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Case Study: Ashley and Martin GP Assists Client With No Out of Pocket Expense
November 12th, 2015 by Ashley and Martin Case Studies in Case Studies
Starting with a slow steady shedding of hair four years ago which had become more excessive over the past two years, Jake* came to Ashley and Martin at age 35.
His consultant diagnosed Jake's hair loss as Male Pattern Hair Loss, Norwood I. The shedding of hair Jake was experiencing appeared to be limited to the temple area at this stage, but as time went on there would be no question of Jake advancing further through the stages of hair loss. Jake had many questions about the medications program, all of which his consultant took the time to answer for him; and at his doctor's appointment he was found to be in good health, just as Jake had reported to his consultant.
A few weeks after starting his program Jake came back to see the doctor again. He had wanted to speak to the doctor about the minor amount of musculoskeletal pain he had been experiencing, specifically in the abdominal region and his back. Although quite sure the medication prescribed to Jake to combat his hair loss was not the cause of this pain, the doctor advised Jake to stop taking the oral component of his medications program and return for another check-up in a fortnight. Jake followed this advice and, as agreed, returned for another check-up having not taken his oral medication for two weeks. Jake reported that his symptoms were still present. With the oral medication ruled out as the cause of Jake's pain the doctor recommended that Jake start taking this again and suggested that he seek treatment from an osteopath for his pain.
As with all RealGROWTH® programs with Ashley and Martin, Jake's plan had included doctor's check-ups as needed, so there was no out of pocket cost to Jake to return as needed to quell his concerns about the medications he was taking. Discussing his progress with his consultant at his four month check-up, Jake could see that although he had been unable to take one component of the medications program for a short time in the initial stages, the combination of the other treatments had been able to prompt a pleasing amount of regrowth of Jake's own hair in the temple area. Eight weeks later still Jake made an appointment at Asley and Martin to have another set of progress photos taken and told his consultant he was very happy with the results of his treatment. He could see that his hair loss had been stopped and his own hair had continued to regrow through his temples.
*name changed for privacy reasons


When working flexibly, the space you work on and the location you're in is majorly important to your productivity. You don't want a place that is full of distraction, or that doesn't allow you the space, the silence (or noise, depending on your preference) and the right working atmosphere that you need.
Working flexibly means that you can enjoy benefits that you may not have as a regular employee. So it's vital that you use and take advantage of that freedom. Also, being able to mix and choose between your favourite working places is another great way to focus. It gives you diversity and makes certain that you don't fall in that typical 9 to 5 routine.
You can start experimenting with the work place you go into every day. However, working at home is another big favourite. Your home helps you feel safe, comfortable and confident, hence why so many people prefer working from home. But remember that working from home and flexible working have their differences.
Flexible working means that you can change more than just not going into the office. It means your routine is up to you and that it's all about what makes you comfortable. Whereas, home-working is generally about doing the same hours, only you don't leave the house. To read more about the differences and the benefits of flexible working, click here.
Get Away... to the Other Room!
Working at home may be your forte, where you want to start working flexibly and enjoy more days close to the family, However, working at home can also bring up its challenges as it is a place usually associated with resting, relaxing and family time. This could mean that it might take a lot longer to become productive than it might do in a library, or in an office, for instance. What makes those places different is their association: they are both associated with people working, and the time every individual spends there, it's always for work.
The solution to being able to focus at home is your work space. You need a home office. If your home permits it, having an entire room just for work is ideal. However not everyone has an empty room ready to be transformed into an office. Therefore you can mend a corner of your living room or a side of your lounge into an office.
Getting a large office table for your laptop/computer is the perfect way to disconnect and separate yourself from the rest of the house. You can decorate and make that office space as vibrant and work-motivating as you want.
Once you have your proposed space, motivation will come much quicker. The trick is to ensure you don't eat, watch films or allow distractions at that desk. You're training yourself to slowly associate that corner of the room to nothing but work and soon enough it will become so easy that you won't be able to do anything else there.
The idea is to stick with what you like and what your lifestyle is. You can also get a standing desk if you're conscious of sitting for too long. Sitting at your desk for almost 8 hours a day increases disability in over sixty-year-olds but can also cause back ache and is unhealthy for your body overall.
A standing desk, however, can raise your energy and stamina, making you fit even if you're not exactly running or doing weights. It also enables your body to stretch and is much healthier physically. You could also try a soft rubber mat, especially at the beginning, to help with the ache and get your legs used to standing for so many hours. If you want to take it one step further, you could try a balancing board, which influences your body to keep moving in order to stay balanced. And of course there's always the treadmill with a desk on top: work on your body and on your job at the same time.
If you find that dedicated space in your home, or if you have a routine of all the places that allow you to focus, then working flexibly won't even feel like a job. Follow these initial guidelines to make sure you don't get lost in the great, comfortable world of working flexibly. Then you could be just as, if not more productive from your own home as you would from an office. You can read more tips on flexible working.


Let our successes in Surrey inspired you!! We have many examples of fencing for you to see all over Surrey including Woking, fencing is what we do and our gallery is sure to show you that we do it the best!!
With 30 years of experience in all aspects of domestic and commercial fencing our aim to offer all of our customers with high quality materials and top quality workmanship is something that is provided every time and we have hundreds of happy customers to prove it.
Due to inferior products available on the market, we even make our own trellis, gates and close board panels to ensure that you always receive the highest quality materials.
We recognise that employing a fencing contractor can be a difficult process, especially as there are so many companies to choose from in Surrey.
To alleviate your concerns we are proud to be approved fencing contractor by Surrey Trading Standards as well as being vetted by Checkatrade.
In addition to this, we hold £2,000,000 worth of public liability insurance (copy available on request) as well as offering guarantees on materials and workmanship for full peace of mind.
Fill in your details on the contact form or give us a call.


New federal tax laws that went into effect on January 1 have eliminated the deduction for alimony on federal income taxes. What was once seen as a major incentive for the payment of spousal support is now gone for couples considering divorce. This change in the law, as well as other federal tax law changes, has the potential to significantly affect divorces in Florida over the coming year. Steve W. Marsee understands the impact of the new tax laws and can help you navigate your divorce case in the Orlando area.
Alimony, also known as spousal support, is often ordered in divorce cases where one spouse earns considerably more than the other. Payments are made from the wealthier spouse to the poorer spouse during and after the divorce proceedings to support the poorer spouse's lifestyle and aid in the transition of becoming financially independent. Florida law provides for five different types of alimony that is determined by a number of factors, including the length of the marriage, contributions to the marriage, ability to pay, and the financial resources of both spouses. The payments can be temporary or permanent, depending on the circumstances.
Under the old tax laws, the wealthier spouse paying alimony was allowed to deduct that amount from his federal income taxes. The less wealthy spouse receiving the alimony payments would be required to report the income on her tax return. This incentivized alimony in divorce cases because the wealthier spouse was deducting the spousal support in a higher tax bracket and it was being taxed in a lower bracket. Now, with the new laws in effect on the New Year, the wealthier spouse is no longer allowed to deduct alimony payments on his federal tax return, and the receiving spouse is no longer required to claim it on hers.
The full impact of this change has yet to be seen, but experts believe that this will lead to significant shifts in the division of assets and payment of spousal support in the coming year. With less incentive to provide alimony, the wealthier spouse may suggest that the poorer spouse keep more in the division of assets, such as keeping the marital home. However, other changes to the federal tax laws, such as capping state and local tax (SALT) deductions to $10,000, may make this a financial trap for some spouses. If you are considering filing for divorce in Florida this year, it is critical that you secure the services of a divorce attorney that understands how these new tax laws might affect your case.
If you wish to learn more about how these tax changes might affect you or file for divorce in the Orlando area, call or contact the law office of Steve W. Marsee today. Schedule an appointment with an experienced alimony attorney who will go over the facts of your case and provide you with your legal options for your divorce.


Learn Crispy Shahi Tukda recipe which is a good dessert option.
Add sugar and the cardamom powder.
Place the Rabdi in a bowl.
Cut the bread slices into squares.
Heat the oil in a pan and deep-fry the bread slices until golden brown.
Arrange the bread slices on the skewers.
Pour the Rabdi into two separate bowls.
Add the mango pulp and strawberry pulp to each of the bowls respectively.
Serve the Rabdi, mango Rabdi and strawberry Rabdi, with the bread slices on skewer sticks.


