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Operative Shoulder Surgery - Copeland
Arthroscopic Anterior Stabilization
With the explosion of interest in arthroscopic surgery of the shoulder, it was inevitable that instability would be a target of surgical endeavor. Many methods have been described, none of which have been entirely satisfactory. The clinical results do not yet equal those of open surgery. Most methods have been directed toward the surgical repair of the Bankart lesion, that is, reattachment of the avulsed anterior and inferior capsule and ligamentous structures. This immediately limits the indications to those shoulders that have a Bankart defect. Various arthroscopic capsule shift procedures are still very much experimental. The earliest technique of Bankart repair was popularized by Johnson1 using a metal staple. Historically, the use of metal around the shoulder has an evil reputation for migration and secondary complications; hence this was generally unattractive, and the long-term results have been unfavorable. Other methods using sutures, suture anchors, screws and, more recently, biodegradable tacks, have been described. This chapter describes one example of suture fixation and the method using biodegradable tacks (Suretac).
Suture Method
Acute Traumatic Shoulder Dislocation The recurrence rate after primary traumatic anterior shoulder dislocation in young athletes is directly related to age but is approximately 80 percent after any kind of conservative treatment if the patient wishes to return to an active sporting life. There is little natural tendency for the detached labrum to reattach itself to bone, and if the shoulder is allowed to go on to chronic dislocation, then the labrum may become attenuated and abraded. It would be reasonable to advocate early arthroscopic fixation following the first dislocation. If the inferior glenohumeral ligament anterior labrum complex is still intact and healthy, and it does lower the recurrence rate, especially in young athletes. However, long-term prospective randomized studies still need to be done to confirm this indication.
Recurrent Shoulder Dislocation If arthroscopy shows an obvious Bankart lesion and that the anterior structures are in reasonable condition, arthroscopic fixation should be considered. The capsule can be reattached to the anterior glenoid neck to retension the inferior glenohumeral ligament complex. The ideal patient has unidirectional instability that is post-traumatic, anterior, or anteroinferior, with a definite Bankart lesion.
Multidirectional instability
Large Hill-Sachs lesion
Absence of, or prolonged and relaxed lower glenohumeral ligament, not detached from the bone
Irregularities or previous fractures of the glenoid that may cause bony instability
Position of Patient
Both the lateral decubitus and the beach chair position have been used for this procedure. The beach chair position is preferred for the suture technique because there is easier access to the anterior aspects of the shoulder. Traction is not required, and positioning of the arm is easier.
A standard arthroscope is inserted through the posterior portal, and saline inflow is established. If an arthroscopic pump is used, pressure should be kept at a minimum, that is, starting at approximately 55 mm Hg. A 7-mm diameter anterior portal is then established through the triangular space bordered by the anterior glenoid rim, subscapularis tendon, and the biceps tendon. Outflow is established through the cannula side port, and all subsequent instrumentation is passed through this cannula.
The presence of a Bankart lesion is then confirmed. The quality of tissues, degree of separation, and amount of anterior or inferior capsular laxity are assessed. A sharp rasp is then passed through the anterior cannula, and the Bankart lesion is extended down to the 6 o'clock position of the glenoid face, so that the entire anterior glenoid ligamentous complex is mobilized. A motorized shaver is then used to decorticate the extent of the anterior glenoid neck from the 2 o'clock to the 6 o'clock position such that the bleeding cancellous surface is prepared. Using a Caspari suture punch, or shoulder stitcher, multiple monofilament PDS sutures are passed through the superior portion of the inferior glenohumeral ligament (Fig. 12-1). The suture ends are then all brought out through the anterior portal, and by traction of these sutures, the inferior glenohumeral ligament can be retensioned such that the whole inferior capsule fits snugly back again around the glenoid neck.
A suture pin using a guide system is then drilled through from anterior to posterior, entering on the most superior portion of the glenoid neck and exiting at a point approximately A to 5 cm inferior to the scapular spine and less than 15 degrees medial to the articular surface of the glenoid (Figs. 12-2 and 12-3). A small skin incision is made over the tented skin. The three sutures previously placed in the inferior glenohumeral ligament have been tagged to separate their ends. Hence, one group of suture ends from one hemostat are passed through the eye of the suture pin, and the suture pin is pulled through posteriorly "with a pair of pliers, so that one end of the sutures exits posteriorly. A second suture pin, using the guide system, is passed from anterior to posterior and is used to pass the other three ends of the sutures from anterior to posterior. It is aimed to bring both suture pins to exit through the same skin wound, but there 'will be a bridge of soft tissue between the suture pin and themselves. Each group of three suture ends is tagged, and by pulling on these, the Bankart defect can be seen to be obhterated by observation through the scope.
Before the knot is tied posteriorly, the arm is internally rotated, and the joint is deflated. Both ends of the sutures are then pulled posteriorly, and the knot is tied over fibers of infraspinatus (Fig. 12-4). After the knot is tied securely, the joint can then be reinflated and the anterior structures reinspected to check that the Bankart lesion has been obliterated.
Technical Points A suture pin should be made to enter the very anterior angle of the glenoid so that the anterior capsule is reattached to form a continuous smooth surface between the articular surface of the glenoid and the capsule. The capsule should not be reattached on the glenoid neck.
It is wise to leave the first suture pin in place through the glenoid neck while the second suture pin is drilled. This could prevent inadvertent cutting of the sutures by the second pin. It is useful to use a sandbag in the axilla as a fulcrum (as used in the hippocratic maneuver for shoulder dislocation) to open out the joint for easier access.
Postoperative Management
Postoperatively, the patient is maintained in a sling and body belt for 3 weeks, and the body belt is removed at 3 weeks. A free sling is maintained for a further 3 weeks, with pendulum exercises only during the second 3 weeks. At 6 weeks, the strengthening and mobilizing physiotherapy regimen is started. Throwing and overhead sports are restricted for 3 months and contact sports for 6 months.
Damage to the suprascapular nerve is the greatest concern because the nerve winds around the base of the acromion. Complete section of this nerve has been described using the posterior suture knot technique. The posterior knot also tethers some fibers of infraspinatus, -which may cause discomfort and puckering of the posterior wound.
Bankart Repair With Absorbable Tacks (Suretac)
Repair of a Bankart defect with absorbable tacks is indicated for acute traumatic anteroinferior dislocation, recurrent anterior dislocation, labrum detachment at the superior glenoid pole, and SLAP lesions.
The cannulated implant is shaped like a tack and is 18 mm long. The head has a diameter of 6.5 mm and the shaft is 3.2 mm in diameter. The trocar sheath -with a blunt obturator is used to insert the implant as well as a 1-mm guide wire. A cannulated 3.2-mm drill, a cannulated handpiece, a drill adaptor for a machine drive, and a cannulated driver are also used.
The beach chair position is preferred. No traction is required, but an axillary sandbag is useful for levering open the joint.
The arthroscope is passed into the shoulder via the posterior portal (Fig. 12-5). A 7-mm standard anterior portal is established. The joint is inspected, and the glenoid labrum with the adherent capsule is mobilized with a sharp rasp, so that it can be reduced onto the glenoid rim, while simultaneously tensing it in a cranial direction.
The bony glenoid rim is roughed with a power shaver down to a bleeding cancellous surface. A 1-mm guide wire is inserted into the cannulated drill until it protrudes a few millimeters beyond the end of the drill. They are then inserted into the joint together, and the previously mobilized labrum is speared with the tip of the guide wire through the cannula (Fig. 12-6).
This assembly is then reduced onto the glenoid rim and tensed in the superior direction. Sometimes it may be difficult to do it directly with the drill; the guide 'wire and a suture previously passed through the inferior glenoid ligament and used as a tension suture are often helpful to tense the anterior structures while driving the guide wire through the anterior capsule. The wire and drill are then drilled onto the far cortex. This entry point must be at least 2 mm away from the glenoid articular surface, since the articular cartilage may otherwise become distorted when driving in the tacks.
The elbow is bent at a right angle and the arm is externally rotated to 30 degrees to determine the correct position of the capsule. If the capsule is not tensed by this rotation, the inferior glenohumeral ligament should be partially incorporated in the repair. The drill is then carefully removed, leaving the guide wire in place (Fig. 12-7). A tack is advanced over the guide wire and driven in with the Suretac driver under arthroscopic control. The refixation of the labrum is then inspected with a probe, and the guide wire is removed if satisfactory. A second tack is usually inserted 1 cm from the first, and occasionally a third tack is required (Fig. 12-8). Resch and Beck2 modified this equipment for an entirely extra-articular technique, which has some advantage
Damage to the suprascapular nerve is the greatest concern because the nerve winds around the base of the acromion. Complete section of this nerve has been described using the posterior suture knot technique. The posterior knot also tethers some fibers of infraspinatus, which may cause discomfort and puckering of the posterior wound.
Johnson LT: Arthroscopic Surgery. CVMosby, St. Louis, 1986
Resch H, Beck E: Arthroscopy of the Shoulder—Diagnosis and Therapy. Springer-Verlag, New York, 1992
Elakade AM, Winge S, Molinari M, Eriksson E: Arthroscopic Bankart procedures for shoulder and stability. Knee surgery, sports traumatology. Arthroscopy 1:113-22, 1993
Morgan CD, Bodenstab AB: Arthroscopic Bankart suture repair: technique and early results. Arthroscopy 3:111-22, 1987
Warner JP, Warren RF: Arthroscopic Bankart repair using a canulated absorpable fixation device. Operative techniques. Orthopaedics 1:192-8, 1991
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Ex-Georgian leader Saakashvili stages triumphant return to Ukraine
By Pavel Polityuk, Matthias Williams
KIEV (Reuters) - Former Georgian leader Mikheil Saakashvili returned to Ukraine on Wednesday, greeted by cheering supporters and music at Kiev airport, after new President Volodymyr Zelenskiy restored his Ukrainian citizenship a year after he was deported.
One of the most recognizable politicians in the post-Soviet world, Saakashvili had been brought in by former President Petro Poroshenko to be governor of the southern Odessa region in 2015. They fell out and Saakashvili accused Poroshenko of corruption.
The 51-year-old said he did not want to exact revenge on anyone. But the timing of Saakashvili's return means he could be a thorn in Poroshenko's side as Poroshenko's party gears up to fight a snap parliamentary election in July.
"I will just look around," he told reporters when asked where he saw his future in Ukrainian politics, after landing on a flight from Warsaw.
"Yes we have lots of supporters, yes we have lots of very enthusiastic supporters. You are seeing it with your own eyes. But I am very impressed by the new president."
Saakashvili said he was "here to help" if Zelenskiy's team sought his advice, but added: "I am not here for any positions, I am not looking for positions."
Saakashvili was hired to run Odessa based on his track record of fighting corruption as president of Georgia after the 2003 Rose Revolution.
He resigned as governor in 2016 as his feud with Poroshenko escalated. Since then he has mainly been living in the Netherlands, his wife's country of origin.
Poroshenko rejected Saakashvili's corruption allegations and said he was trying to deflect attention from his poor performance as governor.
The Ukrainian authorities stripped Saakashvili of his citizenship when he was abroad but he barged his way through a checkpoint at the Polish border to get back into Ukraine in September 2017. He was deported five months later.
Saakashvili returned on Wednesday after Zelenskiy, who defeated Poroshenko by a landslide in last month's presidential election, restored his citizenship.
"I came here not to take revenge on someone and to punish someone, to destroy something. To destroy is not my style," Saakashvili said.
"I want, together with millions of Ukrainians, after an historic opportunity has arisen, with the new president, with the new team, to participate in the construction of a new Ukraine."
An actor and comedian with no prior political experience, Zelenskiy won the presidency promising to fight entrenched corruption and to upend the political status quo.
On his inauguration day last week, Zelenskiy called a snap parliamentary election in July that will give him the chance to win seats for his new Servant of the People party.
"Saakashvili is due to return today, and I am sure he will unleash the dogs of political war on Poroshenko, and Ukraine's old political elites," said Timothy Ash at Blue Bay Asset Management before Saakashvili's return.
"Presumably Zelenskiy thinks this will play well in the run up to parliamentary elections and buoy support for his Servant of the People party. There will be a lot of people very nervous now about Saakashvili's return to Ukraine later today."
Editing by Stephen Powell and Alexandra Hudson

