When pain controls your life, implantable devices from nerve stimulators to intrathecal drug delivery systems can help conquer pain from within. Pain management expert Leo Kapural, MD, PhD, explained how these devices work, who can benefit from them, and more when he joined us on Dec. 9, 2004.
Welcome to WebMD Live, Dr. Kapural. Thanks for joining us today. How long have implantable pain devices been in use?
They've been around for a relatively long time. I remember that a mentor of mine, Dr. Stanton Hicks, implanted one in 1981, but the design and the quality of those devices were not that great and the failure rate was incredibly higher. Over the last six years the devices became so well made that we are now very comfortable in implanting, especially spinal cord stimulating systems.
What are the primary types of implantable devices used to treat chronic pain?
Spinal cord and peripheral nerve stimulators, which use electric current to decrease the pain.
Intrathecal and epidural subcutaneous devices, referred to as pumps.
How would you know you're a candidate for the implant? What qualifications are there or is it just up to the pain management doctor?
Well, there are certain pains that respond to stimulation, and some pains that do not. For example, acute pain following surgery would not respond to spinal cord stimulation. Inflammatory pains in general would not respond to spinal cord stimulation. On the other hand, if you have a pain from nerve injury, that in general responds to stimulation.
It's a different story with intrathecal devices, like the pumps, where a large range of those pains do respond to intrathecal infusion.
So how is the decision made to use one type instead of another?
On initial evaluation we examine the patient, look into all of the diagnostic evaluations done in the past, and then we come up with an idea of where the pain is coming from and then decide which way to go. In addition, a psychological evaluation is done to determine if the patient is fit to have an implantable device.
I am scheduled to have the temporary stimulator in my lower back tomorrow morning. What can I expect?
The temporary stimulation, or trial stimulation, determines if the electrical stimulation will be successful in treating your pain. Therefore when we implant the spinal cord stimulator with a temporary lead with a battery, we leave the patient home for seven to 14 days to try that device, and he has to report back to us on two different entities: pain relief and functional capacity, or how well they can do things.
So what you can expect tomorrow during the trial is the positioning of that device in your back and then after that you will be discharged from the outpatient setting and left for at least a week to try that stimulating device.
To position the lead for the trial takes only 20 to 40 minutes. To have a full implant after we find out the trial was successful takes about 2 hours. For the pump it's similar, about two hours for the whole procedure.
Is this why a trial run is done with a stimulator? Not just to place the leads but also to test for effectiveness?
Yes, exactly. The trial is essential to see how successful stimulation will be.
So a trial lasts seven to 14 days?
Trials should last at least seven days. The reason I do recommend a trial longer than seven days is that we can better assess improvement in functional capacity of the patients.
Is there any comparable trial for intrathecal drug delivery systems?
Yes, and we do it at the Cleveland Clinic inpatient, in the hospital. We place a temporary catheter in the patient's back and admit them for two or three days to adjust the level of medication delivered. When they have satisfactory pain relief, we pull the catheter out and send them home and set them up later for implant of the pump.
Can you explain how the stimulators are implanted?
The lead is positioned either by percutaneous approach or surgical approach. The percutaneous approach uses an epidural needle to position a tiny (like a hair), lead into the epidural space. That lead may have multiple electricals on it.
Once the lead is positioned in the epidural space, small cuts are made, less than one inch, in the middle of the back and about an inch and a half in the buttock area. This is where the battery will be positioned, or the generator. Later the generator and the lead are connected together with a connector extension under the skin.
During the procedure the patient is awakened and stimulation tried to make sure that they have perfect coverage of all of the painful areas, with what we call pleasurable tingling; that's the feeling they have from the stimulator.
Once everything is in place, both of those incisions are closed and patients stay for a short time in recovery and then go home.
"Over the last six years the devices became so well made that we are now very comfortable in implanting, especially spinal cord stimulating systems. "
Could such a device be used for the chronic pain of osteoarthritis?
Well, the electrical stimulation no, but the intrathecal pump, yes, it has been used before and it can be used in severe arthritis.
Are implantable devices appropriate for chronic migraines (daily pain that varies from dull to severe/throbbing)? Has an implantable device ever been used to prevent or abort chronic migraine attacks?
First of all, it has to be determined what types of headaches. If this is a classical migraine, my answer is no, but if you have a headache in the back of the head, occipital headaches, we do implant here at the Cleveland Clinic some of those peripheral nerve stimulators for headaches in the back of the head.
How effective are the spinal cord stimulators? If you insert them in 100 patients, how many will get significant improvement? I will have one inserted next month.
There are quite a few studies looking into the success rate of the spinal cord stimulation. It depends on what kind of disease the patients have, but studies from the Cleveland Clinic on RSD show a success rate of about 60 to 70 percent. On the other hand, if you have failed back surgery syndrome, the success rate is somewhat lower, in the range of 50 to 60 percent.
For those not familiar with these systems, can you please explain how they work?
The intrathecal pump is just a very expensive pump that slowly delivers concentrated morphine, local anesthetic, or other medication into the intrathecal space, which is nearby the spinal cord. By delivering those medications, the pain receptors in the spinal cord get blocked, therefore the pain subsides.
What is the advantage to this method of drug delivery?
The patients are frequently more awake, function better, receive much, much less systemic medication, and frequently they are more cost effective than oral or IV medication, in the long run, for severe chronic pain.
With people like me already taking a lot of painkillers, can we switch to the pump and not have withdrawal symptoms?
That's a good question. We develop a whole protocol for how we do this here at the Cleveland Clinic. The patient comes in and we transition them slowly to intrathecal infusion. That's not the major problem.
I have fibromyalgia combined with myofascial pain, which have made cysts in my joints and muscles. Are there any such devices that could benefit me? I am so sick of taking painkillers. I also cannot take the usual treatment for the fibro of antidepressants; I get a violent reaction. Are there better reactions to any drugs (anti-inflammatory) when dispersed through a pump?
It's possible, but we would have to look at all the diagnostic procedures that you have had up to now and examine you. Secondly, if it is effective, it may be effective for either of your conditions, and trials should be tried before implant. If you are already on a large amount of oral medications, you should see someone in interventional pain management.
Could someone with epidural fibrosis and degenerative disk disease benefit from these devices? I've been a chronic pain patient for over four years now and have had numerous nerve root blocks and most recently bilateral lumbar facet injections. They last about a month and then I'm back to eight or nine on the pain scale.
These are two groups of question. First, can someone that has degeneration of the disk and epidural fibrosis or scar tissue benefit from those devices, and my answer is yes. We have to look into the ratio of pain coming from the degenerative disk or the epidural adhesions. That can only be done during initial evaluation.
The second question was if you can get longer pain relief, and I understand you have had a series of injections. You can have something called facet radio frequency ablation, which should give you longer pain relief than a plain block.
This is just using a high-energy source around the tip of the radio frequency needle to ablate a small sensory nerve, which gives enervation to that particular facet.
I have had radio frequency ablation twice with no success. Will this determine if the stimulator will work?
No, unfortunately not. The initial evaluation and the trial will determine if the stimulator will work.
My pump has a kink in it. Should it be turned off or turned down until surgery? It is running at 6.552 mg/day.
It depends where the kink is. The physician who is managing the pump should determine where the kink is and if you are getting any medication. If he wants to he can convert you to oral medication until surgery and decide the next best appropriate approach during surgical procedure, because the kinks can be solved in several different ways during surgery.
I am in constant back pain, mostly sciatic right and left. I am thinking a pain pump inserted will help me. I can't take this pain much longer. I am taking Vicodin and now Percoset, which help, but I am woozy from it. How many times do they have to refill the pump if I get it? I hate taking strong pain medications and can't afford them either.
