of 'the easiest trade deal in human history' fame – seems to be finding it tricky to confirm even which countries that have Free Trade Agreements with the EU will treat us as equal trading partners during the transition period. Although his department has published details of a few agreements it has reached in case of No Deal, this has distracted attention from the serious threats even if we do get a deal.
"The countries the EU has signed trade deals with are under no obligation to continue allowing UK companies to export under the same conditions during the transition period. This leaves our exporting companies in the lurch as they wait to see whether countries they currently export to will require different arrangements or charge higher tariffs in just one month's time."
Jude Kirton-Darling, a Labour MEP who sits on the International Trade committee, said:
"Two years of inaction from the government means that it is impossible to tell how goods that are on their way to Japan or Korea will be treated when they arrive, because there is still nothing in place from 29th March to replace the EU trade deals we are set to leave. The EU offered to keep extending the benefit of these trade deals to the UK during the transition period, but we still need our trading partners to agree to this. At this stage our exporters urgently need clarity and therefore we've asked Liam Fox to come clean."
Categories Brexit, Economics, News, Trade Post navigation
Widescale transition to organic farming can help capture carbon emissions, says new report
The legislator, the award-winning journalist and the whistleblower to Face down Facebook in Westminster next week


My name is Lauren, and I am a student, a foodie, and the author of The Healthy Indulgences Cookbook: A Guide To Baking All-Natural, Sugar-Free Desserts. I create sugar-free and gluten-free dessert recipes featuring all natural ingredients. During my time as an undergraduate at Duke University, I created these recipes to help me lose 30 lbs and cut back on the amount of processed foods I was eating.
The goal of my kitchen experiments is to come up with recipes for lower carbohydrate desserts that are every bit as good as their sugar-laden counterparts. The delicious successes end up on this blog! My crack team of willing food testers includes family, friends, roommates, and hungry looking acquaintances. They help me to ensure that you too, have sweet success in the sugar-free kitchen!
Since 2008, I have divided my time between blogging and managing life as a college student. It has been an incredible journey! The more I learn about nutrition science and weight loss, the more I realize how much I don't know.
Healthy Indulgences Blog receives many offers from brands and retailers to review their product samples. Some of these samples are sent to me free of charge, for consideration. When a product is sent to me "for consideration," I test it out to see whether it is high quality enough to share with the readers of this blog. I do not accept financial compensation for reviews, but I do accept offers for sponsored giveaways, which are identified by a disclaimer in the giveaway post.
Many of my posts feature affiliate links to iherb.com that give me a commission when you purchase the products. This does not cost anything to you, the consumer. I provide these links to generate revenue, and show you the most reasonably priced source for ingredients that I have come across.
Thanks for the nice comment, Ashley! Happy you were able to find the blog again.
Flax meal works with pumpkin!
I absolutely love your recipes! I have to say that they have kept me feeling like a human being despite my dietary restrictions. Anyway, I am having a small dinner party on friday and was thinking of making the black bean chocolate cake or the blender yellow cake, and was just wondering how you think it might work if I were to use egg replacer? I personally am fine with eggs but I have two guests coming over that are vegan.
Hi, Adam! Missed your comment the first time around. The cake would not work with an egg replacer.
Hi I really am enjoying your recipes … Hope to try some soon. I also saw you lived florida . My family and I live in Lakeland. Florida . Thanks again for the good recipes.
Hi, Leah! You're a bit farther north from where I am on the gulf coast. Welcome to the blog!
Looks like he does some great work. Wish I could join him on the show, haha!
I do have a muesli recipe to share on the blog. It'll be posted during the new year. 🙂 Thanks for reminding me of it!
Hi Lauren, I've just purchased your book but for whatever reason I'm having trouble downloading it. Can you help please?
I was just wondering if you ever thought about adding professionally made videos to your website to help compliment your existing content? I can help you do this for free. Feel free to e-mail me if you wanted to learn more.
If I want to use sugar instead of honey or xylitol can you tell me what quantities to use for the chocolate cake and the frosting?
Hi, Margot! The recipes posted have not been specifically tested with sugar and honey, but you are welcome to try your hand at experimenting with those sweeteners in the recipes! You can always taste the batter before putting in the oven to check for the proper level of sweetness.
I just found out where to buy erythritol and pure stevia extract. Now, my question is does Whole Foods also carry the powdered version of each one? If not, where can I get that? Thanks.
