text:
Board of Directors + Staff
Board Org Structure
Guidestar Report
Organization History
Service Summary
Counties and Population Served
LGBT Friendly Senior Housing
2018-2019 Housing Guide
Winter 2018-2019 Newsletter
Ms. Sandy Anderson,
CPA/PFS, CGMA, Accredited Domestic Partnership Advisor (ADPA®) and CERTIFIED FINANCIAL PLANNER™
Ms. Anderson is retired from Texas Instruments after a long career supporting a multitude of domestic and international roles in Operations, Finance and Accounting with an emphasis on financial process improvement and talent development. She currently works for Anderson & Associates Financial, LLC as a personal financial planner, and for Anderson & Associates Consulting, LLC as a business consultant in Finance, Operations and Accounting issues.
Ms. Anderson's community involvement has included multiple terms as a member of her homeowners association in various positions; and, as a Deacon and Stephen Minister at her church. Ms. Anderson is the winner of D CEO Magazine's 2012 Financial Executives Award for "Outstanding Chief Accounting Officer, Controller, or Treasurer – Public Company". She is a US Army Veteran and continues to support Veterans through her lifetime membership with the Disabled American Veterans (DAV) as well as a big sister in Big Brothers Big Sisters, Military Mentors Program. She also serves on the Collin County Big Brothers Big Sisters board on the Board Development committee. She is a member of and active in the AICPA, Dallas CPA Society, FPA, FPA-DFW, the North Texas LGBT Chamber of Commerce; and, also serves as the board Treasurer for the Coalition for Aging LGBT, chair of the Finance and Fundraising committees, and serves on the Governance committee.
Mr. Robert Emery
Founding Board Member
Robert is a founding board member of the Coalition For Aging LGBT, and has served as Vice-Chair. He has been a busy civic volunteer for more than 40 years. Robert is also a founding board member of The Dallas Way: a GLBT History Project. He has served on the Board of Directors of Black Tie Dinner and the Friends of WRR, Dallas' classical music radio station (101.1 on your FM dial). Robert was Grand Marshal of the Alan Ross Texas Freedom Parade in 2013. He served on the planning committee for the "Queer History South" conference in Birmingham, AL, and is working to bring the conference to North Texas in 2020. He serves on the planning committee for the "Arts District Block Party", held annually in the Dallas Arts District. He is a member of the DFW Federal Club, and is a "1 st 100" contributor to the Texas Pride Impact Fund. He is pleased and proud to be "Uncle" to EmeryAnn, Finley, and River. Robert is dedicated to bringing LGBT+ Senior Housing to Dallas.
Ms. Kim Macpherson
Kim and her wife Janet (Fi) Macpherson have been long time social activists for the LGBTQ community, protesters for racial equality and advocates for women's rights in the North Texas area for almost 40 years. Over the years, in the fight for gay and lesbian equal rights, Kim and Janet participated in the 1989 March on Austin, the 1993 One in a Million March on Washington, the 1994 Gay Games / Stonewall 25th, and many Gay Pride parades throughout the country. Some of the key events in the struggle for racial equality and equity as well as women's rights, includes protesting against the 1988 Ku Klux Klan rally in downtown Dallas, marching in the 1992 March for Women's lives in Washington DC, and in 1993 serving as protectors for women seeking entrance into an abortion clinic in Houston, TX. The various boards, committees, conferences, community, and political activities that Kim has served on and/or participated, on behalf of the LGBTQ community, include Big Brothers / Big Sisters, Democratic Delegate for 2004 State Convention, PFLAG Denton County board member, Texas Lesbian Conference (1988-2004) participant, Lez Talk Woman's Empowerment Conference (2018) panel member / attendee, HRC Dallas Federal Club committe member, Dallas Black Tie table sponsor, Lambda Legal Southwest Region Board member. Currently, Kim serves as a board member of the Coalition for Aging LGBT, and is the chair of the CFA signature fundraising event, Dallas Wings Celebrity Serve.
Professionally, Kim worked twenty-eight years in the business world in sales and has spent the past eleven years teaching high school English at Irving High School where she is one of the faculty sponsors for the Tiger Pride-Gay Straight Alliance student group. She will celebrate her 40th anniversary with the love of her life, Janet (Fi) Macpherson in February, 2020.
Ms. Emma Rose Colquitt-Sayers
Emma has been an entrepreneur in the Dallas-Ft. Worth area for the past 29 years. Currently, she is president/CEO of Cardiac Dynamics, LLC, a mobile diagnostic lab specializing in non-invasive cardiovascular procedures as well as temporary cardiovascular ultrasound staffing to doctors' offices, medical clinics and hospitals in the North Texas area. She is a woman of integrity who believes that high quality patient care and excellent customer service is a "Right" that everyone is entitled to. Ms. Colquitt-Sayers is a registered cardiac sonographer (RDCS) and a MBA graduate from Texas Women's University. Emma's community support is exemplified through her active affiliations with the following organizations: Celebration on the Lake Church Board of Directors, Leadership Texas Alumnae Board - President, Committee of 30, an advisory board for Women's Athletics, Florida State University, Grand Prairie Emergency Medical Services Advisory Board, YWCA Metropolitan Dallas Board of Directors, Arlington Museum of Art Board of Trustees, American Heart Association, Dallas Chapter Board of Directors, Junior Players Guild Board of Directors, Oak Lawn Community Services – Fundraising Chairperson and Board President, and Creator of Emma's Elves, a Christmas project for families in need.
Emma has been honored by the following awards:
1995 Recipient –"Quest for Success Award", Dallas Black Chamber of Commerce and WFAA-TV (Channel 8)
1989 Recipient –"The Extra Mile Award", Honoring Dallas Women for their Community Service.
Ms. Jennifer Brown-Hodge
Jennifer Brown-Hodge is an experienced Business Development and Sales and Marketing Director for senior living in the Dallas and Fort Worth area and Board Member for the Coalition for Aging LGBT board. She is also Housing committee team member. Jennifer's passion lies with helping all people achieve equality in health, home, happiness, and every aspect of our lives, in addition to serving those affected by Alzheimer's and dementia.
Personally, Jennifer enjoys theatre in all aspects, whether performing or attending. The arts are a necessity to life!
Ms. Carolyn Roney
Carolyn is recently retired from Legend Senior Living where she worked as the Assistant Director at Rosewood Assisted Living and Memory Care. This work was her "what do you want to do when you grow up" adventure. Prior to this she worked at several companies in Human Resources and left that field as the VP, Human Resources at Staff One. She is an Extra Mile Award winner and was recognized for her volunteer work on the Board of Oak Lawn Community Services and Chair of Lifewalk for two years. She also served on the Black Tie Dinner (BTD) Board as Chair of Board Governance and Secretary and BTD Advisory Board.
Mx. Jaime Esposito
Jaime Esposito is a percussion performer and educator in the DFW area. In 2018, they co-founded Spectrum Ensemble, which highlights talented musicians in the LGBTQA+ community. The ensemble commissions new music by Queer composers which showcases the talents of the underrepresented artists of the LGBTQA+ community, and performs these works around the country. Jaime frequently plays with Las Colinas Symphony Orchestra, Texarkana Symphony, Allen Symphony, and Abilene Philharmonic. They have also had the opportunity to travel around the word and perform with groups such as the International Lyric Academy, Britten-Pears Festival Orchestra, World Percussion Group, and Heartland Marimba. Jaime maintains a private lesson studio of 50+ students in the Hurst Euless Bedford (HEB) school district.
Jaime is passionate about the queer community and beyond excited for the opportunity to serve as a Board Member for the Coalition for Aging LGBT.
To find out more about Jaime and what they do check out the links below!
www.spectrumensemble.org
www.JaimeEspositoPercussion.com
Organization Staff
Briana Monsalve
Project Lead and Organization Outreach Manager
Email: BMonsalve@cfa.lgbt
Briana is a communications professional who is passionate about working collaboratively to make an impact and serve her community. She graduated from Southern Methodist University as a Hunt Leadership Scholar, Engaged Learning Fellow, John Goodwin Tower Award recipient, and with honors. Briana has more than three years of professional experience in non-profit, corporate, academic and international work environments providing strategic communications support, community engagement development, process improvement and organizational support.
From leading a jean drive for homeless teens in high school to advocating for equitable education across Dallas ISD as a CAMP Fellow, Briana continues to be an active member of her community and advocate for the needs of marginalized communities. Briana's academic achievements include published research on the methods and strategies of intercultural communication in advertisements and print media in a uniquely global city, as well as completing a qualitative research study of the Jubilee Park community with the Hunt Institute for Engineering and Humanity.
Briana believes in the importance of making meaningful and lasting connections across communities as a means to drive change, inspire others and build a more inclusive future.
DR Mann Hanson
Project Lead and Volunteer Outreach Manager
Email: DRMannHanson@cfa.lgbt
DR is a trained theatre artist and queer advocate since birth. A Navy brat, DR and family followed their mother around the world before ending up in Dallas where she retired after 20 years of service and DR grew up. Pursuing theatre took him to New York City and San Francisco where he achieved his BA in Theatre from San Francisco State University. After a brief stint back in Dallas where he met his now husband, DR returned to NYC where he produced, directed, and acted in many Off & Off-Off Broadway companies. Returning home to be closer to family, DR found himself on the administrative side of theatre and worked at the non-profits WaterTower Theatre and Dallas Theater Center before entering the world of free-lance. With newfound freedom and energy DR has joined the Board of Arttitude and now proudly joins the staff of Coalition for Aging LGBT family. He is also the proud co-owner of Common Ground Games which his husband co-owns and manages and the Founder and Artistic Producer of CinéWilde, the country's only monthly LGBT Film Series. A Radical Fearie at heart, DR is on a path of compassion and advocacy for all members of the LGBT Spectrum and is dedicated to shattering the many myths that prevent us all from embracing our true selves and creating a safe and fulfilling society for all.
CFA LGBT © Copyright 2015-2019. All Rights Reserved.
Coalition for Aging LGBT is a non-profit, IRS 501(c)(3) organization
incorporated and operating in the State of Texas (EIN#: 81-1968355).
Organization Mailing Address
Coalition for Aging LGBT