First, regarding the question about bilateral sciatica, the question is if stimulation is more appropriate than the pump. This should be decided during the trial.
Secondly, will you be better off with the pump than oral medications? Probably yes, if you require large amounts of oral medications.
I have just been diagnosed with arachnoiditis. I will be seeing a pain management doctor this month. Will a stimulator and/or morphine pump help with this problem?
Yes. A pump is more likely than the stimulator to help, if it's diffused arachnoiditis.
Is a stimulator out of the question for someone with a pacemaker?
It can be done. There are certain frequencies that we can adjust so that a stimulator can be used with a pacemaker.
How do doctors determine which medications are used in the pumps?
There's something called the panel of experts who came up with an algorithm for what to use first, second, third, and so on. We know from our clinical experience that certain medications are better for certain diseases and this is how we base our approach for intrathecal delivery systems.
Are there any side effects to internal devices like these? What risks are involved?
Any of the implantable devices that deals with either epidural or intrathecal space can possibly produce, as a complication: nerve damage, bleeding, infection, and possible headaches, which can last for relatively short time periods.
I believe doctors need to do a better job explaining the side effects; I have had nausea, bowel problems, and hallucinations since my pump was put in me in 2001.
I was referring before to the complications of the procedure itself. Continuous infusion of the pump should not produce long-term side effects. I'm saying this with relative confidence because we can do rotation in the pump, changing the medication to another medication that will not cause such a side effect. It's not necessary to have any side effects from the medication or the intrathecal pump. You should have either replacement or adjustment of the medication in your pump to some other medicine.
"Will you be better off with the pump than oral medications? Probably yes, if you require large amounts of oral medications."
I am currently a patient at a pain management clinic. About a year ago I received a microlaminectomy/discectomy L3-4, L5-S1, and revision of a prior fusion L4-5. I was then told that I would benefit from a spinal cord stimulator and had gotten approval from worker's comp for the spinal cord stimulator (SCS). The trial stimulator was placed and I got reasonable benefit from it. Now worker's comp says they will not approve the insertion of the permanent SCS because of spinal stenosis in the whole lumbar region. The reason was that there is no evidence that an SCS will help a person with spinal stenosis. I find this to be ridiculous since the trial worked. What are your opinions on this?
First of all, if you had significant benefit from the stimulator trial, that means more than 50 percent of pain relief, I would think you would benefit from spinal cord stimulation.
As far as the diagnoses are concerned, you may have several diagnoses regarding the MRI I just heard about, so spinal stenosis may be just one of them. I do not see the reason why you wouldn't get a spinal cord stimulator system if you had this response to it during the trial.
What is the life span of a stimulator?
The current systems have different life spans. Medtronic's synergy battery can last for about four to five years; on the other hand, Advanced Bionics' system came with rechargeable batteries, which may last a little bit longer and can be recharged every week. I heard that Medtronic is coming up with a new rechargeable battery that may last 10 years.
The battery is replaced by very simple replacement surgery that just involves opening the pocket, taking the old battery out and putting the new one in.
On the other hand, current programmable pumps last about five years.
How will I know when my battery needs replacing in my pump?
With the new pumps and the stimulators, when they are interrogated using our remote programmer, we can exactly see how much life is left in the stimulator or the pump battery. Alternatively, older pumps do ring with short beeps once the battery life is coming toward the end.
Can it be used for diabetics with back pain and neuropathy?
Yes. We feel that the spinal cord stimulation, particularly, is very helpful in diabetic neuropathy. In addition, they may have another benefit: better control of diabetes. We wrote about it this year in the journal Anesthesia Analgesia .
We have two theories why patients with type 2 diabetes would benefit. First, because spinal cord stimulation releases some molecules, like nitric oxide, which induce production of your own insulin. We also think that the stimulation decreases levels of substances that will increase the glucose in the circulation.
Does this device help sciatica pain also?
Sciatica is a term; it just describes the pain that goes down the legs to the feet. There can be numerous sources of the pain and that has to be evaluated in detail before any treatment is implemented.
How do the insurance companies feel about these devices?
Interestingly enough, we don't have any problems getting approval, either the spinal cord stimulators or the pumps.
"We do implant stimulators for severe chronic pelvic pain in the female population. These are the patients who had severe endometriosis for years, were operated on many, many times, with chronic pelvic pain ongoing. We found those patients do respond well to spinal cord stimulation."
I had a herniated disk, the biggest one my neurosurgeon had ever seen. While waiting for surgery I woke to my legs being useless. I was then sent immediately to surgery and the pain relief was a HUGE help but I still have pain and I lost a great deal of use of my right leg. There is so much more to this story but my main question is would I be eligible for this device and what would the cost be? I am now taking around 12 to 15 Advil a day and my doctor seems to think that's all I need.
It has to be determined if permanent nerve damage happened. Usually nerves do grow back to a certain degree, so if it was more than one year after surgery, you should be evaluated and then determine if you are a good candidate for any of those implantable devices. I'm thinking mostly stimulators here.
By the way, we do implant stimulators for severe chronic pelvic pain in the female population. These are the patients who had severe endometriosis for years, were operated on many, many times, with chronic pelvic pain ongoing. We found those patients do respond well to spinal cord stimulation.
I have syringomyelia with syrinx, rheumatoid arthritis, bulging discs, and herniated discs. Will all this pain be helped with this device?
You may be a better candidate for an intrathecal pump. However, you need to be evaluated by a qualified intervention pain physician to make this decision.
I heard the Cleveland Clinic has the best pain center in the country. Can I get in to see a doctor within a few weeks?
Yes. We changed our policies and we are trying to get a new evaluation in about a 10 to 15 day time period. We expanded the staff more recently and we are the largest pain management department in the country, and the largest educational fellowship. So yes, I think we can fit you in relatively early. The phone number is 216-444-PAIN.
Do you have a web site, and can I make an appointment online?
The web site is clevelandclinic.org. If you go to clevelandclinic.org/painmanagement you can get information on all the pain devices and the Cleveland Clinic physicians.
How can I find a pain specialist in my area of Reading, Pa., who is knowledgeable in intrathecal drug delivery devices?
There are a couple of sources where you can actually find a physician in the area. If you go to Medtronic or ANS, those are the two largest companies who make the stimulators and pumps. They have a list of physicians who are implanting their devices.
I saw a Medical Miracles tape about pain management. Can I get a copy of it? Who can I call?
This was produced by the local TV station, and they looked into certain advanced procedures in all kinds of medical branches. That was produced about a year ago. That tape can be acquired for free by calling the same number I mentioned: 216-444-PAIN.
What is new for pain or coming in the near future?
We are looking into other types of electrical stimulation these days and at the Cleveland Clinic, as I mentioned before, we try to treat occipital neuralgias as well as other peripheral nerve injuries using different types of implantable electrical stimulation devices. So over the last several years, we increased the number of indications for spinal cord stimulation and peripheral nerve stimulation.
Do you have a conference for physicians to attend, where they can learn more about pain management?
Yes. If the physician is in internal medicine, rehabilitation, or primary care, we do have our conference for internal medicine and primary care physicians, which is every summer here in Cleveland. For the interventional pain management physicians, a workshop and conference is held every February in Orlando, Fla. It has become the best pain management interventional workshop and symposium in the world.
How can the physicians register for it? When is it?
You can go to our web site, clevelandclinic.org/painmanagmenet. Information for both of those meetings is on our web site. Or you can call my office and I would be glad to give you information about both of these venues.
We are almost out of time. Before we wrap things up for today, do you have any final words for us, Dr. Kapural?
I just wanted to say that we've come a long way with implantable devices, and over the last five years they've become very safe and effective treatment for severe chronic pain. Hopefully issues with the payers will not prevent us from using those for the good of the patient.
Our thanks to Cleveland Clinic pain management expert Leonardo Kapural, MD, PhD, for joining us.


