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text:
Opinion > Kevin, M.D.
The Decline of Whole-Person Treatment in Modern Medicine
— Psychosocial factors are not adequately addressed in medicine's current state
by Arthur Lazarus, MD, MBA January 21, 2023
This post originally appeared on
Recently, a nurse practitioner responded to one of my opinion articles in which I discussed the doctor-patient relationship. The nurse said:
I feel so frustrated at times, by the time constraints forced on us by using a business model of practice. In the 30-plus years I've been a nurse, we have moved from patient-centered care (which is the current inaccurate buzzword for the type of care we provide) to income-generated care.
How many patients can we shove into an hour to bill insurance to maximize our bottom line? I'm looking at retiring early because I feel I can no longer give the quality nursing care I was trained to provide. I'm now told I don't work hard enough or fast enough to move people through. We no longer have the benefit of learning about and with our patients to provide care of the whole person. When I started nursing many years ago, the aspect that was drilled into us nursing students was dealing with the physiological and psychosocial aspect of the patient. For a patient to heal, the entire person needed to be addressed not just one area.
I've seen this sentiment expressed many times by physicians and advanced practice providers who appear to long for a time when the biopsychosocial model was in vogue. This model was first conceptualized by George Engel, MD, in 1977, suggesting that to understand a person's medical condition, it is not simply the biological factors that must be considered, but also the psychological and social factors. The value of Engel's heuristic approach to treatment became apparent when it was realized that social determinants of health account for approximately half of all health outcomes.
The following list was compiled by the World Health Organization and provides examples of the social determinants of health, which can influence health outcomes (and equity) in positive and negative ways:
Income and social protection
Unemployment and job insecurity
Working life conditions
Housing, basic amenities, and the environment
Social inclusion and non-discrimination
Structural conflict
Access to affordable health services of decent quality
It seems to me, however, that the concept of whole-person treatment has waned since the turn of the century. We're more accustomed to practicing medicine in line with the biomedical model that dominated practice prior to Engel's seminal paper.
I believe we are ignoring the psychological and social substrates of healthcare, and in doing so we fail to truly understand our patients' concerns, including their needs and desires. I wonder whether such neglect can partially explain the low rankings on key health indicators that have continued to fall as U.S. medical expenditures have skyrocketed, far outstripping those of healthier nations?
Granted, grappling with psychosocial issues is far more complex and time-consuming than Engel ever imagined. But some of that is our own making. It's virtually impossible to assess non-biological dimensions of health when medical offices today are run like assembly lines and patient visits are held to 15 minutes. In Engel's era, most physicians were practicing independently and were spared productivity quotients. They were untethered to computer prompts and automated reminders. Fifty years ago, doctors made notations in their patients' charts to ask about important milestones – job promotions, graduations, and anniversaries (marriage, sobriety, etc.). When was the last time your electronic medical record (EMR) system delivered this type of feedback?
The introduction of EMRs has resulted in as much harm as good: computers may cause "alert fatigue," with negative clinical consequences. When important social history is entered electronically, it often remains static, quickly becoming outdated.
To add insult to injury, about 50% of the medical record is copied and pasted, making it difficult to find and verify information in day-to-day clinical work. Duplicated text in EMRs, so-called "note bloat," also leads to wasted clinician time, medical error, and burnout.
Physicians practicing in the 1970s were free thinkers and private investigators, guided by a deep understanding of their patients' social habits and milieu. Histories often referred to patients by their occupation ("Mrs. Jones is a 53-year-old school teacher...") rather than by gender pronoun. From the perspective of the patient, access to physicians improved during the 1970s. On average, a patient in 1971 had to wait only 5.6 days for a primary care appointment, and the average visit lasted 22 minutes.
Recently I was seen in the emergency department of my local hospital for treatment of what turned out to be symptoms of influenza A and lobar pneumonia. I was told to follow up with my primary care physician (PCP) to ensure the pneumonia had resolved. The earliest appointment I could schedule through the patient portal was 16 days, despite indicating "sick visit" as opposed to "routine visit." A call to my PCP's office put me in touch with his medical assistant. The best she could do was add me to a waiting list.