During pregnancy period, women need to be very careful in every aspect of pregnancy. Because it's your main duty to take care of the little baby that is in your stomach. You also need to know about the foods that you really want to eat during pregnancy. Which foods are good during pregnancy? You must know the basics of foods which are harmful. In this pregnancy diet article, you can find the water supplements and foods that you must drink and eat during pregnancy.
Even if we drink water every day, it is important to drink the required amount of water during pregnancy. This helps to keep your body hydrated. It also helps prevent vomiting and dizziness when it is pregnant. It also prevents urinal infections. You must drink eight liters of water every day.
Lemon juice is best for you to refresh yourself. This is mainly recommended for pregnant women. Vitamin C is high. This vitamin C helps in absorbing your body iron. Also, this lemon juice helps to get rid of the fever in the morning during pregnancy.
The coconut water is a must-have drink for you. Drinking coconut water has many benefits. It contains potassium, chlorides, and magnesium. It also contains digestible fiber, calcium, magnesium and vitamin C. This prevents your body from drying up. It also controls blood pressure.
Buttermilk is a milk product and it is a great source of water. It helps to increases your calcium. Calcium is one of the most important bones of the baby. It also helps prevent blood clotting. Pregnant women need to drink this buttermilk mainly to get rid of the hardness of the sunlight.
Carrot juice has vitamin A, C, E, K and it is very good during pregnancy. It's good for your body to lose body fatigue.
Orange is a citrus type of fruit. Most of these are vitamin C subunits. Orange juice is good for you and your child during your pregnancy.
Apple juice is good and healthy. Apple gives your body good strength. If you drink it regularly, you will not feel tiredness.
Let's start your day with herbal tea. Many herbal teas have no caffeine. Caffeine causes miscarriage. So let's avoid this. Herbal tea, which is called rooibos, is good for you. There will not be caffeine. It has a lot of antioxidants.
Your nutrition needs cannot be compensated with anything other than vegetables. You can drink juice types such as broccoli and cabbage. Folic acid foods are good to intake it.
Cucumber will reduce the body heat and it's also delicious. So drinking cucumber juice is great.
Mint tea is good for pregnant women. It helps to get rid of fatigue in the morning for pregnant women.
Pregnant women dring milk is good for their health. Drinking milk before sleeping on a daily basis will give you sleep better. More milk is rich in calcium.
Put the flax seeds in a bowl and soak it well for 10 minutes and drink the water. It is good for the pregnant women's health.
One of the Veg food which is rich in protein is paneer. Besides the protein, calcium is also rich in the paneer. So it is good to take by pregnant women regularly.
Green leafy vegetables have no calories, so pregnant women can take it without fear. You can also add spinach, broccoli, drumstick in the diet.
Nutrients are high in kidney beans. Pregnant women can take this because it has a lot of protein too for the baby development.
One of the milk products yogurts is good calcium and has good bacteria that increase digestion. So if you are pregnant with heartburn, add lots of yogurt to your diet.
Since the meal maker is high in protein and vitamin D, it is good to take it once a week.
There are many types of beans. All types of beans have a substance that gives the body's required protein and gives more energy. It has fiber that keeps the bacteria uniform.
If the pulses are added to the diet daily, the body's required protein will be consumed. So add pulses to the daily diet.
If you eat cereal mixed with fruits, milk, and nuts, there is a greater chance to get calcium, vitamin D and DHA for the development of the child's brain.
The Coconuts have good cholesterol, the pregnant women can have it to keep her energetic. If pregnant women eat coconuts, the baby will be white as the Indian superstition believes.
In almond, vitamin E is available. So it's good to be taken as a snack.
Pregnant women should take a banana daily. This will give energy to the body and increase the amount of fiber in the body. The digestion will happen smoothly.
Include these 24 food items in your pregnancy diet to keep you and your baby healthy. Also, don't forget or avoid doctor's advice.


John Baxter launched Mandozine, a web site for mandolin, in 1996. Mandozine hosts a music archive of almost 3,000 songs, transposed or transcribed for mandolin. In 2005, Mandotunes, a media site for Mandozine was launched. Ukefarm, a Web site for ukulele, was launched in early 2006, followed that year by Mandozine Radio and Ukefarm Radio. Mandozine Radio has over 165,000 listener hours. Ukefarm Radio has over 78,000 listen hours. In 2013, John entered into a partnership with EUMLab to develop Chordtunes, a chord sheet app for iPad. In 2014, John developed Chordsongs, a free Web app for creating chord charts, with the programming and database help of Chris Oliver.
This site was redesigned and launched on July 5, 2014. Site design and coding was done by John Baxter, and search forms, search results, and database import was originally coded by Larry Tanner. Wendy Anthony has made major contributions to the TablEdit files, by adding keys, fixing files, and cleaning up the archive. She also maintains the Tune of the Week archive. Mike Stangeland initiated the TablEdit archive and created a vast number of the TablEdit files.


7 people recently viewed this Clio.
This Renault Clio 5 door registration EU15VFB has a 1.5 Diesel engine with a Manual gearbox and boasts impressive fuel consumption of 83.1 mpg and is finished in the colour Flame Red. The CO2 emissions are extremely low at just 90 g/km and road tax is set at £ Please note: This vehicle may be ex-fleet, ex-Motability, ex-courtesy car, ex-demonstrator and ex-daily rental - please ask a member of staff for more details.


Your message has been sent to Norman Brodeur . Like authorSTREAM? Give us a +1!
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This Flutter plugin provides means to perform local, on-device authentication of the user.
This means referring to biometric authentication on iOS (Touch ID or lock code) and the fingerprint APIs on Android (introduced in Android 6.0).
Passcode/PIN/Pattern Not Set. The user has not yet configured a passcode on iOS or PIN/pattern on Android.
Touch ID/Fingerprint Not Enrolled. The user has not enrolled any fingerprints on the device.
Which means, if there's no fingerprint on the user's device, a dialog with instructions will pop up to let the user set up fingerprint. If the user clicks 'OK' button, it will return 'false'.
// Handle this exception here.
Fix crash on Android versions earlier than 24.
Breaking change. Add canCheckBiometrics and getAvailableBiometrics which leads to a new API.
Update messaging to support Face ID.
Initial release of local authentication plugin.
Demonstrates how to use the local_auth plugin.


In this presentation called, "The Contracts Guy Blog: A Professional (& Personal) Journey," e4e partner Brian Rogers explains how he started his own blog to promote his business. He offers tips on creating and managing a blog, describes how it's helped his business and gives examples from his own collection of posts.
In "Getting Paid," e4e partner Brian Rogers explains how to avoid bad debt and the importance of managing the three steps of customer relationships.
Digital marketing automation expert Will Hanke leads a discussion panel, including Tom Ruwitch and Brian Rogers, that recommends Customer Relationship Management (CRM) systems used by the panelists. Will, Tom and Brian each present a CRM which they use and discuss the advantages of the chosen system.
Following their presentations, the panel takes questions from the audience.
That Instant Message Isn't a Contract…Is it?
Legal expert and attorney Brian Rogers raises awareness about how easy it is to unwittingly commit to agreements of many types with partners, employers and clients without your awareness. As you navigate through the process of crafting, conversing about, fine-tuning and committing to an agreement, make sure you have considered all necessary provisions to protect yourself from binding an agreement before you are ready and willing. Even when you have made such provisions, including those stipulating that contracts can only be modified in writing, sometimes the most casual, informal type of written communication can be legal and binding despite their unconventionality.
https://www.e4ecommunity.com/wp-content/uploads/2018/02/that-instant-message-isnt-a-cont.jpg 360 640 Judy Ryan /wp-content/uploads/2015/07/logo2.jpg Judy Ryan2016-06-02 04:22:152018-02-27 16:51:40That Instant Message Isn't a Contract...Is it?
In this humorous panel discussion led by Ann Prenatt a small group of experts focuses on providing guidance for succeeding at business so you are not flying alone.
What is your company name and how did you come up with it?
How important is networking in building your business?
When did you know your company was going to make it and be successful?
What is your biggest challenge in your business and how do you overcome it?
When you have a problem or an idea and are looking for feedback, where do you go to get support?
Where do you find good help?
What do you let go of first when prioritizing?
Do you conduct annual business planning and do you include scalability plans if you do?
Are systems do you have in place that have improved your business significantly?
At what point during your business development, did you know you needed support and help from others?
How do you manage your calendar and what tricks have you discovered?
The power of group think and the joy of sharing questions and solutions together in an open and authentic manner is evident in this panel discussion which paved the way for further rapport and mutual support among existing members and new audience participants alike.


There is almost nothing that makes the Biscuit Thief happier than full permission to CUT THINGS UP or HUNT FOR STICKS. This timely Halloweeny activity is perfectly suited to her forager tendencies. First you need to find a nice big tree branch. If you can't find a real one, draw a tree on a large bit of paper with lots of branches sticking out. Then you need to print off pictures of as many of your relations as you can, as far back as you can go, and stick them onto your tree or hang their photos from the branches of your stick. Even if you don't have photos or much knowledge about your relations, it is amazing to jot down the family myths and stories you have inherited on post-it notes, and stick them all over the tree. It is a great way to engage your sproglets with their roots, bringing an element of storytelling and rembrance to this magical time of year. Obviously, you may need to edit the stories to be 'age appropriate'. I'm not going to mention Aunty Stella's over-fondness of gin to the Biscuit Thief just yet.


