text:
Trial Master File Reference Model
(a DIA Document & Records Management Community project)
About the TMF Reference Model
TMF Reference Model Steering Committee
Feedback and Change Requests
Exchange Mechanism
EMS News
The following are questions related to the management of TMF content that have been raised by the TMF community and answered by the TMF Reference Model industry group.
VERSION 3.0 QUERIES:
Question: It appears that "acknowledgement of receipt" is now specifically noted as a sub-artifact under IRB or IEC Submission, while "documentation received from the IRB/IEC in response to submission indicating acknowledgement" remains within the definition of IRB or IEC Approval. Can you confirm and clarify any intended distinction?
An Acknowledgement of Receipt in 4.1.1 is just to show the submission was received, but has no implications of approval. In 4.1.2, an acknowledgement can actually replace an approval in some circumstances. 4.1.2 is where you would look for any kind of approval or acceptance by the IRB/IEC. If confusing to users, the sub-artifact Acknowledgement of Receipt in 4.1.1 may be deleted.
GENERAL QUERIES:
Question: I do not understand why artifact [xyz] is included in the TMF Reference Model as there doesn't seem to be a regulatory requirement for it to be included.
If there is a specific regulatory requirement for an artifact or the general opinion of the TMF Reference Model Community based on past experience is that regulatory inspectors would usually expect the artifact to be filed in the TMF, the artifact is included as a "Core" artifact (column J).
However, there are other artifacts generated on a clinical trial where it is not so clear whether or not they should be considered part of the TMF. So these are either omitted from the Reference Model or are included as "Recommended" artifacts. Artifacts are included as "Recommended" if the overall opinion of the TMF Reference Model Community is that the artifact is study-specific and contributes to explaining how the study was conducted. In an inspection, it would therefore be helpful if these "Recommended" artifacts were treated in the same way as for the "Core" artifacts….. readily accessible, secure, retained in accordance with TMF requirements etc.
Let's use an example: 05.04.07 Financial Documentation. Whilst there is not a specific GCP requirement to include them in the TMF, it is often helpful for certain financial records (for example spreadsheets that track payments) to be considered part of the TMF and be readily available to inspectors (and to the study team!). They demonstrate how the trial was managed.
Using 05.04.07 as an example, it is important to note that
(a) inclusion of 05.04.07 does not imply that ALL financial records should be in the TMF….. it simply provides a placeholder for those financial records that your company deems should be included (perhaps just the tracking sheets/reports?); and
(b) inclusion of an artifact does not necessarily mean the records should be in one, single TMF system….. it just means they are considered part of the Trial Master File and managed as TMF content, per your company SOP(s).
Question: Should draft documents be filed in the Trial Master File?
Unanimous opinion across the TMF Reference Model is that draft versions of documents should not be kept in the TMF, including versions with track changes.
Key reasons include:
Maintaining drafts and annotations can highlight issues that don't exist such as comments not followed up or opinions not agreed with;
There is no obligation to action all comments on a draft version;
European Directive 2003/63/EC contains the requirement to retain "all written opinions on the protocol and procedures", but not drafts;
Documentation / correspondence should demonstrate that the review process has been followed; and
Retention policy may dictate that drafts are destroyed.
Individual comments from Reference Model Team members:
"Most sensible SOPs on controlled documents would provide for the retention only of approved versions of documents and the discarding of drafts. It may also, depending on the document review and approval process, be necessary to keep sufficient documentation / correspondence to demonstrate that processes have been followed per SOP."
"Drafts and annotations should be deleted upon promotion to approval."
"From a potential litigation perspective, it can be extremely dangerous to retain draft documents following completion/approval of the final document. If there is a regulatory need – as sometimes there is – to maintain an audit trail to demonstrate that a document was properly reviewed as per an SOP, other means should be used to enable such an audit trail to be retained. For example, many sponsors maintain some kind of document review form (or electronic equivalent). This form contains signatures of reviewers and the version of document reviewed but does not contain their review comments. A sponsor has no obligation to either accept review comments or to respond to review comments. It is usually sufficient simply to demonstrate that a proper review was conducted and the final document was approved by a duly authorised individual."
"Many sponsors include in their corporate retention policy a requirement to destroy drafts; retention would therefore be non-compliance with company policy."
"There may be only one exception, namely protocols. European Directive 2003/63/EC contains the requirement to retain "all written opinions on the protocol and procedures". However, even this does not suggest keeping drafts, merely any "written comments" on the protocol. Furthermore, the requirement to retain "all written opinions" could be interpreted to apply only to the final protocol and approved procedures, rather than to draft documents."
"Some systems actually delete all draft version a specified number of days (e.g. 30 days) after the document is approved. Part of the discussion for that decision was performance concerns if having to maintain minor versions. Also it was augmented that only things relevant enough to actually be approved should be retained in the system."
"Draft documents are not filed in the trial master file unless they report important decisions or new information about the trial. For example, the study team would file the Core ICF, Country-specific ICF or Site-specific ICF "Tracked Changes" documents if revised due to a protocol amendment."
"Drafts should be administrative, and should be filed as such. They can be kept in other storage locations and used for development reference. No-one audits to drafts."
"If a health authority is inspecting to Track Changes versions, then there is a bigger problem than just what is in the files."
"Only the final document should be in the TMF. Drafts documents are working documents and if retained, should only be keep until the study is finished. They would only be archived if that is the company policy."
Question: We are looking for the best way of standardizing our filing system of documents issued during non-interventional trials (e.g. Post-Marketing Surveillance). These trials are getting more and more structured and require a centralized approval for being conducted in a lot of countries. Do you know whether some guidance exists for structuring a TMF for these types of trials?
We are not aware of any guidance specific to filing of documentation for non-interventional trials. Whilst guidelines exist for the ethical conduct of such studies (for example, CIOMS International Ethical Guidelines for Epidemiological Studies), the guidance does not extend to TMF management.
Non-interventional trials are excluded from the requirements of ICH GCP and many other regulatory and legislative requirements that govern interventional trials. However, they should follow relevant national legislation where this exists (ref. Eudralex Volume 9A, Part 1, Section 7.7). For example, in the UK Clause 13 of the ABPI Code of Practice for the Pharmaceutical Industry requires that non-interventional trials comply with certain criteria, including having a written protocol, having written contracts and submission of the protocol to an Ethics Committee. When using the TMF Reference Model as the framework for the design of a TMF model for non-interventional studies, a repeatable corporate model can be created while remaining consistent to this industry model. It is recommended that when establishing a TMF for non-interventional studies, the principles of the TMF Reference Model are followed in terms of terminology and structure, recognizing that modifications to the taxonomy (e.g. removal of unnecessary artifacts) might be required to ensure alignment to standardized business processes.
Question: What does "metadata" mean and what is this in reference to in the TMF Reference Model?
Metadata is defined as "Data that describe other data, for example XML tags characterizing attributes of values in clinical data fields" (Source: CDISC Glossary v7). Metadata is sometimes referred to as "attributes" or "properties". Metadata refers to information that describes certain characteristics of a file, document or record rather than information that is contained within the record content itself. In the context of creating documents, metadata could include properties such date of creation, document title, author, version number. In the context of the TMF Reference Model, metadata might also include study number, country, document language.
Question: Are all ICH codes included in the TMF Reference Model?
Every artifact that is specifically identified in chapter 8 of ICH GCP has the relevant citation listed. In addition, where text elsewhere in the ICH guideline refers to a trial artifact, that citation has also been listed. For example, ICH section 4.12 discusses the need for the investigator to notify the IRB/IEC of trial termination. Therefeore, 4.12 is cited against artifact 03.03.03 'Notification of Trial Termination' in the Reference Model.
Question: Which TMF documents require a signature?
ICH-GCP only uses the word "signed" in relation to 5 TMF documents:
protocols and amendments;
agreements/contracts;
completed consent forms;
completed case report forms;
and CRF correction signature sheet / signature log.
The MHRA have stated in the GCP Guide that "signatures on documents are recommended only where it adds value".
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TMF Ref Model Meetings
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EDM Reference Model
Process Maps used in Ref Model
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text:
East Side Story
Directed by Dana Ranga
Written by Dana Ranga, Andrew Horn
There are some concepts so goofy as to be irresistible. East Side Story is one of them.
It's a documentary about . . . Communist movie musicals.
Yes. Communists liked musicals, too, and the film takes footage from them to make an entertaining glimpse of a side of the Iron Curtain that most people don't know existed.
The clips range from charming to just plain bizarre. There are the singers sailing a boat in Volga Volga (Stalin's favorite film). The woman pig herders telling her pigs to eat up and get fat. The farmworkers singing as they harvest wheat in Cossack of the Kuban River (perhaps the second greatest grain harvesting scene in film). Midnight Review, where the songs comment on how hard it is to make a socialist musical.
And, inevitably, a real title that sounds like it's a Mad Magazine parody of a Soviet musical: Tractor Drivers.
The footage is amazing, especially for the Soviet films. There just something bizarre about people singing as they work (but then, in some ways, it's no stranger than people singing in an American musical).
After Stalin's death, East Germany became the heart of the Marxist musical: Hot Summer is the German Communist version of Beach Party. You really expect Frankie Avalon to show up.
In addition to the footage, there are interviews with critics, moviegoers, and some of the actors and actresses (including Karin Schroeder, "The Doris Day of the East"). The films on the screen were lighthearted, but they were all a major battle to produce. The censors thought this was all pretty dicey material and forced the filmmakers to work hard to get approval both beforehand and after the film was shot. One German film, My Wife Wants to Sing was only released because one of the songs got onto the radio, creating public demand for the movie.
The movie is vastly entertaining, when you're not staring at the screen in disbelief. And, as the film asks, "Who know how things would have turned out if socialism could just have been more fun?"
Flower Drum Song
(1961
Directed by Henry Koster
Written by Joseph Fields (screenplay), C.Y. Yee (novel), Joseph Fields & Oscar Hammerstein II (stage play)
Starring Nancy Kwan, James Shigeta, Jack Soo, Juanita Hall and Miyoshi Umeki
I'm a big fan of musicals -- both movies and on stage, and Rogers and Hammerstein are among the most successful composer/lyricist pairs in history. I find they run hot and cold. The King and I is a truly great musical. Oklahoma! is close -- it's everything everyone says about it when it comes to influence, but is marred by ultimately disturbing main characters, who gratuitously mistreat Judd Fry. South Pacific is good overall (though the movie is not as good as the stage show).
On the other hand, I find Carousel incredibly overrated. A weak score (except for the Carousel Waltz), dim and cloying characters that are treated with contempt by the script, and ultimately, it specifically equate spousal abuse with love. Such things were looked down upon even when the play came out, and I can't figure why it's so highly regarded.
Then there's Flower Drum Song. Part of the reason it's less known is the subject matter: the life of Chinese Americans. Though Hammerstein was a devoted foe of prejudice, the attitude toward the people is a bit dated. This is not an unusual issue: some people who were quite advanced for their time in racial matters suddenly get charged with being racist simply because the tolerance they were trying to advocate has become the norm, and begin to look backward. Will Eisner's The Spirit also is charged with this, even though Eisner was dead set against racisim.
In the movie, there is some stereotyping, but it is respectful of the people involved, and the characters aren't ridiculed for their attitudes, even when they are meant to be humorous.
But what really makes it work is the performance of Miyoshi Umeki. I remember when she appeared on television in The Courtship of Eddie's Father, and the critics spoke of her so fondly. When I saw the film, I could see why. Yes, she's Japanese, not Chinese, but that's not really important. She is just plain charming, a delight in every scene she's in. No wonder people wanted to see more of her.
The plot is typical romantic fluff, with the culture of Chinese-Americans adding to the mix. Nancy Kwan was one of the most successful Chinese-American actresses of her time, and Jack Soo is fine as the man pledged to marry Umeki, but more interested in Kwan. The songs are generally good, with "I Enjoy Being a Girl," (sung unironically by Kwan), "Chop Suey," "A Hundred Million Miracles," "Grant Avenue," and "The Other Generation" standing out.
A film that full of charm and music: what more can you ask from a musical?