Draw Dumbo's eyes between the two facial guidelines made in step 1. At the bottom edge just inside the circle above the trunk outline, add a few tiny lines that show a wrinkle on Dumbo's nose. At the bottom edge just inside the circle above the trunk outline, add a few tiny lines that show a wrinkle on Dumbo's nose.


When the expansion hits on December 7th, World of Warcraft-ians can pick up some new non-virtual gear to help in their quest to kill the new virtual dragon. If you're finding the Xai gaming mouse to be lacking some buttons for the keybind-heavy MMO, then the new Cataclysm MMO Gaming Mouse might be worth checking out. More than just a technical upgrade, the SteelSeries R&D team actually took the feedback of the customers of the original MMO mouse and sat down with Blizzard in order to redesign the ergonomics of the mouse. This brought the number of buttons down to 14 as opposed to 15, but all the buttons are easier to reach. As for the technical aspects, the mouse is very similar to the Xai, with 12,000 FPS (Frames Per Second) and up to 5001 CPI (Counts Per Inch). If you don't understand what these metrics mean, just trust me when I say that these numbers mean that the mouse is incredibly accurate, precise, and responsive. The Inches Per Second has also been brought on par with the Xai at 150 Inches Per Second, up from the 65 of the old World of Warcraft MMO mouse. This translates to about 400 Haste rating.
For gamers on the go, bringing the mouse also lets you bring a profile that's saved into the hardware. This feature is also one that's borrowed from the Xai and really handy if you play at LANs, tournaments, or at a friend's house. There are up to ten software profiles that you can save as well, of course, so that you can have one for each class.
In addition to the new mouse, SteelSeries is also branding a keyboard for Cataclysm. Based on their Shift keyboard layouts, which uses their Z Engine software, the Cataclysm Shift will provide 8 extra hotkeys along the top as well as a predefined keyset for players to maximize their play. But really, the entire keyboard is nothing but hotkeys as every single key is customizable. And if you're a player like me, you'll often want to be holding Q or E while pressing ctrl+shift+C (yeah, I use a LOT of keybinds), so the Shift's anti-ghosting feature that allows you to press 7 buttons at once without clashing is really handy. You can even record macros on the fly with delays between keys so that you can time your Moonfire spam with your GCDs built in. Right on! Another really cool feature about the keyboard is that it has a statistics engine so that you can calculate your actions per minute. No more relying on that harsh APM calculator in StarCraft II. The standard features, such as media keys and gold-plated headphone and microphone connectors, are also included. In fact, the only thing missing seems to be a LCD screen to tell you who's talking on Ventrilo and when you're receiving whispers!
If those two products are still not enough to fill every inch of your desk with Deathwing's mighty jaw, SteelSeries is also releasing some of its high end Qck mousepads with various Cataclysm art designs. I use one of these unbranded mousepads and let me tell you: Not every mousepad was made equal. I didn't believe a mousepad could make a difference, but it does! The crappy ones that the Collector's Editions of World of Warcraft and its expansions come with are so unresponsive compared to the SteelSeries one and I highly recommend you try one out to see if it's worth the money for you.
Here are some official links to the mouse, keyboard, and mousepad, and check out the gallery below for more pictures.


When a post is submitted and after a Fringe Elf has hit the approved button, it will magically appear on our News Page.
Another Elf will then place the details of your event post in the Diary page, this can take up to 24 hours so remember, post well in time for the show.
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After submitting three posts we can clear you for automatic upload as a regular poster.


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Asturias, Patria querida (Asturië, geliefde land) is het volkslied van de Spaanse autonome gemeenschap Asturië. Het volkslied werd ingesteld op 27 april 1984. Het werd gecomponeerd door de Cubaan Ignacio Piñeiro. Hij schreef het ter ere van zijn vader die uit Asturië kwam. Het volkslied wordt ten gehore gebracht bij plechtige gelegenheden van de overheid van Asturië en bij culturele presentaties van het vorstendom.

De tekst van het Asturische volkslied, in het Asturisch:

Asturies, patria querida,
Asturies, de mios amores
¡Ai, quién tuviera n' Asturies
en toes les ocasiones!

Tengo de subir al árbol,
tengo de coyer la flor
y dayla a la mio morena,
que la ponga nel balcón.

Que la ponga nel balcón
que la dexe de poner,
tengo de subir al árbol
y la flor tengo coyer.

Cultuur in Asturië
Spaans volkslied

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Billionaire Li Ka-shing and his son Victor Li Tzar-kuoi have spent about HK$340 million on a third purchase of shares in CK Asset (1113) within the last two weeks.
The buyback was in line with analysts' expectations, who also expect them to further increase their stakes in CK Asset.
A company in which the father and son each own a 50 percent shareholding has bought a total of 3.85 million shares of CK Asset on September 26, September 27 and October 2 this year at an average price of HK$59.97, HK$59.94 and HK$57.83, respectively.
Also, Li Ka Shing Foundation purchased 2.01 million shares of CK Asset (1113) on Tuesday at an average price of HK$57.56 per share.
After these moves, with a total investment of more than HK$1.5 billion, Li Ka-shing's interest in CK Asset has increased from 32.65 percent to 32.81 percent while Li Tzar-kuoi has raised his stake from 32.72 percent to 32.88 percent.
Li Ka-shing has always expressed that holding the company's shares represents his confidence in its prospects and his confidence in Hong Kong, according to the company.
The tycoon said in March this year that he has never sold his shares over the past 20 years and the so-called divestment strategy is completely untenable.


In anticipation of the world premiere of Il Postino at the Los Angeles Opera, Chilean novelist Antonio Skármeta and renowned Mexican composer Daniel Catán will discuss the process of collaborating on the theatrical adaptation of music and literature. Skármeta's 1985 novel and film Ardiente Paciencia inspired the 1994 Academy Award-winning movie, Il Postino. Catán is best known for his operas, which include Rappaccini's Daughter, Florencia en el Amazonas, and the newly-commissioned Il Postino.
Il Postino, starring Plácido Domingo as the poet Pablo Neruda, premieres Thursday, September 23 at LA Opera.


What does a quantum physicist do?
Quantum physics governs the way the universe behaves at the scale of atoms, electrons and photons. Quantum physicists put the rules of this quantum world to the test and devise ways to stretch their boundaries.
One of the most striking features of quantum physics—a field that is now at least 80 years old—is how it continues to clash with our intuition. For instance, quantum particles also behave as undulating waves, interfering with themselves and other influences in a cloud of possibilities. Stranger examples abound, such as two distantly separated particles that can retain a connection and reveal information about each other instantaneously.
At JQI, scientists study a world that is hidden from our everyday experience. They cool down atoms to a fraction of a degree above absolute zero to create exotic states of matter. They explore how to control the tiniest constituents of the universe and imagine putting them to use to build a new generation of computers. They even fool uncharged atoms into thinking they have a charge and consider how to make molecules out of light.
Please explore our latest news or subscribe to our podcast, Relatively Certain, to learn more about what the quantum physicists at JQI are up to.
JQI is a research partnership between the University of Maryland, College Park and the National Institute of Standards and Technology.


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John Wayne "Fanning" Revolver
Payton Miller and Garry James take a look at the guns from the movie "The Man Who Shot Liberty
Gary Cooper's "Wender" Rifle
In the movie "Unconquered," Gary Cooper used this Austrian "Wender" rifle with a swivel breech.
Tom Siatos Interview Part 4
Tom Siatos tells the story of how he and "Pete" Petersen accidently shot one of Pete's steer...
This is the last of a 9-part series on the early days of Guns & Ammo as told by its first
The beginnings of Guns & Ammo magazine as told by its first Publisher, Tom Siatos.
Tom Siatos recalls his first meeting with Bill Ruger, Sr. in which Ruger says Guns & Ammo...
In this part of a 9-part series on the early years of Guns & Ammo, Tom Siatos shares...
Tom Siatos shares some of the camp pranks of the old days between Jack O'Connor and Elmer...
Guns & Ammo's first Publisher, Tom Siatos, shares memories of G&A's founder "Pete"...
Tom Siatos recalls the polar bear hunt with "Pete" Petersen using a .44 Magnum revolver.
2020 Book of the AR-15 #3
2021 Hodgdon Annual Manual
2020 Red Dot

redpajama_set_name: RedPajamaCommonCrawl


The proactive presence of Aziz Qureshi as governor of Uttar Pradesh has started hurting the BJP and SP. But the caretaker governor has made it clear that he is not going to sit idle in the Raj Bhawan.
He held Janata Darbar (public hearing) on Tuesday and was quoted as saying to the people that they could contact him any time if they have any complaint against any authority.
"I don't care if anybody has problem with my style of functioning. I will meet a large number of people and also visit districts to take stock of law and order in the state. There are some people who may want to confine me to the Raj Bhawan. My doors are open for poor people," he was quoted as saying during the Janata Darbar.
On Wednesday, the revenue department received an order of inquiry from the Governor into irregular distribution of lease land of Bamhtapur Chillaur Gram Sabha in Hardoi district.
While hearing another case, he sought details from the police department into the reported irregularity in recent appointment of sub-inspectors.
When the Uttarakhand governor had taken over the additional charge of UP on June 25, it was believed that he would play friendly innings with the BJP as he had praised formed former PM Atal Bihari Vajpayee and thanked present PM Narendra Modi for assigning him the task of the state.
Being a Congressman, his political proximity with CM Akhilesh Yadav was also considered as inevitable as SP president Mulayam Singh Yadav had always supported the UPA government at the Centre.
But by throwing open the door of Raj Bhawan for commoners and holding Janata Darbar, he has started annoying both the BJP and SP.
Although SP leaders are restraining themselves from making their anger public, sources in the party told Mail Today that Mulayam was not comfortable with Qureshi ever since he visited Darul Uloom Nadwatul Ulama in Lucknow.
"Qureshi's meeting with Rabe Hasan Nadwi, a noted scholar and head of the prestigious Sunni seminary, has annoyed Mulayam, who is waiting for the right time to target him. Despite being a caretaker Governor, who may be recalled any day, he has also planned a visit of Varanasi on Monday to meet Hindu seers. The SP president believes that Qureshi is trying to send a message across by holding Janata Darbar and meeting Hindu and Muslim leaders that the Congress is always the most acceptable political option," said an SP leader on the condition of anonymity.
But SP MP Naresh Agrawal made his anger public and claimed that it was not good for the federal structure of the Constitution.
"There is no reason for the Governor to hold Janata Darbar and create a parallel government. It is a case of interference by the Centre," he said.
It is common knowledge that Akhilesh had started Janata Darbar after taking as CM in March 2012. However, he discontinued it apparently because he was unable to handle the cases because the majority of the complaints were against the SP men and the people were returning empty-handed from his door.
But the BJP has turned extremely furious over the Governor activities and alleged that he was acting as if there was President's Rule in the state.
"We respect the institution of Governor but want to ask him the reason behind holding Janata Darbar. He is supposed to hold public hearing only when there is no government in the state and President's Rule is imposed. Has Qureshi recommended President's Rule in the state?" asked Laxmi Kant Bajpai, state president of the BJP.