redpajama_set_name: RedPajamaCommonCrawl


Morari Bapu ji considers Ram Chander ji to be the Supreme God who was an incarnation of Lord Vishnu where as in Durga Puran, Vishnu Ji himself says that he is the son of Durga and is thus not Supreme.
Shiv puran describes the birth of Brahma, Vishnu and Shiv from Kaal. Brahma Vishnu and Shiva are in birth and death. These are not immortal.


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Former SGA President Ian Elliott charged with criminal sexual conduct
By Quinn Kirby | Published 01/24/18 10:28pm
Ian Elliott.
Editor's Note: This article has been updated to include comment for Elliott's attorney, Dave Barberi.
Former Student Government Association President Ian Elliott was charged with third degree criminal sexual conduct, according to court records.
Court documents show the crime took place on Sept. 1, 2016. Elliott resigned as SGA President on Dec. 5, 2016, citing "personal reasons." Jazmin Biernat, now a 2017 alumna, replaced Elliott as president.
The Isabella County Trial Court subpoenaed Central Michigan University's Office of Civil Rights and Institutional Equity for information pertaining to the case. As of Jan. 18, 2018, Elliott's fingerprints have been filed and the court has ordered a DNA analysis.
Elliott was arraigned on Jan. 17 in Isabella County District Court. He is due back in court for a probable cause hearing at 8:15 a.m. Jan. 25 and a preliminary examination at 1:45 p.m. Feb. 1.
Elliott has been released on bond.
Elliott could not be reached for comment.
His attorney Dave Barberi said Elliott passed a polygraph test administered by a former Michigan State Trooper and asserts the alleged crime will be proven to be a consensual decision.
"We believe evidence will show our client is innocent (and did not) commit sexual assault."
CRIME LOG: Woman arrested for stealing $600 worth of merchandise from Walmart
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The Chilean saxophonist Raúl Gutiérrez. Currently residing in Mexico, Gutiérrez founded La Irazu Big Band in Munich, Germany, in 1981.
His name is taken from one of the most important volcanoes in Costa Rica. The Irazu Big Band debuted in 1985 with the production Rumberos Del Irazu, a collaboration with Tata Güines.
A La Palladium, preceded by the production of the 2013 Son Elegante (Ediciones Pentagrama), was recorded between Havana and New York and counted on the arrangements of Horacio González -mostly- and Raúl Cabrera. Likewise, musicians were invited to record with the same Gillespie: the saxophonist Paquito D'Rivera, the Brazilian guitarist Romero Lubambo, the trumpet player -also Brazilian- Claudio Roditi and the Cubans Polo Tamayo on the flute and Rolando Luna on the piano among others .
RAUL GUTIERREZ AND HIS CUBAN BIG BAND - SON ELEGANTE.
Raúl Gutiérrez and His Cuban Big Band - Groovin´ high.


text:
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%% SET UP
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%% path to your results of one data set
path_input_method = '../example/chen_swa';

%%%% enable one of following paths
% path_ppm = 'dataset/SegTrack_ppm';
path_ppm = 'dataset/Chen_ppm';
% path_ppm = 'dataset/Gatech_ppm';

%%%% enable one of following
% dataset = 0; % SegTrack Data Set
dataset = 1; % Chen's Data Set
% dataset = 2; % Gatech Data Set

%%%% modify the place where you want to save the figures
output_path = '../example/chen_swa_benchmark';

%%%% show your method's performance on each video in the data set
% 1 --> on; 0 --> off
verbose = 1;

%%%% range of numbers of supervoxels generated by testing method
x_min = 200;
x_max = 900;

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%% DO NOT TOUCH BELOW
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
addpath('code');
addpath('XuCorso_CVPR2012_mat');
mkdir(output_path);
if output_path(end) == '/'
    output_path = output_path(1:end-1);
end

matlabpool;

%%%% UE2D, UE3D, ACCU2D, ACCU3D, BR2D, BR3D
if dataset < 2
    test = TEST_Dataset(path_input_method, dataset, verbose, output_path);
    COMBINE_CURVE(test, dataset, x_min, x_max, output_path);
end

%%%% EV
test_ev = TEST_Dataset_EV(path_input_method, path_ppm, dataset, verbose, output_path);
COMBINE_CURVE_EV(test_ev, dataset, x_min, x_max, output_path);

%%%% length
test_length = TEST_length(path_input_method, dataset, verbose, output_path);
COMBINE_CURVE_LENGTH(test_length, dataset, x_min, x_max, output_path);

matlabpool close;

redpajama_set_name: RedPajamaGithub


text:
Panathinaikos inks Yogi Ferrell
Panathinaikos Athens added another weapon to its backcourt by signing Yogi Ferrell for the remainder of the season. Ferrell (183 cm, 28 years old) has spent the past five seasons in the NBA, where he played for Brooklyn, Dallas, Cleveland, Sacramento, and Los Angeles Clippers. For his career, he averaged 7.7 points and 2.3 assists in 259 games. Ferrell also spent time in the G-League with Long Island and Salt Lake City. He was named to the NBA All-Rookie Second Team in 2017. Ferrell will make his European basketball debut with Panathinaikos.
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Movie Forever Mine (1999) info with movie soundtracks, credited songs, film score albums, reviews, news, and more.
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Register so you can check out ratings by your friends, family members, and like minded members of the FA community.
Santa Claus The Movie appears in an aspect ratio of approximately 2.351 on this Blu Ray Disc. The picture displayed some concerns but it usually looked pretty good. The picture displayed some concerns but it usually looked pretty good.
Learn samuel 1 chapter 4 adultery with free interactive flashcards. Choose from 500 different sets of samuel 1 chapter 4 adultery flashcards on Quizlet.
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Jennifer Lawrence's upcoming film 'Mother', directed by Darren Aronofsky, promises to show us a side of the actress we haven't seen before.
The Orchard End Murder (1981) A continuaci243;n un breve resumen de The Orchard End Murder Charthurst Green, Kent, 1966. Pauline Cox accompanies Mike Robins to a village cricket match in which he is playing, but becomes bored and wanders away.
Copper Mountain (full on screen title Copper Mountain (a Club Med Experience)) is a 1983 comedy film written and directed by Damian Lee and David Mitchell. Half of the film is more or less an infomercial about the now closed Club Med village at the Copper Mountain ski resort in Colorado.
The Copper Family are a family of singers of traditional, unaccompanied English folk song. Originally from Rottingdean, near Brighton, Sussex, England, the nucleus of the family now live in the neighbouring village of Peacehaven.
Mar 09, 20110183;32;Family wraps home in greenhouse to warm up Stockholm weather Duration Copper handling craft, Morocco Duration smelting ore Duration 2247. cultuuramersfoort 732,558 views.
A Finnish child is sent to live with a family in neutral Sweden during WWII, where he must forget his mother and come to terms with his new life.