redpajama_set_name: RedPajamaCommonCrawl


text:
namespace Gu.Analyzers.Test.GU0007PreferInjectingTests
{
    using Gu.Roslyn.Asserts;
    using NUnit.Framework;

    internal partial class ValidCode
    {
        internal class Ignore
        {
            [Test]
            public void WhenPrivateCtor()
            {
                var fooCode = @"
namespace RoslynSandbox
{
    public class Foo
    {
        private Bar bar = new Bar();

        private Foo()
        {
        }
    }
}";

                AnalyzerAssert.Valid(Analyzer, fooCode, BarCode);
            }

            [Test]
            public void WhenStatic()
            {
                var fooCode = @"
namespace RoslynSandbox
{
    public static class Foo
    {
        private static Bar bar;

        static Foo()
        {
            bar = new Bar();
        }
    }
}";

                AnalyzerAssert.Valid(Analyzer, fooCode, BarCode);
            }

            [Test]
            public void WhenMethodInjectedLocatorInStaticMethod()
            {
                var fooCode = @"
namespace RoslynSandbox
{
    public class Foo
    {
        public Foo()
        {
        }

        public static void Meh(ServiceLocator locator)
        {
            locator.Bar.Baz();
        }
    }
}";
                AnalyzerAssert.Valid(Analyzer, LocatorCode, BarCode, fooCode);
            }

            [TestCase("int")]
            [TestCase("Abstract")]
            public void WhenNewNotInjectable(string type)
            {
                var abstractCode = @"
namespace RoslynSandbox
{
    public abstract class Abstract
    {
    }
}";

                var barCode = @"
namespace RoslynSandbox
{
    public class Bar
    {
        private readonly int value;

        public Bar(int value)
        {
            this.value = value;
        }
    }
}".AssertReplace("int", type);

                var fooCode = @"
namespace RoslynSandbox
{
    public class Foo
    {
        private readonly Bar bar;

        public Foo()
        {
            bar = new Bar(default(int));
        }
    }
}".AssertReplace("default(int)", $"default({type})");
                AnalyzerAssert.Valid(Analyzer, abstractCode, barCode, fooCode);
            }

            [Test]
            public void WhenParams()
            {
                var abstractCode = @"
namespace RoslynSandbox
{
    public class Baz
    {
    }
}";

                var barCode = @"
namespace RoslynSandbox
{
    public class Bar
    {
        private readonly Baz[] values;

        public Bar(params Baz[] values)
        {
            this.values = values;
        }
    }
}";

                var fooCode = @"
namespace RoslynSandbox
{
    public class Foo
    {
        private readonly Bar bar;

        public Foo()
        {
            bar = new Bar();
        }
    }
}";

                AnalyzerAssert.Valid(Analyzer, abstractCode, barCode, fooCode);
            }

            [Test]
            public void NewDictionaryOfBarAndBar()
            {
                var fooCode = @"
namespace RoslynSandbox
{
    using System.Collections.Generic;

    public class Foo
    {
        private readonly Dictionary<Bar, Bar> bar;

        public Foo()
        {
            this.bar = new Dictionary<Bar, Bar>();
        }
    }
}";

                AnalyzerAssert.Valid(Analyzer, BarCode, fooCode);
            }

            [Test]
            public void InLambda()
            {
                var fooCode = @"
namespace RoslynSandbox
{
    using System.Linq;

    public class Foo
    {
        private ServiceLocator bar;

        public Foo()
        {
            this.bar = new ServiceLocator[0].FirstOrDefault(x => x.Bar != null);
        }
    }
}";

                AnalyzerAssert.Valid(Analyzer, BarCode, LocatorCode, fooCode);
            }
        }
    }
}

redpajama_set_name: RedPajamaGithub


text:
Not Available For Download
Lessons from the Pokéconomy: Teaching Economics with Pokémon GO
See all articles by Susan Reilly
Susan Reilly
Kim Holder
Date Written: August 2, 2016
Pokémon GO burst onto the gaming scene in early July 2016. Within twenty-four hours it was listed as the most popular gaming app ever released and by the end of the first week the game had accrued an estimated twenty-five million daily active users. The visibility and sudden prominence of the Pokémon GO mobile gaming application provided a unique teaching opportunity for economics educators. The game can be used to teach a variety of economic concepts at the university-level and within the K-12 classroom environment. Among these are lessons of scarcity, opportunity cost, cost/benefit analysis, incentives, marginal utility, human and financial capital, natural resources, public goods, private goods, competition, specialization, and the tragedy of the commons. This paper provides a brief overview of the game and describes how instructors can use Pokémon GO to teach key economics concepts to students.
Keywords: Pokémon GO, economics, mobile gaming
JEL Classification: A20
Reilly, Susan and Holder, Kim, Lessons from the Pokéconomy: Teaching Economics with Pokémon GO (August 2, 2016). Available at SSRN: https://ssrn.com/abstract=2852465
Susan Reilly (Contact Author)
Independent ( email )
No Address Available
University of West Georgia ( email )
1601 Maple Street


If you work for yourself or if you run a business, you've probably experienced burnout—exhaustion, lack of motivation, and feelings of ineffectiveness and frustration. It's something that's easy to slip into for those of us who like to work hard, and difficult to get out of once we're in it. But not only is burnout a stressful and unhappy experience, it also prevents us from doing what we need to do. Here are 3 ways to reignite your passion for work and get out of the burnout slump.
Remember why your job matters. If you're a financial advisor, you're not just filling out paperwork—you're helping others reach their own goals, and giving them confidence in their finances. If you're a CPA, you're not just crunching numbers—you're helping companies be financially sound so they can grow and create jobs. If you need to take a day off to think through this, do it. It's important to keep your purpose in mind.
Reevaluate your goals. If you're experiencing burnout, you may be trying to do too much. Review your goals and ask yourself if each one matches your values. Often, we get overwhelmed when we are pursuing other things that ultimately aren't that meaningful, like "the bigger house, the nicer car." Some things can wait.
Reconnect with your community. Talking with others who are passionate about their work can help us get connected with our own passions. These folks don't even have to be in your industry—they just need to be people in your community who know their mission and live it out on a daily basis. Invite someone to lunch or coffee, or go golfing or to an event together. Make it a priority to network with others who will stir your own motivation.
Burnout can feel like it will never end—that's part of the negativity that accompanies burnout. But when you actively take steps to overcome it and reignite your passion for your work, you'll find that it's not as monumental a task as it initially seems.