Dense, with a pleasantly sweet aftertaste, this balsamic is perfect for barbecue meats, fish, cheese, fruit and more. Add directly to all your favorite foods as a thick and delicious sauce.
This is good, but there is a world of difference between this and a 10 year aged.
This balsamic vinegar is so flavorful and has the body to adhere to any food. It is delicious as a salad dressing on its own and wonderful mixed with olive oil for a bread dip.
"expensive, but totally worth it - great gift"
Yes, this jar of vinegar is pretty darn expensive but you just can't find cheaper ones that are this thick, rich, and sweet. I use this whenever I want to finish a salad with balsamic flavor (not so much to cook with, which would be a waste).
Loved the two gold medal version and wanted to try the next tier.
Daughter brought some from Italy and we loved it...!
LOVE THIS VINEGAR!!!!! IT IS WORTH EVERY PENNY!!!!
Took a cooking class in Florence, Italy. This balsamic vinegar was amazing.
My daughter in law wants it for Xmas.
I first tried this balsamic vinegar in Italy and have been hooked ever since. It is delicious, particularly drizzled on fresh heirloom tomatoes. If you haven't tried it, you may be asking yourself "is it worth it?" The answer is YEEEEEESSSS!
Best balsamic I've ever had in my life. Highly viscous, sweet, delicious to a point of addiction! Buying additional bottles as gifts for family members.
This is the best balsamic vinegar ever. I have used it for many years. A little goes a long way, so, although it is quite expensive, it lasts a long time.
I brought this back from Italy and thrilled I found it here. The taste is light and sweet with that tart balsamic finish. I can use it on anything and highly recommend it.
Bought some while in Italy and continue to buy here in states - EXCELLENT!
It made a nice affordable gift.
It is the best I have ever had. Good on everything but especially good on fruits. Strawberries are one of my favorite with a little of this drizzled. Delicious.
Tasted at a friends house. It was great!
I love this vinegar. Been looking looking for this. Bought the first one at Williams Sonoma and they don't seem to carry it anymore.
I absolutely LOVE this! It is wonderful with a great EVVO to dip your fav crusty bread, or for salads and other finishes or with fruits. I highly recommend this.
Perfect gift for a foodie who has it all.
I first had this in Italy!! it is amazing!
Looks like a quality product. good reviews.
found it in Italy. want more of their products.
A little pricey, but so worth it!! Tastes great!!!
I like the packaging, and it looks like good vinegar. Makes a nice gift.
Great taste. Used this for many years.
Previously purchased and liked the product.
My sister gave me this and it is fabulous. I used to spend hours reducing vinegars to use with prosciutto and melon and this works as is as it's already thicker and delicious.
I love this balsamic. it is the best I have ever had!
I have used this item before and like it.
This vinegar is so good. I enjoy with salads and more.
The price use to be $28 but it went up to $38. Now they give $20 off on $75 orders so I decided to buy them.
I recommend strongly to everyone!! Just try it, you won't regret!!
Thick, rich and great as a salad dressing without added oil.
How long has this been aged?
BEST ANSWER: It doesn't specify on the bottle. But, from tasting it, it compares with a 12 to 20 year - good to put on steaks, salads, vegetables, etc.
I don't know, but it was delicious!!!
I'm sorry. I have no idea.
how many ounces is in this bottle?
BEST ANSWER: 250 mL (8.45 fl oz). And you should really get it--it's fantastic!


text:
extern crate plugin;

mod inner {
    use plugin::WithHelper;

    #[derive(WithHelper)]
    struct S;
}

fn main() {}

redpajama_set_name: RedPajamaGithub


text:
#ifndef __MUTITOUCHTEST_H__
#define __MUTITOUCHTEST_H__

#include "../testBasic.h"

class MutiTouchTestLayer : public CCLayer
{
public:
    bool init();

    virtual void registerWithTouchDispatcher(void);
    virtual void ccTouchesBegan(cocos2d::CCSet *pTouches, cocos2d::CCEvent *pEvent);
    virtual void ccTouchesMoved(cocos2d::CCSet *pTouches, cocos2d::CCEvent *pEvent);
    virtual void ccTouchesended(cocos2d::CCSet *pTouches, cocos2d::CCEvent *pEvent);
    virtual void ccTouchesCancelled(cocos2d::CCSet *pTouches, cocos2d::CCEvent *pEvent);

    CREATE_FUNC(MutiTouchTestLayer)
};

class MutiTouchTestScene : public TestScene
{
 public:
  virtual void runThisTest();
};

#endif /* __MUTITOUCHTEST_H__ */


In December 2010, Porsche has released a new Porsche 911 GT2 RS promo video showing the most extreme Porsche 911 they have ever built.
Watch the fastest, most powerful road-going Porsche ever built. In this video the 911 GT2 RS is driven to extreme both at the Porsche Experience Centre and on the world famous Silverstone Grand Prix circuit.
The Porsche 911 GT2 RS has a 3.6-liter 6-cylinder boxer engine mounted in the rear that sends 620 hp to the rear wheels. The official Porsche 911 GT2 RS specs say the car can hit 100 km/h in 3.5 seconds and that it has a top speed of 330 km/h. To make the journey from 0 to 300 km/h in a Porsche 911 GT2 RS takes just 28.9 seconds. In other words, you can outrun helicopters in this thing. The bad new is that you have to able to part with 200,000 EUR for a Porsche 911 GT2 RS. We have more bad news. They will only build 500 of them, which are all sold already.


Water intake at the treatment plant can come from a number of different sources. Surface waters come from rivers, lakes and reservoirs, which may have a wide range of chemistry with high mineral and metal contents, chloride levels and particulates. Ground waters taken from underground springs, water tables and wells are low in oxygen or fully de-aerated with varying amounts of hydrogen sulphides and sulphate reducing bacteria.
The objective of water treatment is to produce safe and potable drinking water. Generally to treat surface water (e.g. river water, lake water and well water) the treatment process consists of Coagulant Dosing, Mixing, Flocculant-Aid Dosing, Flocculation, Sedimentation, Filtration and Disinfection before distribution as drinking waters.
The main goals of such package units are removing suspended solids, turbidity and pollution from the available raw water in each area, providing a treated water quality based on WHO, European or national standards. The applied design criteria and the components of a water treatment plant depend on the turbidity and pollution of a known raw water source.
Flash mixing & flocculation compartments, equipped with mechanical mixers.
Sedimentation packages in combination with sludge recirculating facilities for minimising the chemical consumption.
Filtration units, based on quality of the available raw water will be design as Gravity or pressurised filters.
Disinfection units, a pre-disinfection in combination with a post-disinfection.
In case of other raw water pollutants e.g. Ammonia, Iron, Manganese, Arsenic, Colour, Odour, dissolved Gases etc, either additional compartments in connection to the main plant can be used or we supply a separate plant to remove any specific problem.


Complete your windows with this Rissington Stone vertical blind.
With its soft tones of natural orange colours, artistically dashed and textured, this blind is a perfect addition to any room. From a distance it's subtle but up close, full of depth.
This vertical blind is highly customisable. With a range of stacking options and possibilities this blind will suit a range of different windows. You have the choice to make this blind truly one of your own.
At Blinds Direct we care about producing the highest standard of vertical blinds. That's why we choose to stitch our louvers as opposed to using glue. Made in-house, you will guaranteed a blind to the utmost quality standard.


text:
"""
    sphinx.util.jsonimpl
    ~~~~~~~~~~~~~~~~~~~~

    JSON serializer implementation wrapper.