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Catalyst of San Diego & Imperial Counties
San Diego Grantmakers is now Catalyst — an action network of funders building an equitable, impactful social change ecosystem for San Diego and Imperial Counties.
Philanthropy CA
Our Equity Journey
Our Policy Agenda
Catalyst connects and activates funders in San Diego and Imperial Counties to learn, lead, and invest in our region.
Learning & Connecting
Our learning events keep funders connected and at the front of the field with the information you need, when you need it.
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We serve as a hub for collaborative philanthropy to collectively increase the impact of our work.
We lead the way for experienced and emerging impact investors to learn together and grow their investment practice.
Your mission, our muscle. We proudly serve as a fiscal sponsor for social impact organizations in our region.
For Funder Collaboratives, Relationships Lead to Further Collaboration
Thank you to Debbie Anderson, programs director, Rancho Santa Fe Foundation; Dan Beintema, president, USS Midway Foundation; and Gordon Swanson, board of directors at The Parker Foundation and the Rancho Santa Fe Foundation for their leadership in this work and contributions to this article.
San Diego Grantmakers' funder collaboratives support our members to learn, plan and act on shared priorities. By acting together, each individual philanthropist gains access to the knowledge and insight of their peers, and can leverage one another's investments to achieve a greater impact. The impact of this work can be immediately seen in the grant that culminates; but often unseen are the deep and trusting relationships established between funders that can serve as fertile ground for further impact down the road.
We often guide funders within a collaborative through a collective grantmaking effort; but we are equally encouraged when the relationships and connections made in the collabortives lead members to put together collaborative efforts of their own. This was the case for our Military Funders Collaborative members the Rancho Santa Fe Foundation, the USS Midway Foundation, and the Parker Foundation.
The Parker Foundation has frequent grant cycles (nearly monthly) and will consider whatever needs are presented by the applicant nonprofit. They are interested in a number of issues affecting the quality of life in San Diego County; one of those is the experience of military members, broadly defined. In contrast, the USS Midway is laser-focused on their mission to fund "organizations and initiatives that support America's core values of service and sacrifice in the name of freedom." They join with the Rancho Santa Fe Foundation as members of the Military Funders collaborative at SDG, a group that was founded in 2011 and has since made grants together to support the Military Transition Support Project (which ultimately became zero8hundred) and most recently funds to expand the capacity of Interfaith Community Services and PATH San Diego to help end veteran homelessness.
The Rancho Santa Fe Foundation has been active in the military space for many years through the Patriots Connection and the San Diego Directory and invites an annual cycle of grant requests in this area. The three foundations realized that they shared a common commitment to this population; had confidence in the due diligence involved in the systematic use of the Patriots Connection directory; and greatly valued past experience combining funds to have a greater overall impact on issues like the transition from military to civilian life and veteran homelessness through the Military Funders.
As a way to continue that experience of exchanging knowledge and identifying opportunities to amplify one another's impact, the three foundations agreed to jointly review the approved grant awards that the Rancho Santa Fe Foundation identified to see if there could be alignment. Through this joint review process, they settled on an organization called Wreaths Across America and committed to matching the Rancho Santa Fe Foundation grant, thus tripling the donation. While starting with a relatively modest amount, the experience gave each organization, and their boards, grant committees, and staffs, experience with the idea of sharing a process and growing their impact as a result.
Trusting relationships and a strong, transparent process have been identified as keys to successful collaborative grantmaking, echoed by Gordon Swanson who sits on the board of directors for both the Parker Foundation and the Rancho Santa Fe Foundation. "The key to making this work is two-fold, the initial vetting process of the Rancho Santa Fe Foundation and then the subsequent vetting by like-minded co-grantors," Gordon noted.
Dan Beintema shared that this gave the USS Midway an opportunity to think a little differently about their grantmaking. "We don't normally fund events," he said, "but due to the emotional components of the Wreaths Across America honoring of our fallen, and the fantastic opportunity to vastly increase the impact of our single and modest donation, it was an enthusiastic and unanimous decision of the Midway Foundation board to support" this co-funding effort.
The three foundations have decided to team up again this year. We are pleased to offer the kind of collaborative environment to foster this type of experimentation and partnership and look forward to many more stories of impact! Do you have a story we should hear about? Please connect with our communications team by reaching out to Katie Janowiak at katie[at]sdgrantmakers.org.
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Minho & Porto Cycling Holiday
The Minho and Porto biking holiday will give you an almost surrealistic experience as the scenery will change and adapt as you ride, with each day providing a unique experience. Starting high in the mountains, you will literally cycle down to the Atlantic Ocean, which stretches before you as far as you can see. This land is also blessed by the Minho, Lima and Douro rivers, each of which will accompany you at one stage or another of your ride. This is a proud land, proud of its maritime history and of the remains of the fortifications that helped keep the Spanish well within their borders. It is the land of fine mountain cuisine and, along the coast, a wealth of fish and seafood dishes, best enjoyed with a glass of Vinho Verde wine.
Best of all, it is a cycling journey that will put you in touch with some of the nicest and most welcoming Europeans. Do take every opportunity to meet the local inhabitants: fishermen and their wives, farmers, the kind lady at the local shop; listen to the stories of the owners of your accommodations. Cycle across the ancient Roman bridge at Ponte de Lima, famous for its beauty and its importance to medieval pilgrims as they made their way from Porto to Santiago de Compostela. Enjoy biking through the North of Portugal at its most authentic.
This tour runs each Saturday from March to November subject to availability. Please contact the office to check availability and for a package price.
Medium season
(01/03-30/04 & 01/10-30/11) - £895pp
(01/05-30/09) - £925pp
(Based on 2 people sharing a double or twin room. If your group exceeds 6 people please contact the office as the trip price can be reduced by up to £95.00 per person)
Standard departure: Sunday. If you would like to start the tour on a different day of the week please contact the office.
Single room - £215 medium season / £280 high season
Single Traveller supplement - minimum 2 riders
Porto Airport-Start Town - included
Finish-Porto Airport - included
Wine experiences featuring 3 visits and tastings: £20 per person. Including:
▪ Day 2 & Day 4 - 2 Vinho Verde wine visits and tastings, at wine estates in Monção and Ponte de Lima - Vinho Verde wine region
▪ Day 7 - 1 Port Wine visit and tasting, at a historic Port Wine cellar in Porto
Special Wine & Dine package with 2 dinners: £95 per
person. Including:
▪ Day 5 – Dinner at the hotel's restaurant, with a 2-dish menu and wine, desert and a glass of port wine – Barcelos
▪ Day 7 - Gourmet dinner at Porto with four courses & three wines
Picnic package: £75 per person. Including:
▪ 6 light lunch meals to carry on bike in riding days
E-Bike supplement: £90 per bicycle, 6 stages (subject to availability due to the limited number of E-Bikes)
PORTB5
Rob's Highlights
Peneda-Gerês National Park filled with unique species such as the Iberian wolf
Lodging on traditional estates and in stately farm houses
Mountain villages with ancient traditions
Fortified towns and beautiful historic city centres
Crisp and aromatic Vinho Verde wine, and extensive vineyards
Fishing villages frozen in time, plenty of traditions
Wine and food experiences shared with welcoming estate owners
Unbeatable fish and shellfish, caught daily in the Atlantic
Barcelos and its fair, a principal centre of handcrafts and hand-painted pottery
Cycling along the coast with its golden sandy beaches
Porto, voted Best European City Destination in 2012, 2014 and 2017, renowned for the Port Wine
Transfer from the airport to the first accommodation and from the last accommodation to the airport, included
Possibility of choosing between two distances in multiple cycling stages
Day 1: Arrive in Castro Laboreiro
Transfer by car from Porto airport to Castro Laboreiro, inside the Gerês National Park. As you are driven across the hills and mountains of the countryside, past extensive vineyards, you will observe small villages dotted here and there, like pieces of mosaic, on the distant hills. This is the land for recapturing your peace of mind and relaxing your soul; for you will be leaving behind the hustle and bustle and stress of modern life. Without a doubt, cycling here will be sheer bliss. As we reach the Serra de Laboreiro mountains where you will spend the night before beginning your cycling holiday, a hush descends over all as we slowly climb up to the village through forests of long-needled pines. This is a tiny hamlet with beautiful wind and watermills and just one old shop in the centre, the hub of village life, where we buy a few goods and chat with the locals.
Day 2: Casto Laboreiro - Monção (44-57 km / 27-35 miles)
The first stage of your biking holiday is exceptionally beautiful, a pleasant downhill journey past the Spanish border, past a landscape of stark granite outcrops and few trees, across the northern regions of the Gerês National Park and into the land of the Serra de Peneda mountain range. The 72,000 acres of the Gerês National Park provide one of the last natural refuges for wolves and golden eagles. Don't be too surprised if you come face-to-face with a deer or a wild boar! Continue cycling through totally silent villages where you will always find a kind person to help you find the road when needed. The community ovens where villagers gathered to bake their bread, some of them still in use, are fascinating. Particularly striking are the traditional espigueiros, the granite maize stores on stilts. By the time you arrive in Monção, the fortified town on the River Minho, you will understand why the Portuguese are so proud of the fact that the Spanish were never able to conquer them.
Day 3: Monção - Caminha (48 km / 30 miles)
Today, you will travel eastwards, along the River Minho to the Atlantic Ocean. Your journey will take you through the demarcated Vinho Verde winemaking region and the vineyards that produce the dry white wine for which it is famous. Enjoy the elegant Brejoeira Palace which is still inhabited by the original family, a leading producer of top quality Vinho Verde, and pick up a bottle of this wine for dinner. Along the route, you will cycle past landmarks of the battles between Portugal and Spain, especially the impressive 17th century stronghold at Valença and the Vila Nova de Cerveira fort. That evening, you will stay in Caminha, an elegant town strategically located at the estuary of the River Minho and whose history dates back to pre-Roman times.
Day 4: Camina - Ponte de Lima (52 km / 33 miles)
Cycling along the mighty Atlantic Ocean is an extraordinary experience, especially when the ocean is showing its friendliest face as you ride past fishing villages that appear unchanged for centuries. As you arrive in Viana do Castelo the peace and quiet is replace by the buzz of this lively city at the estuary of the River Lima. Dating back to Roman times when it was the principal port for the north of Iberia, Viana's impressive history includes that of its merchants who supplied the naval provisions for the ships that took part in the Portuguese discoveries during the 16th century and later built the ships that sailed to Newfoundland for codfish. With their wealth, they built the numerous stately town houses whose architectural beauty is a hallmark of the city. A must-see is the 19th century byzantine Santa Luzia Church on the hilltop overlooking the city. This will take some climbing, but the reward is a breath-taking view.
From here you will cycle inland again, following the River Lima until you arrive in Ponte de Lima. The oldest village in Portugal, it is famous for its beautiful 24-arch Roman bridge famous and its importance to medieval pilgrims as they made their way from Porto to Santiago de Compostela. After arriving at your accommodation, a little outside the town, although you might be tempted to stop and enjoy the charming setting, we recommend that you first stretch your legs with a stroll around the picturesque city. The next morning, you will be able to sweeten your breakfast with the finest honey from the bees on the estate.
Day 5: Ponte de Lima - Barcelos (32 km / 20 miles)
Whether you are religious or not, following the medieval Portuguese route to Santiago de Compostela is a special experience. Possibly because one is so aware that this has been a pilgrims' way for centuries and that so many have trod these paths with such fervour and dedication. It is a route that those who walk it still today, do so knowing they will meet challenges, experience great joy and forever learn the lesson of life. This is a pleasant, not complex, bike ride through cornfields and vineyards to the city of Barcelos on the River Cavado. The centre of the pottery industry, it is also of religious importance. You must visit the 13th century Mother Church. Every hour on the hour, you will hear the pealing of the church bells of the many parishes for which the city is famous.
Day 6: Barcelos - Vila de Conde (35-44 km / 22-27 miles)
Today you cycle back to the Atlantic, you will have two options for routes, 35km's & 44km's, a sight we genuinely look forward to. You can take some extra time to enjoy a great lunch: a leisurely, several-course meal that again reminds you why the Portuguese people are so proud of their cuisine. Of the finest nature, it can only be made by those who genuinely worship the wealth of what the earth has to offer. Vila do Conde is famous for its shipbuilding past, as we can see by the replica of a ship used during the Discoveries and built here. The city centre is dominated by gracious manors and small palaces. The importance of its fishing harbour is not just evident in the port. That evening, you will enjoy a wonderful seafood dinner in the town and a leisurely stroll along the beach before you go to bed, refreshed by the sea air.
Day 7: Vila de Conde to Porto (34-47 km / 21/29 miles)
The last stage of your holiday will take you on quiet cycle paths along the coast, through a sea bird reserve, along dunes and across fishing villages. It is remarkable how hard these fishermen (and their wives!) work and even more their good spirits. You are approaching Porto and you will soon enter the city via the estuary of the River Douro. This city, famous for Port Wine past and present, is considered one of the most beautiful cities in Europe. A Unesco World Heritage City, its historic centre boasts more than 1500 listed monuments. Still, as you meander on your bike alongside the River Douro, you cannot help but become aware of the gifts this city and this region have to offer. As we have said, a breath of calm, peace of the soul and a love of life.
Departure after breakfast, a transfer will take you to the airport for your homeward journey.
12 hour emergency back up support on tour
Luggage transfers between hotels
Per person: Hybrid bicycle, cargo rack, pannier bike bag, handlebar bag (one per two bicycles), lock (one per two bicycles), and helmet.
Bike group/reservation: GPS loaded with the tracks and a roadbook with detailed information, toolkit, first aid kit, puncture repair kit, pump, spare inner tube and pre-paid mobile phone
Lunch & evening meals
Admissions to attractions
A perfect holiday. We couldn't have dreamed of a way to explore this area better than by bike! Jonathan