If you learn nothing else from me I hope it's the simple fact there's always more than one way to do the same thing.
Whether it's chisel work, milling lumber or pretty much every other task in the woodshop there are no true hard and fast rules to woodworking, other than to work safely!
One woodworking technique I've experimented with a little, and then was utterly overwhelmed right away because of all of the options, is veneering and laminations.
Probably the easiest way to apply a veneer or press together a lamination for a project is to come up with a basic clamping system that allows you to use your existing clamps and squeeze the component together or press the veneer in place until it sets up.
In theory it's super-simple, but in reality it's amazing all the little issues you run into along the way. The number of those resulting from unequal pressure along the entire surface(s).
There are all kinds of jigs and specialized setups you can create, but inevitably it's important to identify any where in the clamp that pressure might not be applied equally.
To get around this concern a great alternative to clamping jigs and presses is the use of a vacuum bag that seals entirely around the glue-up and truly applies even and consistent pressure while the glue dries.
Unfortunately vacuum bags can be either big and bulky (absolute over kill for some projects) or even downright expensive to purchase the compressor, hoses and connections necessary to use them.
Of course if you plan to do a lot of veneer, or curved lamination work, a good quality vacuum bag could easily pay for itself in convenience and results, but if you're like me, and probably only do it from time-to-time a better option just might be something a little bit easier to tuck away between uses and a little lighter on the wallet.
The other day I saw on the Roarockit Facebook page they posted a video of Woodworker's Journal senior editor Chris Marshall using a large Roarockit vacuum bag to add an surface to his Greene and Greene Nightstand.
I have yet to pull the trigger on purchasing the larger bag, but based on my experience with the smaller bag all those years ago it's high on my list for when that next veneer/lamination project comes along.
I really love this kit. I had the pleasure of having Ted from Roarockit as my woodworking instructor while at OCAD many years ago and as a result got my hands on a custom 4×8 bag. Always a pleasure to use for wood. And if you are careful not to get the bag dirty you can even use it to press veneers onto fibreglass bases and other flexible materials using epoxy or other resins as well.
Thanks for the heads up Andrew!
Chris needed to veneer the other side of his substrate. Your viewers should be aware that both sides of the substrate need to be veneered with veneer of equal thickness and quality to stay flat over time. Inexpensive system, though. Thanks for letting me know it exists.
« Hammer, mallet or hand? What's your tool of choice for chiseling?


Smartqueue Domain | DevEngineering Inc.
Provides Nodequeue integration with Domain Access module.
This module automatically generated a subqueue for each enabled domain, integrates with Views and allows content moderators for each domain to administer nodequeues with its designated domains.
Issue #1414072 by zhgenti: Fixed subqueue access permission.


text:
Huntingdon Valley, PA
Colleen P. Halfpenny, M.D.
Jody Piltz-Seymour, M.D.
Alessandra Intili, M.D.
Frank Chin, M.D.
David DiFranceisco, O.D.
Cosmetic Team
Comprehensive Ophthalmology
Cataract Care
Diabetic Eye Diseases
Oculoplastics
Current Quarterly Specials
JUVÉDERM® Injectable Gel
LATISSE® Solution
Facial Dermaplaning
Physician Strength Chemical Peels
Laser Anti-Aging
Intense Pulsed Light Treatments
Laser Vein Therapy
Valley Optical Shop
Colleen Halfpenny, M.D.
Cornea, Refractive Surgery and Uveitis
Dr. Halfpenny attended both undergraduate and medical school at Georgetown University in Washington, DC. She completed her residency in ophthalmology at Wills Eye Hospital, chosen to serve as Chief Resident in her final year. She then completed a unique fellowship in Cornea, External disease and Refractive Surgery together with Uveitis at The FI Proctor Foundation/UCSF. Dr. Halfpenny returned to the Philadelphia area in 2009 to be closer to family and join others from the Wills Eye family in practice. She has been a part of Valley Eye Professionals as well as an active staff member of Wills Eye and Holy Redeemer Hospitals since 2009.
(Bachelor of Science | Medical Doctor Degree)
Wills Eye Hospital
(Residency | Co-Chief Resident)
F.I. Proctor Foundation and University of California
(Fellowship in Cornea, Refractive Surgery,
and Uveitis)
Thomas Jefferson School of Medicine
(Assistant Professor Department of
Ophthalmology, Current)
(Teaching Staff of the Cornea Service, Current)
Holy Redeemer Hospital
Meadowbrook, PA
(Lecturer on Diabetic Eye Health, Current)
Phi Beta Kappa Honor Society
Alpha Omega Alpha Honor Society
Philadelphia Magazine Top Doc (2019, 2020, 2021)
EyeWiki, Editor
"Cornea"
Dr Halfpenny enjoys being able to provide comprehensive surgical and medical care to multiple generations…from youth to the elderly. She cherishes that ophthalmology allows her to know her patients over decades. She also enjoys teaching the next generation of physicians and ophthalmologists. In addition to being an active clinical and surgical instructor at Wills Eye, she serves as a mentor to recent medical school graduates from Georgetown as well as being a surgical mentor to a senior Wills Eye resident.
Glaucoma and Cataracts
Dr. Jody Piltz-Seymour has provided university-level, subspecialty glaucoma and cataract care throughout the Philadelphia region for more than 30 years. Dr. Piltz-Seymour is director of the Glaucoma Care Center at Valley Eye Professionals, is a member of the Glaucoma Service of the Wills Eye Hospital and is a Clinical Professor of Ophthalmology at the Perelman School of Medicine of the University of Pennsylvania. She served as the Director of Glaucoma Services at the Scheie Eye Institute/University of Pennsylvania for 15 years where she established and directed the glaucoma fellowship. As a clinical researcher throughout her career, she has been the principal investigator of pivotal glaucoma trials. Dr. Piltz-Seymour has numerous leadership roles in national and international organizations including the American Glaucoma Society, the American Academy of Ophthalmology, the World Glaucoma Congress, and the American Society of Cataract and Refractive Surgery. Traveling with Orbis, Unite for Sight, and the Wills Eye Hospital initiative in Rwanda, Dr. Piltz-Seymour has worked with international physicians to advance glaucoma care in the developing world, including in Cameroon, Ethiopia, Ghana, Rwanda and Vietnam. Her achievements have been recognized in the numerous awards and honors she has received.
(Bachelor of Science in Biology, 1976-1980)
Albert Einstein College of Medicine - Montefiore Medical Center
(Medical Doctor Degree, 1980-1984)
(Residency in Ophthalmology, 1986-1989 | Chief Resident 1988-1989)
Department of Ophthalmology, The University of British Columbia
(Fellowship in Glaucoma, 1989-1990)
Scheie Eye Institute, University of Pennsylvania
Philadelpha, PA
(Director of Glaucoma Services, 1990-2004)
Glaucoma Care Center, Keystone Eye Associates
(Medical Director, 2004-2008)
Best Doctors in America,
2016-Current
Patient Choice Award,
Lifetime Achievement Award, American Academy of Ophthalmology,
Castle Connolly Top Docs Philadelphia Magazine,
"As a university affiliated glaucoma specialist and cataract surgeon, I strive to bring expert and compassionate eye care throughout the region. It is vitally important to individualize care for each patient's needs by understanding each patient's story—their concerns, lifestyle, and goals. I incorporate the newest diagnostic technologies and cutting-edge surgical advances including the new minimally invasive glaucoma surgeries, to bring you the most current care available. My goal is to develop a caring relationship based on mutual respect where we work together to make important decisions as a team. Welcome to our practice and I assure you that you will be treated with kindness, skill and respect."
Dr. Intili was born in New Jersey but raised in Italy until age five, when she moved back to the United States. She earned dual undergraduate degrees in English and Biology from Lehigh University, and her medical degree from Georgetown University School of Medicine. While at Georgetown, she received the award for Outstanding Medical Student Performance in the Department of Ophthalmology. She went on to complete her Ophthalmology Residency at Wills Eye Hospital, where she was mentored by some of the best minds in ophthalmology, including the other doctors of Valley Eye. She completed the Wills Eye Academic Global Ophthalmology Fellowship with a focus on Oculoplastics. She also served as the Co-Fellowship Director for the Academic Global Ophthalmology fellowship at Wills Eye Hospital from 2016 until 2020.
She remains a faculty member at Wills Eye Hospital and an associate professor at Jefferson Hospital, where she continues to surgically and clinically mentor Ophthalmology residents in the most complex forms of cataract extraction. She remains actively involved with global ophthalmology community as a faculty member of the Academic Global Ophthalmology Department at Wills. She is an active member of the American Academy of Ophthalmology, and the Pennsylvania Academy of Ophthalmology.
(Bachelor of Science in Biology | Bachelor of Arts in English)
Georgetown University of Medicine
(Medical Doctor Degree)
Academic Global Ophthalmology with focus on Oculoplastic and manual small incision cataract surgery
(Associate Professor, Current)
Chair of the Department of Ophthalmology
Holy Redeemer Hospital 2020-Current
Fellowship Co-director
Academic Global Ophthalmology 2016-2020
Best Resident Paper at American Society for Cataract and Refractive Surgery 2015
Award for Outstanding Medical Student 2011
Dr. Intili is dedicated in her pursuit to grant her patients a greater quality of life. Her interests in writing, travel and photography are displayed on her blog, written during her travels in 2015: https://academicglobalophthalmology.tumblr.com
Frank Chin, MD
Dr. Frank Chin, MD completed his Bachelor of Science in Biology at the Stony Brook University and completed his medical degree at Zucker School of Medicine in New York. After earning his medical degree, he completed his residency at The George Washington University in Washington D.C., where he was also named Chief Resident his final year.
Dr. Chin followed this with completing his Fellowship in Glaucoma at Scheie Eye Institute in Philadelphia, PA. Dr. Chin is an active member of the American Glaucoma Society, American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery, and the American Medical Association.
Stony Brook, NY
Zucker School of Medicine at Hofstra/Northwell
Hempstead, NY
The George-Washington University
(Residency in Ophthalmology, 2017-2020 |
Chief Resident, 2019-2020)
Alpha Omega Alpha Honor Society. 2015
Best Resident Research Presentation, 2019
"IOP Lowering Effect of SLT on Phakic and
Pseudophakic Eyes: A Retrospective Chart Review"
Dr. Chin has a strong interest in detecting, curing and preventing eye diseases through the use of early detection and dedicated care.
Comprehensive Optometry
Primary Eye Care, Refractions, Retinal Disorders
Dr. David DiFranceisco completed his Bachelor of Science in Biology at Villanova University in 1981 and his Doctor of Optometry from the Pennsylvania College of Optometry at Salus University in 1986. He completed his internship programs at The Eye Institute of PCO at Salus University, Joint Base McGuire-Fort Dix Hospital in Lakehurst, NJ, and the Lynch Pediatric Unit at The Eye Institute. Dr. DiFranceisco continued his training with a residency program at Rhode Island Group Health in Newport, RI from 1986-89.
In private practice in various multidisciplinary settings since 1986, Dr. DiFranceisco has been with Valley Eye Professionals since it's inception in 2006. Dr. DiFranceisco is a member of the American Optometric Association and the Pennsylvania Optometric Association. He has vast experience working in primary eye care and contact lenses. He enjoys treating and managing ocular surface disease, glaucoma, macular degeneration, and retinal disorders
Dr. DiFranceisco enjoys spending time with his family, which includes his wife Elizabeth and three children.
Joanna Fisher, M.D. Emeritus
Cataract, Dry Eye, and General Eye Care
Dr. Joanna Fisher earned her medical degree from the Medical College of Pennsylvania in a combined six-year B.A./M.D. program through Lehigh University. She continued her training with an Internship at Abington Memorial Hospital in Abington, Pennsylvania, followed by a Residency in Ophthalmology at Wills Eye Hospital in Philadelphia. Dr. Fisher also completed a Mini Fellowship in Basic/Advanced LASIK Surgery. She also been certified to perform cosmetic services including Botox, Juvederm and Voluma.
Board Certified in Ophthalmology, Dr. Fisher has been practicing medicine since 1986 and founded Valley Eye Professionals in 2006. She serves as Chief of Ophthalmology and Attending Surgeon at Holy Redeemer Hospital . She actively participates on the teaching staff, as Associate Surgeon, in the Cataract and Primary Eyecare Department at Wills Eye Hospital. Additionally, Dr. Fisher is also a Clinical Associate Professor at Thomas Jefferson University.
On the Board of Directors of the Pennsylvania Academy of Ophthalmology and past President of the Intercounty Ophthalmology Society, Dr. Fisher is also a member of the American Medical Association, American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery and the Phi Beta Kappa Society. She volunteers her time in the community at the annual Wills Eye Hospital screening and at Holy Redeemer Hospital, both in the Women's Health Center and by providing a diabetic lecture series.
Dr. Fisher chose to retire from practicing medicine in 2021. She helped establish, cultivate, and grow Valley Eye Professionals to be not a company, but a family that cares for anyone that comes through the door. We will miss having her bright and smiling face around and wish her the best in wherever life takes her next.
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text:
Q: Cannot invoke "io.appium.java_client.ios.IOSDriver.findElementByAccessibilityId(String)" because "this.driver" is null