    :copyright: Copyright 2007-2014 by the Sphinx team, see AUTHORS.
    :license: BSD, see LICENSE for details.
"""

import UserString

try:
    import json
    # json-py's json module has no JSONEncoder; this will raise AttributeError
    # if json-py is imported instead of the built-in json module
    JSONEncoder = json.JSONEncoder
except (ImportError, AttributeError):
    try:
        import simplejson as json
        JSONEncoder = json.JSONEncoder
    except ImportError:
        json = None
        JSONEncoder = object

class SphinxJSONEncoder(JSONEncoder):
    """JSONEncoder subclass that forces translation proxies."""
    def default(self, obj):
        if isinstance(obj, UserString.UserString):
            return unicode(obj)
        return JSONEncoder.default(self, obj)

def dump(obj, fp, *args, **kwds):
    kwds['cls'] = SphinxJSONEncoder
    return json.dump(obj, fp, *args, **kwds)

def dumps(obj, *args, **kwds):
    kwds['cls'] = SphinxJSONEncoder
    return json.dumps(obj, *args, **kwds)

def load(*args, **kwds):
    return json.load(*args, **kwds)

def loads(*args, **kwds):
    return json.loads(*args, **kwds)


The Heritage Trail Tour takes you on a short trip to see some of the oldest and largest forts and temples of North India.
All trips are fully customisable, Just fill in the inquiry form or call Mr Singh today to book your trip.
Pick up from Delhi airport or accommodation and drive directly to Agra. Check in to Hotel. After check-in, explore Fort Agra which brings to life the story of the Mughal Empire with an afternoon trip to see the Mehtab Bagh. Return to the Taj Mahal to experience the monument at sunset.
Please note: Taj Mahal is closed on Friday's.
Night stay in Agra hotel.
Gwalior is a city in the central Indian state of Madhya Pradesh. Within the forts high walls are the 15th century Gujari Mahal Palace, now an archaeological museum.
Night stay in Gwalior hotel.
After breakfast you visit the Gwalior fort,Jai Vilas Mahal,sun temple, Scindia museum,Teli ka mandir after finish the sightseeing.
After breakfast, begin your journey to Orchha. Check in to Orchha hotel upon arrival before lunch. Orchha is a 16th century town on the bank of Betwa river, in the central Indian state of Madhya Pradesh. You will visit the Orchha - Ram Raja temple, Jahangir Mahal Orchha, Orchha Fort Complex.
Night stay at Hotel in Orchha.
After breakfast continue the driver World Heritage site of Khajuraho. In Khajuraho you will visit India's largest Jain temple, Hindu temple and Kamasutra temples.
Night stay in Khajuraho hotel.
After breakfast you visit the Panna Tiger Reserve jungle and can enjoy an optional Jeep Safari. Afternoon you return to Khajuraho return to hotel and night stay in hotel.
Please note: Jeep Safari is extra.
After your breakfast you will be dropped at the airport or train station for your onwards flight.
4 Star = Prices available upon request of dates.
5 Star = Prices available upon request of dates.


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Lahore: PML-Q President Chaudhry Shujaat Hussain has said elections are not visible in the present situation.
Talking to the media Pakistan Muslim League-Quaid (PML-Q) chief Chaudhry Shujaat Hussain said that at this time the politicians have become an enlightenment of the Gomach Ghech. It is difficult to conduct general elections in the environment.
Chaudhry Shujaat Hussain claimed that the environment regarding election would be clear in some time if the elected then the supervisor will not be from Punjab, but the supervisory Prime Minister Sindh will come from Sindh.


Emphasis on travel, communication, and problem solving.
Start with figuring out how to use your deoderant.
Also, your moon position is disturbing. Spandex no longer flatters you.
Too many cheeseburgers, I fear.
Today, try saying no to ground meat, processed cheese, and soft buns. Thank you.


I booted the Ubuntu Desktop i386 Alpha2 Live Session on a IBM Thinkpad T23. When it reached GNOME, it said that this computer could not run Unity. I chose to run the classic system. However, when it loaded, it didn't load the panels. Everything else seemed to work, but I could not be certain without the panels. Below is the information obtained by lshw on this computer's hardware.


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text:
Die LG Menden ist eine Leichtathletikgemeinschaft aus Menden im Sauerland.

Die erste LG Menden wurde 1990 gegründet und war ein Zusammenschluss der Leichtathletikabteilungen der Vereine SV Menden, TuS Lendringsen und des VfL Platte Heide.

1991 gewann Sigrid Wulsch im Trikot der LG Menden die Deutsche Meisterschaft im Marathonlauf. Sigrid Wulsch gilt mit ihren sieben Siegen auch als die Königin des Silvesterlaufes von Werl nach Soest. Volker Welzel konnte diesen ebenfalls 1983 und 1990 gewinnen.

Zum 31. Dezember 2008 wurde die LG Menden durch den Austritt der zwei Stammvereine SV Menden und VfL Platte Heide aufgelöst. Zum 1. Januar 2009 gründeten die jeweiligen Leichtathletikabteilungen vom Sportverein Menden 1864 und VfL Platte Heide eine neue LG Menden. Ihre Heimat ist das Huckenohlstadion. Dort finden sowohl das Training, als auch von der LG Menden ausgerichtete Wettkämpfe, insbesondere für Schüler und Jugendliche, statt.

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 LG Menden

Leichtathletikverein aus Nordrhein-Westfalen
Sportverein (Menden (Sauerland))
Gegründet 1990
Aufgelöst 2008
Gegründet 2009

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E.P. Carrillo Cigars The God Father of Cigars is Back!
After 30+ years in the cigar industry and selling his first company (signature brand La Gloria Cubana) to Swedish Match, Ernesto Perez-Carrillo started EPC Cigar Co. with his son, Ernie, and daughter, Lissette, to create a boutique brand that is distinguished by its unique flavors and aromas, and high-quality construction.


Why should we pray for our earthly rulers?
What does God desire for them and for all people?
How might such prayers advance the cause of the Gospel?
God commands us to pray for our leaders.
God's desire is for everyone to be with him in heaven.
Public prayer vs 1-7 (for public and officials) really in today's politically contentious world, would be for Democrats and Republicans to pray for one another. Having said that, we actually might look at the elected officials and pray for the country .
St. Paul said to pray even for corrupt government (and Timothy was one of his special students even under Nero and it couldn't get much worse for Christians).
God desires for this end…that all "men" to be saved and come to the glory of God, and our prayers should reflect that fact.
Praise Christ in whom "ALL WISDOM is PERSONIFIED".


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You are here : Home / Latest News / Delivering a healthier future – how CCGs are leading the way on prevention and early diagnosis
Delivering a healthier future – how CCGs are leading the way on prevention and early diagnosis
NHSCC have launched a new publication Delivering a healthier future: How CCGs are leading the way on prevention and early diagnosis.
The report showcases a range of innovative case studies from across the country, which demonstrate the difference that clinically led commissioning is making, with the projects featured only made possible through the influence, expertise and local knowledge brought by frontline GPs and clinicians.
NHS England Chief Executive Simon Stevens, who provided the foreword for the report, welcomed it saying:
"The case studies in this report show commissioners across the country are taking prevention and early diagnosis seriously. It's heartening to see that CCGs are driving improvements in a wide range of areas including mental health care, early diagnosis of cancer and stroke prevention."
Dr Amanda Doyle, NHSCC co-chair and Chief Clinical Officer of Blackpool CCG said:
"There can be a real temptation in today's stretched NHS to hunker down, to try to deal as best we can with what's in front of us, and leave tomorrow to take care of itself. However, while we know that there are very real immediate pressures that need to be dealt with we also know we have to plan for the future.
This report shows that CCGs are doing just that. They are taking a longer-term view and focusing on early diagnosis and prevention rising to the challenge of making long-term transformative changes to ensure a sustainable and effective NHS for patients and local populations."
Focusing on prevention and early diagnosis, the case studies in this publication show that even in challenging times, CCGs are bringing together all the players in their local areas to drill down to the very essence of what populations want and need – and how it can be achieved. They show how CCGs:
Are taking the lead in preventing illness and the causes of ill health – and working to keep people out of hospital where possible
In South Worcestershire, proactively working with older people living with frailty shows promise in preventing A&E attendance and hospital admissions.
In Brighton and Hove, the preventing premature mortality audit is combining data with the stories of people's care to gain insight into how early deaths could be prevented.
In Blackpool, work is being carried out to prevent people getting type 2 diabetes – and to support those who have been diagnosed to manage their condition.
In Chorley and South Ribble and Greater Preston, efforts are being made to prevent hospital admissions in people with COPD – and to prevent c. difficile infections in the community.
In South Kent, working with the voluntary sector is helping to ensure that people who wouldn't normally access health services are getting care such as flu vaccines.
Are helping to ensure that people are diagnosed earlier and given the support that they need
In West Hampshire and Barnsley, CCGs are focusing on atrial fibrillation as part of comprehensive efforts to prevent stroke.
In Camden, the CCG is using peer educators to improve cancer awareness throughout the borough, particularly in areas of high deprivation and in the Bengali population.
In Corby, the CCG is leading the way in earlier diagnosis and prevention of HIV and AIDS.
Are working across boundaries to build on what people want and need to help them lead longer, healthier lives
In Hartlepool and Stockton-on-Tees, commissioners are working with the voluntary sector to build resilient communities that live longer, healthier lives.
In Cornwall, the Living Well project is bringing together health, social care, the voluntary sector and communities to help people take control of their lives.
In Gloucestershire, the CCG is using social prescribing to build on patients' strengths and desires to improve health and wellbeing.
Dr Steve Kell, NHSCC co-chair and Clinical Chair of Bassetlaw CCG, said:
"Delivering a healthier future highlights how CCGs across England are following the vision of the Five Year Forward View and putting prevention at the forefront of their efforts to improve the health and wellbeing of their local populations. There are inspiring examples of real-life projects that are already having an impact and truly demonstrate the positive difference that local clinically led commissioning can have for patients and communities.