Paula, I missed your question about powdered forms of erythritol and xylitol. They do not carry the powdered forms, but you can do the grinding yourself with a Magic Bullet blender or coffee grinder. Hope that helps!
Hi, Paula! I don't think Whole Foods carries the large sizes, but they do carry the 1 lb bag of erythritol by NOW Foods. You might want to check and see if they still do carry that product by giving them a call. I haven't lived near Whole Foods since 2011. They did carry NuNaturals stevia as well the last time I checked.
You can get free shipping with my coupon code for Iherb and order stevia and erythritol at discounted prices there. Just click on the green Iherb banner on my sidebar, to the right. 🙂 Hope that helps, Paula!
Hi Lauren!! So glad to find you and your great recipes…I have a quick question. Unfortunately, my youngest daughter has an severe allergy to erythritol, so she can not eat anything with that ingredient….what do you suggest I replace that with in your recipes? xylitol? Just like Sugar?
Hi, Cheryl! Does she tolerate xylitol well? I cannot recommend xylitol in large quantities based on my experiences with it. Perhaps she can digest it without the gastric distress I experience after consuming it. Just Like Sugar contains chicory root which also tends to cause unpleasant side effects for me. You might want to check out my paleo recipes, or those from other bloggers, if your daughter can eat honey, bananas, dates, and coconut palm sugar. She might enjoy my recipes for Honey Nut Cookies, Gingerbread Cookies, and Quick Chocolate Mousse. Good luck finding the sweetener that is right for her, Cheryl!
Sheriff Joe should release early, using the element of surprise, in law enforcement you catch em off guard and observe, or in war you then destroy them.
Francesca Rana · lunedì, 8 ottobre 2012, 11:54 amRipeto quanto ho detto su twitter e fb. Grande lezione di etica professionale esemplare sul caso Ilva di Taranto. Fa rafforzare l'orgoglio di aver vissuto, da giornalista precaria, schivando i colpi di corrotti, corruttori, corruttibili. Profonda stima. Spero che altri giornalisti italiani imparino ad andare avanti, seguendo l'esempio di Gad Lerner, puntando ad una risoluzione, e non sguazzare nella guerra tra poveri riportando indietro le lancette del ragionamento.
that quilt is coming to life with your quilting!now about the slides. can I ask how you converted them to digital? we have a similar situation and can't stand the thought that the slides might eventually be lost.
I am anna from shanyuan sanyuan biotechnology co.,ltd , the biggest erythritol manufacture of china .
From your website , i found your company has the erythritol , so we want to check if have any chance to cooperate ?
Could you please kindly forward this email to your purchasing manager ?? Thank you in advance.


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By UMD Dingman Center	Uncategorized
Final Day of TechCrunch Disrupt '15
Today's the final day of TechCrunch Disrupt, the grand finale. We've seen some interesting startups present on stage, even more interesting booths in Startup Alley, and today's the day when we see the winner. The finalists were a diverse bunch:
An indoor farming operations platform (Agrilyst)
A POS/Inventory system specifically designed for the burgeoning cannabis market (Green Bits)
A Mint.com for small business (Leap Financial)
A nail decorating robot (Preemadonna)
A healthy subscription food model for kids' lunches (Scrumpt)
A Slack-type communications solution for Healthcare (Stitch)
While each of these contenders have an interesting and thoughtful approach to product-market fit, only one will come away with the final cup and the $50,000 grand prize.
This year, it was Agrilyst, a cloud-based solution to manage indoor farming, with Green Bits as the runner up. Interestingly, both top finalists this year seem poised to take advantage of the growth in legalized cannabis consumption. Given the small niche, it's hard to see Agrilyst as a truly disruptive company in the same league as Uber or Airbnb, but it does seem like a real innovation for the underserved farming industry. Greenhouses are complex, heavily data intensive operations, and owners have previously had to make do with disparate tools like Excel that were not well suited to the job.
image from TechCrunch
Still, first prize isn't everything, as the $180 MM funded second placer from years past CloudFlare can attest when they went up on stage. At the end of the day, the real prize at Disrupt isn't the prize itself, but the attention and credibility in the eyes of investors and the tech media.
Then there's the other "startup" that launched here at Disrupt. While it's not one of the contenders on stage, one of the most memorable moments here was seeing Snoop Dogg announce the launch of his new startup, a premium cannabis lifestyle content site dubbed Merry Jane.