text:
A&M advances to championship game
OKLAHOMA CITY (AP) � Jacob Priday and Brock Bond combined to drive in nine runs as Missouri routed Oklahoma State 13-1 on Saturday in both teams� final game in the Big 12 Conference baseball tournament.
Missouri (40-16) and Oklahoma State (38-19) both had already been eliminated from title-game contention after each lost their first two pool-play games to Oklahoma and Baylor, who played late Saturday for a berth opposite Texas A&M (43-16) in Sunday�s title game.
Priday staked the Tigers to an early lead with a two-run first-inning double, and hit a three-run home run during a five-run fourth-inning outburst.
Bond, who went 4-for-5, had a two-run single during the fourth and also had run-scoring singles in the second and fifth innings.
Rick Zagone (7-2) allowed five hits and struck out six in six innings for Missouri. Oklahoma State starter Martin Beno (1-3) took the loss, lasting just 1 2/3 innings. The game was shortened to seven innings because of the run rule.
Ty Wright and Keanon Simon had two hits each for the Cowboys.
Texas 5, Nebraska 4
Chance Wheeless went 4-for-4 and drove in two runs as Texas held off Nebraska 5-4. Top-seeded Texas (44-15) finished 2-1 in pool play and tied with Texas A&M, but the Aggies advanced to the title game based on a head-to-head win over Texas earlier in the tournament.
Fourth-seeded Nebraska (30-25) finished 1-2 in pool play.
Wheeless had a run-scoring single in the first inning and added another in a two-run third inning for the Longhorns. In between, Preston Clark hit his eighth home run of the season for Texas off Nebraska starter Johnny Dorn (9-3).
Texas led 4-1 after the top of the third. Nebraska pulled within 4-3 in the bottom of the inning on a two-run single by Jake Opitz, but the Cornhuskers managed only four hits the rest of the way off Texas relievers Austin Wood (8-1) and Randy Boone, who recorded his 13th save.
Trailing 5-4 in the eighth, Nebraska left the bases loaded when Jeff Lanning hit into a force play.
Texas A&M 7, Kansas St. 2
Craig Stinson went 3-for-5 with a pair of run-scoring singles to help lift Texas A&M to a 7-2 win over Kansas State.
Texas A&M took an early lead in the first inning when Brian Ruggiano doubled, advanced to third on a sacrifice bunt and scored on a Blake Stouffer ground out. The Aggies added two more runs in the second frame on RBI base hits by Kyle Colligan and Parker Dalton and never trailed.
Kansas State (34-24) stranded 14 base runners in the game and was eliminated from championship-game consideration with the loss.
The Wildcats scored one run in the second inning on a solo homer by Rob Vaughn and added another in the sixth frame when Derek Bunker hit an RBI single that scored Vaughn.
David Newmann (10-1) scattered five hits through five innings and struck out two for the win. Travis Starling allowed two hits and no runs in 3 2/3 innings of relief for his first save.
Chase Bayuk (5-6) gave up eight hits and six runs through seven innings in the loss.


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Christina Helen Johanne Trevanion is a British auctioneer and television presenter.
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Brian Island
Brian Island is the westernmost of the Debenham Islands, off the west coast of Graham Land. Brian Island was charted by the British Graham Land Expedition (BGLE) under John Riddoch Rymill, in 1936. Brian Island was named by John Riddoch Rymill for Brian Debenham (1920–43), the second son of Frank Debenham, member of the British Graham Land Expedition Advisory Committee.
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text:
News: Free parking spaces in Rotherham increasing to 1,000
By Tom Austen
Visitors to Rotherham will soon benefit from 1,000 free weekend parking spaces in the town centre.
From Saturday April 6, parking will be free on Saturdays in the Drummond Street and Wellgate Multi-storey car parks – as well as on Forge Island.
New parking incentives have been introduced over the years, but the authority has stopped short of offering free parking across the board.
Last year saw half the current free "red zone" spaces provided in Forge Island transferred to the Council's car park at Drummond Street where customers are entitled to one session of two hours free parking per day in a limited number of parking bays.
Most town parking fees have been frozen again and previously introduced offers included visitors claiming two hours free parking at the expiration of a two hour session purchased in some town centre Council operated off-street car parks on Saturdays.
The cost of day parking is set to increase from £3 to £3.50 on Forge Island and in the temporary car park at The Statutes where regeneration proposals are moving ahead.
Spaces are set to be re-introduced on Forge Island now that the temporary bus station has closed and the revamped Interchange has re-opened.
The £12m refurb of Rotherham Interchange includes structural repairs and deck defect repairs to the multi-storey car park (pictured) as well as the painting of columns and ceilings to improve the visual appearance and new cladding, comprising a non-flammable expanded metal mesh mounted on a frame, fully covering the exterior of the car park.
Cllr. Denise Lelliott, Rotherham Council's Cabinet Member for Jobs and the Local Economy, said: "More permanent free parking at weekends will help shoppers and businesses alike.
"Shopping and spending leisure time in the town centre, including at the many cafés and restaurants, gives a vital boost to local businesses. If everyone spent just a few pounds locally each week, it would make a huge difference to Rotherham's businesses."
Images: SYPTE
Labels: council, finance, Forge Island, Interchange, retail, Rotherham, SYPTE, town centre, Transport
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text:
Q: Get the maximum execution time in current environment? Is there any build-in PHP function to find out the configured maximum execution time?
I'm on a shared hosting.

A: Just use ini_get() and get the value, e.g.
echo ini_get("max_execution_time");

possible output:
30

redpajama_set_name: RedPajamaStackExchange


text:
Appeal launched over refusal of plans to store cars and caravans on green barrier land in Sealand
Published: Monday, Oct 14th, 2019
NOTE: This content is old - Published: Monday, Oct 14th, 2019.
An appeal has been launched after plans for caravans and cars to be stored on an area of green barrier land in Deeside were refused.
A retrospective planning application was entered by Russell Brown earlier this year to gain permission to continue keeping vehicles at the back of a property known as Hyperion House on Deeside Lane in Sealand.
In documents submitted to Flintshire Council, Mr Brown said he had used the site for storing cars awaiting export from the UK for a number of years, as well as a place for people to leave their caravans during the winter.
However, the local authority turned down his bid to formally authorise the use of the land as it said it represented "inappropriate development" which would harm the openness of the area.
Officials also said he failed to carry out a flood consequences assessment, but Mr Brown has now launched an appeal to the Planning Inspectorate to try and have the decision overturned.
In the appeal forms, an agent acting on his behalf said the building the site sits next to had been used for industrial purposes for many years and the proposals would have a "minimal impact".
Bob Dewey said: "The development provides an opportunity to provide a beneficial use of a piece of underused brownfield land without causing any harm to the area.
"The council simply relies on general reasons for refusal which are not supported by any reasonable evidence.
"The site is located within an area of mixed industrial and commercial developments, some of which have planning permission.
"To treat this site in a more draconic manner is unhelpful to the economic life of the community.
"There seems little evidence in the decision of a reflective approach to the wider good of the area."
The appeal will be heard by an inspector appointed by the Welsh Government at a later date.
By Liam Randall – Local Democracy Reporter (more here).


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Justia › US Law › Case Law › Georgia Case Law › Court of Appeals of Georgia Decisions › 1973 › McMichen v. Martin Burks Chevrolet, Inc.
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McMichen v. Martin Burks Chevrolet, Inc.
128 Ga. App. 482 (1973)
197 S.E.2d 395
Court of Appeals of Georgia.
Argued February 7, 1973.
Decided March 13, 1973.
*483 Kirby G. Bailey, for appellant.
Albert B. Wallace, for appellee.
CLARK, Judge.
The sole question for determination is the correctness of the trial court's ruling which has been certified for immediate review whereby there were stricken from a recast complaint prayers for punitive damages and attorney fees.
As recast, the complaint recited purchase by plaintiff from defendant of a 1968 Chevrolet station wagon; that prior to the execution of the sales contract an authorized agent "represented to plaintiff that said vehicle was still under manufacturer's warranty and that said automobile had been driven only 26,109 miles" which figure was stated on the odometer; and that defendant had run the odometer backward from approximately 53,000 miles. An additionally alleged fraudulent artifice was acceptance of plaintiff's check for $25 to cover the charge for transferring the manufacturer's warranty which check was not used but later returned to plaintiff.
The gravamen of the complaint is contained in paragraph 12 reading "That the defendant made false *484 representations to plaintiff concerning the mileage and manufacturer's warranty on said vehicle; that the defendant knew said representations were false; that said representations were made for the purpose of deceiving plaintiff and to keep him from exercising his own judgment in signing Exhibit `A' [sales contract]; that plaintiff relied on and was deceived by said misrepresentations; and plaintiff has suffered loss and damage as a result thereof."
The motion to strike punitive damages and attorney fees was based upon the complaint being one for breach of contract in which instance punitive damages are not allowable under Code § 20-1405.
We have quoted in full the allegations in paragraph 12 because these meet the five requisites needed to constitute a cause of action for fraudulent misrepresentations. Gem City Motors, Inc. v. Minton, 109 Ga. App. 842 (1) (137 SE2d 522). "Where fraud and deceit in the sale of an automobile is proved, it is a jury question whether the aggravating circumstances of the alleged tort warrant the imposition of punitive damages. [Cit.]" Rustin Oldsmobile, Inc. v. Kendricks, 123 Ga. App. 679, 680 (3) (182 SE2d 178).
Code § 20-1404 authorizes imposition of attorney fees as a part of the damages where the defendant has acted "in bad faith." Accordingly in Champion v. Martin, 124 Ga. App. 275 (183 SE2d 571) this court ruled that in a suit for fraud and deceit the plaintiff is entitled to have submitted to the jury the matter of allowance of attorney fees. See also John C. Jackson, Inc. v. Hatch, 115 Ga. App. 623 (155 SE2d 676). Of course the matter of evidence sustaining the allegations of wilful and deliberate concealment as well as bad faith in accomplishing the deceit must be sustained by evidence upon a trial.
Judgment reversed. Hall, P. J., and Evans, J., concur.