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The Syrian Mental Health Crisis: Present Findings and Future Directions
Ahmad Hassan
Hassan A. The Syrian mental health crisis: present findings and future directions. Harvard Public Health Review. 2019;21.
The Syrian refugee crisis has displaced more than 6 million Syrian citizens and has adversely impacted the mental health of millions of people. In the seven years since the Syrian crisis began, a generation has come of age in a war zone. Some call them the lost generation of Syrians. Nonetheless, in a crisis zone, the need for triage is constant. Thus, most organizations and institutions responding to the Syrian crisis reasonably prioritize the provision of lifesaving water, food, clothing, and urgent medical care over mental health care.
This review evaluates the prevalence of psychopathology among Syrian refugees, with a focus on post-traumatic stress disorder (PTSD) and mood disorders. On behalf of the victims of the Syrian crisis, this study calls upon all aid organizations and institutions to help in any way they can. In the near term, Telepsychiatry appears a viable option to provide mental healthcare to refugees.
The Syrian civil war began in March 2011 when, in the town of Daraa in southwest Syria, government troops responded violently to anti-government protesters. This caused waves of anti-government protests throughout Syria. In response, government troops acting on orders from the Assad regime repeatedly used deadly force against demonstrators (Hassan et al., 2016).
As the violence escalated, Syrians fled to surrounding nations. Within one year, the United Nations High Commissioner for Refugees (UNHCR) registered nearly 30,000 Syrian refugees, with a larger unregistered population living outside of refugee camps. At the time of this writing, the UNHCR has identified approximately 13.5 million Syrians requiring humanitarian assistance. Of these refugees, 5 million are located outside of Syria and 6 million are internally displaced.
Nearly one million Syrian refugees registered by the UNHCR currently reside in Lebanon. Lebanon hosts more Syrian refugees than any other nation in the Middle East (ILO Employment Profile, 2014). The population of Lebanon has increased approximately 25% since March of 2011. This population explosion has strained Lebanon's anemic health-care system and economy (van Vilet & Hourani, 2014).
While some areas offer greater security, access to aid, and living conditions than do others, most Syrian refugees endure tragic conditions. About half of Syrian refugees are minors, and around 40 percent are under 12 years of age (Alpak et al., 2014). Children are fragile. They are more likely to suffer costly lifelong complications from traumatic experience than are adults.
Most organizations and governments provide prioritize medical aid and food to Syrian refugees and offer precious little mental health treatment. One contributing factor to this phenomena, besides triage training, may be a lack of data concerning the prevalence of psychopathology among Syrian refugees.
Mental Health of Refugees
Syrian refugee children who have experienced trauma are at high risk for several mental health issues, including severe emotional disorders and PTSD (Kazour et al., 2017). The UNHCR noted that "the most prevalent mental health problems among Syrians include depression, prolonged grief disorder, post-traumatic stress disorder and various forms of anxiety disorders" (UNCHR, 2015). According to a study conducted in Islahiye camp in southeast Turkey, most Syrian refugee children have experienced high levels of trauma: almost 80 percent had experienced a death in the family; 60 percent had witnessed physical assaults; and 30 percent had suffered physical assaults and battery. Nearly half of all Syrian refugee children interviewed in this study displayed symptoms of PTSD and 44 percent of children reported symptoms of depression (Icduygu, 2015).
A study published by the German Federal Chamber of Psychotherapists estimated that as many as half of all Syrian refugees residing in Germany experience some form of mental health issue. Along with depression, the most common mental health disorder among Syrian refugees is PTSD. Yet, only one in four PTSD sufferers living in refugee camps receive treatment (Munz and Melcop, 2018). The president of the German Federal Chamber of Psychotherapists, Dietrich Munz, estimated that while 3,000 to 4,000 psychotherapy sessions are offered annually in German refugee camps, the demand might be 20 times higher. Turkish government authorities indicated that 55 percent of refugees are in dire need of psychological services, with almost half of Syrian refugees indicating that they themselves or family members require mental health support (Icduygu, 2015). Yet, it is estimated that merely 5 percent of the necessary psychotherapy is provided for refugees in Turkey, Lebanon, and Syria. The International Medical Corps (IMC) undertook a study involving IMC-supported Syrian refugee centers in Jordan, Lebanon, Syria, and Turkey. The findings of this study highlighted the severity and prevalence of psychopathology among Syrian refugees, with 54 percent of refugees experiencing severe emotional disorders and 26.6 percent of children having intellectual and developmental challenges (Almoshmosh, 2015). These studies unequivocally demonstrate the substantial proportion of Syrian refugees suffering from mental illness without adequate treatment.
Current Situation of Mental Health Treatment
On March 23, 2016, Amnesty International issued a report on the tragic situation of Syrian refugees residing in Jordan in regards to health care, stating that merely 117,000 Syrian refugees live in camps where education, health care, food, and water are readily accessible (Walcott, 2017). However, most Syrian refugees in Jordan live outside of these refugee camps and require certain government documents to access public services. Those who unofficially leave a refugee camp are not eligible to receive these government documents, leaving them without access to public services and reliant on private donors or humanitarian aid. The Jordanian government imposed new fees for refugees in November 2014, which provide them with access to subsidized medicines, but pose a heavy burden on the refugees, of which 90 percent are already living below the poverty line (Almoshmosh, 2015).
Syrian refugees in Turkey receive free basic health care once registered with the government, but language barriers can be a problem, especially in regards to mental health services. The IMC identified several ways to improve the quality of mental health services for Syrian refugees in Turkey. They include bridging the Turkish-Arabic language barrier, bundling mental health care with general health care, training and licensing more mental health professionals, addressing developmental disorders in children, and improving national mental health service provision and policies (Alpak et al., 2014).
The overall accessibility, availability, and quality of mental health services provided to Syrian refugees need improvement. Non-Arabic speaking nations should train and recruit translators to national health facilities and other service delivery points. Although the World Health Organization (WHO), IMC, and other organizations are training mental health care providers in several countries, such works should be expanded to Syria and to all countries with high populations of Syrian refugees. National health budgets must allocate more money to mental health services. There is an unusual lack of mental health professionals such as psychologists and social workers in Jordan, Lebanon, and Syria due to the absence of academic psychology programs and inadequate institutional oversight. Throughout the region, there is a need to train mental health professionals in the delivery of effective and proven psychological interventions for crisis-affected populations. In addition, governments must support the long-term planning and development of mental health programs. The status quo is far from ideal. Worldwide social and financial support is necessary to provide adequate mental health care to Syrian refugees.
Telepsychiatry as a Short-Term Solution
The delivery of adequate mental healthcare to Syrians living in refugee camps is a long-term project. However, immediate options may allow healthcare providers to overcome key barriers to treating refugees with mental health issues. One such option is telemedicine, specifically telepsychiatry. Telepsychiatry leverages technologies such as voice calling or video calling to allow remote providers to perform psychiatric evaluations, counseling sessions, and group or individual therapy sessions without the risks and logistics of travel. This method of treatment overcomes several barriers, notably those of social stigma surrounding mental health treatment, access to patients, and cost. A pilot study conducted by Hussam Jefee-Bahloul in affiliation with Yale University examining the willingness of Syrian refugees suffering from PTSD to participate in telepsychiatric therapy showed that of the sample surveyed, thirty-four percent reported a need to see a psychiatrist, and among them, forty-five percent were willing to participate in telepsychiatric treatment (Jefee-Bahloul, 2014). Another recent study conducted on Iraq and Afghanistan veterans suffering from PTSD found that telepsychiatry is equally effective as is regular, in-person treatment. The study analyzed the effectiveness of cognitive processing therapy received through video calling, and this method of treatment was found to be equally as effective as standard treatment delivered in person (Maieritsch, 2016). Given the effectiveness of telepsychiatry, along with the lack of adequate mental health treatment options available to Syrian refugees, it seems that introducing telepsychiatric services to Syrian refugee camps may be a viable option to improve mental health treatment provided to Syrian refugees in the short-term. Telemedicine is a relatively new field, and there are not many studies available on its effectiveness. However, in theory, it is the most practical and applicable method of treatment in the near future to deliver adequate care to Syrian refugees suffering from untreated mental illness.
Ahmad Hassan is with Yale University, in New Haven, CT.
Alpak, Gokay, et al. "Post-Traumatic Stress Disorder among Syrian Refugees in Turkey: A Cross-Sectional Study." International Journal of Psychiatry in Clinical Practice, vol. 19, 1, 2014, pp. 45–50., doi:10.3109/13651501.2014.961930.
Almoshmosh N. "Highlighting the mental health needs of Syrian refugees." Intervention, vol. 13, 181. 178, 2015, pp.181., doi: 10.1097/WTF.0000000000000085.
Assessment of the Impact of Syrian Refugees in Lebanon and Their Employment Profile. International Labour Organization Regional Office for the Arab States, 2014.
"Culture, Context and the Mental Health and Psychosocial Wellbeing of Syrians." United Nations High Commissioner for Refugees, 2015.
Hassan, G., et al. "Mental Health and Psychosocial Wellbeing of Syrians Affected by Armed Conflict." Epidemiology and Psychiatric Sciences, vol. 25, no. 02, 2016, pp. 129–141., doi:10.1017/s2045796016000044.
Icduygu, Ahmet. "Syrian Refugees in Turkey: The Long Road Ahead." Migration Policy Institute, April 2015.
Jefee-Bahloul, Hussam, et al. "Pilot Assessment and Survey of Syrian Refugees' Psychological Stress and Openness to Referral for Telepsychiatry (PASSPORT Study)." Telemedicine and e-Health, vol. 20, no. 10, 2014, pp. 977–979., doi:10.1089/tmj.2013.0373.
Kazour, Francois, et al. "Post-Traumatic Stress Disorder in a Sample of Syrian Refugees in Lebanon." Comprehensive Psychiatry, vol. 72, 2017, pp. 41–47., doi:10.1016/j.comppsych.2016.09.007.
Maieritsch, K. P., Smith, T. L., Hessinger, J. D., Ahearn, E. P., Eickhoff, J. C., & Zhao, Q. (2016). Randomized controlled equivalence trial comparing videoconference and in person delivery of cognitive processing therapy for PTSD. Journal of Telemedicine and Telecare, 22(4), 238–243. https://doi.org/10.1177/1357633X15596109.
Munz, Dietrich, and Nikolaus Melcop. "The Psychotherapeutic Care of Refugees in Europe: Treatment Needs, Delivery Reality and Recommendations for Action." European Journal of Psychotraumatology, vol. 9, no. 1, 2018, p. 1476436., doi:10.1080/20008198.2018.1476436.
Sirin, Selcuk R, and Lauren Rogers-Sirin. "The Educational and Mental Health Needs of Syrian Refugee Children." Migration Policy Institute, Oct. 2015.
Vliet, Sam van, and Guita Hourani. "Regional Differences in the Conditions of Syrian Refugees in Lebanon." Civil Society Review, 2014, doi:10.28943/csr.001.002.
Walcott, Ashley. "The Syrian Refugee Crisis: a Short Orientation." Ryerson Centre for Immigration and Settlement. RCIS, 2017.
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Susan Elizabeth Cook, Ph.D.
On the Images of Others
April 22, 2013 August 29, 2021 / susanelizabethcook
This post was first published in the Journal of Victorian Culture Online as "On the Images of Others." I am very grateful to the Editors for permission to re-publish it here.
As a Victorianist and a collector with an interest in photography, I decided, about a year ago, to begin amassing my own Victorian photography collection. I soon acquired three daguerreotypes, two tintypes, and eleven cartes-de-visite—all portraits, save two. I know very little about the images—no names, no dates, no locations beyond the photography studio imprinted on the cartes-de-visite. I have become transfixed by how little I know about these images.
Two of the people are fading away. One daguerreotype has become so transparent that it is possible to see the black cloth backing the image. What at first glance appear to be crumbs in the man's beard and on his jacket turn out, upon closer inspection, to be specks of dust on the cloth behind the image. The small carte-de-visite on which another man's image is somewhat crookedly affixed has lightened to a pale tan, the man's fabulous sideburns starting to fade into the background.
This second man gazes pensively to his left. What is he thinking about? Perhaps it is something serious, but just as likely something banal: his bow tie that is tied to tight, his neighbor's obnoxious habit of singing in the shower at five each morning, the photographer's tedious demands? His serious expression is not an anomaly, of course: of my remaining thirteen portraits, seven subjects come across as very serious and the remaining six offer their photographers hints of smiles at best—it's nearly the same expression, over and over again. Such poses are, as Geoffrey Batchen puts it, part of a developing "ritual of class declaration and belonging": "the subjects of these photographs adopt looks that are already familiar to them, probably from viewing paintings, prints or other photographs. Familiar, but also new and not yet quite natural." [1] These are individuals, then, but individuals attempting to conform to a type.
There they sit, this collection of individuals, arrayed on my desktop at home, becoming part of my environment. Looking at a photograph of himself, Roland Barthes asks "to whom does the photograph belong?" [2] Looking at images not of myself, I ask the same question. These daguerreotypes, tintypes, and cartes-de-viste are mine, but their subjects are utterly strange. How odd it is, to "own" an image of another—particularly an anonymous other.
I am disoriented when I spend too long with these images, a feeling not unlike the uncanny. Of course, these images were never familiar to me—they began as unfamiliar. Yet Freud writes that the uncanny persists "when there is intellectual uncertainty whether an object is alive or not." [3] This is how the portraits appear to me: alive and dead. In every photograph, claims Barthes, there is "that rather terrible thing…the return of the dead." [4] Barthes is referring to the return of a moment past, but in my images death quite literally refers to the photographic subjects. I know all the people in my photographs are dead by now—everyone, including the young girl who haunts me with her serious, adult-like expression, is long since gone. Yet quite uncannily, they appear to me to be alive, frozen in their images more than one hundred years after they sat before the camera—caught "somewhere between life and death," as Batchen puts it. [5]
Beyond their paradoxical position between life and death, these photographs are intriguing because I don't know the people whose images I have collected—and these images are themselves records of past lives. They present the illusion of a window into the past: a hint, a flavor, a suggestion, but ultimately no solid answers, no precise information. Coyly, these anonymous images dramatize the allure and the limits of historical knowledge itself.
These anonymous people have an uncanny afterlife in their portraits, which I inherit as their collector. As portraits, these faces are bought and sold, they are circulated, they are displayed, they are gazed upon. They are possessed.
As I find myself to be, when I look upon them.
Susan Cook is Assistant Professor of English at Southern New Hampshire University, where she teaches nineteenth- and twentieth-century British literature. When she is not collecting Victorian photography, she is writing about Victorian literature and visual culture. Follow Susan @Susan_E_Cook.
[1] Geoffrey Batchen, "Life and Death" in Suspending Time: Life—Photography—Death (Shizuoka: Izu Photo Museum, 2010), pp. 108-29 (pp. 115, 114).
[2] Roland Barthes, Camera Lucida: Reflections on Photography, trans. Richard Howard (New York: Hill and Wang, 1981), p. 13.
[3] Sigmund Freud, "The Uncanny" in The Standard Edition, trans. and ed. James Strachey (London: Hogarth P, 1955), pp. 219-56. (p. 233).
[4] Barthes, p. 9.
[5] Batchen, p. 108.
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2006: Anything But 'The Year of the Black Republican'
By Hazel Trice Edney, New American Media
As Democrats recaptured control of the House and Senate last week, Black Democrats won more than half of the 13 statewide offices they competed for while Black Republicans won none, debunking what the GOP had billed as "the year of the Black Republican."
The Black Democratic wins yielded one governor, two lieutenant governors, one attorney general, one secretary of state, one state treasurer and one commissioner of labor. Black Republicans ran for governor in Ohio and Pennsylvania and for the U. S. Senate in Maryland.
"It was a great year for Democrats," says David Bositis, senior analyst for the Joint Center for Political and Economic Studies, referring to both Black and White party members. Only 11 percent of Blacks voted for Republican congressional candidates, according to exit polls conducted by Edison Media Research and Mitofsky International for the Associated Press and television networks. That percentage is consistent with shares won by Republicans in the 2004 presidential race.
Terone B. Green, a Black Republican operative in Virginia widely known for his outspokenness and activism, says the Black Republican losses were fueled by more than just opposition to extended U.S. presence the Iraq.
"People are going to say it's the war, but Republicans just don't have a solid strategy to prevail in the Black community," he explained.
"You can run a Black Republican all you want to, but it's clearly evident that Black folks don't believe in them because Black Republicans do not prop up African-Americans in any significant way. Black people just don't trust Republicans. That's the bottom line."
Much of that distrust comes from the failure of Republicans to support issues favored by African-Americans. On the last NAACP Report Card, 98 percent of all Republicans in Congress received Fs, compared to only 2 percent of Democrats.
In recent years, only two Black Republicans have won U. S. House seats. They are former Connecticut Rep. Gary Franks (1992-1997) and Oklahoma Rep. J.C. Watts (1994-2003). They were the only Blacks elected to the House since 1932 and both won in districts that were at least 90 percent White districts. The only Black Republican elected to the Senate since Reconstruction was Sen. Ed Brooke who served from 1967 to 1979.
Republican Party Chairman Ken Mehlman, who had boasted that this would be the "year of the Black Republican," now says he will leave the chairmanship by January after this year proved to be the year of neither the Black nor White Republican.
"Give us a chance, and we'll give you a choice," he told the annual conference of the Conservative Political Action Committee in Washington, D.C. in February. Blacks rejected that choice, according to exit surveys.
Green says, "They just don't get it. They want people that they feel comfortable with. But they need to find Black candidates that can really identify with the Black community."
So far, that has been an uphill struggle.
All three of the statewide Black Republican candidates failed to get more than 25 percent of the Black vote.
They were: Ohio Secretary of State J. Kenneth Blackwell, who lost his gubernatorial bid with 20 percent of the Black vote; former Pittsburgh Steelers wide receiver Lynn Swann, who lost his Pennsylvania gubernatorial bid with 13 percent of the Black vote; and Maryland Lt. Gov. Michael Steele, who lost his senatorial bid received 25 percent of the Black vote. No Black Republicans ran for lower statewide offices.
Republican National Committee spokeswoman Tara Wall argued that this election represented progress.
"That's historic for any Republican to get 25 percent of the Black vote. We have definitely made strides," she says. You can compare that with the last Republican that ran for that seat in '88…I think we've made great strides."
That candidate was conservative Republican activist Allen Keyes, who got 14 percent of the Black vote in that campaign, losing to incumbent Democrat Paul Sarbanes.
"So, I think you see that there is an increase of the number of African-Americans who are voting for Republicans," says Wall.
"This is just the beginning. This is not the end. These three folks have very bright futures in this party."
Of 13 Democrats who ran in the Nov. 7 elections, seven won: Deval Patrick Massachusetts' governor-elect; David Patterson, New York Lt. Gov.-elect; Anthony Brown, Maryland Lt.Gov.-elect; and three who were re-elected, Thurbert Baker, Georgia attorney general; Jesse White, Illinois secretary of state; Denise Napier, Connecticut treasurer and Michael Thurmund, Georgia commissioner of labor.
The six losing Democrats were: U. S. Rep. Harold Ford (D-Tenn.), candidate for U. S. Senate; Mississippi senatorial candidate Erik Fleming; Georgia state superintendent of education candidate Denise Majette, a former congresswoman; South Carolina secretary of state candidate Cheryl Footman; Ohio state auditor candidate Barbara Sykes; and Ohio Supreme Court candidate Ben Espy.
Bositis says the problems of the three statewide Black Republican candidates extended beyond their race.
"Blackwell made big enemies of everybody else in the Republican Party and so they really wanted him to lose," Bositis explains.
Largely credited with Bush's controversial win in the 2004 presidential race, Blackwell has been beleaguered with legal problems afterward, including a suit that found that Ohio election officials had, in violation of state law, informed former felons that they could not vote. He also directed his office to only accept voter-registration forms printed on paper of at least 80-pound weight, a decision that he later reversed under pressure from voting rights groups.This year, Blackwell issued an advisory that said voter identification cards must have their current addresses, a requirement that was contrary to state law.
Bositis continued, "Lynn Swann wasn't going to win. The Republicans were desperate when they picked him. I mean, he's a football player, what do you want? And Michael Steele, you know, Maryland is a Democratic state, that's why he lost."
Democratic wins in Congress are ultimately expected to amount to a 232-203 majority in the House and a 51-49 majority in the Senate. That majority will probably be expanded with support coming from independent Bernie Saunders, a socialist; and Joseph Lieberman, a Democrat-turned-independent. Both have said they will caucus with Democrats.
Democratic governors are also celebrating a majority they have not had in 12 years. They now have a 28-22 edge in statehouses. Ohio, Colorado and Arkansas are among states that returned to Democratic hands after eight years or more of Republican occupation.
"Lost in all this talk about the House and the Senate is the governorships," says Daniella Gibbs Leger, a spokeswoman for the Center for American Progress.
"Often you have a lot of governors complaining that they are shouldering the burden of a lot of domestic issues because they can't get the help that they need from Congress."
States look to the federal government for help on many issues impacting low income communities, such as money for educational shortfalls, after school programs, Head Start and community development block grants.
"The 109th Congress has been the do-nothing Congress," says Leger.
"And I think that with a new progressive Congress in power, they will understand the struggles that the states are going through and they won't leave the states out there to hang, basically, and try to fulfill all of these duties without help from the federal government."
And candidates running for president might benefit from that shift as well. If presidential voting mirrors the votes for governors, 295 electoral votes could go to a Democratic candidate president, 169 more than they had. The presidency is won with 270 electoral votes.
Even with early speculations that the presidential race is shaping up to possibly include Black Republican Secretary of State Condoleezza Rice, Green says he is tiring of trying to change the party from within.
"The ones they do prop up, like your Colin Powell's, he carried the water for Bush and now that he's out of there he's beginning to tell how he really felt," Green says.
"He should have had the courage to tell how he felt while he was sitting there with that power…I'm not there because I believe in what they say. I'm there because somebody's got to be there to tell them that they are wrong."