My PCP is a very good doctor, although paraphrasing former Texas Sen. Lloyd Bentsen, "he's no Marcus Welby." And maybe that's the problem. I'm old school. I'm stuck in the 1970s – me, my music, and my medical expectations. I attended medical school in the 1970s. The hit television show "Marcus Welby, M.D." was known as a 1970s show (airing Sept. 1969 to July 1976). Welby was a family medicine physician with a kind bedside manner who made house calls and was personally involved with all his patients and their extended family members and support systems, or at least he made it his mission to become involved. Welby was so devoted to his patients you would have sworn he had a caseload of one per day.
When the television series ended in 1976, Robert Young, the iconic actor who played Welby, quipped, "I knew that it was time to quit when I started taking time off to play golf!" His tongue-in-cheek remark portended a prime concern shared by modern-day physicians about their specialties – which one affords the greatest work-life balance? However, work ethic was never questioned in medical dramas that aired a half-century ago -- not only "Marcus Welby, M.D.," but also "Ben Casey" and "Medical Center."
While the new breed of medical TV shows, beginning with "St. Elsewhere" in 1982, portrayed gritty, realistic medical scenarios, they were better known for their ensemble casts and overlapping serialized story lines focusing more on the lives of doctors than the plight of patients.
I guess I'm just a hopeless traditionalist and unable to reconcile the demise of the biopsychosocial model and the physicians -- fictional or not -- who embodied its principles. Sure, I can pay a hefty yearly fee for concierge medicine and maybe enjoy a less rushed, more personalized experience with someone who knows and understands me better than my current PCP.
Yet, with or without the time and productivity constraints imposed by health systems on their employee physicians, most doctors appear to be stuck in the biomedical model Engel sought to transform. My hope is that medical educators will re-instill in young trainees Engel's thesis that "the physician's basic professional knowledge and skills must span the social, psychological, and biological, for [their] decisions and actions on the patient's behalf involve all three."
Arthur Lazarus, MD, MBA, is a psychiatrist.
This post appeared on KevinMD.

redpajama_set_name: RedPajamaCommonCrawl


text:
2012 Italian GP: post Qualifying Press Conference
Written by David on September 08th, 2012 at 7:21 pmLast Update: September 08th, 2012 at 7:21 pm
Q: Lewis, Ferrari were fastest with Fernando in Q1 and Q2 but you managed to save the best for last.
Lewis Hamilton: "Yeah, it's been a tough weekend but we've managed to work on the setup and the package the guys bought from the factory – and they've done a fantastic job. So, congratulations to the team and great for the lads. Yeah, managed to get a half-decent lap at the end of Q3, or at the beginning of Q3, and it's great obviously for the team to have me and Jenson at the front."
Q: Jenson, it's been very close all weekend. How do you see the race from where you're starting?
Jenson Button: "First of all I'll just echo what Lewis said. For us both to be on the front row, it's fantastic for the team. I think the last few races have really shown our strength and qualifying both of us on the front row is great – I don't know if any other team has been able to do that this year. Tomorrow we'll start thinking about in a little while but – I don't know, even being on the front row is not going to be an easy race here but it's the best place to be."
Q: Felipe, we saw you working with Fernando this morning in practice, and again in qualifying, doing slipstreams, helping each other out. It worked for you, but where's Fernando?
Felipe Massa: "I think he had a problem, to be honest. I mean he's supposed to be in a good direction for the qualifying as well, so I don't know which problem he had but he had a problem in Q3 and was not able to complete his lap. But anyway, I'm happy with the lap I did, so I was able to do a good lap. I was always caring about the tow, to find a good tow, but then on the last run when I did my best lap I was completely outside of the tow, so it was better for me, and I was able to do the best lap from the weekend in the last try in Q3, so happy to be here. It's always a very important race for us, so looking forward for it."
Q: Back to you Lewis, you mentioned it's a tough weekend, obviously a lot of distractions going on off the circuit. How easy has it been for you to put all of that out of your mind and focus on the race tomorrow?
Lewis Hamilton: "I haven't had any distractions this weekend so it's been quite positive. The support from my family and friends, as always, has been incredible, so just been enjoying the weekend. It's been pretty smooth so far."