Where do I start with MySQL my.cnf optimization?
When it comes to MySQL and my.cnf I am a complete novice. I have no clue where to start and what to do.
My server is a quad core dedicated (linux) with 8GB of ram.
I know about mysqltuner.pl but what settings should I start with in my.cnf? Then I guess after I have those setting I should start modifying them as the tuner suggests?
I use this article's suggestions as a first-pass for setting up a green field server. After it's been running with prod or test data for a few days you can run mysqltuner.pl to get ideas for additional tweaking.


Slower, safer, curbless, shared space, with more shade, more seating, and more space for dining, bike parking, and walking – these are all features of a new design for the 300 block of Clematis Street in West Palm Beach, Florida. Dover, Kohl and Partners teamed with Kimley-Horn on this important street design adventure, working for the West Palm Beach Community Redevelopment Agency (CRA), and with important partners like the City of West Palm Beach and the Downtown Development Authority.
We look forward to construction of this project starting this summer.


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Home > Design > Sustainable Design
Renewables grab the headlines but, in reality, low-energy design principles are key.
By Michael Holmes on
Renewables may grab the headlines but, in reality, the key fundamentals of a successful green house remain what they have always been — low-energy design principles and investment in the building fabric.
Working with Nature
The fundamental principle of sustainable home design is to work with nature rather than against it. In particular, this means harnessing the sun's energy to help heat the house in the cooler months whilst also preventing it from overheating in the summer. This can be achieved through the careful siting of the building, balancing passive solar gain from glazing, screening to reduce overheating and to help even out the temperature across the day, incorporating thermal mass in the building's structure and high levels of insulation and airtightness.
The characteristics of the plot and planning situation will play a big part in informing the type of sustainable home design that is most appropriate.
If it is possible to have the majority of the glazing facing due south, then there is the potential to build a passive solar house, which uses the sun's energy to provide most of the space heating requirement. North-facing elevations should include minimum glazing and maximum insulation. If the best views are from a different direction, then a super-insulated airtight house might be a better approach.
If the site has a slope, the building could be sited so that the north side is partially or fully built into the slope to protect it from the elements. The earth's thermal mass and constant temperature can balance out the house's climate. The distinctive sloping, south-facing glazed atriums of many passive solar houses arises because the angle of 45° is the optimum for maximising solar gain across the year. But large areas of glazing can be incorporated into homes of other styles — even a classical façade.
With super-insulated houses, the approach to orientation is different: the heat requirement may be so low that cooling becomes more of an issue than heating, and so too much southfacing glass is avoided.
Overheating can be reduced by screening out light. The sun is at its highest in the south, so for summer heat it's straightforward to design a small roof overhang, or brise soleil — horizontal slats over the windows. Low, powerful light from the east or west can be harder to screen out, so think about using planting, blinds or shutters.
The 'Mass and Glass' Approach
Though a net source of energy gain during the day, even with the most energy-efficient glazing units available, the large area of glass in a passive solar house is a net source of heat loss at night. Passive solar design overcomes this by incorporating a high level of thermal mass in the building — the so called 'mass and glass' approach.
Building using solid concrete floors and walls using concrete block, stone, brick or similar heavyweight materials creates thermal mass that can store heat, helping keep the house cool during the day and stay warm at night.
An alternative to building the entire house from dense materials is to build a lightweight, airtight house, but include a solid floor laid with a material such as stone or tiles, and a solid internal wall facing due south to capture and store the sun's energy.
Buildings with a high thermal mass lend themselves to low-temperature heating systems such as underfloor heating. The downside is that the building is kept warm all day whether or not the building is occupied.
A household with an irregular occupancy pattern might better suit a building with a very light thermal mass and a very low heat requirement — such a building will heat up very quickly when required and cool down when unoccupied.
Creating a Comfortable Environment
Warming or cooling rooms by just a few degrees can make a huge difference to comfort levels, but can cost a lot of energy to achieve, so designing the room plan to ensure that rooms which require little or no heating are in the north, east or west side of the house, and those that require most heat are in the centre is a good design principle.
Colder rooms include adult bedrooms, storage areas, utility rooms, larders, and integral garages. Bathrooms do not have to have natural light, but need to be warm so can be located in the centre of the house, although principal bathrooms probably need a window and view.
The main living rooms must be warm and need the light and views, so are best facing south. Woodburning stoves, chimney stacks and the kitchen cooker are best located against a solid wall in the heart of the house where their warmth will be stored rather than lost to the outside.
Controlled ventilation is an essential design feature in maintaining a comfortable temperature and a healthy damp-free environment. There are two principal approaches to ventilation for eco homes: passive or powered.
The low-tech approach is to use passive ventilation — harnessing the principle that warm air rises through convection to remove stale damp air, controlled via humidity-sensitive ducts. The system needs to be carefully designed (Passivent is the big brand name) and uses plastic ducts that have to be near vertical.
If the building is sufficiently tall and airtight, heat recovery can be incorporated. Some houses, especially passive solar designs, also incorporate a ventilation tower, which can harness convection to provide a simple form of air conditioning in hot weather, controlled by opening and closing vents to draw in cool air.
The hi-tech approach is to make the building shell as airtight as possible, and to have mechanical ventilation with heat recovery. Low-tech equates to low cost and has no ongoing running cost — although some research has suggested that passive stack ventilation will not work on days when there is absolutely no breeze; however, this can be overcome by adding a small solar-powered fan.
Mechanical ventilation is more expensive to install and requires constant power, but this is mitigated by heat recovery in the colder months via a plate heat exchanger and the ability to control air quality.
The heat requirement of a sustainable house will be very low, so the impact of the heating system is greatly reduced in terms of CO2 output. Space heating options include ground-, water- or air-source heat pumps powering underfloor heating, solid fuel stoves with a balanced flue, a biomass boiler, or the most simple approach — a small gas condensing boiler. Domestic hot water is likely to be the biggest heat load requirement, and this can be met using solar panels, plus a heat pump, or a biomass or gas condensing boiler.
The Right Materials
A truly sustainable home does not look solely at energy and water conservation, but also takes into account the environmental impact of the materials used in its construction. As a general rule, the less energy used in the production and transport of products and materials the better.
However, energy consumption can be mitigated in products such as solar panels and other renewables, and also where materials have a very long lifespan, and can be reused or recycled, such as lead, copper and other metals, and even concrete and clay brick and roof tiles.
Timber must be sourced from managed forests and should be certified as such, and not be from endangered species.
With all materials, the less waste and pollution created in the manufacture the better. The principles of sustainable construction are closely aligned with those of the healthy home, whereby materials are free of harmful chemicals, such as volatile organic compounds (VOCs).
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I've been glued to my TV for some days now after my husband and I started watching Prison Break on Netflix. As soon as Bubba goes to bed for the night, we flip on the Playstation 3 and get lost in the shenanigans that are this show. It is good…so good.
The show centers around two brothers; one has been wrongly convicted of murder and is sentenced to execution, and the other brother devises a plan to help him escape from prison before that can happen. Throw in a cast of interesting inmates, suspense out the wazoo and an ever changing plot and you've got the show that is Prison Break.
The best part about the show: you never know what's going to happen next. Just when you think you've got it figured out, something else happens or someone else enters the story and you're back at square one.
The worst part about the show: the seasons are extremely long and each episode (since it's without commercials) is about 45 minutes long. Most of the time this wouldn't phase me, but because this show is that good, I just want to find out what chaos unfolds in the next episode before I even finish the one I'm watching.
I urge you to watch this show but I'm warning you, you'll get sucked in. If you've tried contacting me in the past few days and I've been slow to respond or I haven't responded at all… now you know why!
As I was putting the little man down for a nap today, I received two calls from unknown numbers. As I do with any unknown number, I answered the phone with a chip on my shoulder, but to my surprise, it was actually people I wanted to talk to!
I had entered Bubba's picture in a Beautiful Baby Contest a few weeks ago, and this phone call was to inform me that he had won second place! Yes, normally I would stick to my guns that if you're not first, you're last, but because I think my child is pretty damn cute and he placed in a beautiful baby contest, how could I be mad?
We now return to our regular obsession with Prison Break.


