Slow Medicine is a philosophy and a set of principles and practices meant to help elders, families, friends, and caregivers face aging and decline in late life.
A scene in Leo Tolstoy's Anna Karenina, written more than a century ago, illustrates the complexity of human responses when approaching life's end. Nikolai Levin has been declining slowly from consumption (tuberculosis) over the span of several years, and is now more rapidly approaching death. His sister-inlaw, Kitty, who knows medicine has nothing left to offer him, sits by his bed, urging acceptance and faith. In time, he relents. As she concludes her task and turns to leave, he surprises her (and Tolstoy's readers) by asking why she can't go and find him "the best doctor in Moscow" (Tolstoy, 1946).
care, which paces all decisions and allows for a deeper understanding of the scope and possible outcome of available choices. Central to this approach is a better understanding of what prescription and non-prescription medications may offer in failing health and advanced age.
an expectation that one will feel better. Within hours or days, the patient knows whether the medication is working or not. Antibiotics, pain-relief medications, and drugs for heart or lung diseases are examples of this traditional approach. The medication is taken for a limited period of time and then stopped.
As longevity has grown over the past century, many diseases that were once life-ending—cancers, heart disease, diabetes—have become chronic illnesses. Wanting to lessen symptoms and to keep them from developing have created a growing market for more and more prevention drugs. Advertisements for prescription and non-prescription drugs flood the media with choices and promises (Abramson, 2004). Increasingly, we can't measure the value of these drugs by how we feel. We are persuaded to judge effectiveness based on large population studies to assess outcomes over time.
Prevention drugs, especially for heart disease, diabetes, and hypertension, make sense for younger adults; much research supports this, especially in the case of men. Studies providing evidence for women and older people have been slower in coming. Researching prevention is inherently difficult because chronic diseases play out slowly, and it takes years and a great deal of money to assess treatment value. Two problems stand out in designing this type of research for elders. The first is that older people become more and more singular as they age; it is difficult to create comparable groups of elders to study. The second is that additional medical problems emerge in later years, forcing people to drop out or to be dropped from studies. It is difficult to isolate the effects of a drug in elders with multiple problems. As a result of these difficulties, there is a paucity of research guiding doctors in using prevention drugs wisely for older people (Sloan, 2009).
Recommending drugs for elders is increasingly based on extrapolating the usefulness of those drugs in much younger (and different) study participants. This practice is nevertheless widely employed, despite being scientifically unsound. There are clear dangers for elders in this excessive and inappropriate use of medication.
Excessive drug use by frail elders also results from over-diagnosis (Welch, Schwartz, and Woloshin, 2011). As we expand threshold criteria for diagnosing common conditions such as high blood pressure, diabetes, and high cholesterol, attaching a disease diagnosis (or "pre-disease diagnosis") to more individuals, a larger number of people of all ages are encouraged to use drugs to prevent long-term problems.
But elders have shortened life expectancies, and early-stage problems are less likely to progress quickly. One recent example of this trend is the growing evidence questioning the value of screening for prostate cancer by a PSA (Prostate-Specific Antigen) test, and the dangers of treating this disease in older men. With borderline diabetes, hypertension, or osteoporosis, the possible benefits of drug treatment may be small. Often, for elders with multiple diseases, mixing medication protocols can lead to confusion and adverse interactions. The question we must consider is whether or not a new diagnosis and another medication will improve an elder's quality of life now and in their remaining years (Steinman and Hanlon, 2010).
The placebo effect is well-documented with all drugs (Freedman, 2010). In drug trials where one group takes a genuine drug and the comparison group a placebo, generally both groups improve, often as much as 30 percent. To help distinguish this effect, study groups are often reversed for an equal period of time Yet in clinical practice, physicians are not readily inclined to "cross over" and see how the patient does without the drug to determine the drug's real effect. In geriatric practice, a strong case can be made for this "trial and error" approach to determine a drug's value to the individual.
Initial drug trials to evaluate safety and effectiveness are necessarily done on small groups of people. As new drugs are pushed to the market more and more quickly, these trials do not test adequate numbers of people, nor do they allow sufficient time to note longer-term side effects (Abramson, 2004). If a drug side effect only appears in one in 1,000 people, that may seem a limited risk for the 1,000 individuals in that trial. However, when 100,000 to 500,000 people are taking a drug with a risk of 1:1,000 for a side effect, the 100 to 500 people suffering the side effect constitutes a real problem. Although the individual risk remains the same, the consequences for the population are much greater.
Roughly one in five elders takes ten or more drugs; in the extremely vulnerable populations in nursing homes the percentage is even higher (Field et al., 2007). Yet we are learning that the risk of drug interactions and side effects increases much more rapidly when the patient is taking six or more drugs.
As for duration of use, a rule of thumb for the cautious physician is to be wary of drugs that have not been tested by large numbers of people for a minimum time period of five to seven years (PublicCitizen, n.d.).
As the science of aging has progressed, physicians have to come to understand much more about the decline of organ functions, particularly of the kidney and liver, which eliminate drugs from the body over time. Body composition (bone, muscle, fat, water content) also changes as we age, causing a different distribution of a drug. Drug doses need to be calculated to allow for these changes, which are often dramatic with aging. The stomach and intestine may absorb drugs differently or not at all; the brain is more fragile in elders (consider the larger effect of a knock on the head for the older brain).
The best illustration to explain this to elders and families is the aging skin. Abrade a shin or forearm and a full layer of skin may peel off; large bruises arise from the least trauma. We are fragile everywhere as we age, and this vulnerability needs to be considered whenever we subject an older person to a new drug circulating "untargeted" through the body. The rule of thumb is "Start low, go slow" when prescribing a new medication.
With many drugs for elders we have failed to consider over time the changing risk-to-benefit ratios. Commonly, prevention medications are given with the advice that "you will need to be on this for the rest of your life" (Groopman, 2008). But, we know that if a person lives beyond age 80 or so, her body will change and may not tolerate a medication at the original dose. It may not be possible in an elder's shortened time frame to achieve the promised outcome. To reduce known dangers of excessive, inappropriate, and inadequately reviewed medication, doctors and families must constantly and persistently reassess an elder's medications.
It is difficult for us to talk openly about how aging alone becomes the most important risk factor for our health and well-being. Simply put, using prevention drugs to modify risk factors and, theoretically, improve quality of life and life expectancy has a role of diminishing importance as one ages.