Q: Lewis, well done, it seems to have been a perfect weekend for you so far but just now you called that a half-decent lap – it's good enough for pole…
Lewis Hamilton: "I think practice was a lot better for me. I had much, much better laps in practice but I can't complain. Generally I didn't think that lap was anywhere near good enough and I was up, I think, a couple of tenths in my second lap but I was in a train of cars: Kimi and two Ferraris in front. So, I wasn't really able to better my lap but none the less I'm happy and I'm really happy for the team because they've been doing a fantastic job. Obviously had great success in the last race with Jenson and to have us both up here is where they deserve."
Q: The stats say a lot of winner from pole position over the last ten years, something like nine out of ten have won from pole position. So that must be encouraging as well?
Lewis Hamilton: "Not particularly – I think that one that wasn't a winner was me! In 2009 maybe? When I was on pole."
Q: You seem to have hit the ground running from the start of the weekend, and just yesterday you said it was just fine-tuning. Is that what's been going on?
Lewis Hamilton: "Yeah, yeah, just getting used to the setup to try to find us a time everywhere. It's a beautiful track, just such an incredible circuit, and I think, probably the more and more you drive it, the more you appreciate it. Of course you have to respect this circuit. It's such high speed. And also the fans here are absolutely incredible. Such passionate people who love motor racing, pure motor racing, so it's great to see."
Q: Of course it's great to have an all-McLaren front row but is it better to have your team-mate alongside you or would you prefer somebody else?
Lewis Hamilton: "It's not bad or good. It's good because it's good for the team and we can score maximum points for the team tomorrow. And so that's, for me, the way I think."
Q: Jenson, a winner last weekend as well, and here you are on the front. You've qualified second here before. Your feelings about being second on the grid?
Jenson Button: "Relatively happy. I started the weekend pretty happy with the car. We tried a couple of things on Friday, which I don't really think worked out for us, so we were struggling a little bit on Friday afternoon. Today the car has been much better. In qualifying because of the heat – it was much hotter than this morning – the car is moving around a lot more. This place, it really reminds me of karting, because it's all about keeping the minimum speed up, especially through Ascari and Parabolica. So you're always listening to the engine revs through the apex and you know if you're quick or not. It's a really interesting place to drive. In Q3 I realised how much a tow makes. In practice we were getting tows but it was difficult to work out if it was actually quicker or not. But in Q3 it was and I was able to get a reasonable off Vettel, which surprisingly made a good difference."
Q: Ferrari seem to have practiced the tow this morning and put it into effect, certainly for Felipe, this afternoon. Is that something McLaren considered?
Jenson Button: "No. That's something that we… well, personally, I feel it's very difficult to plan something like that. It's difficult to get it right. You concentrate too much on it, you can do, and you can get your breaking point wrong or something. It's a tricky one. The way that we did was much better, just finding traffic on the circuit, so it worked reasonably well."
Q: Felipe, how much of a difference do you think it did make, having that tow?
Felipe Massa: "For me it was no different because I made my best lap without the tow. We were trying a lot to have a good direction for the two. It's never very easy to make that in qualifying but I think we were able to do a little bit in Q1 and Q2. Fernando helped me on the first try on Q3 but he was supposed to do his lap on the second time, I was supposed to help him on the second lap. And then we came in at the same. And then I was behind Vettel, he braked completely, he almost stopped his car in the second chicane. I passed him so I said I'd try, just to see, as I never did one lap without the tow. I think it was nice to try even knowing that I had already my first timed lap in Q3. I tried and I improved, so I was pretty happy to do that. The car worked quite well in the corners, so maybe you lose a bit on the straight but we were able to gain more in braking and cornering. I think it was good; it was a nice qualifying. Unfortunately, Fernando is not here because he had a problem with his car but he was very quick as well. Let's concentrate on the race tomorrow where I'm in this place, and I'm very happy to be here."
Q: Yes, it's your best grid position of the year and here you are in front of the Italian fans, so very satisfied?
Felipe Massa: "Yeah, very satisfied it's in this place. But I'm happy and really looking forward to it. It's a very important race for us, a very important race for me. And I'm looking forward to a good race in front of these fantastic people, as Lewis just said."