No one appreciates remote areas more than our founder, Dr. Tom Bender. From Alaska and the Yukon to the South Pacific and the Allegany's, Tom knows and loves it all.
That connection with remote areas, and the love of sharing his joy with a few selected others, lead him to acquire and then hold on to special properties. At first, acquiring remote properties just gradually grew out of his far-flung travels. But he had such a great time exploring and then returning to these places, he accumulated more than he can now possibly use. It's time for him to settle down in retirement and simplify his holdings, and he's looking forward to helping you, if you like to get away, to experience any of these special places.
You've worked hard your whole life to make a statement about yourself, your beliefs, and who you want to become – don't settle for vacation or second residence in a cookie-cutter tract home. At remote-getaways.com, we value individuality, beauty, and thought; the properties we're going to show you reflect that.
When we say our homes and land are unique and beautiful, you don't need to just take our word for it – we have lot's more photographs for you to see. Just keep coming back or ask for them to be sent to you by email.
Copyright © 2018 Remote-Getaways - All Rights Reserved.


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Tuesday - Saturday
10:30am-4:30pm
Photograph Collection
Fishing for a Living
George & Charlotte Gibson
Helen McCall - Early Photographer
Beachcomber Relics
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Inglis and Woodsworth Families
Howe Sound Cooperative Cannery
Education Kit
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Genealogy Links & Records
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School Classroom Visits
Historical Videos of the Sunshine Coast
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History & Mandate
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shishahl Nation
The shishalh Nation has lived in this region since time immemorial, creating a rich culture celebrated for a deep connection to place and understanding of the coastal landscape. shishahl stone tool artifacts found on the present-day Sunshine Coast date upwards of 10,000 years before present and represent a continuous occupation of this area. Their territory is considered unceded, meaning that no official treaty was ever signed allowing for the transfer of their lands to the federal or provincial governments.
Preceding the colonization of their traditional territories by European settlers, small pox ravaged the shishahl Nation close to the point of extinguishment. The disease was brought to the continent by settlers in various waves from the 1600s - 1800s. As recognized in the Truth and Reconciliation Commission, residential schools across Canada were created "for the purpose of separating Aboriginal children from their families, in order to minimize and weaken family ties and cultural linkages, and to indoctrinate children into a new culture." The Sechelt Indian Residential School operated in Sechelt from 1904-1975 and played a significant role in the assimilation efforts locally. The long-lasting effects of colonialism are still felt today by all First Nations across Canada, including the shishahl Nation.
The shishahl Nation became the first self-governing First Nation in Canada in 1986. Despite the unimaginable cultural trauma experienced by the First Nations through colonization, shíshálh people continue to thrive in their traditional territories, demonstrating a great resilience and generosity of spirit.
Learn more: Sechelt Nation website and Tems Swiya Museum
Settlement and Pre-Emption
The settlement of portions of British Columbia was encouraged through pre-emption, a process which was formalized through the 1870 Land Ordinance. This allowed settlers to pre-empt (claim) large tracks of land for a nominal fee. While pre-emption benefitted the fledgling country and settlers, it was a tool used to disenfranchise First Nations from their traditional territory and occupy their land. Both First Nations and Chinese settlers were not able to pre-emp land under the Lands Act.
Early Settlers
In 1875 the first legal survey of today's Sechelt, District Lots 303 and 304, was conducted by Captain William S. Jemmett; although itinerant fishermen, loggers and prospectors had fished the waters, logged the trees and combed the hills for minerals prior to this date. Sapper John Scales, a member of the Royal Engineers, had applied for his 150-acre free military grant in 1869 located on present day District Lot 303 - the southern most part of today's Sechelt. It wasn't until 1891 that he actually received the grant plus an additional 110 acres, today's District Lot 304 the northerly part of Sechelt, for which he paid $110.00. Shortly after receiving legal title to these lands he sold them to the Honourable Hugh Nelson, fourth Lieutenant Governor of British Columbia, whose widow in turn sold them to recent English immigrants Alfred Whitaker and his son Herbert in 1895.
Thomas john Cook, also from England, his wife Sarah and infant daughter Ada were the first Europeans to settle permanently in Sechelt in 1894. He was the first Justice of the peace, helped open the first school, donated part of his land for the building of St. Hilda's Anglican Church and cemetery and generally helped his pioneer neighbours and the Sechelt First Nation people. Descendants of the Cook family still live on the Sunshine Coast.
The Whitaker Family
As early as 1892 Herbert Whitaker and his father Alfred had seen the potential for Sechelt as a resort and a resource for lumber and fish. After Alfred and Herbert acquired what is today's Sechelt Herbert built two hotels, a series of stores, two wharves, one at Trail Bay the other on Porpoise Bay in Sechelt Inlet, and a group of revenue cottages. He also owned two sawmills, five logging camps and a steamship company, all in the space of twenty years. One of his revenue cottages still stands on Sechelt's Boulevard. His brothers were also involved in the development of the Sunshine Coast at Davis Bay and Gibsons.
As access to Sechelt and the Sunshine Coast was by water, Herbert Whitaker started the Sechelt Steamship Company to bring tourists to his hotels and cottages, supplies to his stores and workers to his logging operations. Other pioneer settlers came either to work for Herbert or to establish their own farms, logging or fishing businesses and stores. many of their descendants continue to live on the Sunshine Coast.
The Konishi Family
Hanayo (Hana) and Jiro (Jim) Konishi moved to West Porpoise Bay, Sechelt, in 1913. Together they built up a real working farm, aided by their three sons Seiji, Shoji, and Sanji, and their daughter Agnes. Mr. Konishi sold fruits, vegetables, and milk, delivered to their customer's door. Sanji, the youngest son, raised rabbits and sold the meat. In 1938, Jiro established a store, the Settler's Supply House, in Selma Park. It was said that he gave fresh produce to many hungry people during the Depression. During WWII, the Konishis were interned along with other Japanese residents of the Sunshine Coast, and forced to leave their home and business for internment camps in the interior. During this time, all of their posessions where confiscated and sold. The Konishis never returned to the Sunshine Coast to live after WWII concluded.
The Union Steamship Company
The Union Steamship Company had been servicing British Columbia's coastal communities from Vancouver since 1890 and after Herbert's death it acquired his Sechelt properties in 1926.It had already purchased the All Red Line's ships and tourist resort at Selma Park just east of Sechelt in 1917. Large parties of tourists came by Union steamships for day trips to Sechelt and Selma Park or to spend the summer months in its camp grounds, cottages and hotels, until in 1944 its Selma Park properties were sold. In 1956 its Sechelt holdings were relinquished and the Village of Sechelt was incorporated to be run by its residents.
Later Development
Highway 101 was completed in 1952 linking the ferry terminal in Langdale to the ferry terminal in earl's Cove. The improved ferry system has gradually brought more settlers to the Sunshine Coast and Sechelt has become a retirement centre, a commuter community and continues to attract a growing number of artists of all disciplines.
Through the years Sechelt has gradually built up a variety of stores, businesses, restaurants, education facilities, medical, dental and hospital care.
Logging and fishing may have declined in importance in the economy of the Sunshine coast but new industries take their place, such as the sand and gravel pit outside Sechelt and its barge terminus in Trail bay which moves the materials from the pit to the USA, Vancouver and other destinations. The holiday atmosphere of Sechelt continues to this day: cottages, cabins, lodges, motels and campgrounds are run by Sechelt residents and attract a growing number of tourists each year. many craft fairs, festivals, camps, music, motor and sports events are held each summer: one of the most successful being the Sunshine Coast Festival of the Written Arts attracting authors and visitors from across Canada. It is held in the historic Rockwood Lodge, an important heritage landmark in Sechelt. Sechelt continues to be a vibrant community with organizations catering to everyone's needs, tertiary education at the university level has recently been added and art, music, literature and drama continue to flourish.
Information compiled by Sunshine Coast Museum & Archives, and Ann Watson, Sechelt Archives
Dawe, Helen: Helen Dawe's Sechelt, Harbour Publishing, Madeira Park, 1990
Keller, Betty; Leslie, Rosella: Bright Seas, Pioneer Spirits, Horsdal & Schubart, 1996.
The Helen Dawe Collection in the Sechelt Community Archives.
Home | Collections | Learning | Events | Gift Shop | News | The Sunshine Coast | About Us
© Copyright 2022 Sunshine Coast Museum & Archives
716 Winn Rd., Gibsons, BC. (604) 886 8232


Below is a list of IMMEX In-house treating medical practitioners. Click on their name for a short biography.
Copyright © | IMMEX Green Square Medical Treatment Pty Ltd | ABN 98 106 382 781 | All Rights Reserved. E&OE.


If you're looking for books on public speaking, coaching, consulting, marketing or any other aspect of your business (or if you're just looking for a trashy novel to read on the plane), I recently found a goldmine of books that can be had for the price of first-class postage.
On PaperbackSwap.com (not just paperbacks, by the way), you upload your own books for trade and enter into the system the ones you want in return. If they're available, and you have credits (one credit per book to trade, and you get a limited amount of free credits when you upload your first batch of books), the members with the books put them into the mail and they're yours!
If the books aren't available, you can enter them into your wish list. If you've set up your wish list to automatically respond when your book becomes available, like I have, the member who has it is automatically notified.
I hope I'm not making this sound complicated, because it's REALLY EASY. I've gotten several good books there, and have about 30 on my wish list. You can also see where you are in the queue for any particular book (for example, I'm 3rd in line out of 32 people for "The Omnivore's Dilemma").
Click on the banner at the top of this post to check it out and if you sign up, I'll get some book credits! Or if you sign up another way, use my e-mail address when asked who referred you: lbraith *at* gte *dot* net.