For example, age alone accounts for 75 percent of the ten-year risk for developing heart disease in a group of seventy-five-year-olds with cholesterol elevation of 280 mg/dL, but only 12.5 percent of the risk for a group of forty-fiveyear-olds with the same cholesterol elevation (National Institutes of Health [NIH], NIH Heart, Lung and Blood Institute, 2001). After age 65, "age" rapidly surpasses all other risk factors in importance, and, along with family history, cannot be changed.
As we head into our eighties and nineties, the potential value, or risk-benefit ratio, of reducing cholesterol counts or aggressively managing high blood pressure or diabetes is of diminishing significance, while risks for drug side effects increase (Oates et al., 2007). Honing our thinking may help us shift our understanding of what we are and aren't getting in return for the drugs we use. It is never wrong to concentrate on healthy habits and medications that make us feel better, but most prevention drugs have accomplished what they could when we were much younger. Recognizing the limits of medical care is a part of accepting the aging process.
It might seem surprising that so few medications are regularly reassessed in any significant way. Particularly with frail elders, doctors naturally tend toward the "if it ain't broke, don't fix it" school of medication management, despite knowing about changes in medication absorption, metabolism, and elimination that come with aging.
Medication changes, which in general must be based on a trial-and-error approach because older people vary so widely from one another, require time to plan and carefully follow up. In current medical practice, doctors are pressed for time and will often forgo more thoughtful approaches to medications, instead sticking with the "blood pressure check and medication renewal" quick visit.
But there is value in "medication vacations," which allow a patient to discover what it feels like to be without side effects. For many chronic medications, there is little risk with periodic monitored "vacations" (Teel, 2011; Sloan, 2009).
One might expect nursing home staff to regularly carry out medication vacations (many patients take ten to twelve medications or more) because of available surveillance. Unfortunately, even here traditional medical practice usually prevails. If anything, more and more medications are added, but few are discontinued or their doses reduced. Of special importance in nursing homes is the need to continually reduce psychopharmacologic and anti-dementia medications, for we know that the so-called behaviors being treated wax and wane quite on their own.
Change, whether in providers, philosophies, or medications, when beliefs and habits are longestablished, is difficult (Gawande, 2010). The first challenge in addressing medication use near the end of life happens when helping hospice and palliative care patients weather the emotional transition to accepting dying (Cohen, 2010). Building a new, trusted relationship usually trumps rational explanations for why some medications might no longer be of value.
seem to arrive at a place where they understand the limits of medical care (Groopman and Hartzband, 2011). Medicare hospice enrollments have been increasing steadily over the past several years, but, unfortunately, the pattern of hurried and short enrollment periods before death—usually weeks, not months—continues. Nearly all older hospice (and palliative care) patients can be described as "frail" as a result of advanced diseases and illnesses, and many enrolleesare frail due to age alone.
For the group affected by both age and advanced chronic illnesses, many might be termed "pre-hospice" for years. Over these many later years, frail elders are much less likely to benefit from medications designed for long-term prevention of problems beginning in middle life. Instead, these elders are an "at-risk" group for all medication prescribing.
Earlier enacted, more thoughtful, and more honest approaches to medication prescribing would allow a less stressful and awkward transition to appropriate end-of-life medication use. Patients and families may not have thought critically about medications, but entering into hospice almost always involves considering risk-benefit ratios of both symptomatic and prevention medications.
Appropriately, hospice strategy emphasizes the potential positive effects of discontinuing, or slowly reducing, long-term medications that are not specifically useful for diminishing present symptoms. This approach to medication reduction or discontinuation is not a difficult case to make. Along with some reduction in stress for patient and family when entering end-of-life care, subtle, unappreciated side effects from long-term medication use, including nausea, appetite reduction, constipation, sedation, and fatigue can be eliminated in the frail and compromised patient.
Many symptoms go unnoticed because they came on slowly over many months or years as a result of fixed doses of medications affecting a changing and diminishing body with reduced capacity to tolerate drugs. Use of non-drug therapies to reduce pain, stress, and anxiety for patients (and families), and to address other symptoms is also helpful.
As troublesome physical symptoms lessen in intensity, good end-of-life care can then address the spiritual issues of acceptance and meaning. In its most extreme form, after stopping both curative and long-term preventative treatments, one may see the so-called hospice cure, where patients gradually feel better. This was wellpublicized by humorist Art Buchwald in his book, Too Soon to Say Goodbye (Buchwald, 2006), which describes his improvement and eventual "graduation" from hospice. (He later returned to hospice.) Restoring a higher quality daily life is common, and patients' lives can extend beyond prognoses made while under the stress of aggressive treatment.
Dennis McCullough, M.D., is a community geriatric consultant and associate professor of Community and Family Medicine at Dartmouth Centers for Health and Aging, Dartmouth Medical School, Hanover, New Hampshire.
Abramson, J. 2004. Overdosed America: The Broken Promise of American Medicine. New York: HarperCollins.
Buchwald, A. 2006. Too Soon to Say Goodbye. New York: Random House.
Cohen, L. M. 2010. No Good Deed: A Story of Medicine, Murder Accusations, and the Debate Over How We Die. New York: HarperCollins.
Field, T. S., et al. 2007. "Adverse Drug Events Resulting from Patient Errors in Older Adults. Journal of the American Geriatrics Society 55: 271–6.
Freedman, D. 2010. "Lies, Damned Lies, and Medical Science," The Atlantic Magazine. theatlantic.com/magazine/archive/2010/11/lies-damned-lies-and-medicalscience/8269/. Retrieved September 12, 2011.
Gawande, A. 2010. "Letting Go: What Should Medicine Do When It Can't Save Your Life?" The New Yorker. newyorker.com/reporting/2010/08/02/100802fa_fact_gawande. Retrieved July 1, 2011.
Groopman, J. 2008. How Doctors Think. New York: Houghton Mifflin.
Groopman, J., and Hartzband, P. 2011. Your Medical Mind: How to Decide What Is Right for You. New York: Penguin.
Kleinman, A. 2011. "The Divided Self, Hidden Values, and Moral Sensibility in Medicine." The Lancet 377(9737): 804–05.
McCullough, D. 2008. My Mother, Your Mother: Embracing "Slow Medicine," the Compassionate Approach to Caring for Your Aging Loved Ones. New York: HarperCollins.
National Institutes of Health (NIH), NIH Heart, Lung and Blood Institute. 2001. ATP III Guidelines At-A-Glance Quick Desk Reference; NIH Publication No. 01-3305. nhlbi.nih.gov/guidelines/cholesterol/atglance.pdf. Retrieved September 12, 2011.
Oates, D. J., et al. 2007. "Blood Pressure and Survival in the Oldest Old." Journal of the American Geriatrics Society 55(3): 383–8.
PublicCitizen. n.d. "Ten Rules for Safer Drug Use." www.worstpills.org/public/page.cfm?op_id=48. Retrieved July 15, 2011.
Sloan, J., 2009. A Bitter Pill: How the Medical System Is Failing the Elderly. Vancouver, Canada: Greystone Books.
Steinman, M. A., and Hanlon, J. T. 2010. "Managing Medications in Clinically Complex Elders: 'There's Got to Be a Happy Medium.' " Journal of the American Medical Association 304(14): 1592–601.
Teel, A. S. 2011. Alone and Invisible No More: How Grassroots Community Action and 21st Century Technologies Can Empower Elders to Stay in Their Homes and Lead Healthier, Happier Lives. White River Junction, Vermont: Chelsea Green Publishing.
Tolstoy, L. 1946. Anna Karenina. New York: Doubleday.
Welch, H. G., Schwartz, L., and Woloshin, S. 2011. Overdosed: Making People Sick in the Pursuit of Health. Boston: Beacon Press.