*

*

header 1
header 2

cell 1
cell 2

cell 3
cell 4

@RunWith(Cucumber.class)
public class SearchTest {
public IOSDriver
<MobileElement> driver;

@Before
public void setup() throws Exception {
DesiredCapabilities caps = new DesiredCapabilities();
caps.setCapability(MobileCapabilityType.PLATFORM_NAME, "iOS");
caps.setCapability(MobileCapabilityType.DEVICE_NAME, "iPhone 11");
caps.setCapability(MobileCapabilityType.AUTOMATION_NAME, "XCUITest");
caps.setCapability(MobileCapabilityType.UDID, "F17A9EE4-42A9-4A4D-9203-CA8F5C918215");
caps.setCapability("bundleId", "com.example.apple-samplecode.UICatalog");
URL url = new URL("http://0.0.0.0:4723/wd/hub");
driver= new IOSDriver\<\>(url, caps);`your text`
}

@Given("Search butonu tıklanır")
public void search_butonu_tıklanır() {
MobileElement el1 = (MobileElement) driver.findElementByAccessibilityId("SearchViewControllers");
el1.click();
}

 Cannot invoke "io.appium.java_client.ios.IOSDriver.findElementByAccessibilityId(String)" because "this.driver" is null

Cannot invoke "io.appium.java_client.ios.IOSDriver.findElementByAccessibilityId(String)" because "this.driver" is null

redpajama_set_name: RedPajamaStackExchange


text:
import datetime
from django.db import models

class Author(models.Model):
    name = models.CharField(max_length=100)

    class Meta:
        ordering = ('name',)

    def __unicode__(self):
        return self.name

class BetterAuthor(Author):
    write_speed = models.IntegerField()

class Book(models.Model):
    author = models.ForeignKey(Author)
    title = models.CharField(max_length=100)

    class Meta:
        unique_together = (
            ('author', 'title'),
        )
        ordering = ['id']

    def __unicode__(self):
        return self.title

class BookWithCustomPK(models.Model):
    my_pk = models.DecimalField(max_digits=5, decimal_places=0, primary_key=True)
    author = models.ForeignKey(Author)
    title = models.CharField(max_length=100)

    def __unicode__(self):
        return u'%s: %s' % (self.my_pk, self.title)

class Editor(models.Model):
    name = models.CharField(max_length=100)

class BookWithOptionalAltEditor(models.Model):
    author = models.ForeignKey(Author)
    # Optional secondary author
    alt_editor = models.ForeignKey(Editor, blank=True, null=True)
    title = models.CharField(max_length=100)

    class Meta:
        unique_together = (
            ('author', 'title', 'alt_editor'),
        )

    def __unicode__(self):
        return self.title

class AlternateBook(Book):
    notes = models.CharField(max_length=100)

    def __unicode__(self):
        return u'%s - %s' % (self.title, self.notes)

class AuthorMeeting(models.Model):
    name = models.CharField(max_length=100)
    authors = models.ManyToManyField(Author)
    created = models.DateField(editable=False)

    def __unicode__(self):
        return self.name

class CustomPrimaryKey(models.Model):
    my_pk = models.CharField(max_length=10, primary_key=True)
    some_field = models.CharField(max_length=100)

# models for inheritance tests.

class Place(models.Model):
    name = models.CharField(max_length=50)
    city = models.CharField(max_length=50)

    def __unicode__(self):
        return self.name

class Owner(models.Model):
    auto_id = models.AutoField(primary_key=True)
    name = models.CharField(max_length=100)
    place = models.ForeignKey(Place)

    def __unicode__(self):
        return "%s at %s" % (self.name, self.place)

class Location(models.Model):
    place = models.ForeignKey(Place, unique=True)
    # this is purely for testing the data doesn't matter here :)
    lat = models.CharField(max_length=100)
    lon = models.CharField(max_length=100)

class OwnerProfile(models.Model):
    owner = models.OneToOneField(Owner, primary_key=True)
    age = models.PositiveIntegerField()

    def __unicode__(self):
        return "%s is %d" % (self.owner.name, self.age)

class Restaurant(Place):
    serves_pizza = models.BooleanField()

    def __unicode__(self):
        return self.name

class Product(models.Model):
    slug = models.SlugField(unique=True)

    def __unicode__(self):
        return self.slug

class Price(models.Model):
    price = models.DecimalField(max_digits=10, decimal_places=2)
    quantity = models.PositiveIntegerField()

    def __unicode__(self):
        return u"%s for %s" % (self.quantity, self.price)

    class Meta:
        unique_together = (('price', 'quantity'),)

class MexicanRestaurant(Restaurant):
    serves_tacos = models.BooleanField()

class ClassyMexicanRestaurant(MexicanRestaurant):
    restaurant = models.OneToOneField(MexicanRestaurant, parent_link=True, primary_key=True)
    tacos_are_yummy = models.BooleanField()