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Normal bone mineral density and lean body mass, but increased fat mass, in young adult patients with congenital adrenal hyperplasia.
Stikkelbroeck, M.M.L.
Oyen, W.J.G.
Wilt, G.J. van der
Hermus, A.R.M.M.
Otten, B.J.
Journal of Clinical Endocrinology and Metabolism, 88, 3, (2003), pp. 1036-42
https://doi.orghttps://doi.org/10.1210/jc.2002-021074
Paediatrics - OUD tm 2017
Medical Technology Assessment
Journal of Clinical Endocrinology and Metabolism
iss. 3
EBP 2: Effective Hospital Care; UMCN 4.1: Microbial pathogenesis and host defense; UMCN 5.1: Genetic defects of metabolism; UMCN 5.2: Endocrinology and reproduction
Patients with congenital adrenal hyperplasia attributable to 21-hydroxylase deficiency are treated with glucocorticoids. Glucocorticoid administration, even in substitution doses, may cause decreased bone mineral density (BMD) and obesity. The purpose of this study was to determine BMD, lean mass, and fat mass in young adult male (M, n = 15) and female (F, n = 15) patients with 21-hydroxylase deficiency, who had been treated with currently recommended low doses of glucocorticoids. Measurements were performed with dual-x-ray absorptiometry. In addition, calcaneal ultrasound measurements were performed (broadband ultrasound attenuation and speed of sound). Results were compared with those in age- and sex-matched controls; to adjust for height, lean and fat mass were divided by (height)(2). M and F patients [M, 21.7 +/- 2.4; F, 20.6 +/- 2.9 yr old (mean +/- SD)] were shorter than the controls (M, P < 0.001; F, P < 0.003) and their body mass indices were higher [M patients (25.0 +/- 3.6) vs. controls (22.3 +/- 1.9 kg/m(2)) (P < 0.02); F patients (25.5 +/- 4.5) vs. controls (21.9 +/- 2.3 kg/m(2)) (P < 0.02)]. BMD values (lumbar spine L1-L4, femoral neck, and total body) were not different from controls. Calcaneal ultrasound measurements showed that M patients had higher speed of sound values [M patients (1564 +/- 38) vs. controls (1529 +/- 29 m/sec) (P < 0.01)]. Lean mass in M and F patients was not different from controls when adjusted for height. Fat mass was higher in M and F patients when adjusted for height [M patients 5.6 +/- 2.9 vs. controls 2.7 median (1.7-7.0 min-max) kg/m(2) (P < 0.04); F patients 8.7 +/- 2.8 vs. controls 5.8 (4.3-10.7) kg/m(2) (P < 0.02)]. Relative fat mass (fat mass as a percentage of the total body mass) was higher in patients, compared with controls [M patients 22.0 +/- 9.1 vs. controls 12.8 (8.5-27.0)% (P < 0.04); F patients 34.1 +/- 5.0 vs. controls 29.0 +/- 5.1% (P < 0.02)]; this resulted from increased fat mass, not from decreased lean mass. Fat distribution over the body was not different in patients and controls. No significant correlations were found between cumulative glucocorticoid doses in the last 0.5, 2, or 5 yr or mean salivary morning levels of 17-hydroxyprogesterone and androstenedione in the last 5 yr on one hand and bone parameters, lean mass, or fat mass on the other hand. We conclude that, at prevailing low-dose glucocorticoid regimens, young adult patients with 21-hydroxylase deficiency have normal BMD. Their lean mass is in accordance with height, but fat mass is increased, with a normal distribution over the body. This results in a higher fat percentage of the total body and a higher body mass index than in healthy peers. Because overweight and increased fat mass are associated with the metabolic syndrome and increased cardiovascular risk, weight management should have appropriate attention in the follow-up of congenital adrenal hyperplasia patients, to prevent overweight-associated morbidity.


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DART RAYNERADIOEX2019-03-11T20:52:05+02:00
Dart Rayne (Andrey Krutikov) is a deejay, producer, getting world confession and support both from the best deejays of planet and from simple listeners. In his 21 years he became one of the brightest representatives of the electronic stage of Ukraine.
His unique style was engendered 3 years ago, when he did the first experiments on mixing of different directions of electronic music. Due to persistent labour, musical education and talent, he in the earliest possible dates goes out on the professional level of djing.
Andrey has managed to create his own sound of dark and powerful tech trance, deep grinding bass lines with a heavy industrial influence and crude timbre, and great big room tunes with old-school trance sounds. At the same time, his music is melodically rich and thematically driving, ensuring a killer combination of rhythm and melodic energy for the club environment.
For his recently began career he already got support from Armin van Buuren, Tiesto, Markus Schulz, Garet Emery, Sean Tyas, Aly & Fila, Marcel Woods, Judge Jules, Dash Berlin, Jerome Isma-Ae, Giuseppe Ottaviani, Richard Durand, Jochen Miller, Claudia Cazacu, Mr. Pit, Airbase, Marco V, Manuel Le Saux, Arnej, Chris De Seed, tyDi, Mark Sherry, Genix, Mark Pledger, Mac & Taylor, Robert Gitelman, Element One, Jonas Hornblad Ashley Wallbridge, Agnelli & Nelson, Marc Marberg, W&W, Daniel Wanrooy, Dr Willis, Kutski, Will Atkinson, Steve Noxx, Scot Project, Kamui, Artento Divini, Charlie G, Tempo Giusto, Joop, John Gibbons, Lee Haslam, A*S*Y*S, Joey V, Shy Broters, Niklas Harding, Marlo and others.
Dart Rayne is an artist of such labels as Armada, High Contrast, Musical Madness, Timelene/Emphase, Echelon and others.
In November of 2010th Andrey becomes a resident of the best in the world on-line radio station DI Fm (New York) and starts the weekly radioshow Uprising Sessions, which due to the unique conception and stylistic variety only for a few months found tens of thousands of listeners all over the world…
Dart Rayne is a prolific producer and remixer on the rise, and his sound is something to keep your eyes open for in the future


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Q: Asymmetrical collection view layout with cells paired or solo I was spending a long time trying to accomplish this without any ideas.
I have this data model, which I need to put into a collection view.
The main problem is that collection views are not that elastic.

The data model can be in a different structure similar to this, and is not symmetrical. It can be in any other order but it always go down. the only difference is the side in which the index goes.
I have tried :

*

*Creating sections in which each section gets 2 cells, then when creating the layout I had a problem where a single cell in a section must be on the right side, and the next on the left. but the delegate's order is the opposite, and you get into complications of moving cells around.

*Inserting a cell to a specific index, so I can set a section with 2 indexes and then insert the cell to index 1 directly and not to 0 . (this is impossible because the max index should be maximum the data.count )
Should I just build it by myself? Are these things possible with a collection view at all?


Microsoft Dynamics 365 is Microsoft's next generation suite of intelligent cloud-based business applications. Formerly known as Microsoft Dynamics AX ERP and Dynamics CRM, the newly branded Dynamics 365 offers a suite of best-in-class business applications for sales, marketing, financials, Finance & Operations, human capital management, and Project service automation. Microsoft Dynamics 365 natively runs on Microsoft's industry-leading Azure cloud, and heavily leverages other market-leading cloud solutions from Microsoft, such as Office 365, PowerBI, and Cortana Intelligence, to drive productivity and intelligence throughout a client's organization.