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A Stade Jules Deschaseaux Franciaországban, Le Havre-ban található. 1932-ben építették a többrendeltetésű stadiont, legtöbbször labdarúgó mérkőzések rendezésére használják. A létesítmény nézőterének befogadó képessége  fő. Az 1938-as labdarúgó-világbajnokságon egy mérkőzésnek adott otthont.

Források

Francia labdarúgó-stadionok

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Barb Herd of Brightwaters says the event is fun.
Clearing out the attic
BRIGHTWATERS—Last Saturday, residents began arriving early at Wohseepee Park in the Village of Brightwaters and began unloading their cars and trucks with a glut of items they had just cleared out of their attics, basements and garages. The annual fall Community Garage Sale, which has been taking place for over 10 years, has become a much-anticipated event for both sellers and shoppers. It's been so popular that earlier this year, the village introduced a spring sale as well.
Barb Herd, a 27-year resident of the village, has been participating in the fall sale for many years.
"It's a great opportunity for a lot of people to see what you have to sell, and you don't have to do any advertising for it. But, it's also a lot of fun. The most fun is guessing which item would be the first to sell," she noted.
Herd said she suspected a tabletop sewing machine that garnered a lot of interest in the morning to be the first to go. "You never know what people are going to do. That's what makes it so much fun," she added.
Meanwhile, Mark Rhodes, whose wife Lynn grew up in the village, had set up a booth that featured an eclectic mix of items he brought from home. Although it was his first experience doing the sale, he said the atmosphere and people made it all worthwhile. "It's a good way to clean out [the house]," he said.
"And everyone is in such a good mood here."

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Home / United States Postal Service
USPS hosting 13 job fairs throughout Los Angeles area
The United States Postal Service is having job fairs throughout Los Angeles starting Tuesday at the Main Office Los Angeles District Office, the first of 13 until the end of the month.
The USPS is seeking applicants for part-time and full-time employment. The job fairs are walk-in events and human resource personnel will be available to assist with benefit, qualification and application questions. Laptops will also be available for application submissions.
It is part of a 10-year plan to hire 20,000 employees to the U.S. Postal Service throughout the nation.
The first job fair is from 10 a.m. to 2 p.m. Tuesday at the Main Office Los Angeles District Office at 7001 S. Central Ave., Los Angeles.
Job fairs are scheduled until Dec. 29 on the following days and locations:
Wednesday from 10 a.m. to 2 p.m., Bellflower Post Office, 9835 Flower Street Bellflower
Thursday from 9 a.m. to 1 p.m., Gardena City Counsel — Nakaoka Community Center, 1670 W. 162nd, Street Gardena
Friday from 10 a.m. to 2 p.m., Pacific Palisades Post Office, 15243 La Cruz Drive, Pacific Palisades
Dec. 13 from 10 a.m. to 2 p.m., Main Office Los Angeles District Office, 7001 S. Central Ave., Los Angeles
Dec. 14 from 10 a.m. to 2 p.m., San Pedro Post Office, 839 S. Beacon St., San Pedro
Dec. 15 from 10 a.m. to 2 p.m., Rancho Park/West LA Post Office, 11270 Exposition Blvd., Los Angeles
Dec. 20 from 10 a.m. to 2 p.m., Main Office Los Angeles District Office Hosting job fair for following post offices: Col Washington, Dockweiler, Hancock, Rimpau and Wagner, 7001 S. Central Ave., Los Angeles
Dec. 21 from 10 a.m. to 2 p.m., Palos Verdes Peninsula Post Office, 955 Deep Valley Drive, Palos Verdes
Dec. 22 from 10 a.m. to 2 p.m., Bellflower Post Office, 9835 Flower St., Bellflower
Dec. 29 from 10 a.m. to 2 p.m., Pacific Palisades Post Office, 15243 La Cruz Drive, Pacific Palisades
Starting pay for city carrier assistants is $19.33 per hour paid bi- weekly. Applications are accepted online at www.usps.com/careers.