# models for testing unique_together validation when a fk is involved and
# using inlineformset_factory.
class Repository(models.Model):
    name = models.CharField(max_length=25)

    def __unicode__(self):
        return self.name

class Revision(models.Model):
    repository = models.ForeignKey(Repository)
    revision = models.CharField(max_length=40)

    class Meta:
        unique_together = (("repository", "revision"),)

    def __unicode__(self):
        return u"%s (%s)" % (self.revision, unicode(self.repository))

# models for testing callable defaults (see bug #7975). If you define a model
# with a callable default value, you cannot rely on the initial value in a
# form.
class Person(models.Model):
    name = models.CharField(max_length=128)

class Membership(models.Model):
    person = models.ForeignKey(Person)
    date_joined = models.DateTimeField(default=datetime.datetime.now)
    karma = models.IntegerField()

# models for testing a null=True fk to a parent
class Team(models.Model):
    name = models.CharField(max_length=100)

class Player(models.Model):
    team = models.ForeignKey(Team, null=True)
    name = models.CharField(max_length=100)

    def __unicode__(self):
        return self.name

# Models for testing custom ModelForm save methods in formsets and inline formsets
class Poet(models.Model):
    name = models.CharField(max_length=100)

    def __unicode__(self):
        return self.name

class Poem(models.Model):
    poet = models.ForeignKey(Poet)
    name = models.CharField(max_length=100)

    def __unicode__(self):
        return self.name

class Post(models.Model):
    title = models.CharField(max_length=50, unique_for_date='posted', blank=True)
    slug = models.CharField(max_length=50, unique_for_year='posted', blank=True)
    subtitle = models.CharField(max_length=50, unique_for_month='posted', blank=True)
    posted = models.DateField()

    def __unicode__(self):
        return self.name


The tyre manufacturer Kumho is based in South Korea and produces quality tyres at competitive prices since the early Sixties. Experiences of the company originated mainly from racing!
Kumho Tyres has since achieved a place in the Top-ten of the largest tyre producers in the world which means that Kumho tyres have convinced many tyre buyers around the globe as they do extremely well under all conditions.
Tyres of the Kumho brand exhibit advanced rolling resistance and therefore a very smooth driving experience. In addition, Kumho tyres provide a good grip on wet and dry road surfaces and are by now very well known for their exact steering behaviour. Due to the specially designed tread pattern, moisture is dischargedfast, which improves the prevention of aquaplaning and is therefore increasing the safety.
In recent years, Kumho tyres have been in the news with good reviews. In many independent tyre tests, Kumho tyres had even surpassed products from well-known brand manufacturers when it came to driving on a damp road surface!
Are you looking for new tyres for your vehicle?
Why not give Kumho Tyres a try?
On our website, you will find summer tyres, winter tyres and even all-season tyres of this brand in many different sizes.
The variety of tyres - and our prices will positively surprise you.
The ordering process is simple and straightforward.
Buy your cheap Kumho tyres today from Canklow Service Station in Rotherham - you won't regret.


GA Code § 21-2-212 (2014) What's This?
(a) Except in the case in which a county has a board of elections and registration, the judge of the superior court in each county or the senior judge in time of service in those counties having more than one judge shall appoint in accordance with this Code section, upon the recommendation of the grand jury of such county, not less than three nor more than five judicious, intelligent, and upright electors of such county as county registrars. The grand jury shall submit to the judge the names of a number of electors equal to twice the number of persons to be appointed and the appointment shall be made therefrom and shall be entered on the minutes of the court. When making such appointments when appropriate, the judge will designate one of the registrars as chief registrar who shall serve as such during such registrar's term of office, and such designation shall likewise be entered on the minutes of the court. It shall be the duty of the clerk of the superior court to certify the appointments and designation to the Secretary of State within 30 days after the appointments and designation, and commissions shall be issued as for county officers. When certifying such names to the Secretary of State, the clerk of the superior court shall also list the addresses of the registrars. Except in the case in which the local Act creating a county board of elections and registration specifically provides for the appointment and removal by another authority, such judge will have the right to remove one or more of such registrars at any time for cause after notice and hearing. In case of the death, resignation, or removal of a registrar, the judge shall appoint a successor who shall serve until the next grand jury convenes, at which time the grand jury shall submit to the judge the names of two judicious, intelligent, and upright electors of such county; and the judge shall make an appointment from said list, such successor to serve the unexpired term of such registrar's predecessor in office. In the event the grand jury is in session at the time of any such death, removal, or resignation, such grand jury shall immediately submit the names of said electors to the judge for such appointment. Each such appointment or change in designation shall be entered on the minutes of the court and certified as provided in this Code section.
(b) (1) Except as otherwise provided in this subsection, appointees under this article shall serve for a term of four years and until their successors are appointed and qualified, except in the event of resignation or removal as provided in subsection (a) of this Code section. Their terms shall commence on July 1 and expire on June 30 four years thereafter.
(2) The first new grand jury which convenes in each county in the year 2013 shall submit to the judge the list of names as provided in subsection (a) of this Code section. From this list, the judge shall appoint two registrars to serve two-year terms of office and until their respective successors are appointed and qualified and not more than three registrars to serve four-year terms of office and until their respective successors are appointed and qualified. Thereafter, the first new grand jury which convenes in each county in each odd-numbered year shall submit to the judge a list of names equal to twice the number of registrars whose terms are to expire that year. From this list, the judge shall appoint successors to the registrars whose terms are expiring that year who shall then serve terms of office of four years and until their respective successors are selected and qualified.
(3) Such list of names shall be submitted to the judge, who shall appoint the registrars and designate the chief registrar, as needed, prior to June 30. No appointment for a full term shall be made prior to January 1 of the year in which the appointee is to take office. If no such grand jury is convened or, if convened but failed to recommend, the judge shall appoint the registrars without the necessity of any recommendation. In the event that a registrar holds over beyond the end of the registrar's term of office due to the failure to have a successor timely appointed and qualified, the successor shall be appointed to serve the remainder of the term of office and shall not receive a new four-year term of office.
(c) The governing authority of each municipality shall appoint registrars as necessary, and the appointments shall be entered on the minutes of such governing authority. The municipal governing authority shall designate one of the registrars as chief registrar. The chief registrar will serve as such during such registrar's term of office, and such designation shall likewise be entered on the minutes of such governing authority. Such registrars shall serve at the pleasure of the municipal governing authority, and compensation of the registrars shall be fixed by such governing authority. Any registrar shall have the right to resign at any time by submitting a resignation to such governing authority. In the event of any such removal or resignation of a registrar, such registrar's duties and authority as such shall terminate instantly. Successors to resigned registrars shall be appointed by the municipal governing authority. Each appointment or change in designation shall be entered on the minutes of such governing authority and certified by the governing authority. The municipal governing authority may furnish such employees and facilities as it deems necessary for the operation of the office and the affairs of the registrars.
(d) The chief registrar shall be the chief administrative officer of the board of registrars and shall generally supervise and direct the administration of the affairs of the board of registrars. The chief registrar shall act as chairperson of the board of registrars and, as chief registrar, shall perform those functions normally devolving upon the chairperson. The board of registrars shall meet each month on a day selected by the chief registrar to transact the business of the board. The board shall also meet at other times as needed upon the call of the chief registrar or upon the request of two or more of the registrars. The chief registrar shall be compensated in an amount of not less than $61.00 per day for each day of service on the business of the board of registrars. The other registrars shall be compensated in an amount of not less than $48.00 per day for each day of service on the business of the board of registrars. In lieu of the per diem compensation provided for in this subsection, the chief registrar may be compensated in an amount not less than $272.00 per month and the other registrars in an amount not less than $242.00 per month. The per diem or monthly compensation, as the case may be, shall be fixed, subject to the limitations provided for in this subsection, by the governing authority of each county and shall be paid from county funds. The compensation of other officers and employees appointed and employed under this article shall be fixed by the board of registrars with the approval of the governing authority of each county and shall be paid from county funds.
(e) If, within 90 days of the end of the term or the creation of a vacancy for a county registrar, an appointment is not made in accordance with subsection (a) of this Code section, the governing authority of the county shall appoint the county registrars in lieu of the judge of the superior court. The appointments shall be entered on the minutes of the county governing authority. The county governing authority shall designate one of the registrars as chief registrar, who shall serve as such during such registrar's term of office. Such designation shall likewise be entered on the minutes of such governing authority. It shall be the duty of the county governing authority to certify the appointments and designation to the Secretary of State and the clerk of the superior court within 30 days after such appointments and designation. In certifying such names to the Secretary of State and the clerk of the superior court, the county governing authority shall also list the addresses of the registrars. Such registrars shall serve for the term and in the manner set forth in subsection (a) of this Code section. Any registrar shall have the right to resign at any time by submitting a resignation to the clerk of the superior court. In the event of the death, resignation, or removal of any registrar, such registrar's duties and authority as such shall terminate instantly. Successors shall be appointed as set forth in subsection (a) of this Code section.
(f) The board of registrars of each county shall prepare annually a budget estimate in which it shall set forth an itemized list of its expenditures for the preceding two years and an itemized estimate of the amount of money necessary to be appropriated for the ensuing year and shall submit the same at the time and in the manner and form other county budget estimates are required to be filed.