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Published on 10th December 2019
Greg Spawton – Big Big Train
Article by: Alex Driessen
Sometimes, size is everything…
By sheer coincidence, I came into contact with founder/bassist/composer Greg Spawton of Big Big Train. I was seeking permission to use some of the pictures from the website to accompany my report on their live performance in London, to which he responded quickly and positively. One thing led to another and his response to my request for an interview was very well received. Here is the rendition of said interview, that took place via e-mail.
Perhaps a bit late, but nevertheless congratulations on your latest album Grand Tour. An excellent album, perhaps your best so far, and my personal favourite for 2019. I particularly like the clear move to more prog compared to predecessors Grimspound and Folklore. What prompted this move?
Glad you have found some things to enjoy on Grand Tour. Is it more or less 'prog' than Grimspound and Folklore? I am not so sure. We certainly set out to make a different album from those two, especially in terms of the lyrical content, but there is a lot of complicated music and there are many grand themes across the three releases.
From a lyrical point of view, the big change is that subjects are now more European tinged and less quintessential English. You are the number one lyricist within the band, what was the idea behind this change?
The lyrics these days are shared fairly evenly between me and David (Longdon), and we work closely together to make sure we are exploring album themes in interesting ways. After a few albums where the songs have told stories with a mainly English setting, we felt it was time for a change. We didn't want to lose the story-telling aspect, that is what we do, but we thought it would be good to write songs with a different setting, which got us thinking about other places and other worlds and the discoveries that people make when they travel. David came up with the idea of using the 17th and 18th Century tradition of the Grand Tour as a shorthand for the concept. For a little while, we were going to set songs in some of the key places along the route of the typical Grand Tour, but that was constraining us a bit, so we loosened the concept and that set us free to choose the stories we wanted to tell.
I am very curious about your experiences with touring. So far you were a 'resident band', for the first time you have actually travelled. What was that like, with thirteen band members and six cities within eight days?
We have been very cautious about developing the live side of the band. We were doing pretty well just making albums, but it reached a stage where the demand to see us in the flesh was growing nicely and we were also getting very curious about whether we could become a successful live band. As you mention, we thought we'd keep things under control with a couple of residencies and they went well so we started planning for touring. We got a little taste of things when we played at Loreley in Germany, but the U.K. tour was considerably more challenging in every respect. Travel, accommodation, the different setups at each venue, all these things become central issues.
You have waited a long time to announce a tour, which, moreover, appears to be relatively short. Now fans in Europe and America in particular have been waiting for quite some time for white smoke from England. What is the main reason for this hesitation, is it primarily a question of money?
Yes, it's primarily money. This has been a full-time career for me for the last few years and, being in business, you can't afford to take huge risks. As it is, we lost a fair bit of money on the U.K. tour. Hopefully we can recover most of that loss with a Blu-Ray release next year, as we filmed the London show. The problem we have is that the live band so far has consisted of thirteen musicians. We have a big, complex soundscape and can't recreate that with a small band. Plus we have a crew of six technicians and on top of that we have a merchandise team. With Robin (Armstrong) now leaving to focus on his own band, Cosmograf, we'll be trimming things down to twelve musicians from next year, but the costs of transporting, accommodating and paying twelve people alongside the crew is astronomical and it's difficult to make things stack up financially. We were doing pretty well from album sales but that side of the business is under threat now. We became a top 40 band in the U.K. for the first time in May of this year, so that's a good indication of us doing well, but streaming is denting album sales, record shops are in trouble and postage costs are going through the roof, so the source of revenue from album releases is diminishing. I am not moaning though, the world does not owe us or any other musician a living. There is a need for musicians to adapt and be clever. We have a few ideas to help us grow the band and to help us keep making music, which we'll be announcing soon.
You just finished your tour, your last album was released in May this year. What does a professional musician do when he is not on tour or specifically working on a new album. What does your average day look like?
It depends on the level you are at in the business. At our level, there is a lot of hands-on work and not a huge amount of financial reward. We now have a manager and tour manager and they are doing all they can to take the load off band members in terms of the day-to-day running of things, but there are still a lot of emails to answer and organising to be done. Straight after the tour, I had a couple of days to relax, then I spent a few days catching up, paying invoices and all that. Not very exciting really! In the last few days, I have had some time to do some writing and a bit of recording so that's been good. A label in Japan is releasing a double CD next year to help introduce us to the Japanese market. It will mostly be a 'best of' but we are doing a couple of new things for it and so I have been working on those. In the next week or two I will be learning some parts for an album that David is recording with Judy Dyble and I'll be going into the studio after Christmas to get those recorded.
I have been fortunate to see you perform live on three consecutive occasions over the course of three years and it strikes me that you seem to have gotten better every time. Are you of the same opinion and to what extent is that due to building self-confidence on tour?
Yes, I think we are finding our feet as a live band. Every set of shows we do, we've got better. We've had some ups and downs and we've made some mistakes due to inexperience but we are all very serious about what we are doing and we'll continue to try and improve.
Speaking of self-confidence: your performance at Night of the Prog last year was a great triumph, the audience embraced you passionately. That must have been a good feeling. How did you experience your first major performance outside the U.K.?
It was an amazing evening. We were on after a couple of quite heavy bands so I was a little bit worried that our show might fall a bit flat. But we played well, the audience were right behind us and the stunning location and beautiful weather made it seem such an enchanted evening. Nick (D'Virgilio) has played literally thousands of shows and even he was on a big high afterwards. Dave (Gregory) used to do some big shows with XTC and it is great that he is back playing in front of decent sized audiences.
What about plans at the moment, possibly a new album in the making, are there currently plans for other projects or solo albums? I am thinking in particular of the much-discussed Station Masters project, is that still alive?
There is some solo activity right now. I mentioned David's album with Judy, and Nick has also got a new album which will be out early next year. I have heard both albums and they will both be brilliant releases. We should also finish work on the Japanese market BBT release in January. And we'll be going back into Abbey Road early next year to record a string section for another Big Big Train project which will come out in 2021. In May we're off to the States and Canada for some shows and in July we are playing two shows in England and then heading out to Italy for a couple of gigs, finishing in Rome. As for the new BBT studio album, we have plenty of song ideas and have set some time aside to finish writing the album in the autumn next year. We'll then record the album early in 2021 and release it in the autumn of that year. Finally, the Station Masters idea is resting, but we'll try to put some time into that at some stage.
What's with this strange obsession of yours concerning bass pedals? You are an excellent bass player and the Rickenbacker still produces sufficiently heavy and especially low tones?
Bass pedals were a key part of the sound of bass players in the '70s. For some reason, that seemed to die away a bit, as did awareness of the awesomeness of bass pedals. I remember when we played our first shows in 2015 a lot of people asked me afterwards what I was doing with my feet on my pedals which really surprised me. Prog rock is a music form where songwriters can be ambitious and can explore ideas in extended songs. Where songs are lengthy and where there is the opportunity for pieces to be highly dynamic, the deployment of bass pedals during the bigger moments can greatly enhance the composition. Sometimes, size is everything.
Who would you say are your influences, and what music do you enjoy listening to?
On the playing side, Mike Rutherford, John Wetton and Paul McCartney. Mike was the greatest exponent of bass pedals alongside melodic and rhythmic bass playing. On the writing side, I am influenced by many different artists such as Mew, Prefab Sprout, PFM, Van der Graaf Generator and The Unthanks. My biggest influence from the early days right through to now is probably Anthony Phillips. I love his playing and his music. His new album is really beautiful. Another album I have been listening to a lot recently is the new Nick Cave album, Ghosteen. It's an extraordinary piece of work.
On 6th December the DVD/Blu-ray will be released from the performance at Cadogan Hall, two years ago. I was there on the first evening, Friday night. The noise was abominable, especially if you were, like me, seated upstairs in the hall. What actually went wrong that particular night?
I mentioned earlier about mistakes and inexperience and that was a key moment for us where we got things wrong. The venue at Cadogan is great and the people there are lovely and we may go back some time. But somebody in the tech team there was worried that their PA would be out of phase with our PA, so they suggested that we turn off their PA and just use ours. We took that advice and, down in the stalls, the sound was pretty decent. The mistake we made, though, was not checking every part of the venue; we should have checked upstairs as well as the stalls. And upstairs on the balcony the sound was awful. Onstage, we are on in-ear monitors, so we have our own mix and we had no idea of the sound problems people were experiencing. Just before the break, somebody upstairs got very angry and started shouting at us. Of course, we are on in-ears which block out the sound, so we had no idea what he is saying. The sound crew, however, were then alerted and so they did what they could to improve things. And from the second show on we brought in some extra PA upstairs to get the best sound possible. Subsequently, we have expanded our crew to take on a PA tech who has the sole job of setting up the PA at every venue we play. It's expensive, but we owe it to listeners to do all we can to put on the best shows.
How do you see the future of the band, your band actually. Where will you be in five years and what are your ambitions?
All of us are ambitious. If things go to plan, we should be playing at 2,000 seat venues in the U.K. within the next two years. In the rest of the world, we'll have to judge what size audiences we are likely to draw and plan accordingly. If the audiences are likely to be too small or if a promoter isn't prepared to take a risk then we won't be able to afford to take BBT to some parts of the world. We'll continue to write and record albums, as albums are the core artistic statement for rock bands. I'd like us to break into the Top 20 at some stage, but we will not be compromising our music to seek to achieve further commercial success.
Finally, is there anything you would like to share with the readers/visitors to our TPA website?
I'd just like to say thank you for listening to music and for supporting the musicians.
Thank you for your time, good luck with the band, I sincerely hope to see you soon without having to board trains or planes!
Thank you Alex.
Photos by Martin Reijman and Andre Wins.
Big Big Train – Website | Facebook | Bandcamp
Tags: Big Big Train, Greg Spawton
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Anderberg ist der Familienname folgender Personen:

 Algot Anderberg (1893–1963), schwedischer lutherischer Bischof
 Arne Anderberg (* 1954), schwedischer Botaniker
 Axel Anderberg (1860–1937), schwedischer Architekt
 Astrid Anderberg (1927–2010), schwedische Keramikerin
 Bengt Anderberg (1920–2008), schwedischer Schriftsteller und Übersetzer
 Bertil Anderberg (1913–1991), schwedischer Schauspieler
 Carl-Olof Anderberg (1914–1972), schwedischer Komponist und Dirigent
 Christel Anderberg (* 1943), schwedischer Politiker
 John Anderberg (1923–2012), schwedischer Fußballspieler
 Marianne Anderberg (1944–2017), schwedische Schauspielerin
 Nikki Anderberg (* 2002), schwedische Sprinterin
 Olle Anderberg (1919–2003), schwedischer Ringer
 Rudolf Anderberg (1892–1982), schwedischer Politiker
 Torgny Anderberg (1919–2000), schwedischer Schauspieler

redpajama_set_name: RedPajamaWikipedia


Your home will look great with this high-quality Aeon Catalan-Round Table DT6131B-AmWalnut catering to the premium price point. This table fits in nicely for restaurants desiring a modern design. This table is made of the highest-quality walnut, aluminum. This product is backed by our customer satisfaction return policy and our best price guarantee.