QUESTIONS FROM THE FLOOR
Q: (Andrea Cremonesi – La Gazzetta dello Sport) Lewis, did the pit wall tell you that Fernando had a problem and when you found that out, was it a big relief? It seems that qualifying was likely to be a fight between you and Fernando today.
Lewis Hamilton: "I didn't hear of any problem. I saw on the TVs, as I was doing my first lap, I saw that Fernando pulled in out of his first lap and then in the second I just assumed that he was up ahead, so I was just pushing and focusing on my laps."
Q: (Vladimir Rogovets – Znamya Ynosty) Felipe, Monza is usually a very good race for you. Can we tell our readers that Massa has re-found his talent?
Felipe Massa: "Yeah. I'm happy with the car. We were able to do a good lap so we are heading in a good direction, very happy with the performance and concentrated for the race. Unfortunately I never won here at Monza in Formula One but I've always done good races. Before Formula One I always won all the races I did at this track so I think it's a very nice track which I enjoy a lot. I used to live close by when I was doing Formula Renault so I really enjoy this place and I hope we can have a fantastic race tomorrow."
Q: (Vincent Marre – Sport Zeitung) Lewis, how have you prepared yourself mentally since you arrived in the paddock this morning? Has something changed compared to the other races, due to the particular context? What are your rituals?
Lewis Hamilton: "It's been pretty much the same. I've qualified on the front row for quite a few races now so I just continue to do the same thing. I think it's nine times or something that I've been on the front row this year, so it's been pretty good qualifying for us."
Q: (Livio Oricchio – O Estado de Sao Paulo) Felipe, considering how you've gone on Friday and this morning, is it realistic to believe you can beat McLaren in the 53 laps of the race?
Felipe Massa: "That's always the direction we need to take. We go to the grid thinking about victory, thinking about doing the maximum you can to win the race and that's what I'm going to do tomorrow. They are very strong, they are quick but we have 53 laps in the race, we know how different the race can be compared to qualifying so for sure I want to try everything I can."
Q: (Vladimir Rogovets – Znamya Ynosty) Jenson, you will probably not be in the same team as Lewis next year. Tomorrow, does it give you more motivation to fight?
Jenson Button: "Where am I going? Sorry. That's the first I've heard of it."
Q: (Vladimir Rogovets – Znamya Ynosty) Does it give you extra motivation to fight Lewis?
Jenson Button: "Yes. I think we all love a good fight and we all love a challenge. Having a competitive teammate, sometimes you think 'damn, sometimes I wish I didn't have such a competitive teammate' but a lot of the time it's good because it pushes you and you can see where you are in terms of your performance in a race weekend. There are positives and negatives, but I think there are more positives than negatives."
Felipe Massa: "Which are the negatives?"
Q: (Andrea Cremonesi – La Gazzetta dello Sport) If I'm not mistaken, none of you three have won here in Formula One. Could you explain to us your feelings today that you have the best chance to win tomorrow? Felipe, I think that it's also important to finish on the podium. I think you missed the podium since Germany 2010, I suppose or Korea?
Felipe Massa: "Yeah. It's important to everybody. None of us won here before so it's very important for everybody, very important for me. I know how important it is for me. As I said before, I will try everything to win and to do a good race."
Q: (Sylvia Arias – Parabrisas Argentina) Felipe, is this extra pressure for you? We all know how important it is for you and we expect the best of you, but do you feel this is extra pressure?
Felipe Massa: "I think I know very well the pressure I have so it doesn't change anything. We just need to do the best on the track. You always have a lot of pressure. We just need to concentrate on the race. It's a very important race tomorrow for me but also for the team so let's concentrate on that. When you race for Ferrari you always have a lot of pressure."
Q: (Bob McKenzie – Daily Express) Jenson, Lewis, Martin (Whitmarsh) said on TV that it will be an interesting first corner. How much thought do you give to that between you? Do you discuss it or just race it?
Lewis Hamilton: "Just race it."