Anita Rogers Gallery presents When Love Comes To Town, a solo exhibition of works by George Negroponte. On view are his mixed media paintings completed over the last several years using house paint, spackle, gesso, wallpaper, dirt, enamel, inventory circle labels, and spray paint on canvas, as well as found objects from the surrounding woods. Negroponte's works on paper, first begun in Sweden in 2008, were set aside for a decade and resumed this past year in collaboration with his wife, Virva Hinnemo. These small and evocative compositions include truncated shapes, veil-like mists, vehement and nuanced marks, unusual color, and punctuated holes. While all the works are marked by an indeterminable amount of paint, some are diptychs with tree fragments and found objects. Negroponte takes pains to tackle the unlikely reconciliation of incongruent parts.
George's new works are evocations more than representations. They conjure the ephemeral by the simplest, most practical means. They are small enough to feel private to the viewer. Sparse, excruciatingly molded, and relentlessly edited, The "Walkings on Water" go against any rational depiction of walking, as they ground and envelop the viewer in a living atmosphere of air and light. Their levitation is like a child's supernatural powers projected upon the world. The "Marriages" evoke the most essential elements: earth, air, and fire. They are the charmed remains of an always fresh and intensely personal collusion. It's not that George brings his life into his work: he is so completely invested in both that life can't stay out, and, in the end, we are graciously invited to see what matters most to him.