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Palestinians Joining al-Sadr's Army in Iraq - Matthew Gutman (Jerusalem Post)
Palestinian fedayeen fighters have joined the ranks of Shi'ite cleric Muqtada al-Sadr's rebel Mahdi Army militia in recent days, militia leaders said Wednesday.
Some 25 Palestinian fighters volunteered as suicide bombers against American troops, Sa'id Amr al-Husseini, one of Sadr's leading lieutenants, said.
Sunni leaders are increasingly willing to share in the "glory of jihad with the Shi'ites," said Abd Satar Jabani, imam of Baghdad's largest Wahhabi mosque, on Tuesday.
Palestinians Support Attacks on Coalition Forces in Iraq - Khaled Abu Toameh (Jerusalem Post)
Hundreds of Palestinians marched in the streets of Ramallah and in Gaza on Wednesday to condemn the U.S. and express their support for the attacks against coalition forces in Iraq.
The protesters noted that the Iraqis and the Palestinians were fighting the same war against the powers of evil.
Representatives of Fatah, Hamas, and Islamic Jihad all participated in the anti-American demonstrations.
See also Palestinians Demonstrate Against U.S. (AFP)
Islamic Militants Threaten Belgian Diamond Traders (Reuters)
Belgium's diamond industry, which involves a large number of Jewish businessmen, asked for extra security on Wednesday after a leader of the Arab European League (AEL) said it could be attacked by Islamic militants.
"The AEL calls upon the Antwerp Jewish community to cancel its support for Jewish policy as fast as possible and distance itself from the State of Israel. If not, attacks in Antwerp are nearly unavoidable," Ahmed Azzuz, one of the group's leaders, told the Belgian weekly Knack.
The War on Terror Money - David R. Francis (Christian Science Monitor)
Nations, police detectives, bankers, and accountants are striving to expose and trim back the shadowy networks that fund militant groups around the world.
The international coalition built to attack the sources of terrorist financing has frozen and seized approximately $200 million in terror-related funds, says Juan Zarate, head of the Office of Terrorism and Financial Intelligence at the Treasury Department.
"Over 170 jurisdictions have issued blocking orders, and we have built a tighter international financial net through which suspect funds may be captured," he told Congress last month.
U.S. Confronts Spreading Shiite Uprising
U.S. forces are confronting a broad-based Shiite uprising that goes well beyond supporters of one militant Islamic cleric who has been the focus of American counterinsurgency efforts, U.S. intelligence officials said Wednesday. Intelligence officials now say a much larger number of Shiites have turned against the American-led occupation of Iraq, even if they are not all actively aiding the uprising. U.S. intelligence also says that the Sunni rebellion goes far beyond former Baathist government members. (New York Times)
See also Iran, Hizballah Support al-Sadr
Military sources said Sheik al-Sadr is being aided directly by Iran's Revolutionary Guard and by Hizballah, an Iranian-created terrorist group based in Lebanon. The two organizations are supplying money, spiritual support, and possibly weapons. "Iran does not want a success in Iraq," said a military source. "A democratic Iraq is a death knell to the mullahs." The U.S. military is trying new tactics to try to quell insurgents in Fallujah, favoring targeted raids based on hard intelligence rather than house-to-house sweeps. (Washington Times)
U.S.-Syria Clashes Reported on Iraq Border
U.S. forces in Iraq and Syrian troops engaged in several border skirmishes last month in which one Marine and one Syrian soldier were wounded, reports said. Beirut's daily As-Safir quoted U.S. political and military sources in Washington as saying Tuesday that Syrian troops fired at a U.S. helicopter in one of the border incidents, causing the casualties. The State Department summoned the Syrian ambassador in Washington, Imad Mustafa, to complain about the incidents. (UPI/Washington Times)
Syria-EU Trade Deal Stalls Over Chemical Weapons
Syrian efforts to cut a trade deal with Europe before the possible imposition of U.S. sanctions have stalled over attempts to pressure Syria to renounce its chemical weapons programs. John R. Bolton, the undersecretary of state for arms control, has accused Syria of pursuing "what is now one of the most advanced Arab chemical weapons capabilities." (Washington Post)
See also Q&A: U.S.-Syrian Relations (Council on Foreign Relations)
Syria Arrests Dozens of Kurds
Syria has arrested dozens of Kurds in raids of homes in the country's northeast, Kurdish officials said Wednesday, following clashes last month between Syrian security forces and Kurdish rioters that killed 25 and wounded more than 100. The arrests included four Kurdish schoolchildren, aged 12 and 13, taken from their school in Qamishli and sent to a prison in Hasakah, 50 miles away. (San Francisco Chronicle)
U.S. Mulls Extra Aid to Israel in Return for Disengagement - Yoav Yitzhak
The U.S. administration has promised to give favorable consideration to extra economic aid to Israel if the Israeli government approves the plan for disengagement from the Palestinians. The aid requests reportedly include grants for development of the Negev, and financial aid in combating terror. (Globes)
Blair Backs Sharon's Disengagement Plan - Herb Keinon
British Prime Minister Tony Blair phoned Prime Minister Ariel Sharon Wednesday to say he supports Sharon's disengagement plan and intends to work to gain international support for it - according to a statement issued by Sharon's office. A British diplomatic official said Britain welcomes disengagement "as long as it is consistent with the road map, and contributes to a lasting two-state solution." (Jerusalem Post)
IDF Thwarting Terror Attacks - Amos Harel
Brigadier General Eli Yaffe, outgoing head of the General Staff's Operations Branch, attributes the IDF's improved ability to thwart terror attacks over the past two years to a combination of IDF freedom to detain suspects in West Bank cities, the blow delivered to the terror infrastructure in the West Bank, and the fence that closes off the Gaza Strip and the other one being built on the West Bank. "The interrogations and arrest operations on the West Bank provide the intelligence that enables us to thwart terror attacks. Each week, between 100 and 150 terror suspects are arrested on the West Bank. At the same time, the...moment we receive information about a suicide bomber, our ability to identify his likely movements, and to isolate him, is much greater today than in the past."