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Fortnite Save The World Community Trading System "Fortnite How To Trade Safely"


Stay feeling fresh for longer with the Trussardi My Land Deodorant Spray, a luxurious way to stay deodorised all day long.
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Spray under arms for a quick burst of freshness and the tantalising My Land aroma.


SunGard is one of the biggest names in the capital markets, so when they announce a corporate software selection, it's important news.
SunGard's VP of Liquidity Services, Chris Lees told Securities and Industry News: "One of the reasons why we thought about a CEP [is because] we were looking to make real-time decisions on what is effectively streaming data. CEP processing is very adapted to that space." He described why the SunGard selection demonstrates that CEP is going mainstream, from algo trading to dozens of applications, to trade equities, futures, fixed income and options. The platform will be used by SunGard's Assent Liquidity Services, which provides sponsored access, dark pool access and algorithmic trading services, and in conjunction with its Brass Order Management System (OMS). With over $3B in revenue and 20,000 customers in over 50 countries, SunGard is big, and they join RBC, City Index, CMC Markets, CME Group, PhaseCapital, BlueCrest, and others who have made the leap to CEP.
The authoring, testing, and debugging environment — StreamBase Studio — isn't just a graphical modeling tool (e.g., UML), and it's not just a code generation tool (e.g., Apama) — it's a complete, native, unified graphical programming environment. It's not just a modeling tool, it's not a code generation front-end. What you see is what you get.The best way we've been able to describe it is as "whiteboard programming."
Every StreamBase customer uses this pure visual programming, and it's a new way of working because you generate applications more quickly, without sacrificing performance. And because there is no generated code, it's easier to maintain.
SunGard's endorsement of StreamBase confirms our 2010 prediction #3 for CEP, that cognitive physics will become as important as computing physics, where the speed of development is a central source of disruptive technology-driven business advantage.
The Trade reported that SunGard will focus on developing pre-trade risk controls with StreamBase, a decision that was "prompted in part by the US Securities and Exchange Commission's proposal to require brokers offering clients direct access to exchanges, including sponsored access, to impose pre-trade risk checks."
Read the full article in The Trade here.
Acquisition rumors are a natural part of the software business, and Adam Honore' kicked it off in his blog. I addressed the question here in my blog, and Finextra picked up the whole thread here. The rumor is all over Twitter.
My remarks in the comments below stand, and I would add that if you compare StreamBase as a platform to the relational database, you see why its a good thing when an industry establishes a defacto platform. The business fuels the innovation and maturity of the leader, and all participants benefit. SunGard, and our many other customers, begin to compete on the efficacy of their use of the CEP platform, not just the fact that they are using it.