Company tour of LinkedIn
This trip has been a nonstop whirlwind of networking dinners, company tours, and of course the hive of activity here at Disrupt. The passion and awareness for tech and innovation here is both eye-opening and deeply satisfying to see. Even during our last day here at the conference, we still managed to fit in a lunchtime trek to LinkedIn's downtown office here with a friend to show us around.
While getting around the city during this trip is a small detail, I think it's been a telling example of the environment here. We've been completely spoiled by the cost and convenience of Lyft Line and UberPool, shared ride services that are a game changer for effortlessly getting around a new city at a low price. It seems like everyone takes it here, with enough demand for most rides you see them continuously pick up and drop off multiple passengers.
It's been incredible being completely immersed in the tech industry here, a tradition that I hope will hopefully continue into the years ahead.
By: Ying Chen
Ying graduated from the University of Delaware with a degree in Marketing, a minor in Biology, and a strong mix of extracurricular experience in graphic design and digital media. He previously worked at JPMorgan Chase in Wilmington, DE working up from intern to a Leadership Development Program rotational analyst, to Marketing Manager. He has a strong interest in technology and product development.
Tagged Disrupt, entrepreneurship, San Francisco, SmithMBA, TechCrunch, technology


18 year old Sigrun Eva Armannsdottir from Akranes was crowned as the new Miss Iceland 2011 or locally known as Ungfru Island 2011 beauty pageant held on May 20 at the Broadway Club in Reykjavik. She was crowned by Ungfru Island 2010, Fanney Ingvarsdottir.
Standing 1.80m tall, Sigrun Eva Armannsdottir will represent Iceland in Miss World 2011 beauty contest on November 6 in London, UK.
Guolaug Dagmar Jonsdottir was the 1st run-up and Sigriour Dagbjort Asgeirsdottir was the 2nd run-up. Completing the top 5 finalists were Gurri Jonsdottir and Hjordis Hjorleifsdottir.


Nohrian general who leads a large force tasked with protecting the border.
Daniela (Japanese: ダニエラ Daniera) is a Nohrian border guard captain charged with attempting to trap the Chevois resistance, and the capturable boss of Chapter 14 in the Birthright campaign of Fire Emblem Fates. As a capturable boss, Daniela can be captured by Orochi and placed into the My Castle's prison if one is present, then recruited into the player's army as a bonus unit from there.
Daniela appears as the leader of a large army guarding the Nohrian border. She is stationed inside a heavily fortified border wall, with its only entrance guarded by Benny and Charlotte. Ultimately, the Hoshidan army and the Chevois resistance led by Corrin break through the border, with Daniela being either slain or captured.
Recruitment: Chapter 14 (Birthright), persuade or bribe in the prison after Orochi captures her.
The following growth rates are accessible when reclassing Daniela into a Maid.
As a minor boss, Daniela's personality is not explored upon. From her few speaking lines, she is confident in her abilities to "butcher" the Hoshidan army, and expresses disbelief when she is defeated.
— Daniela, in chapter 14.
English Daniela Feminine form of Daniel.
This page was last edited on 14 April 2019, at 06:13.


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Paul and the two little pencils
BY ALEX CAMPBELL Dear Readers, I want to thank everyone for the positive feedback on the first article. So many wanted to share a story ... Read more | Add your comment
East Tennessee Outdoors… 2020 Deer Harvest Results
Big vote for Big Laurel
Published 8:38 am Wednesday, April 9, 2014
Big Laurel Branch Wilderness took a step toward a nearly 4,500-acre growth spurt Tuesday when the Senate Agriculture Committee passed legislation by Tennessee's senators.
The Tennessee Wilderness Act would add 4,446 acres to the wilderness, now mostly located in Carter County.
"To say that this land is among the wildest, most pristine and beautiful areas in East Tennessee sets a very high bar, since the region includes the Appalachian Mountains and our nation's most visited national park, the Great Smoky Mountains National Park," Sen. Lamar Alexander said in prepared remarks to the committee.
Alexander and Sen. Bob Corker first introduced the bill in 2010.
The addition is the second-largest portion of the nearly 20,000 acres of Cherokee National Forest the act would place under what is the most restrictive federal land use designation. The act would also create a 9,038-acre wilderness in Monroe County and add nearly 3,000 acres to the Sampson Mountain Wilderness in Unicoi and Washington counties, as well as making three other, far smaller, additions to other areas.
The measure passed by voice vote.
The existing Big Laurel Branch Wilderness runs from the Horseshoe area northeast along the slopes of Iron Mountain and along about six miles of the Appalachian Trail, and runs along Watauga Lake for more than three miles.