We welcome you to attend our annual Trick-or-Treat With Your Pet event on Friday, October 25, 2013 at Portage Animal Clinic from 5:00-8:00pm. There are crafts and goodies for children and pets. We encourage you to bring your pets in costume and enter our costume contest. We take photos of all of our participants and post them on Facebook so that you can share them with your friends. We hope to see you there!


text:
Value of retinal vein pulsation characteristics in predicting increased optic disc excavation
C. Balaratnasingam, William Morgan, M.L. Hazelton, Philip House, C.J. Barry, H. Chan, Stephen Cringle, Dao-Yi Yu
Centre for Ophthalmology and Visual Science (affiliated with the Lions Eye Institute)
Background: Retinal vein pulsation is often absent in glaucoma, but can be induced by applying a graded ophthalmodynamometric force ( ODF) to the eye, which is elevated in glaucoma.Aim: To assess whether ODF has a predictive value in determining glaucoma progression.Methods: 75 patients with glaucoma and suspected glaucoma were examined prospectively in 1996, and then re- examined at a mean of 82 months later. All subjects had intraocular pressure, visual fields, stereo optic disc photography and ODF measured on their initial visit. When venous pulsation was spontaneous, the ODF was said to be 0 g. At re- examination, central corneal thickness and blood pressure were also measured. Initial and subsequent optic disc photographs were compared and graded into those that had increased excavation and those that had remained stable. The relationship between increased excavation ( recorded as a binary response) and the measured variables was modelled using a multiple mixed effects logistic regression.Results: ODF at the initial visit was strongly predictive of increased excavation ( p = 0.004, odds ratio 1.16/ g, range 0 - 60 g), with greater predictive value in women than in men ( p = 0.004). Visual field mean deviation was predictive of increased excavation ( p = 0.044), as was optic nerve haemorrhage in association with older age ( p = 0.038). Central corneal thickness was not significantly predictive of increased excavation ( p = 0.074) after having adjusted for other variables.Conclusion: ODF measurement seems to be strongly predictive of the patient's risk for increased optic disc excavation. This suggests that ODF measurement may have predictive value in assessing the likelihood of glaucoma progression.
British Journal of Ophthalmology
https://doi.org/10.1136/bjo.2006.105338
10.1136/bjo.2006.105338
Dive into the research topics of 'Value of retinal vein pulsation characteristics in predicting increased optic disc excavation'. Together they form a unique fingerprint.
Glaucoma Medicine and Dentistry 100%
Optic Disc Medicine and Dentistry 66%
Measurement Medicine and Dentistry 33%
Optic Nerve Medicine and Dentistry 33%
Visual Field Medicine and Dentistry 33%
Odds Ratio Medicine and Dentistry 16%
Logistic Regression Analysis Medicine and Dentistry 16%
Bleeding Medicine and Dentistry 16%
Balaratnasingam, C., Morgan, W., Hazelton, M. L., House, P., Barry, C. J., Chan, H., Cringle, S., & Yu, D-Y. (2007). Value of retinal vein pulsation characteristics in predicting increased optic disc excavation. British Journal of Ophthalmology, 91(4), 441-444. https://doi.org/10.1136/bjo.2006.105338
Balaratnasingam, C. ; Morgan, William ; Hazelton, M.L. et al. / Value of retinal vein pulsation characteristics in predicting increased optic disc excavation. In: British Journal of Ophthalmology. 2007 ; Vol. 91, No. 4. pp. 441-444.
@article{cb5ef5335366462da2c249ab4f82f763,
title = "Value of retinal vein pulsation characteristics in predicting increased optic disc excavation",
abstract = "Background: Retinal vein pulsation is often absent in glaucoma, but can be induced by applying a graded ophthalmodynamometric force ( ODF) to the eye, which is elevated in glaucoma.Aim: To assess whether ODF has a predictive value in determining glaucoma progression.Methods: 75 patients with glaucoma and suspected glaucoma were examined prospectively in 1996, and then re- examined at a mean of 82 months later. All subjects had intraocular pressure, visual fields, stereo optic disc photography and ODF measured on their initial visit. When venous pulsation was spontaneous, the ODF was said to be 0 g. At re- examination, central corneal thickness and blood pressure were also measured. Initial and subsequent optic disc photographs were compared and graded into those that had increased excavation and those that had remained stable. The relationship between increased excavation ( recorded as a binary response) and the measured variables was modelled using a multiple mixed effects logistic regression.Results: ODF at the initial visit was strongly predictive of increased excavation ( p = 0.004, odds ratio 1.16/ g, range 0 - 60 g), with greater predictive value in women than in men ( p = 0.004). Visual field mean deviation was predictive of increased excavation ( p = 0.044), as was optic nerve haemorrhage in association with older age ( p = 0.038). Central corneal thickness was not significantly predictive of increased excavation ( p = 0.074) after having adjusted for other variables.Conclusion: ODF measurement seems to be strongly predictive of the patient's risk for increased optic disc excavation. This suggests that ODF measurement may have predictive value in assessing the likelihood of glaucoma progression.",
author = "C. Balaratnasingam and William Morgan and M.L. Hazelton and Philip House and C.J. Barry and H. Chan and Stephen Cringle and Dao-Yi Yu",
doi = "10.1136/bjo.2006.105338",
journal = "British Journal of Opthalmology",
publisher = "BRITISH MED JOURNAL PUBL GROUP",
Balaratnasingam, C, Morgan, W, Hazelton, ML, House, P, Barry, CJ, Chan, H, Cringle, S & Yu, D-Y 2007, 'Value of retinal vein pulsation characteristics in predicting increased optic disc excavation', British Journal of Ophthalmology, vol. 91, no. 4, pp. 441-444. https://doi.org/10.1136/bjo.2006.105338
Value of retinal vein pulsation characteristics in predicting increased optic disc excavation. / Balaratnasingam, C.; Morgan, William; Hazelton, M.L. et al.
In: British Journal of Ophthalmology, Vol. 91, No. 4, 2007, p. 441-444.
T1 - Value of retinal vein pulsation characteristics in predicting increased optic disc excavation
AU - Balaratnasingam, C.
AU - Morgan, William
AU - Hazelton, M.L.
AU - House, Philip
AU - Barry, C.J.
AU - Chan, H.
AU - Cringle, Stephen
AU - Yu, Dao-Yi
N2 - Background: Retinal vein pulsation is often absent in glaucoma, but can be induced by applying a graded ophthalmodynamometric force ( ODF) to the eye, which is elevated in glaucoma.Aim: To assess whether ODF has a predictive value in determining glaucoma progression.Methods: 75 patients with glaucoma and suspected glaucoma were examined prospectively in 1996, and then re- examined at a mean of 82 months later. All subjects had intraocular pressure, visual fields, stereo optic disc photography and ODF measured on their initial visit. When venous pulsation was spontaneous, the ODF was said to be 0 g. At re- examination, central corneal thickness and blood pressure were also measured. Initial and subsequent optic disc photographs were compared and graded into those that had increased excavation and those that had remained stable. The relationship between increased excavation ( recorded as a binary response) and the measured variables was modelled using a multiple mixed effects logistic regression.Results: ODF at the initial visit was strongly predictive of increased excavation ( p = 0.004, odds ratio 1.16/ g, range 0 - 60 g), with greater predictive value in women than in men ( p = 0.004). Visual field mean deviation was predictive of increased excavation ( p = 0.044), as was optic nerve haemorrhage in association with older age ( p = 0.038). Central corneal thickness was not significantly predictive of increased excavation ( p = 0.074) after having adjusted for other variables.Conclusion: ODF measurement seems to be strongly predictive of the patient's risk for increased optic disc excavation. This suggests that ODF measurement may have predictive value in assessing the likelihood of glaucoma progression.
AB - Background: Retinal vein pulsation is often absent in glaucoma, but can be induced by applying a graded ophthalmodynamometric force ( ODF) to the eye, which is elevated in glaucoma.Aim: To assess whether ODF has a predictive value in determining glaucoma progression.Methods: 75 patients with glaucoma and suspected glaucoma were examined prospectively in 1996, and then re- examined at a mean of 82 months later. All subjects had intraocular pressure, visual fields, stereo optic disc photography and ODF measured on their initial visit. When venous pulsation was spontaneous, the ODF was said to be 0 g. At re- examination, central corneal thickness and blood pressure were also measured. Initial and subsequent optic disc photographs were compared and graded into those that had increased excavation and those that had remained stable. The relationship between increased excavation ( recorded as a binary response) and the measured variables was modelled using a multiple mixed effects logistic regression.Results: ODF at the initial visit was strongly predictive of increased excavation ( p = 0.004, odds ratio 1.16/ g, range 0 - 60 g), with greater predictive value in women than in men ( p = 0.004). Visual field mean deviation was predictive of increased excavation ( p = 0.044), as was optic nerve haemorrhage in association with older age ( p = 0.038). Central corneal thickness was not significantly predictive of increased excavation ( p = 0.074) after having adjusted for other variables.Conclusion: ODF measurement seems to be strongly predictive of the patient's risk for increased optic disc excavation. This suggests that ODF measurement may have predictive value in assessing the likelihood of glaucoma progression.
U2 - 10.1136/bjo.2006.105338
DO - 10.1136/bjo.2006.105338
JO - British Journal of Opthalmology
JF - British Journal of Opthalmology
Balaratnasingam C, Morgan W, Hazelton ML, House P, Barry CJ, Chan H et al. Value of retinal vein pulsation characteristics in predicting increased optic disc excavation. British Journal of Ophthalmology. 2007;91(4):441-444. https://doi.org/10.1136/bjo.2006.105338