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Are psychotherapeutic changes predictable? Comparison of a Chicago counseling center project with a Penn psychotherapy project
Lester Luborsky, Jim Mintz, Paul Christoph
Results of 2 large-scale studies predicting the outcomes of psychotherapy were similarly analyzed and compared. The level of prediction success in both projects was modest, at best accounting for 5-20% of the variance of outcome, i.e., within groups of patients who started psychotherapy, this kind of prediction could not be done well. However, for the modest level that could be predicted, particularly for the Rated Benefits score, the profile of variables showed similar levels of success between Penn and the Chicago psychotherapy projects. The most successful of these predictions were based on (a) the adequacy of personality functioning, (b) the match on marital status, and (c) the length of treatment. (17 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved).
Journal of consulting and clinical psychology
https://doi.org/10.1037/0022-006X.47.3.469
Chicago counseling center project vs Penn psychotherapy project, prediction of psychotherapy outcomes
10.1037/0022-006X.47.3.469
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counseling center Social Sciences 100%
Psychotherapy Medicine & Life Sciences 75%
psychotherapy Social Sciences 70%
Counseling Medicine & Life Sciences 65%
Marital Status Medicine & Life Sciences 27%
marital status Social Sciences 25%
personality Social Sciences 18%
Luborsky, L., Mintz, J., & Christoph, P. (1979). Are psychotherapeutic changes predictable? Comparison of a Chicago counseling center project with a Penn psychotherapy project. Journal of consulting and clinical psychology, 47(3), 469-473. https://doi.org/10.1037/0022-006X.47.3.469
Are psychotherapeutic changes predictable? Comparison of a Chicago counseling center project with a Penn psychotherapy project. / Luborsky, Lester; Mintz, Jim; Christoph, Paul.
In: Journal of consulting and clinical psychology, Vol. 47, No. 3, 01.06.1979, p. 469-473.
Luborsky, L, Mintz, J & Christoph, P 1979, 'Are psychotherapeutic changes predictable? Comparison of a Chicago counseling center project with a Penn psychotherapy project', Journal of consulting and clinical psychology, vol. 47, no. 3, pp. 469-473. https://doi.org/10.1037/0022-006X.47.3.469
Luborsky L, Mintz J, Christoph P. Are psychotherapeutic changes predictable? Comparison of a Chicago counseling center project with a Penn psychotherapy project. Journal of consulting and clinical psychology. 1979 Jun 1;47(3):469-473. https://doi.org/10.1037/0022-006X.47.3.469
Luborsky, Lester ; Mintz, Jim ; Christoph, Paul. / Are psychotherapeutic changes predictable? Comparison of a Chicago counseling center project with a Penn psychotherapy project. In: Journal of consulting and clinical psychology. 1979 ; Vol. 47, No. 3. pp. 469-473.
@article{b4a6975b1f354846bcf95d33a30db36f,
title = "Are psychotherapeutic changes predictable? Comparison of a Chicago counseling center project with a Penn psychotherapy project",
abstract = "Results of 2 large-scale studies predicting the outcomes of psychotherapy were similarly analyzed and compared. The level of prediction success in both projects was modest, at best accounting for 5-20% of the variance of outcome, i.e., within groups of patients who started psychotherapy, this kind of prediction could not be done well. However, for the modest level that could be predicted, particularly for the Rated Benefits score, the profile of variables showed similar levels of success between Penn and the Chicago psychotherapy projects. The most successful of these predictions were based on (a) the adequacy of personality functioning, (b) the match on marital status, and (c) the length of treatment. (17 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved).",
keywords = "Chicago counseling center project vs Penn psychotherapy project, prediction of psychotherapy outcomes",
author = "Lester Luborsky and Jim Mintz and Paul Christoph",
doi = "10.1037/0022-006X.47.3.469",
journal = "Journal of Consulting Psychology",
T1 - Are psychotherapeutic changes predictable? Comparison of a Chicago counseling center project with a Penn psychotherapy project
AU - Luborsky, Lester
AU - Mintz, Jim
AU - Christoph, Paul
N2 - Results of 2 large-scale studies predicting the outcomes of psychotherapy were similarly analyzed and compared. The level of prediction success in both projects was modest, at best accounting for 5-20% of the variance of outcome, i.e., within groups of patients who started psychotherapy, this kind of prediction could not be done well. However, for the modest level that could be predicted, particularly for the Rated Benefits score, the profile of variables showed similar levels of success between Penn and the Chicago psychotherapy projects. The most successful of these predictions were based on (a) the adequacy of personality functioning, (b) the match on marital status, and (c) the length of treatment. (17 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved).
AB - Results of 2 large-scale studies predicting the outcomes of psychotherapy were similarly analyzed and compared. The level of prediction success in both projects was modest, at best accounting for 5-20% of the variance of outcome, i.e., within groups of patients who started psychotherapy, this kind of prediction could not be done well. However, for the modest level that could be predicted, particularly for the Rated Benefits score, the profile of variables showed similar levels of success between Penn and the Chicago psychotherapy projects. The most successful of these predictions were based on (a) the adequacy of personality functioning, (b) the match on marital status, and (c) the length of treatment. (17 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved).
KW - Chicago counseling center project vs Penn psychotherapy project, prediction of psychotherapy outcomes
U2 - 10.1037/0022-006X.47.3.469
DO - 10.1037/0022-006X.47.3.469
JO - Journal of Consulting Psychology
JF - Journal of Consulting Psychology