"The organizations' infrastructures cannot today operate freely - the militants today operate under the threat of being pursued and caught." In recent months, 10 would-be terror attacks have been thwarted for every one or two which succeeded. (Ha'aretz)
Are There Any Iraqis in Iraq? - Thomas L. Friedman
The Iraqi "insurgents" opposing the U.S. today cannot plausibly claim to be the authentic expressions of Iraqi nationalism - as the Viet Cong claimed to be in the Vietnam War. The forces killing Americans and Iraqi police are primarily Sunni Muslims who want to restore the rule and privileges of their minority community and Baath Party, or foreign and local Islamists who are trying to undermine any prospect of modernism, pluralism, and secularism in Iraq. Virtually every poll taken since the fall of Saddam indicates that neither of these groups represents the vast majority of Iraqis, who want to elect their own government, free of intimidation. We cannot want a decent Iraq more than the Iraqi silent majority. (New York Times)
So We Don't Give Up Jerusalem - Nadav Shragai
When the Yemenites arrived in Jerusalem 122 years ago and sought to settle inside its walls, the veteran residents doubted they were really Jews. So they settled in caves on the slopes of the Mount of Olives, near Silwan. In 1885, the first three houses were dedicated. Six years later there were 65 houses. Over the years, more land was bought and the neighborhood grew. Simha Hazi, 75, whose parents were born in the Yemenite Village in Silwan, remembers the neighborhood and its alleyways, and the house built by her grandfather.
Over the years, relations and bonds have formed between Jew and Arab in Silwan and in the nearby Muslim Quarter. Not much is heard about it, mostly because too detailed a public report of it could harm the Arab side. The fact that the new Jewish settlement areas were bought at full price, and not expropriated (as the government does) also contributed to the calm. Only the terror gang from Tunis and the delusional supporters of Oslo have tried undermining that reality. (Ha'aretz)
The Saudi Fifth Column On Our Nation's Campuses - Lee Kaplan
From Riyadh to Ramallah to the Ivy League, the Saudi Wahhabi lobby and money machine is funding the goals of radical Islam and undermining America's efforts to prosecute the War on Terror. The Saudis have steadily infiltrated American educational institutions, using vast infusions of money to turn the American educational system against U.S. support for Israel and in favor of the Saudi vision of a global Muslim state in which not only Jews, but Christians and all infidels, will have subordinate status to the followers of the "true faith."
The Senate Judiciary Committee recently heard testimony that Saudis control most of the Muslim organizations in the U.S., and that 80% of the mortgages on mosques in the U.S. are paid for by the Wahhabist Saudis. King Fahd donated $20 million to set up a Middle East Studies Center at the University of Arkansas; $5 million was donated to UC Berkeley's Center for Middle East Studies from two Saudi sheiks linked to funding al-Qaeda; $2.5 million to Harvard; $8.1 million to Georgetown; $11 million to Cornell; $1.5 million to Texas A&M; $5 million to MIT; $1 million to Princeton; Rutgers received $5 million to endow a chair as did Columbia. (FrontPageMagazine.com)
Like It or Not, Israel's War With Hamas Is America's, Too - Jonathan Rauch (National Journal/Atlantic)
America's terror war and Israel's are not separable, however much we might wish they were. Last week, while Israeli Prime Minister Sharon was being fricasseed for hitting Yassin, the September 11 commission was grilling Clinton's former secretaries of State and Defense for missing bin Laden. Whatever the tactical differences between the two cases, morally they are indistinguishable.
Like al-Qaeda, Hamas is a radical Islamist organization that swears it will not rest until it has brought Muslim territory under Islamic rule. For al-Qaeda, the territory at issue is the whole of the Arab world, plus the Spanish peninsula and other parts of Europe, plus ideally North America; for Hamas, the relevant territory is all of Palestine, meaning all of today's Israel plus the territories. The theaters are different, but the battles - America's against al-Qaeda, Israel's against Hamas - are of a piece.
What America is doing against al-Qaeda and what Israel is doing against Hamas are the same kind of thing, and that thing is not "extrajudicial killing" or "terrorism," but war. Wars are won by many means (many of them nonmilitary), but killing the other guy before he kills you is one of them. Is killing a Yassin or a bin Laden "extrajudicial"? Yes, but so is the war against militant Islamism. And our side didn't start it.
Hamas and al-Qaeda are organizationally distinct but ideologically joined at the hip. Both are anti-Semitic, anti-Western, and dedicated to extinguishing secular politics in what they regard as Islamic lands. Although Hamas has concentrated on Israeli interests while al-Qaeda concentrated on American ones, even that gap is narrowing.
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Eutelsat suspends Roj TV for Kurdish terrorist links
20th January 2012 @ 11:56
Eutelsat has suspended the Roj TV channel on its satellites due to its alleged connection to terrorist group the Kurdistan Workers Party (PKK).
The decision comes after Denmark's Court of Copenhagen recently ruled that Roj TV had financial, structural and operational ties to the PKK. It declared the channel was guilty of facilitating and inciting participation in a terrorist organisation. The PKK is listed by the EU as a terrorist organization.
"Under these circumstances, Eutelsat has decided to suspend the presence of Roj TV on its satellites in order to avoid incurring criminal liability as an accomplice to terrorist activities," the satellite operator said in a statement.
Eutelsat has asked distributors uplinking Roj TV to its satellites to suspend broadcasts of the channel.
Tags: Eutelsat
'Lethargic' pay TV growth in India as OTT continues to flourish
Telefónica renews ACB deal
US to continue impressive SVOD growth despite market maturity
Amino upcycles Pontis STBs to integrate Colsecor's new OTT SENSA