According to the website for Tennessee Wild, tnwild.org, the proposed addition would follow northeast along the Appalachian Trail on the slopes of Iron Mountain for more than 4.5 miles, to just south of Shady Valley.
Alexander noted the addition would have no impact on privately owned land or increase costs for taxpayers.
"Wilderness designation is the highest form of protection we can give to public lands and ensures that they will be preserved for future generations," the senator said. "No roads, vehicles or permanent structures are allowed in designated wilderness areas."
The parcels were originally recommended for wilderness designation by the U.S. Forest Service as part of its 2004 forest plan, which included extensive opportunities for public comment.
"As the result of extensive local public input, this legislation has broad support from fishermen, hunters, backpackers, hikers, artists, pastors, botanists and state and local officials — all of whom support the bill," Alexander told the committee.
The Big Laurel Branch wilderness currently encompasses about 6,330 acres.
Phone call leads to arrest on drug-related charges
Dana Charles Whaley A caller reporting suspicions about a home in Elizabethton led to drug-related charges for the resident at... read more
Church Briefs


The last time we made cinnamon rolls I decided to try something different. I had seen this shape somewhere on the internet, but I can't remember where or what their recipe was. I used my sweet dough that I use for cinnamon rolls.
I rolled out three layers of dough the same size. Then I spread Nutella in between each layer. I cut an even number of slits all the way around the circle and the twisted two together all the way around.
Then I baked it. I can't remember how long. I'm going to guess around 15 minutes. It was very good. My kids ate it right away.


L'Oréal Paris True Match Lumi Bronze It Bronzer leaves skin with an instant sun-kissed glow. Buildable bronzing powder can be used to create an all-over bronzed complexion or contour for a radiant, sculpted look. Shimmer bronzer, formulated in 3 shades, is designed to flatter light, medium & deep skin tones.
Sweep softly over skin, focusing on cheekbones, forehead, chin and décolletage for a healthy, golden glow. Apply underneath cheekbones and jawline for a more sculpted, radiant, illuminated look.
Talc, Caprylic/Capric Triglyceride, Silica, Nylon-12, Magnesium Stearate, Boron Nitride, Dimethicone, Isostearyl Alcohol, Calcium Sodium Borosilicate, Paraffinum Liquidum / Mineral Oil / Huile Minerale, Methylparaben, Ethylparaben, Paraffin, Sodium Dehydroacetate, Sorbitan Isostearate, Tocopheryl Acetate, Cera Microcristallina / Hydrogenated Microcrystalline Wax, Ethylene/Propylene Copolymer, Serica Powder / Silk Powder / Poudre De Soie, Tin Oxide, Calcium Aluminum Borosilicate. May Contain: Mica, CI 77491, CI 77492, CI 77499 / Iron Oxides, CI 77891 / Titanium Dioxide, CI 77742 / Manganese Violet, CI 77007 / Ultramarines.


$2500 closing cost credit offered to buyer! Single story 2 bedroom, 2 bath Star Dust Gardens condominium located in NW Reno. Covered parking for 1 car. Updated kitchen and master bath. Freshly painted plus new carpet and vinyl. Large living room with exterior deck. Convenient location near downtown, shopping, bus transportation, I-80, UNR and post office. Property taxes currently just $404/year! The HOA dues include covered garage parking with storage unit, water, and trash service. All appliances included.


Florida International University, commonly referred to as FIU or Florida International, is a public research university located in Miami, Florida, in the United States, with its main campus at University Park. Florida International University is a Comprehensive Doctoral Research University with high research activity as determined by the Carnegie Foundation. Florida International University is also the youngest university to be awarded a Phi Beta Kappa chapter by the Phi Beta Kappa Society, the country's oldest academic honor society. FIU is one of 78 universities nationwide to hold both designations. The university is comprised of 16 colleges and schools offering over 200 programs of study with more than 280 majors. Florida International University is also the 5th-largest university in Florida and the 15th-largest university in the United States in terms of enrollment. For Fall 2007, total enrollment was 38,614 students and 2,974 full-time faculty with more than 150,500 alumni around the world. The U.S. News and World Report currently ranks FIU as a fourth tier postsecondary institution in the National Universities category. U.S. News & World Report (2008) also ranks the Landon Undergraduate School of Business 7th in the nation and ranks the Chapman Graduate School of Business 11th amongst business schools in the United States for international business. BusinessWeek (2006) ranks the College of Business among the top 15% of graduate business schools in the U.S., 1st in South Florida, and in the top 25 among public business schools in the U.S. In 2007, the Florida International University College of Law ranked 1st in the state of Florida with a bar passing rate of 94%, and 1st in the Multistate Professional Responsibility Exam at 96%. As of 2007, more valedictorians from South Florida elect to attend Florida International University than any other university in the country. Admission standards have also increased with acceptance rates dropping from 63.2% for Fall 2005 to 44% for Fall 2007, making FIU the second-most selective university in Florida. For Fall 2007, the average incoming freshmen had a SAT score of 1144, a 24 ACT score and a 3.7 high school GPA.