When I arrived to photograph Charlotte, she had just woken up from her nap, so naturally, it took her a minute to warm up to me. But as soon as she did she was all smiles and giggles for the camera! She loved hanging with mom and dad out in the yard; especially when dad threw her up in the air! Seriously so cute. She seems like a total daddy's girl right now, but of course loves mommy too! She had the most beautiful eyes and adorable facial expressions. I loved how she crinkled her nose up when she laughed! Happy first birthday to this cutie!


books, DVDs and other materials. The collection ranges from manuals on Aikido as well as other martial arts, biographies, humorous memoirs (Angry White Pyjamas!!!) and even samurai films.
Not to mention material related to the martial traditions of Japan in general. I find there is generally something there for everyone. If you're not sure, just come and ask me!
These materials are located on the top 3 shelves of the metal cupboard in the Nathan dojo. We are very lucky as an organisation to have all these materials and as you go through your Aikido journey, a good book may be inspirational or even insightful along the way. We welcome you to peruse and borrow items that will prove invaluable to you in your training. From time to time, you may also find new items added. So do take a look every now and then.
However, in order for me and others to keep track of all these amazing materials, there are some rules members must follow in order to use the dojo library.
1. Only members that have a coloured belt may use the library (however, if you ask a senior committee member, considerations may be made for you).
This is a tricky one. When borrowing an item, you must pull out the white card, fill in your name and the date you have taken it. Then, in the catalogue box (which is near the books) place the item's white card standing up in the box, and take the item's matching red card and place it inside your borrowed item. Make sure the right card is in the right book as well.
When returning your items make sure you fill in on the item's RED CARD the date it was taken and returned. Then replace the white card with the red one back into the catalogue box. Place your white card back into the item you borrowed.
4. When borrowing an item, you must return it within 6 months.
5. Generally, you should have no more than one item at a time.
So those are the rules to using the library. By following them, you ensure that I and other committee members can easily keep track of who has what items. This means I can spend more time on the mat training.


Democracy as the rule of the majority is incompatible with anarchy. This is what the author clarifies in a very clear and synthetic way.
Democracy is the political theory that assumes that all members of a community meet as equals on equal terms, but that nevertheless the majority have an absolute right to over-rule the minority. And it is worth while to look closely into the real significance of this curious non sequitur, which starting with the formula of free association ends with the formula of authority.
Is it not a plain and obvious truth that supremacy in brute force by no means rests with the majority. History and daily life show us examples thick as blackberries of an energetic and resolute minority utterly defeating the majority in the most desperate trials of actual physical strength, ever since the days when a handful of Greeks defeated the mighty hosts of Persia on the plain of Marathon and Horatius and his two comrades held the Tiber bridge against the army of Lars Porsena Providence fights on the side of the strongest battalion, but not by any means on those of the largest. And this is even more obviously true when the contest is transferred to the intellectual field.
No doubt "the public collectively", as Mill says, "is abundantly ready to impose not only its generally narrow views of its own interests, but its abstract opinion and even its tastes upon individuals". And if it has machinery at command for doing this without trouble it will oppress without mercy. Do you think that the majority of American citizens were any more unwilling that the Chicago men or John Brown should be hanged than the majority of Jews that Christ should be crucified? Do you think that a plebiscite of London citizens, or the inhabitants of England would maintain the right of meeting in Trafalgar Square? In the name of human progress and the spontaneous individual initiative on which it depends, we may thank our stars that the majority as yet show no sign of acquiring that right to rule founded on superior force. But if the theory of democracy or the rule of the majority cannot be based on the appeal to force which has been the basis of all other over-ruling, what, then is its basis? Shall we say expediency? It is a first approximation - a blundering attempt to return to the principle of free association, still hampered by the ideas of authority yet current in society. On all occasions for common action, or where a general understanding is desirable, one must have some principle of decision and the recent development of social feeling has rendered an appeal to the old species of authority as morally odious, as it is intellectually contemptible. It is a matter of common experience that men, like sheep and all other gregarious and social animals, have a pretty general tendency to go in masses and act together unless they are prevented by some abnormal division of interests. Each one of us is inclined by our social feeling to like in a general way to do what the rest like. In ninety-nine cases out of a hundred where a number of people are met together to decide upon some common course of conduct, they will all in the end come to some definite decision in favour of one thing; because those who were at one time inclined to dissent, prefer in the end to act with the majority, if the matter is of practical importance; not because they are forced to do so by the majority over-ruling, but because the largest body of opinion has so much weight with them that they choose not to act contrary to it.


Gorton will soon be home to a brand new £6.1 million residential development, with the opening of a large scale development to the area that offers 46 new homes on Vine Street.
The scheme, Park View, has seen Southway Housing Trust working with developers Mulbury to transform the previously derelict landscape and help new buyers in Gorton to reach the milestone of home ownership in an up-and-coming suburb of Manchester.
The homes are available to buy on an affordable 'shared-ownership' basis, which gives people the chance to step onto the property ladder by offering deposits as little as £3000, making the process of buying a new home achievable to those on lower incomes.
The additional benefit of schemes like Park View is that they allow housing associations to generate surplus that can be reinvested into new housing and social projects. Unlike private house builders, Southway Housing is a social business and invests in the communities in which they work. This ranges from tackling food poverty or anti-social behaviour, to the provision of affordable rental tenancies.
Profits made from Park View will therefore benefit people and communities across Manchester.


CALGARY, July 3, 2018 /CNW/ - Royal Reserve Canadian whisky, one of the best-selling whiskies in Alberta, has released a new limited-edition bottle across Canada that features "Statement Stickers", honouring its fans' long-standing tradition of peeling off the product's iconic label and sticking it on their favourite personal items such as toolboxes, hardhats or guitar cases.
Thousands of these special bottles are now available on store shelves, and each bottle bears one of 9 different stickers for consumers to choose from.
"We wanted to create something special for Royal Reserve's loyal fans in Alberta by celebrating their strength and dedication." says Laura Douglas, Brand Coordinator, Corby Spirit and Wine. "These are fun and relatable stickers that fans can be proud to peel off and stick on their favourite items."
In addition, Royal Reserve has launched the #WearYourWhisky social media contest in Alberta for a chance to win a pair of custom Royal Reserve coveralls, valued at approximately $1,200.
Post a photo on Instagram and tag #WearYourWhisky in the caption.
Contest open to Alberta residents only.
Royal Reserve Canadian Whisky, owned by Corby Spirit and Wine Ltd., is known as Alberta's #1 favourite whisky. This whisky offers hints of honey, burnt almond and sweet caramel on the nose. It is created and bottled in Windsor, Ontario at Hiram Walker & Sons – one of the largest distilleries in North America.


RUD exclusively distributes the innovative range of Glasdon recycling systems throughout Australia and New Zealand.
On 22nd November 1984, RUD Chains Pty Ltd commenced operations in modest premises consisting of a converted room under a house in Macgregor, Brisbane.
Now celebrating over 30 years of service in Australia, New Zealand and the South Pacific region, we are proud of the reputation that we have built around the RUD brand across several diverse and ever expanding product groups.
The vision, dedication and commitment of our people, both past and present, working within clearly defined customer focussed strategies, has been the cornerstone of our success.
Commenced operations on 22nd November 1984. Now celebrating over 30 years of service.
With national coverage, the RUD team here to work closely with our customers through understanding their markets and business needs.
We provide quality niche solutions; not just products and look forward to delivering innovative and market leading solutions to your organisation.


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Announcement, Job Opportunity
Job Vacancy: Curator of Learning
An exciting opportunity has now arisen for a creative and experienced Curator of Learning with the IAF.
We seek a dynamic, experienced and highly motivated individual for the role of Curator of Learning to work across the IAF's varied learning programme.
The IAF's educational remit has developed a strong trajectory of work engaging schools and communities across Ireland in architecture, design and place-making. Projects like A Space For Learning led to the long established Architects in Schools initiative, which reaches 30 schools across the country through workshops and a learning resource pack in print and online. Place Shapers and the current Play Park Ballyfermot are projects that place young people and the community at the heart of the design process and make real change in the built environment. Further complimentary programs have included Open House Junior for young people and families the Beyond Participation Conference, developing a Youth Collective and the BT Young Scientist Award for architecture, all of which aimed to excite a diverse audience about the cultural value of architecture.
The Irish Architecture Foundation's vision is a future where architecture is a civic right, fundamental to the fabric of life, culture and history, and is a confident expression of who we are and who we might become.
This is a fantastic opportunity to join a team of dedicated, creative people all sharing a mutual passion for architecture, art, design and its intersection with the public. In a few short years, we have situated architecture firmly within the cultural context, popularised it through Open House Dublin, inspired young minds through our schools programme, encouraged people to think differently about their cities and towns, and enhanced the practice of architecture through mutually beneficial exchanges between architects and the public.
The role of Curator of Learning is offered as a Full-Time, Permanent position (following a 6 month probation period).
For further information please download the job description here.
Closing date for applications is Wednesday 15th January 2020, 12 noon.
National Policy on Architecture discussion document unveiled!
2019 Programme, Reimagine
EXTENDED Open Call Reimagine....The Walks, Loughrea