It's almost time for the soppiest day of the year…Valentines Day! Love it or hate it, be prepared for an influx of hallmark advertising, a teddy bear breakout nationwide and flowers being delivered to at least one colleague at work. And if you are heading out for a meal, make sure you aren't discussing anything private cause guaranteed you will almost be sitting on the lap of the person next to you.
Regardless of the hype we still love receiving gifts, whether it's from your husband or partner or even treating yourself to something special; you did make it through January, you deserve it!
THOMAS SABO are celebrating Valentine's Day with the motto "Show your Love" with a gorgeous new jewellery collection. The handcrafted designs in 925 sterling silver are inspired by traditional love symbols, such as sparkling anchors and maritime trend motifs and includes necklaces, earrings, bracelets and rings, refined with sparkling zirconia stones. Worn together or separately, there is something for everyone in this collection.
These tokens of love will be available from January 2019 in all THOMAS SABO counters and the collection ranges from €49 – €119. THOMAS SABO is available from House of Fraser Dundrum, Brown Thomas Cork, Arnotts, BT2 Blanchardstown, Weir and Sons Grafton Street, Kildare Village, independent jewellers and online at www.thomassabo.com.
Be sure to let me know on Instagram which one is your favourite!
← Thinking of a Minimoon in Cannes?


Teslacigs Punk 220W Box Mod features a unique steampunk design with transparent windows on both side of the device. The Tesla Punk also features RGB LED flash modes which will light up if enabled. The Tesla Punk can fire up to 220 watts and features temperature control modes supporting Nickel 200 (Ni200), Titanium (Ti) and Stainless Steel 316 (SS) coils.
Demon Killer Tiny Vape Kit comes in a thin and elegant designed, including one of the most Tiny RDA and Tiny Box Mod in the world. The Demon Killer Tiny Kit is one of the few compact-size system with a rebuildable section along while emphasizing a balance of performance, size, and portability.
UFORCE Tank is the first Sub-Ohm Tank form VOOPOO. VOOPOO UFORCE Tank adopts the precise OCC coil head,has super strong energy like the light sword with force to highly analysis the e-liquid, thus making it freely goes with any mod and easily get smooth and aroma taste.
Joyetech Exceed Edge Kit is ergonomically designed, inspired by the sports car. With built-in coil system, this disposable pod perfectly fits the EXCEED Edge. It is meant to offer you a delectable and pure flavor for mouth-to-lung enthusiasts. Still, you can refill the e-juice from the bottom. Meanwhile, it is compatible with high nicotine and nicotine salts.


At 5'6″ wide, the clever design of these new Alton Evolution models has created a cedar greenhouse that is ideal for modern needs.
Made from warm hued western red cedar with rot resistant properties, this spacious 9'2″ x 6'6″ model provides the perfect growing environment.
This 6'2″ wide greenhouse is an indigently designed robust greenhouse, using the same construction method as the rest of the Alton Evolution range.


text:
Fatima Altaf
Clinical Psychologist, Writer and Iqbal Researcher
On Extremists, Liberals and Selective Humanity
Fatima Altaf July 22, 2016 July 22, 2016 Uncategorized
Extremism, religious extremism, terrorism – who isn't familiar with these terms in today's world? Especially following 9/11, the world has become quite familiarised and comfortable with these terminologies, especially in the context in which they are used. There is certainly no doubt that these terms are almost exclusively reserved for present day muslims. There are a lot of reasons for this. The most important being that any other type of extremism, esp. religious extremism simply does not exist.
For instance: A white American man who carries out a mass shooting in a school or university, though a regular church-goer, is simply American, psychologically unstable, etc, etc, but of course not a Christian extremist. The Buddhist monks in Burma/Myanmar have been persecuting the Rohingya Muslims for decades – but since they are only practicing buddhists, and not practicing muslims, hence they do not fall under the category of religious extremism. And of course the Indian Army killing muslims in Kashmir, or the muslim massacre carried out in Gujarat by Hindus in 2002 can never be categorised as religious extremism. Nor the muslim genocide in Bosnia, in the 1990's, by Serbs who happened to be Christian, could come anywhere near being defined as religious extremism.
Therefore, to conclude: As per modern definitions, religious extremism exclusively means Islamic terrorism. On a more serious (and non cynical) note, though, such terrosists, and terrorist organizations like ISIS, have a very distorted interpretation of a few Quranic verses which they use completely out of context and reference to their own advantage. They have extremely poor knowledge of the Quran and Islamic jurisdication. A normal, moderate practicing muslim is sure to have more religious knowledge than these radicals who are recruited and pumped by hatred until they develop into the terrorist who blows himself up amongst a crowd of innocent civilians.
Luckily, however, the world has been blessed with the gift of Liberalism. Modern Liberalism, most certainly, is God's greatest gift to mankind since sliced bread! I mean, where would the world be without liberals. If there is any power in the world that can counter extremism, it is liberalism.
At first glance, liberals appear to be all for humanity, supporting all humanitarian causes, including the oppression of women in different societies, speaking out against capital punishment in their utter compassion and love for humaity. A closer look, however, reveals the uglier side of modern liberalism.
The liberalism, as we know it in the present, modern times, knows no bounds and it defies all limits, chains and fetters of morality or religion. No matter how immoral, unethical or dangerous to basic human values or existence something is, a liberal will always be there to support it. In fact, they appear to be more open-minded in the defence of anything and everything that can endanger human ethics, from homosexulaity to vulgarity and from freedom of speech to desecrating all that is holy and sacred. American political thinker Mary Parker Follet's following quote quite accurately defines these liberals:
"We are freer than ever before. The trouble is, we do not know what to do with this freedom."
The freedom and liberty they demand is one without bounds or limits. Just as a vampire is allergic to holy symbols, a liberal is allergic to the word religion. In the case of our Desi Liberals it is the words Islam and muslim that they are specifically allergic to. Thus, the moment a situation involving these two words comes up, you clearly witness their selective humanity. The bloodshed of muslims in Kashmir, Palestine, Iraq, etc, will not cause them to raise an eyebrow, but their hearts will burst for people of the LGBT community killed in Orlando, USA. The hanging of 90 year old senior citizens in Bangladesh will not draw any censure from them, but they will certainly condemn the hanging of terrorists in Pakistan. The rape of thousands of women in Kashmir will not cause the likes of Asma Jehangir and her fellow "feminists" to utter a single word of codemnation or support, but the death of Qandeel Baloch will cause them to shed oceans of tears.
A closer look at both religious extremism and modern liberalism would bring to light the disturbing fact that they are actually two sides of the same coin. A religious extremist is narrow minded, biased, judgemental, intolerant, full of hatred and venom for those who do not agree with his views. Well, exactly the same goes for the liberal. They are the most negative people you can ever meet, full of hatred, intolerance and contempt for those who dare to differ with their views. For instance, the journalist Hasan Nisar, who is willing to give an "ultay hath ka thappar" to anyone who contradicts his views – who thinks that the entire history of Islam is one big lie, and muslims do not have a single moment or incident in their history to glorify or be proud of. We have always been losers and always will be.
Thus, in actual practice, both extremism and modern liberalism simply appear to be two slightly different guises of fascism, with their hateful, cynical views and extreme intolerance. Both display selective humanity. Both are victims of tunnel vision, each caged up inside their own narrow minded worldview, the extremist under the delusion that he will lead the world to reform and salvation, while the liberal is under the delusion that he will liberate humanity from all chains of morality and ethics.
The sad fact is that at present, most of humanity is suffering from the "disorder" of tunnel vision, and the world appears to be almost devoid of sane, moderate minded individuals who follow the "middle road." Muslims have been called "Ummat al wast," or the "middle" nation in the Quran, a sane, modern, moderate and progressive people who were supposed to lead the way. But the world of Islam is simply caught and torn between extremism and liberalism. We do not possess the worldview, the vision, which would result in actual reform, and lead us towards peace and prosperity and the resolution of all human conflict and suffering. A vision which is the need of the hour – which Iqbal calls the "Vision of Abraham" – of Ibrahim Khalil Ullah:
براہیمی نظر پیدا مگر مشکل سے هوتی ہے
ہوس چهپ چهپ کے سینوں میں بنا لیتی ہے تصویریں
It is but hard to create the vision of Abraham
Desire forms hidden pictures within the hearts
Previous 27th Ramadan: Pakistan and the Night of Decree
Next Celebrating 6th September
Published by Fatima Altaf
Clinical Psychologist. Writer. Iqbal Researcher.	View all posts by Fatima Altaf
Alison Odonell says:
I am extremely impressed with your writing skills as well as with the layout on your weblog. Is this a paid theme or did you customize it yourself? Anyway keep up the nice quality writing, it's rare to see a great blog like this one nowadays..