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School calendar changes prompts lawsuit against Union County Public Schools
According to the lawsuit, UCPS is starting school three weeks before NC law allows it.
Author: Shamarria Morrison, Nathaniel Puente
Published: 5:28 PM EST January 9, 2023
UNION COUNTY, N.C. — The chosen start date for the 2023-24 school year in Union County has prompted civil action against the school district.
Two parents and Honeysuckle Riding Academy, a horse riding lessons and camp business, filed the lawsuit in Union County. According to a complaint, the Union County Board of Education (UCBOE) set the start date for the 2023-24 school year as Aug. 9, 2023, which the plaintiffs say is three weeks before NC law allows.
"The complaint asks for a judge to rule that the school calendar that was recently adopted violates school calendar law and asked for them to declare that it's invalid and not enforceable," Mitch Armbruster, a partner at Smith, Anderson, Blount, Dorsett, Mitchell & Jernigan in Raleigh, who's representing the plaintiffs said.
On Dec. 13, 2022, the UCBOE met to discuss and vote on making changes to the 2023-24 academic calendar. In the end, school leaders unanimously voted to start the coming school year earlier.
Union County school leaders greenlight earlier start for 2023-24 school year
Under the new calendar, Union County students will return to the classroom on Aug. 9, 2023. Exams will also be taken prior to winter break. The school year will end on May 22, 2024.
This decision came after a vote was taken by Union County Public Schools (UCPS) in late 2022 to ask parents for input on their calendar preferences. According to the lawsuit, both options offered by UCPS set the start date as Aug. 28.
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Regardless, the board met on Dec. 6, 2022, and proposed starting school on Aug. 9, acknowledging that it was against state law but noting that other districts had made similar moves.
School districts have argued earlier start dates are needed to allow students to take exams before Winter break and the school can align their calendars with local community colleges.
But tourism and travel advocates argue that allowing districts to start school earlier than state law will dramatically disrupt the states' billion-dollar tourism industry.
Tourism, travel advocates say visitor spending is in jeopardy if changes happen to NC school calendar law
One of the parents in the complaint owns Honeysuckle Riding Academy.
"She does many summer camps and the shortening of the summer and the lack of notice of the change to the calendar is causing her businesses severe financial hardship," Armbruster said. "Because basically normally she would have classes the first few weeks of August, and now that's all out with classes starting Aug. 9."
Phil Berger, President Pro Tempore of the North Carolina Senate, has not changed his previous stance on the school calendar law.
"[The schools] acknowledge that the law exists and they're going to do what they want to anyway, the appropriate way to change that would be for the legislature to pass a law modifying the calendar law," Berger said. "There is not the support in the General Assembly to make that change."
The lawsuit calls on potential misdemeanors and possible removals from office if the board members do not comply with the state laws.
"I understood that some litigation was being contemplated," said. "I think it's a fairly clear case that those efforts on the part of some local school systems should be enjoined by the courts. We'll see what the judges do."
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Despite repeated efforts to change the school calendar law the state senate has rejected the idea and has not gained enough votes in the chamber to pass the measure.
The state house on the other hand has tried multiple times to change the school calendar law with the support of the NC House Speaker Tim Moore.
"I favor more flexibility for the local districts and for the parents to have input in that," Moore said. "So not sure what will happen with the lawsuit. But I think there ought to be greater flexibility."
Moore said he understands why the law was put in place but thinks it goes too far and doesn't give school districts and parents enough input.
Armbruster did not have a timeline for a potential court date on this matter as UCPS has not legally responded to the lawsuit yet.
"You can't have school districts just picking and choosing which sections of the education law they want to follow," Armbruster said.
When WCNC Charlotte reached out to UCPS for a response about the lawsuit, the district declined to comment. WCNC did not hear back from individual board members listed in the suit when asked for comment.
Editor's Note: A previous version of this story incorrectly said Phil Berger, President Pro Tempore of the North Carolina Senate was in favor of calendar flexibility.
Contact Shamarria Morrison at smorrison@wcnc.com and follow her on Facebook, Twitter and Instagram.
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Bicyclist dies after being struck by car in Charlotte's Plaza Midwood neighborhood


I think it would be fitting to open this journal topic with my usual sentence, "Not much happened today at school." It seems to be a recurring theme, but the fact is that I don't go on dangerous rescue missions and save damsels in distress every day. I would if I could, but that's just not an option. So today was fairly average.
It started out with Biology in the morning. Mrs. Houtman finally finished reading the section on evolution. For the past couple of classes, she's just been reading the notes she typed out for us, and it's been hard to actually learn anything when you're busy falling asleep on the desk and drooling all over your notes (well, okay, I don't do that last part…no, honestly, I don't). After that came swimming. The time seems to be going by more and more quickly each time. Today it seemed like I had just sat down and started reading when we had to leave. I don't really mind that at all, but I'd rather spend the whole school day reading Tom Clancy or something.
Anyways, after that came lunch, and then Parenting class. That was boring, and then it was off to baseball for Gym. That was pretty fun. I was on second base for most of the game, and will likely be there for the tournament as well. With the three times I was up to bat, I hit three doubles – they were actually all horrible hits, and I should have been out all three times, but everyone kept making errors, especially since I usually hit down by second base, where Holly had taken over my spot. I mean, I don't want to say she's horrible, but she's just not athletic. She knows it, and she does her best to not let that stop her, but we all have different strong points. Her strong point is folding virtually anything out of paper. Anyways, with three horrible hits and some errors, along with some fast running on my part, I got doubles on all my hits, and Mark hit me home afterward all three times as well. It sounds like we're a crappy team, but I don't actually think we'll do that badly. We had to shift some players into positions where they're not as good, just because we needed batters, so that accounts for some of the mistakes made. At the tournament, we won't have to do that obviously, since we won't be out in the field and up to bat at the same time (at least I sure hope not). Mr. G will have some tweaking to do for the tournament, since we'll have to rely on our outfielders a lot more, but I think we've got a fairly decent team. It should be a fun tournament.
Other than that stuff and one more topic that I'm just not going to bring up (since it deals with females – of course), that's basically all that happened today that was of any significance. Tonight should be interesting. We have a practice down at the church at 6:00 PM, so I either need the car, or else Aunt Lynn said I could borrow their Honda – the crapbucket on wheels that is amazingly awesome at the same time. After that practice, there's a party at Kayla's house for Pastor Dave, since he's leaving and all. I think I'm supposed to contribute some money for the present, but I'm really not sure since I haven't heard anything about that and I don't have any change anyways. I might be able to bum some off my parents until I finally get to the bank to get some money out. I've only had three dollars in quarters and change in my wallet for a while now, and it's getting annoying.
I think I'm done talking for today. Things are on the brink of being interesting: I'm not sitting at home all the time, but I'm not doing anything overly exciting either. It's more a half-and-half thing. Meh. I can live with that.