Question and Answer about "Florida International University"


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Uninvited Guests: Pelicans Crash University Graduation Ceremony
The class of 2018 and their guests were momentarily seen ducking for cover from the long-beaked birds. One of the pelicans then lands on a group of people sitting in the front few rows. Security men in dark glasses approached and awkwardly tried to direct the pelican away from the ceremony by pointing. (YouTube: Grant Dillion) The pelican waddled away from the ceremony. (more...)
Advanced Micro Devices, Inc. (AMD) has its outstanding shares of 967 Million
It has underperformed by 38.56% the S&P500. Glynn Capital Management Llc decreased Netflix (NFLX) stake by 9.42% reported in 2017Q4 SEC filing. Eli Lilly and Company (LLY ) held 1.07 billion outstanding shares now. The company has a market capitalization of $10,767.05, a price-to-earnings ratio of 136.00, a PEG ratio of 4.54 and a beta of 2.86. ( NASDAQ : AMD)'s P/E ratio is N/A. (more...)
'Westworld' Has Been Renewed for a Third Season
I'll put my faith and trust in co-creators Jonathan Nolan and Lisa Joy and trust their layout for the series. HBO has ordered a third season of the series, assuring fans will be traveling to the doomed theme park now being overthrown by artificial intelligence for a long time to come. (more...)
Pletcher Finishes 2018 as King of the Road to the Kentucky Derby
Visit SportsLine to get Jody Demling's Kentucky Derby victor, see which huge long shot contends, and get the finish positions for every single horse, all from the man who's picked 9 straight Derby-Oaks doubles! The day before the race a pink-wrapped Ram 3500 Heavy Duty Limited dually will lead the Kentucky Oaks Survivors Parade, a symbolic march of 144 breast and ovarian cancer survivors at Churchill Downs . (more...)
Capcom and iam8bit launch limited edition Mega Man cartridges
The downside is each game will set you back $100, but at least there's no fire warning this time around unlike last year's Street Fighter II . There will be 8,500 total pieces and you do not get a choice of color. While the X cart is definitely nice, I'm very partial to the light blue Mega Man 2 cart. Instead, the distribution of these cartridges will be completely random, so you won't know which one you've received until you open the box. (more...)
Oculus Go now available for purchase, starts at $199
The product page also states that Amazon doesn't know "when or if this item will be back in stock". The e-retail giant late on Monday night (Apr. 30) quietly started offering pre-orders on the $ 199 Oculus Go . Facebook boss Mark Zuckerberg first revealed the Oculus Go at the Oculus Connect conference in San Jose last October. It's also wireless and features a "fast switch" LCD screen with a 2,560 x 1,440 resolution, along with a Qualcomm Snapdragon 821 processor. (more...)
Windows 10, version 1803 - Features that have been removed
This issue has been effecting only to a particular version of the operating system and not all Windows 10 versions, in this case being Windows 10 April 2018 Update . For over a month now, Twitter has had a PWA available in the Microsoft Store . Offline symbol packages - The symbol packages are no longer available as a downloadable MSI. (more...)
Samsung Galaxy S7 and S7 Edge Android Oreo updates starting in UK
Honor 7X users who signed up for the Oreo beta program received beta updates towards the end of February. Although the now rolling-out Android Oreo update for Samsung Galaxy S7 and S7 Edge brings April 2018 security patches to the pair, the update has only been confirmed for the European market with model numbers SM-G930F and SM-G935F. (more...)
Magellan Midstream Prtnrs LP (MMP) Shareholder Atlantic Trust Group LLC Decreased Stake
About 654,024 shares traded or 22.73% up from the average. Over the a year ago, Magellan Midstream Partners, L.P. (NYSE:MMP)'s stock has performed -11.40%. MMP's profit will be $230.47 million for 16.20 P/E if the $1.01 EPS becomes a reality. The institutional investor held 14.87 million shares of the natural gas distribution company at the end of 2017Q4, valued at $1.05 billion, down from 15.07 million at the end of the previous reported quarter. (more...)