text:
Rulings uphold State power over review clauses
Two significant rulings issued days apart upheld the authority of state departments of insurance to prohibit life and disability insurers from including discretionary clauses in their policies that would have the effect of triggering an arbitrary and capricious standard of review under the ERISA law. At issue was the adoption by several states of a model law promulgated by the National Association of Insurance Commissioners prohibiting discretionary clauses in health and disability insurers.
American Council of Life Insurers v. Watters, 2008 U.S.Dist.LEXIS 15185 (W.D.Mich. 2/29/2008), and Standard Ins.Co. v. Morrison, No. CV-06-47-H-DWM (D.Mont. Feb. 27).
The key issue decided by the court was whether the broad scope of ERISA preemption negated the effect of the bans in cases governed by the ERISA law. In the Michigan case, the plaintiff claimed two types of preemption - ordinary or complete preemption - which preempts any law that directly interferes with Congress' intent in enacting ERISA and the Supreme Court's ruling in Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101 (1989), which permits plans to contain such language. The Michigan court summarily rejected that contention, finding that Firestone does not compel discretionary clauses. Indeed, it found the opposite was the default rule. The court also determined that the prohibition does not interfere with Congress' intent in enacting ERISA.
The more significant question addressed by both courts was whether the prohibition of discretionary clauses are directly preempted by 29 U.S.C. section 1144, a statute that preempts all laws that relate to employee benefit plans governed by ERISA, which are not otherwise saved from preemption by 29 U.S.C. section 1144(b), which exempts from preemption laws that regulate insurance. Both the Michigan and Montana courts found the savings clause applicable, basing their analyses on Rush Prudential HMO Inc. v. Moran, 536 U.S. 355 (2002), and Kentucky Ass'n of Health Plans Inc. v. Miller, 538 U.S. 329 (2003).
In Rush Prudential, the Supreme Court ruled that an Illinois law governing health maintenance organizations which providing for binding independent review of medical claim determinations fell within the savings clause. The HMO argued that the law impermissibly deprived it of its deferential standard of review and further claimed the state law supplanted ERISA's enforcement mechanism. The Supreme Court rejected both arguments, finding:
''[I]n determining whether state procedural requirements deprive plan administrators of any right to a uniform standard of review, it is worth recalling that ERISA itself provides nothing about the standard. It simply requires plans to afford a beneficiary some mechanism for internal review of a benefit denial, 29 U.S.C. § 1133(2), and provides a right to a subsequent judicial forum for a claim to recover benefits, § 1132(a)(1)(B). Whatever the standards for reviewing benefit denials may be, they cannot conflict with anything in the text of the statute, which we have read to require a uniform judicial regime of categories of relief and standards of primary conduct, not a uniformly lenient regime of reviewing benefit determinations.'' 536 U.S. at 384-85 (citing Pilot Life Ins. Co. v. Dedeaux, 481 U.S. 41, 56 (1987)).
The Supreme Court added that not ''only is there no ERISA provision directly providing a lenient standard for judicial review of benefit denials, but there is no requirement necessarily entailing such an effect even indirectly.'' Consequently, the holding of Rush Prudential makes it clear the ERISA law affords no entitlement to a deferential standard of review. The Michigan court further noted:
''Statutes requiring de novo review do 'not implicate ERISA's enforcement scheme at all, and [are] no different from the types of substantive state regulation of insurance contracts we have in the past permitted to survive preemption, such as mandated-benefit statutes and statutes prohibiting the denial of claims solely on the ground of untimeliness.' (Citing UNUM Life Ins. Co. of Am. v. Ward, 526 U.S. 358 (1999); Metro. Life Ins. Co. v. Massachusetts, 471 U.S. 724 (1985)).''
Continuing the analysis, the Michigan court further pointed out that like Rush Prudential, the law prohibiting discretionary clauses would be saved because the state regulatory law neither creates a new cause of action nor provides a new form of relief since the law still retains the remedies which are limited by 29 U.S.C. section 1132(a): ''Under the Rules, a participant or beneficiary of an insured ERISA plan who challenges a claim denial is limited to bringing an action under ERISA's civil enforcement provisions.'' The Montana court applied the identical analysis and added that while it may be true the motive of Montana's insurance commissioner may have been to affect the standard of review applicable in ERISA suits, the court pointed out: ''The other side of the coin of this proposition shows that Standard wants the same thing: a deferential standard of review because this protects its interests; i.e, it lessens the chance that a plan administrator's determination - that an insured should not be compensated for the costs of a realized risk - will be reversed.''
Both courts focused their analysis, though, on the most recent pronouncement from the Supreme Court, Kentucky Ass'n v. Miller, which applied a two part analysis to the ERISA savings clause.
''First, the state law must be specifically directed toward entities engaged in insurance. See Pilot Life, supra, at 50; UNUM, supra, at 368; Rush Prudential, supra, at 366. Second, as explained above, the state law must substantially affect the risk pooling arrangement between the insurer and the insured.'' 538 U.S. at 342.
Although the plaintiffs in both the Montana and Michigan actions argued that Kentucky Ass'n overruled Rush Prudential, both courts disagreed and found the later decision merely expanded upon earlier rulings and afforded more power to the states to regulate insurance. The Michigan court deemed the first prong of the Kentucky Ass'n test to be straightforward and to compel a conclusion that ''when insurers are regulated with respect to their insurance practices, the state law survives ERISA.'' Rush Prudential, 536 U.S. at 366. It was clear to the court that the Supreme Court has repeatedly directed that state laws mandating insurance contract terms are saved from preemption. Hence, both the Michigan and Montana courts easily concluded the prohibition of discretion clauses ''are directed toward entities engaged in insurance.''
With respect to the second prong, the Michigan court pointed out that the test merely requires ''only that the state law substantially affect the risk pooling arrangement between the insurer and the insured; it does not require that the state law actually spread risk.'' The Michigan court added:
''In this case, the Rules constitute legitimate 'conditions on the right to engage in the business of insurance.' Id. at 338. Just as in UNUM, the Rules will result in insurers paying over more money in claims and incurring more of the risk they have assumed. See Metro. Life, 471 U.S. at 473. The Rules 'substantially affect the risk pooling arrangement between the insurer and insured' because they 'alter the scope of permissible bargains between insurers and insureds' by prescribing a term to which they may not agree. Kentucky Ass'n, 538 U.S. at 338-39 & n.3. This is manifest in the purpose of the Rules, which is to prohibit discretionary clauses because they 'unreasonably reduce the risk purported to be assumed in the general coverage of the policy.' Mich. Admin. Code r. 500.2202(a). Thus, the Court finds the Rules also meet the second prong of Kentucky Ass'n and, therefore, the Rules constitute 'law[s] ... which regulate insurance' under section 1144(b)(2)(A) of ERISA.''
Likewise, the Montana court determined, by reference to yet another earlier savings clause ruling from the Supreme Court, Unum Life Ins.Co. v. Ward, 526 U.S. 358 (1999) (holding that a rule permitting late notice of claim falls within the savings clause), the disapproval of savings clauses ''dictates to the insurance company the conditions under which it must pay for the risk which it has assumed.'' The court criticized Standard for looking only at the Supreme Court's language and disregarding the reasoning of the Kentucky Ass'n ruling, characterizing Standard Insurance Company's argument as ''shrewd legerdemain,'' but ''faulty legal reasoning.'' The court added the insurer's reasoning was contrary to the McCarron-Ferguson Act, 15 U.S.C. § 1011 et seq., which left to the states the authority to regulate insurance; and that the insurer's argument would mean it would be left to the insurance industry to regulate itself. The court then pointed out:
''The reasoning in Kentucky Ass'n compels the conclusion that the concept of 'risk pooling' as used in the second prong of the articulated test is qualitatively different than Standard suggests. Standard argues that 'risk' only means, literally, the type of risk insured against, e.g., the risk of physical injury or property loss. It then argues, the 'pooling' of this risk refers narrowly to the insurance-industry practice of risk classification. Yet the [state law provisions at issue in each of the Supreme Court's saving clause cases] ... each affected the substantive terms of the insurance policies under scrutiny in these cases, and not simply the risk insured against. Standard's interpretation ignores the reasoning of these cases that are the building blocks for the Kentucky Ass'n test.''
Thus, both courts found that the discretionary clause prohibition addresses the substantive terms of insurance forms in much the same manner as in every other Supreme Court ruling that upheld state regulation; and that the regulation is not preempted by the ERISA law.
Like the States of Michigan and Montana, Illinois has also adopted a regulation that prohibits discretionary clauses in health and disability insurance policies, 50 Ill.Admin.Code § 2001.3 (effective July 1, 2005). Other states that have adopted some form of the regulation are catalogued in an article authored by Professor John Langbein, ''Trust Law as Regulatory Law: The Unum/Provident Scandal and Judicial Review of Benefit Denials Under ERISA,'' 101 Nw.U.L.Rev. 1315, 1340-41 (2007), where the author commented:
''The Unum/Provident scandal has provoked a concerted movement among state insurance commissioners to forbid terms in insurance policies that alter the standard of judicial review. The rationale for these interventions, in the words of the California provision, is that policy terms attempting to govern the standard of review deprive the insured of 'the protections of California insurance law, including the covenant of good faith and fair dealing.' The influential National Association of Insurance Commissioners is encouraging the states to take this position. The Hawaii Commissioner ruled in 2004 that '[a] ''discretionary clause'' granting to a plan administrator discretionary authority so as to deprive the insured of a de novo appeal is an unfair or deceptive act or practice in the business of insurance and may not be used in health insurance contracts or plans in Hawaii.' At that time such clauses were 'prohibited by statute in Maine and Minnesota, and by Insurance Commissions in California, Illinois, Indiana, Montana, Nevada, New Jersey, Oregon, Texas, and Utah.' In 2005, the Illinois regulations were further amended to forbid health or disability insurance contracts from 'containing a provision purporting to reserve discretion to the [insurer] to interpret the terms of the contract, or to provide standards of interpretation or review that are inconsistent with the laws of the State.' ''
Although the Illinois regulation has yet to receive a court test, the pair of rulings issued by the district courts in Montana and Michigan will no doubt prove influential and will hasten the demise of discretionary clauses, and thus, the arbitrary and capricious standard of review, in benefit claims involving health and disability insurance.
- See more at: /articles-and-archives/articles-by-mark-d-debofsky/rulings-uphold-state-power-over-review-clauses/#sthash.thg6dzGB.dpuf