"I didn't take into account that I'd have to get above the fan to get the ball. I watched the replay and it looked like his glove was outstretched on top of mine. It all happened so fast." - Trevor Crowe, Cleveland, on the possibility of fan interference when trying to rob New York's Jorge Posada of a two-run homerun. The Yankees beat the Indians 7-3.
"He's got a bright future. He reminds me of Santana a little bit, his body and his mannerisms, the way he throws. Santana's got those broad shoulders like he's got. He's similar, he's got a similar arm slot, similar delivery. He's going to be good." - Jack Cust, Oakland, on Toronto's Ricky Romero who pitched 7 scoreless innings. The Blue Jays beat the A's 1-0.
"I went in and told the guys that this was a great series here. Three well-played games. We scraped and we scratched. If we keep playing baseball like we played in this series, we'll be fine. I was pleased with the effort and I told them so." – Milwaukee manager Ken Macha after his team escaped being swept by the Mets with a 4-2 win on Sunday.
"I think it's embarrassing. I think it's unacceptable. I think our fans have every right to be mad like we are right now. We're going to have a brand-new bullpen tomorrow, and if those guys who come in don't get it done, we're going to continue getting guys out of here." – Washington manager Manny Acta on his bullpen after they blew their third consecutive game on Sunday, a 7-4 loss to the Florida Marlins.
"I always felt like that was one of the things I was better at, getting a timely hit, getting a big hit for the team and hopefully I can get back to that. We needed something like that to give us some momentum." - Jeff Francoeur, Atlanta, after his three RBI performance against Pittsburgh on Sunday ended a 22-inning scoreless streak. The Braves beat the Pirates 11-1 on Sunday.
"They got me good. They got me real good and I was not ready for it. After a game like that I don't care what they put in it. They can spit in it and I'll take it." - Raul Ibanez, Philadelphia, on his teammates giving him a shaving cream pie to the face after hitting the game winning homerun to down the San Diego Padres 5-4.
"That was the guy that I remember from last year." – Jason Bay, Boston, on teammate Jon Lester's seven shutout innings on Sunday. The Red Sox beat Baltimore 2-1.
"I just wanted to attack the hitters with whatever I was throwing out there and try to execute pitches. I found a rhythm and went after it." - Gavin Floyd, Chicago White Sox, after striking out seven Tampa Bay batters and taking a shutout performance into the 7th inning.
"Anytime I can get in the box, I love it. I just like the opportunity." – Cincinnati pitcher Micah Owings on hitting a two-run double against Houston. The Reds beat the Astros 4-2.
"Trying to get them to hit my pitches, and they weren't able to do it. That's what I try to do every time: Be efficient and get deep into a game, and right now it's working out." - Glen Perkins, Minnesota, after going eight innings, allowing only 1 run, against the LA Angels. The Twins won 3-1.
"It felt good. Hitting a home run was the last thing on my mind, facing a guy who's got really good stuff. I was just thinking contact, get on base, and set the table for the guys behind me. It was cool … when it helps the team out, it's always a good feeling." - Michael Young, Texas, on completing a two-run rally against Kansas City with a 9th inning homerun.
"Sometimes you have to put blinders on when it comes to certain teams. I just wanted to pitch well. It's nice to go out there and feel like I'm contributing after the last two starts." - Randy Johnson, San Francisco, on taking a no-hitter into the 7th inning against his former team Arizona. The Giants beat the Diamondbacks 2-0.
"I'm pretty happy. I'm very enthusiastic and very happy about it, but from the team's perspective, it's one game." - Rick Porcello, Detroit, After getting the first major league win of his career, an 8-2 win over Seattle.
"I felt pretty good about this club leaving spring training. I just felt we were going to score runs. But to get off to this kind of start is pretty good," LA Dodgers manager Joe Torre after Sunday's 14-2 win over the Rockies marked the team's 10th win of the season and 8th in a row.
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When hurt, many people begin stressing over who to hire to represent their interests. There are thousands of lawyers offering their services and one case, in particular, is a helpful guide to understanding how important picking the right one is. In Horton v. Beck Partners, L.L.C., the claims of a psychiatric patient, Denise Horton, were dismissed because she did not first submit her claims to a medical review panel. In fact, Horton did not characterize her claims as medical malpractice and thereby appealed the decision. Rather, Horton sued for general negligence which is a cause of action under general tort law.
However, the court determined the case did fall under the scope of the Louisiana Medical Malpractice Act, hereinafter 'Malpractice Act', which allowed the defendant physician to invoke an 'exception of prematurity.' This exception is a procedural mechanism utilized by healthcare providers in the event medical malpractice claims are not first presented to a medical review panel. To elaborate, if a healthcare provider is sued and an action commenced in a court of law, this exception will be maintained and the lawsuit dismissed if the plaintiff fails to first present the claims to a medical review panel.
This outcome is dictated by the Malpractice Act which states that a medical review panel must first review any and all claims against healthcare providers before any action is taken through a court of law. Consequently, in Horton v. Beck Partners, L.L.C., both the trial court and the court of appeals maintained the physician's exception of prematurity, since a medical review panel was not first consulted, and dismissed the plaintiff's claims.
The Malpractice Act, ß 40:1299.41, provides useful definitions for further understanding by any who wish to interpret the Act. For example, 'malpractice' is defined very clearly within section (A)(8). Malpractice is any breach of contract or an unintentional tort due to services provided by a healthcare official or services that were not provided when they should have been. Some examples given include untimely services given, any procurement of blood or such components taken or given, including tissue, medicines, drugs, that are done incorrectly, or any defects or failures from implanted prosthetic devices. It also notes that any legal duty that is not fulfilled even if just during training or any supervision also falls within the scope of this act. Further, 'healthcare' is defined under section (A)(9) and applies during any confinement, treatment and general care that is given to a patient by a provider and any and all acts that might entail.
The Supreme Court provided a six part test comprising six Coleman factors for determining whether negligent acts of a health care provider fall under the Malpractice Act: (1) whether the issue related to treatment or failure to provide a professional skill, (2) whether expert medical evidence is necessary for determining if the standard of care was breached, (3) whether the omission or act involves assessing the patient's condition, (4) if a physician-patient relationship existed or the act was within the scope of activities a hospital is licensed to perform, (5) whether the injury would have occurred without the treatment, and (6) whether the alleged tort was intentional. Coleman v. Deno, 813 So. 2d 303 at 315-316 Utilizing these Coleman factors, the court determined that the physician's conduct fell under the jurisdiction of the Malpractice Act rather than general tort law.
The importance of this case to the general public is simple: by not hiring a competent, well versed attorney, you may end up having your case thrown out and not receiving the compensation you deserve. An attorney with extensive experience in personal injury law may, literally, be the difference between financial compensation and nothing. Contact our offices today for more information on your legal rights if you have been injured by your doctor's improper actions.


H. Leap (6") 25 1/2"
V. Leap (3") 12 1/2"
Elasti-Girl was one of the premier supers during their initial time of greatness. She married Mr. Incredible just as supers were about to become unpopular. Independent-minded and eager, she nonetheless quietly settled down when supers were asked to hang up their capes.
Helen Parr is a headstrong women who tries hard to keep things even keel in the Parr family, assuming most domestic duties. She has a temper, though, although she controls it well, it mainly showing up in flashes of angrily-intoned words and then quickly restrained.
Elasti-Girl is an exceptional infiltrator as well as flexible in combat, serving both offensively and as combat support. She's tactically extremely keen-minded, as is her husband, and together they make a tough team to beat.