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Earlier this spring, composer Matthew Margeson recorded his score to the horror comedy Scout's Guide to the Zombie Apocalypse. Directed by Christopher Landon, the scoring sessions took place at the Newman Scoring Stage at 20th Century Fox, and ScoringSessions.com is excited to bring our readers photos from the sessions!
Conducted by lead orchestrator Tim Davies, Margeson's score was recorded with a 53-piece ensemble of the Hollywood Studio Symphony. Strings were recorded during the day, with brass recorded at night.
In the booth, composer Matthew Margeson was joined by additional orchestrator Jeremy Levy, who served as booth reader. Orchestra recording mixer Alan Meyerson made sure everything sounded great, and also on hand for support was music editor Kevin McKeever, additional music composer Jason Soudah, and ProTools recordist Kevin Globerman.
Scout's Guide to the Zombie Apocalypse is now playing in theaters. A soundtrack album featuring Margeson's score is now available digitally from Paramount Music, and physically on Nov. 3 from La-La Land Records.


The Pliant documentation used to be lagging behind.
as what is Pliant or get more details about various design choices.
so that contributors can check it and send feedback or patches.
All contributors should check if they are properly listed in the contributions list page.
Please feel free to complain about any missing contribution: I also have to catch up in this area !


text:
Today in history: Feb. 22
In 1969: The nation's second-highest decoration for heroism, the Distinguished Service Cross, was presented Thursday to Staff Sergeant Paul R. Lambers, Holland, Mich., at a ceremony during the weekly graduation of the men of U.S. Army Training Center, Fort Campbell, Ky. Sgt. Lambers, 26, is the son of Mrs. Jeanette Lambers, 986 Graafschap Road, and the late Herman Lambers. He was graduated from Holland High School and Calvin College.
In 1630, English colonists in the Massachusetts Bay Colony first sampled popcorn brought to them by a Native American named Quadequina for their Thanksgiving celebration.
In 1732 (New Style date), the first president of the United States, George Washington, was born in Westmoreland County in the Virginia Colony.
In 1909, the Great White Fleet, a naval task force sent on a round-the-world voyage by President Theodore Roosevelt, returned after more than a year at sea.
In 1935, it became illegal for airplanes to fly over the White House.
In 1959, the inaugural Daytona 500 race was held; although Johnny Beauchamp was initially declared the winner, the victory was later awarded to Lee Petty.
In 1980, the "Miracle on Ice" took place in Lake Placid, New York, as the United States Olympic hockey team upset the Soviets, 4-3. (The U.S. team went on to win the gold medal.)
In 1984, David Vetter, a 12-year-old Texas boy who'd spent most of his life in a plastic bubble because he had no immunity to disease, died 15 days after being removed from the bubble for a bone-marrow transplant.
In 1987, pop artist Andy Warhol died at a New York City hospital at age 58.
In 1997, scientists in Scotland announced they had succeeded in cloning an adult mammal, producing a lamb named "Dolly." (Dolly, however, was later put down after a short life marred by premature aging and disease.)
Drew Barrymore is 44.
Clinton Kelly is 50.
John Ashton is 71.
Vijay Singh is 56.


Sonia Beers, LMFT has extensive experience working with gender creative and transgender adolescents and adults and their families. She knows that physical activity and exercise are an important component of overall health, working in conjunction with more traditional therapy.
Gender identity and gender concerns can be closely connected to the body, and many people will opt for a medical or surgical intervention in addressing issues like gender dysphoria. This suffering can be relieved when an individual's physical experience becomes more aligned with their gender identity. These changes can be brought about as a medically facilitated intervention, but also through taking steps to present as they choose, through exercise, ways of sitting, walking, talking, etc. As a result, folks with gender questions can spend time thinking about their bodies and how they move in the world. Transitions – whether puberty, puberty blocking or pausing, medical/surgical procedures, or changing clothing and other gender expression – can be stressful even with lots of support and excitement about the changes. Maintaining positive connections with their bodies can help transgender people give their heads a rest from the stress and dizzying array of questions and concerns they face.
Finding ways to relate to one's body in a healthy way, through exercise in a supportive environment, can help to balance the effects of stress—whether related to one's gender identity, or any other life circumstance.
Traditionally, the environment of exercise is often highly gendered. Gyms and locker rooms, typical workout clothes, and even the types of physical activity are often associated with stereotyped gender – so it is important to identify spaces, places, and companions who can help build a supportive environment.
Profile of Ace Morgan, a personal trainer and out transgender man.
Confessions of a Transgender Trail Runner – Youtube channel of a Trail Runner who also happens to be a transgender woman.
The Brown Boi Project published "Freeing Ourselves: A Guide to Health and Self Love for Brown Bois" in 2011, addressing all dimensions of health, including physical. It includes a lot of affirming and helpful advice for anyone looking to get or stay healthy.
The Perfect Sidekick Gym – creating a supportive gym experience for LGBTQ people.
Trips for Kids – An organization we work with to provide Fit Family activities.
Endurance Center - Dr. Cory Nyamora, a certified USAT and USA Track & Field Coach, offers individualized and group coaching for triathlons and endurance running for beginners and experienced athletes, in an environment that is welcoming and affirming for people of all genders and sexualities.