A LINCOLN based Entrepreneur has moved into The Terrace after a successful first quarter with his online fashion company www.fredsclothing.co.uk. Tony Ryder, an online marketing guru has moved operations from rural Spilsby to the hi-tech cultural quarter in the centre of Lincoln.
Mr Ryder, who has been involved with online marketing for the last 10 years, took the plunge into starting his own company after research found the need for more country style clothing. When The Terrace workspace was developed it proved an ideal opportunity for Fred's. Mr Ryder explained, "The space is perfect for our immediate requirements and for our future expansion".
The business was started last January by chance after Tony left his role with a sport's medical company in Lincoln, where he helped to win the E-business Award in 2006.
"I was in the pub when I was approached by a local supplier of clothing, who asked if I would like to sell their range on the Internet. It was an opportunity I could not miss and I began the design of the site straight away" said Mr Ryder.
Since then the company has broadened its horizons and taken onboard its 'funky living' theme.
It's remarkable to think how the company has grown, considering it was started with only £200 savings by Mr Ryder, and his business partner Fred. When thinking of a name for the company, it was Tony Ryder's fiancée, Caroline, who shouted out 'Fred's!' during a family meal, a name that is now seen by thousands of visitors to their website each every day.
The achievement of hard work by both Fred and Tony Ryder has paid off with first quarter increase in turnover in line with the 32% projected.
"We are on course for a substantial increase in turnover this year, solely online", said Mr Ryder. "We have introduced new brands and new designers to the website to offer the consumer more choice and more affordability in these challenging times".
The company, which hasn't ruled out a high street presence in the future, has seen strong sales regardless of the current credit crisis. Tony believes that if the product offering is quality and the brand name is strong, customers will continue to shop both online and on the high street.
This press release was distributed by ResponseSource Press Release Wire on behalf of Fred's in the following categories: Retail & Fashion, for more information visit https://pressreleasewire.responsesource.com/about.


Say hello to Spring sunshine, no matter what time of year it is. This pretty 24" Spring Garden Wreath takes everything we love about spring, and wraps it into a never-ending circle of colorful sunshine! With a vast array of springtime blooms, sprigs, and twiggy base, it looks so real even the bees will be fooled! Makes an ideal home or office decoration, and a fine gift as well.
19" x 19" x 6.25"


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Much like its namesake, the camelback couch has a hump or possibly two that highlights the main silhouette of the sofa design. This can be a conventional design that was prominent within the 18th century by Chippendale and families who wanted aristocratic, formal "Cataldo Floor Mount 36"" Single Bathroom Vanity Set with 4"" Centers Faucet Mount" often opted for this style. These days, this sofa design lends a more formal atmosphere to the room, especially when upholstered in a formal fabric. A far more informal textile option will make it appropriate for a family room that doesnt require a lot of custom. Either way, the camelback couch has some factors that characterize the design and style. The thighs are usually exposed, the sofa has no back cushions and it usually has sq . or rolled arms.
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Last week, we published an article highlighting our pick of the top 20 vintage engagement rings. While researching the article we noticed that it can be quite difficult finding engagement rings in rose or 'pink' gold.
Because an engagement ring will be worn each and every day, it's important that it suits your partners style of clothing, colouring and her tastes. If she loves and owns jewellery made from rose gold, rather than the more common silver or gold, she will appreciate the thoughtful choice of a rose gold engagement ring.
As these rings can be harder to find, we've selected twenty beautiful rose gold engagement rings for you to choose from.
Wear a piece of modern art on your finger with this sophisticated and elegant ring. A smooth band of 14k rose gold showcases a round diamond lying flush with the metal, giving a polished and fluid look that is modern yet timeless.
A bride-to-be who loves sparkle and shine will be dazzled by this spectacular 14k rose gold ring with a huge cushion cut centre stone surrounded by a halo of smaller pave set stones. Choose diamonds for classic brilliance or select other stones of your choice, such as sapphires, emeralds or rubies.
This gorgeous vintage ring mixes diamonds and sapphires in a 14k rose-gold setting. It features deep-blue marquise shaped sapphires and sparkling round diamonds with milgrain detailing on either side of a larger round diamond.
Vintage glamour is displayed at its best with this wonderfully ornate rose gold ring. A large diamond in a choice of round or princess shape is surrounded by flowing swirls of floral pave set diamonds that loop into a stylised diamond shape around the central stone.
This show-stopping modern engagement ring is the perfect setting for any round stone. Made from rich 14k rose gold, the shank features knife edge engraving all around and a beautifully crafted bezel of three linked gold rings containing a large central stone of your choice.
The wonderfully flowing lines of this stylish bypass ring make it ideal for a bride-to-be who loves nature. Curving like ocean waves, the pave set rose gold band wraps around the finger and highlights a dazzling central round stone.
Another stunning ring inspired by nature, this rose gold ring has an arched, cathedral shape filled with 28 milgrain accented diamonds. Some are inlaid into the top and sides while others are set in the shape of flowers flanking a spectacular central round stone.
Emeralds and diamonds are united for all eternity in this exquisite three-stone ring. Dazzling green pear-shaped emeralds sit either side of a large central diamond set in a graceful wire basket blended with a smooth rose gold shank.
The delicate simplicity of this ring is breathtaking, with a thin 14k rose gold band covered in a circle of pave set diamonds. Select a French-cut stone of your choice in any size or shape for a look that is classic and totally irresistible.
Over 100 pave diamonds swoop and swirl around two rose gold bands to make this one of the most glamorous and eye-catching engagement rings we have found. Clusters of pave diamonds form a delightful halo surrounding a huge central stone, which is clasped in an exquisitely detailed, smooth rose gold setting.
This is another show-stopper; an amazing construction of beaded marquise framework holding an array of round diamonds to create a burst of glittering fireworks. The design enhances and compliments the large, round central diamond and the three stacked rose gold bands.
Wear your heart on your finger with this elegantly simple design. The polished beauty of the smooth rose gold band holds a gold-edged heart containing a brilliant heart-shaped diamond that is surrounded by a sparkling edge of 22 pave set diamonds. The heart-shaped stone can be as large or small as you like.
Rose gold and white gold combine perfectly in this graceful and refined ring. A large, round diamond is surrounded by a circle of glittering pave set diamonds enclosed with 18k rose gold, while more pave diamonds are set into the solid white gold band.
Geometric shapes and milgrain edging give this exquisite ring a sumptuous Art-Deco feel. The rose gold band is intricately carved into stylised chevrons, leading into a split shank set with dozens of diamonds. Two diamond shapes filled with diamond flank a central round stone, held in place with four polished rose gold bars.
Display the full beauty of any size or shape of diamond, emerald or ruby in this dramatic rose gold spiral. The tension-set solitaire is perfectly balanced within the smooth circle of solid gold for a stunning, modern engagement ring that really makes a bold statement.
Diamonds and rose gold are twisted around this spectacular ring to give a beautiful overlapping effect. The large central round stone is circled by an intricate wreath-like halo of diamonds and gold, held in place with four smooth rose gold clasps.
Tapered diamond baguettes are held in place by circles of pave diamonds and flank a dazzling, prong set round solitaire. Soft and feminine rose gold beautifully compliments this perfectly-proportioned vintage style ring.
The hand-engraving that runs all around this rose gold ring is a standout feature, along with the perfectly-set trio of diamonds at the front. It is designed to be worn with a matching wedding band for timeless, vintage beauty.
The unusual shape of this channel-set ring evokes a bow-tie, with beautiful tapering that accentuates the glittering diamond at its centre. Polished rose gold is interset with four varied diamonds on each side.
A fairy-tale ring for true romantics with heart-shaped carving that is interlaced with pave diamonds, surrounding a glamorous central diamond in round or princess cut.
In a different shape, I like also the Boucheron "Quatre" ring, especially in black edition !
Those rings are fantastic, I like also the Boucheron "Quatre" ring in black edition, which is simply stunning in the Diamond version !!