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HomeNewsSchool Doesn't Play National Anthem, So Players Take Matters Into Own Hands
School Doesn't Play National Anthem, So Players Take Matters Into Own Hands
October 4, 2017 Frank Spear News Comments Off on School Doesn't Play National Anthem, So Players Take Matters Into Own Hands
The controversy within the NFL over standing or kneeling to support or protest the national anthem is having a ripple effect that many didn't see coming. Middle and high school football teams around the country are even feeling the impact of these senseless protests.
One parent, Chell Byrnes, took to Facebook to tell the story of the team her child plays on. The school in question is Carman-Ainsworth Middle School in Flint, Michigan. They refused to play the national anthem before the game, so the kids took the event into their own hands. They stood together, arm and arm, and sang the national anthem by themselves!
The national anthem, one of the few things that is supposed to unite Americans, has managed to divide the country because of the Left's ideology. It all started last season when Colin Kaepernick decided to kneel during the national anthem.
He allegedly did so to combat "police brutality" and "racism." Almost predictably for the Left, there are no signs of him doing anything beyond an unpatriotic symbolic gesture.
When football season rolled around this year, Kaepernick's protests were all but forgotten. The only time he was mentioned was when the topic came up about how "disgusted" people were with him and how it was appropriate that the NFL wouldn't hire someone controversial who quit on their last contract.
Not long after those events, a couple of players started kneeling, and the subject came up for debate again. President Trump announced how he felt about the situation during a speech in Alabama.
The president said that he believes anyone who protests the national anthem — regardless of cause — should be fired. Democrats didn't take that news well and started to mass protest between week two and week three of the regular season.
There was a major backlash, and the NFL ticket numbers and viewership dropped substantially. Now, everyone who was protesting seems to be taking a step back, realizing that they are damaging their reputation and potentially putting their livelihoods at risk.
Take those events, and then shrink them down to the events at this middle school. Byrnes's post reads, "Amazing class demonstrated by Lapeer Lightning Freshmen football team!!! After we were told per the Carman Ainsworth announcer they won't be playing the pregame national anthem our team stood proud, saluted the flag and sung it themselves, our crowd stood with them for every note! Very proud to be a Lightning Mom tonight!!"
It is astounding to see middle schools taking steps to eliminate patriotism from the education system just for the sake of protestors. One would think that they, if anyone, should strive to teach unity and patriotism.
Instead, they are subverting the very idea of loving one's country at a young age — or at least trying to achieve that goal. These children stepped up and showed that they are not afraid to show love for their country.
Michigan public school won't play anthem so kids stood together, arm and arm, and sang the national anthem by themselves! Shouldn't public schools sing the National Anthem?
This "intimidation" mentality is a big issue in every facet of Americans' lives thanks to the fascist-like Democrats looking to impose their will at every bend and at all cost. They are going to continue their efforts as long as no one stands up to them.
If middle schoolers are capable of standing up to them, that should be a message so strong that they have to stop and listen.
Image via Facebook / Chell Byrnes
ALERT: GOP "Turncoats" Make Horrifying Anti-Trump Move
BREAKING: This 1 Chart Will Silence Gun Grabbing Liberals In Seconds
Image via Video Screenshot
DESPICABLE: Look What One University is Teaching About 9/11. Disgusting.
June 21, 2017 Mark Fields News Comments Off on DESPICABLE: Look What One University is Teaching About 9/11. Disgusting.
They're spitting on the graves of dead Americans. […]
Image via wavebreakmedia / Shutterstock.com
ALERT: Canada's Horrifying Order to Parents Will Give You Chills
June 21, 2017 Mark Fields News Comments Off on ALERT: Canada's Horrifying Order to Parents Will Give You Chills
This is unthinkable. […]
Image via Nicole S Glass / Shutterstock.com
BREAKING: Major News Company Calls For Trump's Execution In Deleted Op-Ed
June 21, 2017 Mark Fields News, Top News Comments Off on BREAKING: Major News Company Calls For Trump's Execution In Deleted Op-Ed
This is beyond the pale. […]
Copyright © 2018 Christian News Alerts


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Democratic Disagreement
Now some fresh pickings from the Political Grapevine:
DeLay Should "Serve Jail Sentence" There?
At a speech in Massachusetts over the weekend, Democratic National Chairman Howard Dean (search) said embattled House Majority Leader Tom DeLay (search) "ought to go back to Houston where he can serve his jail sentence down there."
That was too much, even for Massachusetts Democratic Congressman Barney Frank (search), one of the House's most outspoken liberals. Frank called Dean's comments "Just wrong [and] ... out of line," adding, "[DeLay] has not been indicted. I don't like him, I disagree with some of what he does, but I don't think you, in a political speech, talk about a man as a criminal."
Capture Helped "Break the Back"?
Pakistani President Pervez Musharraf (search) says the capture of Al-Qaeda's number-three man, Abu Faraj al-Libbi, two weeks ago has helped "break the back" of the terrorist organization. In an interview with London's Financial Times, Musharraf says, "They cease to exist as a cohesive, homogenous body under good command and control, vertical and horizontal… Whatever they are now capable of doing is individual and group actions divorced from central command ... They are on the run in the mountains, [and] not in contact with each other." But, Musharraf says, al-Libbi has not offered any clues to the whereabouts of Usama bin Laden.
Networks Not Being Fair?
A new survey shows that network evening newscasts these past two months have been overwhelmingly hard on President Bush's idea for Social Security reform. The survey, by the Center for Media and Public Affairs (search), shows that 83 percent of comments made by so-called "non-partisan sources" on Social Security — from experts to reporters themselves — were negative. Specifically, ABC had 92 percent negative comments, CBS had 89 percent, and NBC had 69 percent.
As for whether the President was successfully rallying Americans behind his idea, 98 percent of those who weighed in on the three networks said "no." Meanwhile, a separate media survey by the University of Connecticut shows that in the November elections, 68 percent of journalists voted for Democratic presidential candidate John Kerry. Twenty-five percent voted for President Bush.
Sketchy Source?
In a new column explaining how Newsweek came to report that U.S. interrogators at Guantanamo Bay (search) had desecrated Korans, the magazine's assistant managing editor, Evan Thomas, cites Bader Zaman Bader — a former detainee at Guantanamo Bay who says he still has nightmares after seeing a U.S. soldier throw a Koran into a toilet.
What Thomas' piece doesn't report is that when Bader was interviewed by the AP and Chinese media right after his release last year, he never mentioned such an incident. Bader only brought it up after he started demanding compensation from the U.S. government for his imprisonment.


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Q: Create DocuSign user without sending activation email using eSign SDK? I am using DocuSign eSign SDK V3.1.1 to create user in DocuSign without sending any activation email to user. I want password and forgotten password information to be set from API itself so that after this call user can immediately start using their account. I am using below code for this purpose:
UserInformation userInformation = new UserInformation()
{
    UserName = data["UserName"],
    Email = data["UserEmail"],
    SendActivationEmail = "false",
    Password = "123456",
    ForgottenPasswordInfo = new ForgottenPasswordInformation()
    {
        ForgottenPasswordQuestion1 = "What is the name of your first pet?",
        ForgottenPasswordAnswer1 = "Pogo"
    },
    PermissionProfileId = "XXXXX"

};

List<UserInformation> usersInfo = new List<UserInformation>() { userInformation };

NewUsersDefinition newUsersDefinition = new NewUsersDefinition()
{
    NewUsers = usersInfo
};

var result = usersApi.Create(accountId, newUsersDefinition);

However, the ctivation email is still sent to user and password and forgotten password is not set from the API. Am I missing something in above request? Or do I need to set any other parameter to achieve the requirement?

A: Silent Activation through the eSignature API is only available on some account types, and is no longer generally available. The supported way to do this is now through the Organization API, as documented here: https://developers.docusign.com/orgadmin-api/code-examples/add-user
If you don't currently have an Organization with a Claimed Domain, you'll want to reach out to your Account Manager or the Sales team to have the Organization module added to your account. DocuSign Support can enable that on a Demo/Sandbox account, open a Support case and provide your demo account ID.

redpajama_set_name: RedPajamaStackExchange


Capable of detecting minimum 13.5-mm diameter objects and also slim objects such as a sheet of paper or a business card, the NAiS brand UZKB area sensor features a long operating range of 1 meter and 100-mm detection zone with an optical axis pitch of 10 mm. The sensor scans not only the elements of the emitter but also those of the receiver in order to obtain emission. All elements of the receiver are ready to receive the light. If only one element does not receive light, it results in light interrupted operation.
The sensor is just 10-mm thick and is mountable in a narrow space. An indicator with a 55-mm width is incorporated into both the emitter and the receiver.


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Q: What approach/methodology are you using for one-man software development You can find thousands of questions out there about how you develop software and which methodology is the best one. But mainly these are targeting medium to large teams, with people having different roles and responsibilities.
What I'm interested in is what methodology are you using for your one-man-shows? What steps are you doing, what documents are you creating to get the things you want to develop clear and document it well, to share it with the community?
Especially, I'm interested in the following questions:
_Are you using a structured approach even you're developing on your own or no at all?
_What phases are you using?
_Which documents are you writing before and after coding?
And if you have "your" standardized approach, can you share templates which you are using?
Thanks in advance,
cheers
Gerry

A: Personally I think it is a matter of making decisions when it comes to the development process (solo). In my case I wouldn't recommend setting up a massive development process but I would pick elements which prevent problems that I have earlier had. My approach for small applications (in the right order):

*

*Always write down what you are going to make and what you are not going to make (define a scope) - Think of functional requirements (Functional Design)

*(OO only) Make a class diagram that displays relations between classes. (Technical Design - Sequence diagrams, while usefull, take up massive amounts of time to make)

*Write your program according to what you have just written down (or part of it).

*Refactor and redesign your application (once in every X hours, write this one down)

*Repeat step 3 to 4 until the result is what you wrote in the Functional Design.

*Walk through every corner of your application to find every single path and write this down in a testdocument. Identify possible problems in the paths and test them.

When it comes to big applications however (or assignments for someone else) I prefer using the "medium to large teams" approach. Which almost brings a guarantee that you will not be meeting most problems.


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