On behalf of Murphy & Garner, LLC posted in Car Accidents on Wednesday, September 7, 2016.
There is no question that driving distracted is dangerous. For this reason, Georgia law prohibits all drivers from texting on their cell phones when behind the wheel. Moreover, young drivers under the age of 18 cannot use a wireless communication device of any kind while driving, this includes speaking on the phone whether or not the driver is using a hands-free device. This is because cell phone use is one of the leading causes of distracted driving, particularly amongst teens and young adults.
It is critical to remain focused on the road whenever your vehicle is in motion. A seemingly harmless act like turning around to speak with a passenger or to check on your kids can lead to a fatal car accident. And while cell phone use contributes to a significant number of distracted driving crashes, it is not the only form of distraction. A driver is distracted whenever they are eating, putting on makeup, reading a map, drinking, using a GPS navigation system or even turning up the radio.
The second you take your eyes off the road, take your hands off the wheel or take your mind off of driving, you are distracted. These types of cognitive, visual and manual distractions are dangerous by themselves, but they can be particularly hazardous when combined. For example, when you are using a GPS system, your mind is focused on the address of your destination, your hands are on your cell phone or GPS system and your eyes may dart from the roadway to you GPS device. This means you are distracted cognitively, manually and visually all at the same time.
To put this in perspective, when you are traveling at a speed of 50 to 60 miles per hour, you can travel the length of a football field within seconds! So, whenever you look away from the road for even a few seconds, it's like driving 100+ yards blindfolded. Assuming you can even stay in your own lane during this time, if the traffic or weather conditions change you will likely be unable to avoid a collision.
Drivers who do not pay attention to the road and their surroundings are considered negligent under Georgia law. If your distractedness causes a car accident, you will be held liable for the damages and injuries you cause. Likewise, if a distracted driver causes your car accident, you will be able to seek compensation for your loses (medical bills, lost wages, pain and suffering, etc.) from that driver. A qualified Georgia personal injury attorney can help you understand your legal rights and options in these scenarios.
It is always best to hire an attorney to represent you in your accident case, especially if you have sustained injures. An attorney can help you to maximize your recovery and better defend you against liability if you're at fault.
If you have been injured due to the actions of a distracted driver, you need a personal injury attorney to review your case and determine which parties may be at fault. At Murphy & Garner, LLC we have decades of experience representing clients in all types of negligence and personal injury cases.


View cart "Firestone® QuickSeam Pond Liner Repair Kit" has been added to your cart.
Always install underlayment under your liner.
Aquascape Non-Woven Geotextile Underlayment is used to protect pond liner from rocks, roots, and other sharp objects that may damage the liner. It is lightweight, spreads easily, and has a non-slippery surface, making installation quick and easy. The soft, non-woven geotextile made from polypropylene also allows for any gasses to escape properly, rather than becoming trapped beneath the liner. Aquascape is passionate about the products we produce, providing unique products, designs, and features that stand above the competition.
Also great product to use on top of the matrix boxes in a pondless basin so that the rock and gravel stay on top. Also good use to protect the liner from the sharp corners of the matrix boxes if right next to the liner.
This product is also available cut to size by calling 877 780-1174 for special order.


text:
A Cape foot is a unit of length defined as 1.0330 English feet (and equal to 12.396 English inches, or 0.31485557516 meters) found in documents of belts and diagrams relating to landed property.  It was identically equal to the Rijnland voet and was introduced into South Africa by the Dutch settlers in the seventeenth and eighteenth century.
Its relationship to the English foot was clarified in 1859 by an Act of the government of the Cape Colony, South Africa.  It was used for land surveying and title deeds in rural areas of South Africa apart from Natal and was also for urban surveying and title deeds in the Transvaal. There were 144 square Cape feet in one Cape rood and 600 Cape roods (86,400 square Cape feet) in one morgen.

Its use ceased when South Africa adopted the metric system in 1977, though it has not yet been entirely replaced in pre-existing title deeds.

References

Units of measurement


These Beetroot Fritters with horseradish cream and spinach have a subtle, earthy flavour and that you can enhance by the warmth of the cumin and the kick of the horseradish.
Grate the Beetroots. For that wear rubber gloves if possible. Squeeze out as much liquid as you can, then put on a plate lined with 2 layers of kitchen paper. Set aside.
Mix together the yogurt and horseradish, season.
Put the cumin, dill and beetroot in a bowl. Sprinkle over the flour, season, mix well. Then, stir in the beaten eggs. Heat the olive oil in a large frying pan and drop 6 spoonfuls of the mixture into the pan. Cook in batches, if needed.
Fry for 3 to 4 minutes on each side, then drain on kitchen paper. Put the spinach leaves in a bowl and toss through the dressing with some roughly chopped walnuts if you like.
Divide the fritters and salad between plates, scatter with dill and serve with the horseradish cream.