text:
Q: Merge array items by category I have this array:
[ [ 'TWENTY', 20 ],
  [ 'TWENTY', 20 ],
  [ 'TWENTY', 20 ],
  [ 'TEN', 10 ],
  [ 'TEN', 10 ],
  [ 'FIVE', 5 ],
  [ 'FIVE', 5 ],
  [ 'FIVE', 5 ],
  [ 'DOLLAR', 1 ],
  [ 'QUARTER', 0.25 ],
  [ 'QUARTER', 0.25 ],
  [ 'DIME', 0.1 ],
  [ 'DIME', 0.1 ],
  [ 'PENNY', 0.01 ],
  [ 'PENNY', 0.01 ],
  [ 'PENNY', 0.01 ],
  [ 'PENNY', 0.01 ] ]

and I want to merge the content so that I will have:
[ [ 'TWENTY', 60 ],
  [ 'TEN', 20 ],
  [ 'FIVE', 15 ],
  [ 'DOLLAR', 1 ],
  [ 'QUARTER', 0.50 ],
  [ 'DIME', 0.2 ],
  [ 'PENNY', 0.04 ]]

I tried iterating through the array and summing values but had no success.
Really appreciate your help.
Mattia P

A: You can do this in one loop with an object as a map:

const array = [ [ 'TWENTY', 20 ],
  [ 'TWENTY', 20 ],
  [ 'TWENTY', 20 ],
  [ 'TEN', 10 ],
  [ 'TEN', 10 ],
  [ 'FIVE', 5 ],
  [ 'FIVE', 5 ],
  [ 'FIVE', 5 ],
  [ 'DOLLAR', 1 ],
  [ 'QUARTER', 0.25 ],
  [ 'QUARTER', 0.25 ],
  [ 'DIME', 0.1 ],
  [ 'DIME', 0.1 ],
  [ 'PENNY', 0.01 ],
  [ 'PENNY', 0.01 ],
  [ 'PENNY', 0.01 ],
  [ 'PENNY', 0.01 ] ];

const result = array.reduce((map,[key,val]) => {
  map[key] = (map[key] || 0) + val;
  return map;
}, {});

console.log(Object.entries(result));

Object.entries(result) turns it from a nice object that you can access like result.PENNY back into the array format you want. You may find it easier to use as the map, in which case simply omit the Object.entries(...).

A: Using .reduce() and .find() you can group by the first element of the inner array.
Try as the following:

const array = [ [ 'TWENTY', 20 ],
  [ 'TWENTY', 20 ],
  [ 'TWENTY', 20 ],
  [ 'TEN', 10 ],
  [ 'TEN', 10 ],
  [ 'FIVE', 5 ],
  [ 'FIVE', 5 ],
  [ 'FIVE', 5 ],
  [ 'DOLLAR', 1 ],
  [ 'QUARTER', 0.25 ],
  [ 'QUARTER', 0.25 ],
  [ 'DIME', 0.1 ],
  [ 'DIME', 0.1 ],
  [ 'PENNY', 0.01 ],
  [ 'PENNY', 0.01 ],
  [ 'PENNY', 0.01 ],
  [ 'PENNY', 0.01 ] ];

const result = array.reduce((a, c) => {
  const found = a.find(f => f[0] === c[0]);

  if (found) found[1] += c[1];
  else a.push(c);

  return a;
}, []);

console.log(result);

I hope this helps!

A: You could take a single line approach with a Map.

var data = [['TWENTY', 20], ['TWENTY', 20], ['TWENTY', 20], ['TEN', 10], ['TEN', 10], ['FIVE', 5], ['FIVE', 5], ['FIVE', 5], ['DOLLAR', 1], ['QUARTER', 0.25], ['QUARTER', 0.25], ['DIME', 0.1], ['DIME', 0.1], ['PENNY', 0.01], ['PENNY', 0.01], ['PENNY', 0.01], ['PENNY', 0.01]],
    result = Array.from(data.reduce((m, [k, v]) => m.set(k, (m.get(k) || 0) + v), new Map));

console.log(result);
.as-console-wrapper { max-height: 100% !important; top: 0; }

A: const a = [['TWENTY', 20],
 ['TWENTY', 20],
 ['TWENTY', 20],
 ['TEN', 10],
 ['TEN', 10],
 ['FIVE', 5],
 ['FIVE', 5],
 ['FIVE', 5],
 ['DOLLAR', 1],
 ['QUARTER', 0.25],
 ['QUARTER', 0.25],
 ['DIME', 0.1],
 ['DIME', 0.1],
 ['PENNY', 0.01],
 ['PENNY', 0.01],
 ['PENNY', 0.01],
 ['PENNY', 0.01]];

 const b = {};
 const c = [];

 for (const [name, value] of a) {
  if (!b[name]) {
    b[name] = 0;
  }
  b[name] = b[name] + value
 }
 for (const [key, value] of Object.entries(b)) {
  c.push([key, value])
 }

console.log(c)