redpajama_set_name: RedPajamaCommonCrawl


text:
The World's Greatest Parties You've Never Heard Of
By Daniel Cole Published On 08/04/2016
Flickr/Jolene Bertoldi
Tickets for Coachella sell out in an instant. Flights into New Orleans before Mardis Gras are prohibitive, and forget about hotels. No problem -- you can still find parties on this planet that your friends haven't already selfied to exhaustion. Look further afield, around and outside the Americas, and you'll find colorful, raucous parties all over the globe. Carnival vibes, electronic music festivals, and spiritually inclined alternatives abound.
You may have heard of some of these -- clearly someone has, or else it wouldn't be much of a party. But chances are you're going to catch at least a strain of FOMO reading through these. Time to put some play-hard miles on the passport.
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Flickr/Adam Holtrop
AfrikaBurn
Tankwa Karoo National Park, South Africa
When: April or May
Black Rock City's desert rave is among the growing roster of Burning Man-affiliated burner events popping up worldwide that share the worldly ethos of radical inclusion and creativity. One of the most popular -- with its dramatic landscapes and hallucinogenic installations -- is AfrikaBurn, which every spring lights up South Africa's arid, bird-rich Tankwa Karoo National Park. The week-long not-for-profit festival, which launched in 2007, is an all-inclusive space for artists, musicians, craftspeople, and anyone else who wants to have too-vivid Mad Max: Fury Road flashbacks in an African desert.
Flickr/Paula Abrahao
King's Day
When: April 27th each year
Formerly Queen's Day, the Dutch national holiday -- known to the locals as Koningsdag -- is the annual celebration of the Royal's birthday. And a royal throwdown it is: festivals, concerts, boat parties, and inner-city beach raves, going up across Amsterdam's canals, streets, and parks. Dress code, you'll notice, is that particular shade of rich tangerine that makes the Dutch easy to spot at World Cup matches. Get to know your inner Dutchman, or just meet a thousand other raucous ones during Amsterdam's most decadent of days (which is really saying something). Arrive early so you can enjoy the event immediately preceding: King's Night.
Flickr/Amine GHRABI
Fes Festival of World Sacred Music
Fes, Morocco
When: May
This eight-day spring festival of sacred music brings together ancient and contemporary arts in a landscape of serenity and beauty. Previous headliners have included Ravi Shankar and Björk, who cap days of local, spiritual Sufi acts. Held throughout various small venues, the festival offers an introduction to the mystical traditions of Sufism and dervish dancing. It's a colorful, rejuvenating getaway that calls for your undivided attention.
Flickr/kapa123
Lärz, Germany
When: June
This annual arts and music blowout lands each year at a former Russian air force base in Northern Germany, replete with a runway and grass-covered aircraft hangars that offer a post-industrial Teletubbies feel. It aims to embody "holy communism," creating an environment of transformative creativity outside one's daily rhythm of life. Its programming, stage design, and aggressively artistic vibe have earned it comparisons to Glastonbury and Burning Man, but it needs no analogue: it's one of Germany's most popular festivals, despite famously keeping its lineup a secret until the event.
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Flickr/Thomas Rousing
This citywide festival casts Copenhagen into a week-long binge of Danish music, with street culture and nightlife colliding with alternative communities and young folk. It's a carnival of electronic music swagger, culminating in a big knees-up in the city's harbor at the weekend's end. Highlighting some of Europe's more popular underground acts, this open-to-all event is a great opportunity to fraternize with friendly local youth to discover some of the city's best hangouts.
Flickr/Ree Dexter
Ati-Atihan
Kalibo, the Philippines
This is the Filipino Mardi Gras, where the locals carve out a festive parade on the island of Aklan, with rainbow-colored indigenous costumes and frenetic dance performances. The festival honors an age-old tradition in which the local mountain-dwelling tribe -- the Atis -- came down to ask the lowlanders -- the Kalimantan, who had arrived from Borneo -- for food during periods of bad harvest. As a means of thanks, the Atis would paint their faces and perform ritualized dances. The tradition has lasted hundreds of years, incorporating various Catholic elements since the arrival of the Spanish in the 1500s. If you like Carnival and love spectacle, put this on your list beside New Orleans and Rio de Janeiro.
Tom O'Neil
Wanderlust Squaw Valley
North Lake Tahoe, California
When: July
This is your chill, outdoorsy alternative to urban celebrations, desert raves, and bombastic religious carnivals. Lake Tahoe's latest festival features music, yoga, paddleboarding, and pool parties set in the profoundly Instagrammable Squaw Valley. After you've camped under the stars, back-stroked around Lake Tahoe, and gorged mindfully on natural food, you may start to ask yourself what all the fuss about Coachella was.
Flickr/Dennis Candy
Esala Perahera
When: August
A visual treat and a delight for the senses, Esala Perahera is a 10-day festival of processions, fire dancing, and acrobatics in central Sri Lanka. It's overwhelming for the eyes, as well as the nose -- you'll be bombarded by a rich range of incenses. The festival honors the sacred relic of the tooth of Buddha, supposedly smuggled out of India to this island nation more than 400 years ago. Immerse yourself in this visual feast, as elephants, dancers, singers, and drummers create one of the world's great religious parties.
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Les Dunes Electroniques
Nefta, Tunisia
When: February
Set in the Sahara desert in the old sets George Lucas built to film the original Star Wars, this unique and ambitious rave puts modern electronic music in a serene, yet foreboding environment, while a predominantly French contingent -- dressed up as Jedis and Sith Lords -- dances through the weekend. It's little surprise that Les Dunes Electroniques creates an otherworldly feel, given that it began life as Tatooine, but the dunes, deserts, and sunsets, all soundtracked by leading electronic music talent, truly will have you looking around for a second sun. Alas, safety concerns led to the cancellation of the 2016 party, but here's looking ahead, in true Star Wars fashion, to future installments.
Dan Cole, the Berlin-based music guru and content creator, went missing around 2006 and is still trying to find himself. Information on his whereabouts can be found on Twitter and Instagram.


Have you ever travelled in the airplane? Do you know how many checks and tests it goes through before getting a yes to fly? This all is done for the security of the passengers.
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As any parent knows, kids are picky, and not just when it comes to dinner. When you are decorating a child's room, they'll certainly have their say in the matter.
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�Customer Dis-Service�: Is Customer Service Dead In The USA?
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A wrongful death is one that happens due to the careless or reckless actions of another person. But as readers can likely anticipate, there are more victims in a wrongful death than just the party that loses his or her life. While that person had to pay the ultimate price for another person's negligent, reckless, or criminal behavior, their loved ones must also go on without the support of the person who perished.
Therefore, in accordance with the laws of Ohio, the family members of victims of wrongful deaths may be able to be compensated for their losses through wrongful death claims. Readers should speak with personal injury attorneys about the procedures that must be met to file wrongful death claims, and the law offices of Joseph T. Joseph Jr. are ready to serve those in need.
Managing the legal requirements of a wrongful death claim all while staying on top of the courts timeline for trial can be perplexing and frustrating to individuals who are grieving. Attorney Joseph T. Joseph is prepared to counsel and advocate for the families of wrongful death victims who only want to see justice served.


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Oleksandr Usyk mocks Tyson Fury in latest jibe ahead of mouthwatering…
Home Basketball New Timberwolves president of basketball operations Tim Connelly plans to make Minnesota...
New Timberwolves president of basketball operations Tim Connelly plans to make Minnesota a destination for top talent
MINNEAPOLIS — Riding the momentum of a return to the NBA playoffs, the leaders of the Minnesota Timberwolves are determined to further elevate a franchise long mired among the dregs of the league.
Tim Connelly is the first big catch. They're counting on others to follow.
"There's a reason these coastal cities have a leg up, but what you can help develop and help add credence and definition to is your culture and the organization and the wins and losses," said Connelly, who was formally introduced Tuesday as president of basketball operations after nine seasons in that role with the Denver Nuggets. "Hopefully word spreads that this is where you're going to come if you want to be treated right."
Connelly agreed last week to a five-year, $40 million contract, sources told ESPN's Adrian Wojnarowski; Timberwolves owner Glen Taylor confirmed it includes bonuses for team performance. Marc Lore and Alex Rodriguez, who are in the process of incrementally purchasing the club for $1.5 billion from Taylor, made it a priority to aggressively pursue one of the NBA's most accomplished and respected leaders.
"We have full confidence and trust in Tim, and he's going to be empowered to build a first-class, world-class organization. Full stop," Lore said.
Taylor, 81, initiated the sale in 2021 with the intention of staying on as sort of a mentor to the incoming owners, who plan to finish the purchase in 2023.
"We feel like we've made good decisions together as a group," Lore said. "We just feel really good about the partnership and where we've been and where we're going."
Connelly left behind a Nuggets team that has the back-to-back NBA MVP, Nikola Jokic, and a still-promising roster that went 48-34 in the regular season — two games ahead of the Timberwolves — without injured standouts Jamal Murray and Michael Porter Jr. Connelly also had to uproot his young family.
"I wasn't looking for this. It was such a unique opportunity that was presented to me. The last nine years for me have been the best nine years professionally I could have ever imagined," Connelly said. "As you had those sleepless nights, it makes you dig even deeper internally, even more introspective, and ask yourself if it's something you want to do. It's a leap of faith, certainly."
With Karl-Anthony Towns and Anthony Edwards emerging as elite players and Chris Finch drawing rave reviews for his guidance in his first full season as coach, the Timberwolves pushed the No. 2-seeded Memphis Grizzlies hard over six games in the first round.
Minnesota also became the first team in NBA history to lose multiple games in a series with double-digit fourth-quarter leads, doing so a staggering three times.
"I hope that as we continue to build a winning foundation and develop, this is a place that you want to come to win," Connelly said. "It's not about the weather. It's not about having some of these flashier markets. You're going to come here to win, to be treated fairly and have a lot of fun."
Connelly has become the seventh person in nine years to oversee the basketball side since Flip Saunders returned for his second run. When Saunders died of cancer in 2015, Milt Newton filled in for one season. Then Tom Thibodeau was handed the top job in the now-outdated dual role of head coach and lead executive.
After Thibodeau was fired midway through the 2018-19 season, his deputy, Scott Layden, was the interim replacement. Three years ago, Gersson Rosas was hired, but after a sudden dismissal, Sachin Gupta was put in charge. He is expected to remain in the front office under Connelly.
Finch was an assistant with the Nuggets in 2016-17 before being hired away by the New Orleans Pelicans. Connelly called him "Finchy" throughout his news conference Tuesday — a sign of the relationship they've already built and the relative security Finch will have under the new boss.
"He has great faith in us and what we're doing here, me in particular, and he has a lot of existing relationships with people on our staff and in this building. That always helps," Finch said. "He is first and foremost about people. Doesn't take himself too seriously. Fits right in with our culture."
Haas reveal livery of their VF-23
Oleksandr Usyk mocks Tyson Fury in latest jibe ahead of mouthwatering...