text:
Commission of Inquiry
PHOTOS: Scores of residents re-enact the Great March of 1949
in All News / By: BVI News on November 22, 2021 at 7:57 AM /
Residents during the re-enactment of the Great March of 1949.
Scores of residents embarked on the 15-minute journey from the Band Stand to Sir Olva Georges Plaza yesterday as the territory commemorated the 72nd anniversary of the Great March of 1949 which led to the restoration of the legislative council (now called the House of Assembly).
The residents re-enacted the historic protest which was led by one of the BVI's national heroes Theodolph Faulkner. Faulkner who was joined by other national heroes such as Isaac Fonesca and Carlton deCastro along with more than 1,500 BVIslanders who marched through the streets of Road Town to the Commissioner's Office in protest of issues adversely affecting the territory at the time.
Changes were demanded by these protestors and it became the catalyst for political development which lead to the evolution of what is now the modern BVI.
Culture Minister and Deputy Premier Dr Natalio Wheatley said he was proud to see the number of people who showed up for the commemoration of the history-defining march in the territory.
He also acknowledged the role of the Virgin Islands Communal Association (VICA) in staging the re-enactment as it was the first time it has happened since 2014.
"There has been a reawakening of the Virgin Islands spirit and just as sister Helda said, there is a need for us to know and appreciate our history and culture and that is why the cabinet decided on two new holidays in particular. One day is Heroes and Fore-parents day and the other is the 1949 great March and Restoration Day because we want that story to be told. We want it to be told on a consistent basis," Dr Wheatley said.
Meanwhile, Director of the Department of Culture, Dr Katherine Smith, said while the territory commemorates the march — which she describes as the most defining moment in the life and the story of the Virgin Islands — it is equally important to acknowledge the journey and struggle of the territory's political status which is key to its cultural identity.
"In the words of our leaders in that march, today we are marching towards freedom and we will continue to March until that freedom has been secured," Dr Smith said about the re-enactment.
The commemoration also heard testimony from Hilda Smith Abbott who was thirteen at the time of the march and one of the more than 1,500 people who participated. Smith Abbott said the BVI is currently lacking historical and cultural knowledge along with the integrity of those who fought for self-government.
"We should know our history; we should know our culture. But everybody brought their culture and we lose our culture and that is where we are today. I'm going to tell you something today [about the march]. Behind every story, there is another story and that march was not the first story. The first story came from the federation. The British Virgin Islands was under the Antigua Federation and they kept all the money and send us the weevil and the dregs and we had to survive how we could," the elder said.
Copyright 2022 BVI News, Media Expressions Limited. All Rights Reserved. This material may not be published, broadcast, rewritten or distributed.
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Disclaimer: BVI News and its affiliated companies are not responsible for the content of comments posted or for anything arising out of use of the comments below or other interaction among the users.
Heck says:
A set of hypocrites marching and speaking we really don't want to hear from many of you.
No one care to hear from that fake couple from new life, it's clear the pastor don't want her!!!
Faithful says:
He dont want you either. How you know he doesnt want her? Did he tell you this? Mind your own business for once nuh.
Scores says:
Scores of people. Do you know how many is a score? 100. I don't think there was one score. No one care and stop making things racist. The Belonger hold allegiance to one ting….money.
Why is twenty called a score?
According to the Oxford English Dictionary, it's "presumably from the practice, in counting sheep or large herds of cattle, of counting orally from 1 to 20, and making a score or notch on a stick, before proceeding to count the next 20."
To Heck says:
Thanks for the laugh, I really needed one today. There's a lot of fake couples here in the BVI.
Half of them don't even know what they marching for? Where is Cindy?
Tola says:
Cindy right there in the corner in white
I was right there in the mix. Lol
Never seen a black fonseca yet
big up dirky says:
They couldn't get offsprings from Fonseca and Faulkner?
JUST 2 B SEEN says:
YEP ,IT IS AN INSULT TO THOSE PEOPLE WHO HAD RESPECT AND INTEGRITY FOR THE RIGHTS OF THE EACHOTHER / BUT THESE A BUNCH OF PRETENDERS WHO JUST WANT TO BE IN THINGS
NICE says:
I commend the VIP Government for recognizing the efforts of these powerful men and making the day a holiday.
marmoset says:
Great to see the commemoration of such an important event.
WEW says:
Love the paving job and broken up sidewalks. How far have we come ?
NEGATIVE says:
Why must we always focus on the negative. Read the comments and see how much positivity or encouragement is contributed. It's the same at every level. We are loosing big time and will pay a very heavy price for our ignorance. Even though most people with this mindset have no clue what is really happening in the world we will still pay the ultimate price. Mark my words 2022 will be the point of no return. Wake up and fight like hell for your freedom my people. It's ironic celebrating this freedom march at the point where we are about to loose all freedom. It's not about how the sidewalk looks or who was there or not. It's about gaining the knowledge to be able to make the right choices to protect our future and be able to survive in the holocaust that is coming down upon us.
For Gods Sake says:
All these Negative comments just have me here shaking my head… U see persons like you all who come on here criticizing.. you all are the very ones who sit back and let people do the work while you benefit from it. I bet none of you were even there marching…
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The romance of battle against architecture, as some have written it. In which the overt drama of rooms is rivaled by dumpy objects attended to. Kaier is seductive. The gesture of the artist's deliberation, hand, heightened to anxiety, makes unresponsive objects gain weight.


According to the Bank of Queensland's research almost 40% of business owners say they experience stress. Business burnout is the feeling of exhaustion and lack of interest in daily work, resulting in poor performance. Business owners who are burned out usually feel like they're on their own, and have to do everything themselves because they don't trust their people to be accountable for their work.
Over the last 28 years of having my own businesses including a pet resort, electrical contracting and business coaching, I understand firsthand the challenges that business owners have in trying to juggle it all. I wrote about my own journey in my new book, of not just navigating these challenges but how to overcome the balance of personal well-being and mental health as a business owner: "Full Circle: Building Resilience in Business and Life from the Jagged Edges of PTSD".
•	Bring pleasure, fun and joy back into their lives for greater fulfilment and connection to themselves and their loved ones.
Clients I have worked with come from all sorts of industries including computer maintenance, retail, trades, bookkeeping, real estate, specialist solo consultants, catering, day spa, heavy equipment repair.