A: You can do it by using reduce and findIndex.

const data = [[ 'TWENTY', 20 ], [ 'TWENTY', 20 ], [ 'TWENTY', 20 ], [ 'TEN', 10 ], [ 'TEN', 10 ], [ 'FIVE', 5 ], [ 'FIVE', 5 ], [ 'FIVE', 5 ], [ 'DOLLAR', 1 ], [ 'QUARTER', 0.25 ], [ 'QUARTER', 0.25 ], [ 'DIME', 0.1 ], [ 'DIME', 0.1 ], [ 'PENNY', 0.01 ], [ 'PENNY', 0.01 ], [ 'PENNY', 0.01 ], [ 'PENNY', 0.01 ]];

const res = data.reduce((a, [k, v]) => {
 let index = a.findIndex(x => x[0] === k);

 if (index === -1) {
  a.push([k, v]);
 } else {
  a[index][1] += v;
 }
 return a;
}, []);

console.log(res);
.as-console-wrapper {
  min-height: 100% !important;
  top: 0;
}

A: This solution only with one iteration:
const array = [ [ 'TWENTY', 20 ],
[ 'TWENTY', 20 ],
[ 'TWENTY', 20 ],
[ 'TEN', 10 ],
[ 'TEN', 10 ],
[ 'FIVE', 5 ],
[ 'FIVE', 5 ],
[ 'FIVE', 5 ],
[ 'DOLLAR', 1 ],
[ 'QUARTER', 0.25 ],
[ 'QUARTER', 0.25 ],
[ 'DIME', 0.1 ],
[ 'DIME', 0.1 ],
[ 'PENNY', 0.01 ],
[ 'PENNY', 0.01 ],
[ 'PENNY', 0.01 ],
[ 'PENNY', 0.01 ] ];

let result = {};
array.forEach(item => {
      if(result[item[0]]) {
         result[item[0]][1] +=item[1]
      } else {
         result[item[0]] = item;
      }
})
console.log(result)

A: If you want to abstract this to a simple function, it might look like this:

const total = array => Object .entries (array .reduce (
  (acc, [name, val]) => ({...acc, [name]: (acc [name] || 0) + val})
  , {}
))

const array = [ [ 'TWENTY', 20 ], [ 'TWENTY', 20 ], [ 'TWENTY', 20 ], [ 'TEN', 10 ], [ 'TEN', 10 ], [ 'FIVE', 5 ], [ 'FIVE', 5 ], [ 'FIVE', 5 ], [ 'DOLLAR', 1 ], [ 'QUARTER', 0.25 ], [ 'QUARTER', 0.25 ], [ 'DIME', 0.1 ], [ 'DIME', 0.1 ], [ 'PENNY', 0.01 ], [ 'PENNY', 0.01 ], [ 'PENNY', 0.01 ], [ 'PENNY', 0.01 ] ];

console .log (total (array))
.as-console-wrapper {min-height: 100% !important; top: 0}

redpajama_set_name: RedPajamaStackExchange


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Director of Athletics Doug Gillin announced Thursday that Dustin Kerns has agreed to become the 22nd head coach in App State men's basketball history, pending approvals by the University Board of Trustees and the North Carolina Board of Governors.
Kerns, who oversaw a dramatic turnaround in two seasons as head coach at Presbyterian College, will be formally introduced at a 1 p.m. press conference Friday on the fifth floor of the Ricks Athletics Complex. The event is open to the public and will be streamed live on Facebook (AppStateSports).
"This is a great day for the Appalachian Family and our basketball program," Gillin said. "We are excited to welcome Dustin, Brittany, Emory and Riggs to Boone. Dustin is a highly regarded young coach who has worked with strong basketball programs and has done an impressive job as the head coach at Presbyterian. He has a clear vision for success at App State and is committed to excellence academically, competitively, socially and for the well-being of our student-athletes. I'm excited about the future of Mountaineer basketball."
A native of Kingsport, Tenn., Kerns inherited a Presbyterian program that had yet to achieve a winning record in 12 seasons at the Division I level and was coming off a five-win campaign in 2016-17. He immediately led the Blue Hose to a five-win improvement in his first year before breaking through in 2018-19.
Kerns guided the Blue Hose to their first winning record (20-16) and first postseason appearance (CIT) as a Division I program in just his second year on the job. PC's 12-3 record at home and 9-7 mark in Big South Conference play are also its best since joining the Division I ranks. Kerns' team advanced to the quarterfinals of the CIT after garnering road wins at Seattle and Robert Morris.
"Our family is honored and humbled to be joining the Appalachian State University family," Kerns said. "We are so excited to raise our family in Boone and be a part of the community. There is truly something special in these mountains that brings people together with immense pride and touches people's lives. I want to thank the Board of Trustees, Chancellor Sheri Everts, Doug Gillin, Brittney Whiteside and the rest of the App State team for their dedication and genuine pursuit of greatness in academics and athletics. I am so excited to meet the team, connect with former players, and begin our journey together."
Highly regarded for both his recruiting acumen and player development, Kerns and his staff mentored 2018-19 Big South Freshman of the Year Adam Flagler, who led the Blue Hose with 15.9 points per game and a school-record 108 3-pointers made. In Flagler and forward Cory Hightower, PC boasted two of the league's five all-freshman honorees. Point guard Davon Bell led the league in assists (6.5/game) and made the All-Big South second team.
Presbyterian established itself as one of the premier 3-point shooting teams in the country in 2018-19. The Blue Hose's 394 total trifectas currently rank second-most in the nation behind NCAA Sweet 16 contender Auburn. Kerns' team didn't just shoot the ball prolifically, but also efficiently. The team's 3-point field-goal percentage ranks among the top 25 nationally, and PC's assist-to-turnover ratio of 1.58 is fifth-best in the country. For his efforts this past season, Kerns has been named a finalist for the Jim Phelan National Coach of the Year and for the Hugh Durham Mid-Major National Coach of the Year. The winners of each award will be announced next weekend at the Final Four.
A 2002 graduate of Clemson, Kerns climbed the coaching ranks on staffs with Buzz Peterson at Tennessee, Mike Young at Wofford and Kerry Keating at Santa Clara.
From 2013-17, he served as associate head coach at Wofford, helping the Terriers claim back-to-back Southern Conference Tournament titles and NCAA appearances in 2014 and 2015. He was instrumental in the development of guard Fletcher Magee, who this year broke the record for most 3-pointers in NCAA Division I history. Kerns received national recognition as one of college basketball's top assistant coaches and recruiters, earning the No. 4 Low-Major Recruiter ranking from CoachStat.net and the No. 20 Mid-Major Assistant Coach ranking.
Kerns was an assistant coach at Santa Clara for five seasons from 2008-13, where he helped the Broncos claim the third-most wins in the West Coast Conference behind Gonzaga and Saint Mary's during that span. He helped Santa Clara win 26 games in 2012-13 and capture the College Basketball Insider (CBI) title, as well as a 24-win season and a CIT title in 2010-11. He had previous stints as director of operations at Santa Clara (2007-08), assistant coach at Wofford (2004-07), graduate assistant at Tennessee (2003-04) and director of basketball operations at Tennessee Tech (2002-03).
During his coaching career, Kerns has seen 28 players play professionally.
Kerns graduated from Clemson in 2002 with a degree in secondary education. As an undergraduate, he worked as a student assistant for the men's basketball program and was selected to coach at the prestigious Michael Jordan Flight School for three summers from 2001-03.
Kerns played basketball at Kingsport's Dobyns-Bennett High School, a national powerhouse at the prep level and alma mater of former App State and current NFL offensive lineman Daniel Kilgore.
Kerns is married to the former Brittany Wright, and the couple has a daughter, Emory, and a son, Riggs.
"This is a great day for Appalachian State University. Dustin Kerns is an outstanding basketball coach who will build a winning program in Boone. He will instill a culture and style of play that all Mountaineer alumni and fans will be proud of. As a former player, Appalachian State is a place I am very passionate about, and I am thrilled we will have a coach of Dustin's caliber leading our basketball program."
"I am so happy for DK and App State. The Mountaineers are welcoming a great family, a gentleman and a wonderful basketball coach. He is directly responsible for many of the great ones we have had here. His dogged determination on the recruiting trail aligns well with his fiercely competitive approach to coaching basketball."
"The relentless pursuit of greatness is an anomaly these days. But every once and awhile, I meet a person with that special something. That something that can elevate not only themselves, but more importantly, the people around them. Dustin Kerns has what it takes to elevate people. That within itself is a skill that can't be taught. It's a gift."