Atari's new console combines 4K visuals and arcade classics
The rippled, retro-looking box will be available in an Onyx (ie, black) version or a special wood-fronted Collector's Edition. Atari has teamed up with AMD for the VCS processor, using Radeon Graphics Technology. It sounds like a cross between a "retro" console, like Nintendo's Classic Mini line, and a more modern, indie-focused machine, like the Nvidia Shield or the ill-fated Ouya. (more...)
Fortnite Season 4 Releases With Hop Rocks And More
Players will no doubt be incredibly eager to experience the new season 4 update when it launches later today, with Fortnite servers going offline until the new patch is installed. There have been rumours that are based around everything from (seemingly) random controller vibrations, to the online astrologists simply working it out from the position of the comet in the skies. (more...)
Usage of Mobile Phones May be Allowed During Flights
Moreover, the pricing would be left to airlines and the provider. The Home Ministry has already given its nod to the proposal. "Almost all recommendations by the Telecom Regulatory Authority of India on this have been accepted". Telecom Secretary Aruna Sundararajan talking to reporters said that nearly all recommendations by the Telecom Regulatory Authority of India ( TRAI ) on this have been accepted. (more...)
Cyberpunk 2077 to feature at E3 2018
Anyone that's been following what the devs are up to will know that Cyberpunk 2077 is at the top of their list of projects. A role-playing game from CD Projekt Red will indeed be at this year's Electronic Entertainment Expo. We immediately reserve that such revelations must always be treated with an appropriate distance. Fortunately for you and us, we'll be visiting E3 this year and we will most certainly head to the CD Project Red booth to see what goodies they'll have for everyone. (more...)
2018 iPhones may exclude headphone…
Now, though, it might be having second thoughts. In a note to investors seen by MacRumors , Blayne Curtis wrote: "We now model no dongle this year". From a business point-of-view, it's understandable why Apple would want to discourage users from retaining older wired headphones. Although the dongle has helped ease the transition to elimination of the headphone jack since the iPhone 7's debut, Apple may no longer feel the need to bundle it as AirPods and other wireless headphone become ... (more...)
The Public Multiplayer Beta For Stardew Valley Is Live
Once these steps are completed you'll have the option to select the beta branch of the game which features multiplayer and Steam will begin updating the game. Anyone that owns Stardew Valley on Steam can join the Multiplayer beta. The beta build also has some new single-player features, including hats for your horse, a Winter Market Festival, and new character events and cutscenes. (more...)
PUBG players arrested over hacking in China
I had also experienced such incident, once we regularly played CSGo in order to have fun, to play as a team, but we began to face hackers or cheater in competitive matchmaking to which I personally felt bad and therefore its now history. In the meantime, we've also been continuously gathering information on hack developers (and sellers) and have been working extensively with multiple partners and judicial authorities to bring these people to justice. (more...)
3D Touch to Be Dropped From New iPhones
This is according to a report by Fast Company, which stated senior Apple executives have acknowledged the smartphone is not selling well. Tim Long of BMO Capital today cuts his iPhone estimate for this fiscal year to 209 million units from what he thought would be 220 million. (more...)
Yellowstone Partners LLC Sells 1738 Shares of Apple (AAPL)
Proffitt & Goodson Inc.'s holdings in Apple were worth $1,923,000 at the end of the most recent reporting period. The stock decreased 0.84% or $0.35 during the last trading session, reaching $41.99. Two research analysts have rated the stock with a sell rating, seventeen have issued a hold rating, thirty-two have assigned a buy rating and one has given a strong buy rating to the company. (more...)
LG's Boombox speakers in G7 ThinQ are 10X louder than other smartphones
LG announced that the upcoming G7 ThinQ will feature a " Boombox Speaker " that allows for louder sound with more bass. LG has claimed that the phone will be able to attain its 10x volume boost due to the design and the abundance of space on the inside of the smartphone which instead acts as a resonance changer. (more...)
Ask Siri to define "mother" twice and you're in for a shock
Writing on Reddit's Apple subreddit , user "thatwasabaddecision" pointed out that Siri went all Samuel L. Jackson ( NSFW link ) after being asked to define the word "mother". Apple will most likely fix this soon, so Siri isn't reading out motherf*cker to kids. Apple hasn't commented on this yet, but we'll update if the company releases a statement. (more...)
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