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Some of you may have noticed a large number of insects in the air lately. Most of these are midges; harmless creatures that are a natural part of the ecosystem.
Midges don't have a biting needle (proboscis) and because of this they cannot transmit diseases. Mosquitoes do. Another difference is that midges fly in swarms that look like clouds. ... "When people report being covered by a swarm of mosquitoes, they probably just walked or passed through a cloud of midges.


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Arizona Cardinals re-sign Drew Butler, release Ryan Quigley
The Arizona Cardinals are bringing back a familiar face to punt.
By Seth Cox@SCoxFB Nov 15, 2016, 12:42pm MST
Share All sharing options for: Arizona Cardinals re-sign Drew Butler, release Ryan Quigley
Kevin Hoffman-USA TODAY Sports
The Arizona Cardinals have made a move that, I honestly did not know was even possible, as they have brought back punter Drew Butler and released punter Ryan Quigley.
Butler is of course the Arizona Cardinals veteran punter who was hurt earlier in the season and was then waived with an injury settlement back on October 4th.
Butler was having another average year, but he is trusted heavily by Bruce Arians and Amos Jones, so unfortunately for Ryan Quigley, whether or not he was doing a good job, seems irrelevant to the fact that Arians and Jones prefer and trust Butler.
Quigley had punted 24 times for the Cardinals, and his 40.8 yards per punt average was near the bottom of the NFL, yet it was his net average of 35.7 yards per punt that really took its toll on the team and the defense. He also had a punt blocked against the Seahawks, as many I am sure remember.
Drew Butler's 33.7 net average is the only one that was worse than Quigley's.


a sight not to be seen for another __ years.
Which are as beautiful within the flood as without.
loved this poem, especially the last line.
Beautiful poem and excellent image 🙂 Thanks for sharing.
Lovely poem and I like your photography skills too.
It is a river nearby that flooded a few years ago…many opportunities for lovely photos. I've always loved this one, there's so much in it and I'm so glad others appreciate it! Thank you for visiting.
A lovely place to visit indeed.
Not many can capture it beautifully but you seem to have done so.
Awww you are so kind! Thank you.
My pleasure dear. Just some honest feedback.


When we opened Moss Chiropractic and Wellness in Olney 30 years ago, we were newlyweds. We raised our family here, and as Olney has grown and flourished, so have both our family and our practice. Through our work, we have been able to touch and improve the lives of literally thousands of people. Giving back and making a difference in the community is one of our core values and has been among the most rewarding aspects of being a business owner. We support multiple institutions, events and organizations that are vital to the health and wellbeing of our region.
St. Patrick's– Christmas Market at Breakfast with Santa.


A Cannonball of Taste… Shot?
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Home / girl talk / ladies / Vaginal health / women health / Questions about Your Vagina You Were Too Embarrassed To Ask—Answered!
Questions about Your Vagina You Were Too Embarrassed To Ask—Answered!
Geoffrey Nevine April 23, 2020
You know those questions about your vagina that you're apprehensive about asking your girlfriends, and can't possibly reach your doctor all the time?
We've decided to make things easier for you by addressing your burning questions head-on.
How am I really supposed to smell down there?
READ: When Girls Worry about "That Smell" – understand WHY there's an odor and HOW to manage it.
The truth is, while everyone smells different down south, nobody smells like a garden. All vaginas have a natural odor, and these odors don't stay the same, depending on the time of the month or even your daily activities. For example, you may notice a muskier smell after a workout. This is due to moisture released by sweat glands in the region. Diet could be a factor too – citrus-based fruits like oranges and grapefruit are known to sweeten the smell of vaginal fluids, while, onions and broccoli may cause odors that some dislike. Women on periods may find that their vaginas' smell slightly metallic. However, these are completely natural occurrences, and you should only see your doctor when the smell gets intolerably unpleasant.
READ: A vagina is never odor-free but what is a 'normal' smell for a vagina? Find out!
Is having acne/ingrown hair my lady bits normal?
SEE Reasons you should stop shaving off your pubic hair.
Yes, it can be! While having acne (also known as vaginal pimples) down there is uncomfortable, it's usually not a big problem. The vaginal area is one of the more sensitive parts of our body and can be irritated by shaving, waxing, hormonal changes or detergents. Hair follicles can be infected during the process, resulting in pimples or ingrown hair (hair that happens to grow inside a pimple). Fret not though, pimples usually clear up on their own within a few weeks. Meanwhile, likewise with facial pimples, try not to pop your vaginal pimples, as doing it can lead to even more irritation and ultimately, more pimples. Consult your gynecologist, if you are very much worried about your vaginal pimples.
SEE Reasons You Have a Bump Near Your Vagina And What You Can Do To Treat It.
My vagina itches sometimes. Is something wrong?
SEE 13 Personal Hygiene Habits That Ladies MUST Follow Routinely.
Having a vaginal itch is uncomfortable to talk about and deal with. However, before you start thinking there's something wrong going on down there, hold your horses! It's likely perfectly normal, Yes, soap. You use it to clean yourself, so why would there be an itch? Well, certain soaps, especially scented ones can disrupt your vagina's natural pH balance (an acidity-alkalinity scale where a slightly acidic level is ideal for preventing the growth of micro-organisms), causing you to itch even though you're cleaning yourself a lot. One solution is to use a specially formulated cleanser like the Betadine Daily Feminine Wash, which balances your nether region's pH balance without being too harsh on your skin. If you're the type who won't feel clean unless you see lots of soapsuds, try the foamy version.
CHECKOUT THIS Pubic Area Safe-shaving Guide.
Can things get lost… down there?
READ How deep is a vagina? What to know!
Don't worry, your vagina isn't a black hole. Whether you're worrying about tampons, menstrual cups or Kegel balls, it's not possible for anything to get up into your uterus. This is because the cervix is small enough to block any access. However, you may sometimes find it difficult to reach these objects. If that happens, relax try relaxing your muscles, sit or squat down first before fishing it out. If all fails (which is rare), get a doctor to help you get it out. Do note the importance of getting a tampon out as soon as you can. As advised by tampon manufacturers, a tampon shouldn't be left inside your vagina for more than eight hours.
What's the white residue inside my vagina lips?
SEE Vaginal discharge and it's meaning—the vagina can tell you a lot about your health.
Notice some whitish, cheese-like residue on the inside of your vagina lips, between your labia or around your clitoral hood, even when you clean yourself every day? And they come back no matter how you clean them off? Don't worry, there's nothing wrong with you, neither is it a sign of poor hygiene habits. What you see is smegma – a natural lubricating residue made up of shredded skin cells, oil secretions, moisture, and sweat. These fluids, when built up, lead to smegma. While smegma is normal, you should still clean it off regularly, and not let it accumulate into a crusty mess that could not only smell but catch your bedroom partner off-guard!
SEE How to Deal With Watery Discharge That Comes Out Minutes After Sex?
Does My Vagina Look Normal?
There is no normal standard for a vagina because no one looks like the other, nor are they meant to, says Troy. "There are many ways a vagina can look different, from labia length to clitoral prominence and skin coloration. If you're worried about the appearance of your vagina, the odds are very likely you're the only one who's noticing what you perceive as 'different,'" says Troy. But if you truly feel there may be an issue, Troy says to speak with your OB/GYN to discuss your vaginal health, and how they can help.
SEE Tips for Maintaining a Healthy Vagina.
CAN I GET PREGNANT ON MY PERIOD?
READ Can You Get Pregnant With 'Precum'? Find out!
The chances of getting pregnant on your period are low because you're typically a few days away from ovulation. Pregnancy occurs when you have an egg that can be fertilized, says Dr. Sinha, so technically, on the first few days of your period, the chances of getting pregnant are very, very low because there's no egg to be fertilized.
"Sometimes, women ovulate at random times during their cycle or have a shorter cycle, so if you ovulate really soon after your cycle is over, it might be possible."
In short: If you have a regular cycle of about 28 days, it's very unlikely. If you have a short cycle or ovulate at random times, it is theoretically possible.
IS IT NORMAL TO FEEL LIKE I HAVE TO PEE DURING SEX?
It's normal and actually a good thing to feel like you have to pee during sex. The sensation of having to urinate means the clitoris or G spot is being stimulated and you're on your way to orgasm, Sinha says.
You may feel pressure around your bladder from the penis, too, and that can make you feel like you have to go. "If you can get past the feeling, you'll realize it's actually just the stimulation coming from sexual activity and you really don't have to urinate."
If you want to avoid this sensation, you and your partner can also try different sexual positions to find what's comfortable for you both.
SEE 5 things you must do immediately after you have sex to make sure that your reproductive health is ¹⁰/₁₀.
WILL MY VAGINA EVER BE THE SAME AFTER HAVING A CHILD?
After a vaginal delivery, your vagina should return to normal after about 6 weeks. If you had major tears in your vaginal opening, it could take 8 to 12 weeks to return to its regular size.
SEE 9 things that doctors will never tell you about your vagina after giving birth.
"If you did have some tearing during birth and your vagina is larger and you're not having much enjoyment during sex, surgeons can perform vaginoplasty to reconstruct the vagina," she adds. Most of the time, surgery is not necessary and your body will adjust back on its own. Not all doctors agree that vaginal rejuvenation surgeries are helpful, but some research has found that it can help sexual satisfaction.
READ LOOSE VAGINA IN WOMEN: WHAT TO KNOW.
Why Is It So Hard For Me To Orgasm?
If you have difficulty orgasming, there's no reason to be embarrassed. In fact, according to Planned Parenthood, as many as one in three women have trouble reaching orgasm when having sex. "This can be from a combination of factors, some physical and some psychological," Dr. Alex Ferro, OB/GYN says. But if you are worried about this issue, feel free to consult with your OB/GYN about solutions.
READ #Intercourse😍: It is not about how long it lasts, but the level of satisfaction it brings!
Does eating different foods change how I smell?
Although there's not a lot of research in this field, experts say in some cases what you eat could affect your smell.
"Garlic and any sort of spices with a strong smell can get into your vaginal secretions which will result in you smelling like that food," Scurfield says.
Ultimately, though, it's not a big deal and you shouldn't avoid particular foods for fear of it affecting your smell down there.
SEE Foods that ladies should eat to help boost there 'kitty's' scent and taste.
Is my vaginal discharge normal?
"Until you go through menopause, you're supposed to have vaginal discharge," Dr. Park proclaims. That said, these fluids can vary depending on the time of the month and whether or not you're on birth control. Around the time of ovulation, the cervical mucus will almost look like an egg white. At other times, it may have more of a liquid consistency.
Vaginal discharge: What's abnormal and what's not? Find out!
But, again, your discharge shouldn't smell foul—this could be a sign of an STI. Chunky, cottage-cheese-like discharge that's accompanied by burning and itching is most likely a yeast infection, says Dr. Park. Your OB/GYN will be able to tell exactly what the issue is and how to take care of it.
READ Is Creamy Discharge Before Period Normal? Find Out!
Is fingering safe?
During foreplay or romance, as part of it, some people insert their finger or fingers into the vagina. The question is, how many people wash their hands before sexual intercourse? Some people do not even keep their nails clean so it gathers a lot of germs and during the fingering, these germs are deposited in the vagina...leading to infection. The same thing applies to auto-pleasure acts or masturbation.
Is Vaginal Discharge during Pregnancy a Matter of Concern?
Pregnancy puts your body in a state of metamorphosis that causes a lot of things to change externally and internally. Vaginal discharges are not a new thing for most women. However, seeing a white jelly discharge during pregnancy might make you wonder what it is all about. The form of discharge might be different from your usual ones, maybe thicker than always, and smell a bit weird, too. Here's more information on what it is and whether you need to take any measures for it.
What happens the first time you have sex?
Everyone's "first time" is different. But one of the most important parts of being prepared for sex is making sure you use birth control and condoms to help prevent pregnancy and STDs. Here's what happens when you lose your virginity.
What is up with the strong odor from vaginal discharge?
When vaginal discharge becomes odorous and itchy, it is usually caused by an imbalance of the vaginal pH. This change suppresses the healthy bacteria, called Lactobacillus, and it is unable to do its job of keeping the vagina clean and healthy. This imbalance causes an overgrowth of a variety of microorganisms such as yeast, bacteria, and fungi - producing yeast and bacterial infections (BV). With these come odor and itching or burning. Read more.
Where can I get the female condom? What if I need more lubrication? How effective is the female condom? How do you use the female condom? What if the female condom slips out of place during intercourse? Are there any complaints about the female condom? Can I use a male condom with a female condom?
Get all answers here
girl talk ladies Vaginal health women health


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We use the latest CNC technology combined with highly skilled stone masons and carvers, although technology will never replace a highly skilled stone carver who can add individuality to every masterpiece.
Cunningham Stone are happy to deal with small projects such as fireplaces , steps and door surrounds to larger and more complex restoration and masonry projects.
We will undertake domestic sub contract work, nominated sub contract work and main contract work for our clients.
Our business can offer a design service where we will do full working drawings with fixing details as well as 3D rendered images of a proposed project as we feel it is important for our clients to be sure they are happy with the detail as well as the aesthetics of the project before production begins.


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Brownstone Institute for Social and Economic Research
brownstone.org/
Policy and Goals
Brownstone Institute for Social and Economic Research is a libertarian-leaning think tank founded to respond to government policies regarding the COVID-19 pandemic, opposing COVID lockdowns and vaccine mandates. [1] The institute is closely aligned with the Great Barrington Declaration, a proposal in which scientists argued lockdowns were ineffective in fighting the pandemic. [2]
The Brownstone Institute was founded in May 2021 by Jeffrey Tucker, an author and editor who previously worked for the libertarian think tank American Institute for Economic Research. [3] [4]
Brownstone Institute for Social and Economic Research is a libertarian-leaning think tank founded in response to government policies regarding the COVID-19 pandemic that the group says demonstrated "a willingness on the part of the public and officials to forego freedom and fundamental human rights in the name of a public health crisis." [5]
The group says its mission is not limited to COVID-19, but to any future crisis that would prompt the public to give up freedom and governments to enhance their power. The institute says it "rejects the rights of the legally privileged few to rule over the many under any pretext" and supports "preserving freedom, free speech, and essential rights even in times of crisis." [6]
Brownstone Institute is closely aligned with the Great Barrington Declaration, in which epidemiologists from Harvard, Oxford, and Stanford universities challenged the prevailing view that lockdowns were the best way to fight the COVID-19 pandemic. [7] In this declaration, Harvard's Martin Kulldorff, Oxford's Sunetra Gupta, and Stanford's Jay Bhattacharya favored what they called "focused protection" of high-risk populations instead of broad lockdowns of the entire population. [8] Anthony Fauci, the director of the National Institute for Allergies and Infectious Diseases, condemned the Great Barrington Declaration. [9]
Brownstone Institute contends the COVID-19 lockdowns set a precedent in the modern world, and it says it wants to try to prevent future lockdowns under other rationales. The institute says it wants to generate new ideas in public health, scientific discourse, economics, and social theory to defend liberty. [10]
The institute was founded in May 2021 by Jeffrey Tucker, author of Liberty or Lockdown, a book that contends lockdowns are ineffective. [11] [12]
The group took the name Brownstone Institute from the long-lasting building stone, also called "Freestone," that was used in 19th-century American cities. The name symbolizes that it wants to "rebuild" the "core values of human rights and freedom as non-negotiables for an enlightened society." [13]
The institute says its primary focus includes a post-lockdown recovery for small businesses and entrepreneurial opportunity; academic freedom and the free exchange of ideas; prosperity, freedom, and health for people in society "especially its less privileged members"; and the well-being of school-age children whom the institute says were hit hardest by the lockdowns. [14]
The institute says the "fundamental misunderstanding" of human rights is "alive in all countries around the world today." [15]
The institute held what it plans to be the first of future annual conferences in November 2021. [16]
Jeffrey Tucker is the founder and president of the Brownstone Institute. He is the author of 10 books in five languages, most recently Liberty and Lockdown. He is also the editor of The Best of Mises, on economics and culture. [17] Tucker is a columnist at Forbes. He is also the founder of the Atlanta Bitcoin Embassy, and a senior distinguished fellow of the Austrian Economics Center in Vienna, Austria. [18] He is the former editorial director for the libertarian think tank American Institute for Economic Research. [19]
Martin Kulldorff is the senior scientific director of the Brownstone Institute. Previously, he was a professor at the Harvard Medical School for ten years. He is an epidemiologist and biostatistician specializing in infectious disease outbreaks and vaccine safety and was a co-author of the Great Barrington Declaration, which questioned the need for lockdowns during the COVID-19 pandemic. Kulldorff is the developer of Free SaTScan, TreeScan, and RSequential software. [20]
"About." Brownstone Institute. Accessed February 25, 2022. https://brownstone.org/about/ ^
D'Ambrosio, Amanda. "New Institute Has Ties to the Great Barrington Declaration." Medpage Today. November 11, 2021. Accessed February 25, 2022. https://www.medpagetoday.com/special-reports/exclusives/95601 ^
[1] "How Fauci and Collins Shutdown COVID Debate." Wall Street Journal. December 21, 2021. Accessed January 14, 2022. https://www.wsj.com/articles/fauci-collins-emails-great-barrington-declaration-covid-pandemic-lockdown-11640129116 ^
"How Fauci and Collins Shutdown COVID Debate." Wall Street Journal. December 21, 2021. Accessed January 14, 2022. https://www.wsj.com/articles/fauci-collins-emails-great-barrington-declaration-covid-pandemic-lockdown-11640129116 ^
[1] D'Ambrosio, Amanda. "New Institute Has Ties to the Great Barrington Declaration." Medpage Today. November 11, 2021. Accessed February 25, 2022. https://www.medpagetoday.com/special-reports/exclusives/95601 ^
"Jeffrey Tucker: Liberty or Lockdown." Fox News Radio. November 27, 2021. Accessed February 25, 2022. https://radio.foxnews.com/2021/11/27/jeffrey-tucker-liberty-or-lockdown/ ^
"Lockdowns, Mandates, and the Future of Public Health: Brownstone Institute Inaugural Conference." NTD. November 13, 2021. Accessed February 25, 2022. https://www.ntd.com/lockdowns-mandates-and-the-future-of-public-health-brownstone-institute-inaugural-conference_700976.html ^
Kuntsler, James Howard. "A Conversation with Jeffrey Tucker of the Brownstone Institute." Kunstlercast. Podcast. January 11, 2022. Accessed February 25, 2022. https://kunstler.com/podcast/kunstlercast-353-a-conversation-with-jeffrey-tucker-of-the-brownstone-institute/ ^
Tax Exemption Received: December 1, 2021
No filings available.
2028 E Ben White Blvd, #240-3088
https://brownstone.org/


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BWC Safety Update - November 2020
Ohio Bureau of Workers' Compensation sent this bulletin at 10/30/2020 10:45 AM EDT
Division of Safety & Hygiene's November Webinars
BWC's Division of Safety & Hygiene (DSH) continues our series of free webinars covering
a variety of workplace safety topics. Below is a list of dates and topics, including a link to
register for the November webinars.
Nov. 3 – Combustible Dust Hazard Analysis … What Is It & How Can You Prepare for It?
Nov. 10 – [Replay] "Selling Safety" and Why It's Important
Nov. 17 – Stress: Learning Today for a Better Tomorrow
Nov. 24 – [Replay] Hearing Conservation Program
DSH safety experts conduct the webinars. Each webinar lasts about one hour.
Learn more and register for any of the November webinars here.
BWC to send 23 million more masks to employers
Governor Mike DeWine continues to urge Ohioans to wear masks to mitigate the spread of COVID-19 in Ohio.
Once again, we're assisting with this effort by sending 23 million masks at no cost to employers in the weeks and months ahead.
In August, our Board of Directors approved this second round of our Protecting Ohio's Workforce — We've Got You Covered initiative.
The first round sent 23 million non-medical-grade face coverings to nearly 200,000 employers at no cost to them to keep Ohio's workforce safe and healthy on the job during the ongoing pandemic.
NIOSH/CDC News
A new website from the Centers for Disease Control and Prevention (CDC) — Optimizing Personal Protective Equipment (PPE) Supplies — has information on how to optimize supplies of various types of PPE as well as general information about PPE.
Contact Tracing Infographic
This new infographic, COVID-19 Case Investigation and Contact Tracing in Nonhealthcare Workplaces, provides tips for non-health-care employers if they are asked to assist a health department with case investigations and contact tracing.
COPD Video Series
Faces of Work-related COPD (Chronic Obstructive Pulmonary Disorder) is a four-video series in English and Spanish that includes a physician's description of the condition as well as interviews with patients who discuss how they were exposed, living with the disease, and exposure prevention.
Legionella bacteria can form in the water systems of low- or no-occupancy buildings. Learn more about Legionella prevention from the CDC and the American Society of Heating, Refrigerating and Air-Conditioning Engineers.
OSHA News
The Occupational Safety and Health Administration (OSHA) has updated its COVID-19 FAQs with information about N-95 respirators.
OSHA Fatality Data
Use this website to find data on work-related fatalities that occurred under Federal OSHA and State Plan jurisdictions for cases closed or citations issued on or after Jan. 1, 2017.
NFPA Fire Safety Tips
With many of us spending more time at home indoors as the weather cools, the National Fire Protection Association wants us to keep fire safety in mind. This page on the NFPA website has fire safety tips, social media cards, videos, and blog posts all aimed at keeping you and your family safe at home.
Ergonomics Guidance Documents Links
The International Ergonomics Association has a spreadsheet with links to more than 100 guidance documents from a variety of sources with interventions for reducing risk factors for workplace musculoskeletal disorders.
COVID-19 Exposure Control Planning for Construction
The Center for Construction Research and Training (CPWR) has a COVID-19 Exposure Control Planning tool. The tool uses a step-by-step process to create a plan to protect your employees and prevent the spread of COVID-19.
Opioid Awareness Training Program
Did you know construction workers are six to seven times more likely to die of an opioid overdose than workers in other professions? CPWR recently updated its Opioid Awareness Training Program. CPWR designed the program to increase awareness of opioids and decrease the stigma associated with opioid use. Currently consisting of one module, CPWR plans to release a second module this year.
CPWR Data Bulletin on Falls
The seventh annual National Safety Stand-Down to Prevent Falls in Construction took place in September 2020. In conjunction with the event, CPWR issued a data bulletin, New Trends of Fatal Falls in the Construction Industry.
Dangerous Jobs
Business insurance research company AdvisorSmith looked at data from the U.S. Bureau of Labor Statistics to determine the most dangerous jobs in America. Read its report on the 25 most dangerous jobs.
Hours of Service Regulations
New Hours of Service (HOS) rules from the Federal Motor Carriers Safety Administration (FMCSA) went into effect Sept. 29, 2020. FMCSA developed a free online resource to help drivers understand these new regulations. The system, called Educational Tool for Hours of Service (ETHOS), aids drivers in identifying potential violations.
ROI of Safety Workforce Drug Use
This infographic on Safety Return on Investment (ROI) from the Safety Services Company illustrates safety as an investment and links to OSHA's calculators for ROI.
Workforce Drug Use
Testing company Quest Diagnostics released its annual Drug Testing Index™ on the rate of workforce drug positivity. The data reveals a 16-year high rate of workforce drug positivity in 2019. This interactive map shows urine drug test positivity rates by three-digit ZIP code.
The Ohio BWC Library of BWC's Division of Safety & Hygiene compiles and distributes this newsletter each month.
Established in 1912, the Ohio Bureau of Workers' Compensation is the exclusive provider of workers' compensation insurance in Ohio and serves 249,000 public and private employers. With nearly 1,800 employees and assets of approximately $28 billion, BWC is the largest state-run insurance system in the United States. Our mission is to deliver consistently excellent experiences for each BWC customer every day. For more, visit www.bwc.ohio.gov.
Stay Connected with Ohio Bureau of Workers' Compensation:
Manage Subscriptions | Help


text:
Colder than the Grave
DCI LOGAN BOOK 12
She left him for dead. Now, he's back to repay the favour.
DCI Jack Logan should've known things were going too well. Genuinely happy for the first time in years, Jack has almost fooled himself into believing that the world is a decent place.
But, when the discovery of a mutilated body kicks off a series of grisly murders, Jack's dream of a peaceful life rapidly begins to crumble around him.
With friends in danger, and enemies begging for his help, Jack must risk everything to protect the final would-be victim, and stop the most monstrous killer he's ever faced.
And to do that, sacrifices will have to be made…


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Support for battle to improve Denefield school
Parents of children at under-fire Denefield School are confident the new senior management team will carry the school out of special measures.
Acting headteacher Glyn Whiteford
Last week the Evening Post reported that falling standards, a high staff turnover and inadequate teaching over the years had led Ofsted to give the school the status following an inspection in December.
Special measures is given to failing schools that Ofsted has ordered to make improvements.
Around 250 parents went along to a special meeting held by the school on Tuesday, to explain the situation and outline plans to improve over the next two years.
During the two-and-a-half-hour meeting at the school in Long Lane, Tilehurst, acting headteacher Glyn Whiteford – who took the reins in September – was joined by governors and his senior management team in reassuring parents the school would improve over the next 18 months.
Parents told the Evening Post Mr Whiteford gave a presentation on the Ofsted report and set out his future goals.
He added several of the shortcomings outlined in the report were already being addressed by the new management team.
They said he revealed there would be better and more frequent observation of lessons, analysis of teachers' performance, homework monitoring and improved communication, with better handling of disruptive children and poor attendance levels.
One parent who was at the meeting said: "Considering he is not responsible for the failings of previous years he did an excellent job of reassuring parents of their children's futures at Denefield.
"If all said tonight is done then Denefield will, in the future, be the first school of choice for Tilehurst primary schools.
"I do feel more optimistic but we can, of course, only wait and see."
Jeanette Morgan, whose son is in Year Seven and whose three older children also went to the school, said: "It was a very good and very positive meeting. The management team has got everything absolutely spot-on and Ofsted did already recognise that.
"I'm completely confident the team will move things forward. By the time my son gets to GCSE level I would be a little surprised if he didn't sail through.
"I have noticed a good atmosphere in school that had been sadly lacking previously.
"Mr Whiteford is giving the teachers power they never had before and giving them pride in what they do.
"I'm confident with what's been put in place that Denefield is going to once again be the school I originally chose for my older children.
"But there are still questions that need answering."
Ana Marcazzo, whose daughter is in Year 10, said: "I was quite impressed with what the head had to say and I'm hoping they will make the school a lot better than it has been for the sake of the children."
But Mrs Morgan said there should be a further meeting with parents and the governors whom, she feels, are responsible for the school's decline.
Parents said Mr Whiteford also revealed he would be applying for the permanent head position and interviews will take place next week.
Mr Whiteford said: "The meeting was extremely constructive.
"Feedback from parents was very positive and they left the meeting reassured that the school is already well on the way to resolving the issues mentioned in the report."
Denefield School
Tilehurst


Singapore Airlines has launched their latest Spontaneous Escapes that are valid for travel between April 1 – 30, 2019 and in May for the US destination.
These awards are valid on travel both Singapore Airlines and SilkAir on select routes and discounted by 30%. You need to book these latest ones by March 31.
These are a good way to burn KrisFlyer miles at a discount now that the standard online booking discount is gone.
Singapore Airlines tries to get people to book flights where they might have some light loads and wouldn't mind people burning miles (and take off some miles from their books).
The promotion is only applicable for online redemption of Saver Awards in Economy, Premium Economy and Business Class on selected Singapore Airlines and SilkAir operated flights. Eligible bookings can only be made through singaporeair.com. This promotion is not available through KrisFlyer Membership Services, SIA Ticket Offices, travel agents, SilkAir.com, or any other channels.


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Attendees at a Data Center World conference in 2015
The Data Center Industry Has a Problem: Too Many Men
Of all sectors, the data center sector should be particularly interested in broadening its labor pool.
Yevgeniy Sverdlik | Sep 13, 2016
Every time Lisa Huff attends a session at a technical conference, she scans the room to see how many women there are in the audience. Tuesday morning, during the keynote at Data Center World, there were nine, including herself and her partner.
The huge gender gap in the tech sector overall is not a secret, but in the subsector we refer to as "the data center industry" the issue is more acute than in most of its other corners. And nowhere does the gap reveal itself more than at data center conferences, where hallways and presentation rooms are flooded with middle to late middle age white men.
At Data Center World, taking place this week in New Orleans, Huff, principal analyst at Discerning Analytics, sat on a panel that explored the reasons behind this issue and the ways it could be addressed. She has an engineering degree and, having spent her entire career in technical roles, she is used to being the only woman in the room.
Things aren't any different in her current role as an analyst. "I can't even recall a woman data center manager that we deal with – out of hundreds," she said.
While a Salesforce or a Facebook may feel safe in knowing that there are hordes of college graduates with computer science degrees eager to start plugging away at the keyboards in their offices at a moment's notice, there's no guarantee that the pool of qualified workers companies that design, build, and operate data centers can draw from won't shrink in the near future.
It's hard to argue that the data center workforce is sustainable when the average data center manager is a male in his 50s. "In the not-too-distant future, you're going to lose a whole swath of your workforce," said Dr. Theresa Simpkin, head of department, Lord Ashcroft International Business School, Anglia Ruskin University.
Simpkin, who moderated the panel, coauthored the university's master's level-qualification in data center leadership and management. She is currently studying leadership and management changes in data centers and the impostor syndrome experienced by women working in STEM (science, technology, engineering, and math) roles.
The latter project actually started as a project focused on the data center industry, but she quickly realized that there weren't enough women to interview for it. "I had to broaden it out to women in STEM, because I couldn't find anybody to talk to who was a woman [working] in data centers," she said in an interview with Data Center Knowledge. "I just can't find a route to them. That in itself is telling."
Impostor syndrome is a psychology concept. The term describes the fear some successful people have of being outed as unqualified for the roles they have been successful in.
Dr. Theresa Simpkin, head of department, Lord Ashcroft International Business School, Anglia Ruskin University.
While her study is still in progress and she doesn't know exactly how common the phenomenon is among women in STEM occupations, it isn't uncommon, Simpkin said. Many women she's talked to so far feel like "they're waiting for the tap on the shoulder, saying, 'Actually, we've made a mistake. You aren't supposed to have gotten the job; it was meant to be somebody else,'" she said.
Of course, there isn't a simple solution to the gender gap in the sector.
Children start divesting career options very early on – as early as three or four years old, according to Simpkin – using signals they receive from the culture that surrounds them. And the signals girls receive about their career options are different from the ones received by boys.
One part of the solution would be to "start stripping away these ideas that occupations have a gender bend," she said.
Those early signals are crucial. Huff said she was encouraged by her parents to get into a technical field, but encouragement from parents isn't enough. In fact, it often matters less than influence outside one's home. Teachers and counselors in primary and grade school can have a much bigger impact on a person's career path.
Jennifer Cooke, research director, Data Center Trends and Strategies Group, IDC, who was also on the panel, said somebody simply pointing out what she was good at when she was in college is one of the reasons she is where she is today.
Another way the data center industry specifically could help expand its labor pool would be to step out of the shadows. The sector has "a bit of an image problem in that nobody knows what it is," Simpkin said. "You can't attract people to roles in the data center sector if the data center sector itself is not widely identified as an employer of choice. There needs to be a sectoral response."
And this response needs to happen soon, because the gender gap isn't simply a matter of gender. There is a business case for having a more balanced workforce. A lot of research has shown that a more diverse workforce is more innovative, Simpkin said.
This, coupled with the average age of a data center manager, makes for a compelling argument for greater diversity. "The time is ripe for those sorts of conversations to get really pointed, because the sector is maturing," she said. "The impending exodus of those 55-year-old managers leaving the sector means that there's going to be a bit of a vacuum, unless there's a concerted and strategic response."
Help Dr. Simpkin advance her research by participating in her studies:
Data Centre 'Skills' and Labour Research Programme
Impostor Phenomenon and women in STEM
TAGS: Manage
The OCP Hardware Market Is Booming, But What Does It Mean for My Data Center?
What the Apollo 11 Computer Can Teach Today's Data Center Architects
Data Center World: The Unintended Consequences of the Data Revolution
Data Center World: Survey Shows Enterprises are Building New Data Centers


A sage & forest green bobcat carved by Aaron Chapella - the son of Lorandina Sheche. The Bobcat is a Zuni god of prey and is the elder brother of the Wolf and represents the southern direction in the hunting directional set. The Zuni honor the bobcat for its clairvoyance - they see the bobcat as the possessor of secrets.


The intersection of law and medicine is never more pronounced than in a medical negligence lawsuit. As a lawyer who has tried many such cases, Neilli Walsh is known for the depth and breadth of her medical knowledge, and for her ability to convey that knowledge in the courtroom. Endlessly curious about medical issues, her practice frequently involves deep dives into areas of medicine normally reserved for physicians alone, and she regularly engages the finest expert witnesses in their respective specialties.
The proliferation of these specialties, and of the doctors who practice them, has become, Neilli believes, a contributing factor in the rise of medical negligence cases. The more specialists involved in a case, the more difficult coordination among them becomes. This, in turn, increases the chance of a miscommunication that can lead to serious, even fatal, mistakes. The need to rectify those mistakes — to bring a measure of normality back to the victims — is what drives her professionally.
Neilli is more hands-on than most lawyers — she answers her own phone and rarely delegates interactions with her clients. She is fully aware of, and sensitive to, the dire circumstances of those clients. She knows that for many of them, no legal outcome will truly be satisfying — their lives have been upended, after all — so she takes great care to listen to their problems, manage their expectations, and formulate a successful courtroom strategy.
Visit www.YoungConawayInjuryLawyers.com to learn more.


text:
https://www.thebodypro.com/article/south-africa-antiretroviral-treatment-helps-reduce
Antiretroviral Treatment Helps Reduce TB in HIV Patients in South Africa: Study
CDC National Prevention Information Network
This article was reported by SABC (Johannesburg).
An article in SABC said a University of Cape Town (UCT) study conducted on adults enrolled in a public sector treatment program in the Free State, South Africa, found that antiretroviral (ARV) treatments assisted in reducing incidents of TB in HIV-positive individuals as well as the mortality of those infected with both diseases. According to UCT Researcher Vanessa Timmerman, "ARV is so highly effective in reducing the incidence of TB in these patients and also reducing mortality in this group of patients." However, approximately 13 million HIV-positive Africans do not have access to the required medications. Earlier this month, the World AIDS Campaign told an African AIDS conference that individuals in West and Central Africa are the worst affected by HIV/AIDS, but only a third have access to treatment.
This information was reprinted from kff.org with permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Global Health Policy Report, search the archives, and sign up for email delivery. © Henry J. Kaiser Family Foundation. All rights reserved.
Tags:Tuberculosis


Kroll Roberts Studio: It's been Awhile!
I really like this work. Thanks for posting. I do see Bischoff and Park ( and perhaps a hint of Diebenkorn ) who are important to me too, but also the heritage if Porter, one of my own heroes! Keep up the nice work, hope to see it in person sometime.
Your demos, insights, recommendations, etc. are welcome whenever and wherever I can get them!...This is another nice option.
Thanks for blogging your thought process.
HI Peggy, I've been studying from your videos lately. they are amazingly helpful! Thank you for putting them out there!


Digital Humanities at Oxford Summer School - Poster Session deadline: 1 May!
The Editors of the Journal of the Text Encoding Initiative are delighted to announce a CFP for Issue 7 of the Journal. This is an non-themed issue.
We are happy to announce that the phase of application for a place at the European Summer School in Digital Humanities "Culture & Technology" has now started.