Jenson Button: "It doesn't matter who is next to you, it's always an interesting first corner as you put it, especially here. It's a reasonably long drag down to turn one. You can't plan turn one."
source: FIA
2008 Turkish GP: Post race press conference
2008 German GP, Qualifying: Williams quotes
2012 Monaco GP: post Qualifying Press Conference
2010 Bahrain GP, qualifying: Red Bull quotes
Force India: Vitantonio Liuzzi to replace Fisichella
Sebastian Vettel grabs third pole position at Silverstone
Heikki Kovalainen joins Vodafone McLaren Mercedes
Melbourne stewards exclude both Toyotas from qualifying
Sebastian Vettel grabs Hockenheim pole position
McLaren-Mercedes: 2009 Malaysian Grand Prix preview


As part of the .NET 4.5 release, new language features for asynchronous programming were added to both C# 5.0 and Visual Basic 11. Their main goal is to take away the burden of having to restructure asynchronous code using a callback pattern, as seen with the APM, EAP, and TAP. By doing so, developers can focus on the logical flow of control of their application, rather than having to worry about the mechanics of how the code ultimately executes.


text:
Caleb Clarke
Clarke made his All Blacks Sevens debut in Sydney in January 2018.
He played two tournaments and was selected for the Commonwealth Games squad but had to withdraw with appendicitis. Turning his attention to 15s, Clarke has played for New Zealand Under 20s in 2017 and 2018, winning the World Champs in his first year. He scored a try in the 2018 Mitre 10 Cup Final which his side, Auckland, won in a dramatic extra-time thriller. He re-joins the All Blacks Sevens from the Blues set up for the 2019/2020 season.
Caleb Clarke NEWS
New Zealand rugby players volunteering during Covid-19 lockdown
A huge amount of incredible New Zealanders have offered up their services during the Covid-19 situation and our rugby players are no different.
The Week That Was on social media … Sevens
It's been a massive couple of weeks for our All Blacks Sevens and Black Ferns Sevens teams. We have a look at what they've been up to on social media.
Setback for All Blacks Sevens as Fiji find form
Fiji chose their pool game against the All Blacks Sevens, the last game of the first day of the HSBC World Sevens in Sydney on Saturday, to find their best touch of the season when running in a 26–5 win.
Clarke and Rayasi add firepower to All Blacks Sevens
Caleb Clarke and Salesi Rayasi are expected to bring some added excitement to the All Blacks Sevens as they look for another series title when they take the field at the HSBC Sydney Sevens this weekend.
Crusaders warm up for playoffs in style
A pre-playoffs revision class set the Crusaders up for a 54-17 win over the Blues in the last round of Investec Super Rugby preliminary round play at AMI Stadium in Christchurch on Saturday.
Umaga and the Blues get welcome lift
Blues coach Tana Umaga finally enjoyed some reward during what has been a season to forget when his side beat the Waratahs 24-21 in their Investec Super Rugby game in Sydney on Saturday.
Australian record puts extra weight on Blues
For a team under pressure to turn around their performance the Blues head to Sydney to play the Waratahs in their Investec Super Rugby game on Saturday knowing that the 36-game streak of New Zealand teams succeeding against Australian sides is on the line.
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text:
Q: How to sort two arrays but keep them in a corresponding order? In my program, I take in a list of grades and a list of names. The order of the grades corresponds to the order of the names. I want to sort the grades lowest to highest or highest to lowest (doesn't matter), but keep it so that the index of person a and person a's grade is the same.

A: You can use key-indexed counting sort for this task, the running time of the algorithm is linear, I assume that you have at most 2 decimal after floating-point so I am using Number * 100
 public static void main(String[] args) {
        String[] names = { "Jack", "Sara", "Smith", "Nour", "Salah" };
        double[] degrees = new double[] { 90.0, 98.6, 98.5, 85.6, 100.0 };
        int N = degrees.length;
        int R = 101 * 100;
        int[] count = new int[R + 1];
        double[] aux = new double[N];
        String[] aux2 = new String[N];
        for (int i = 0; i < N; i++) {
            int pos = (int) (degrees[i] * 100) + 1;
            count[pos]++;
        }

        for (int r = 0; r < R; r++)
            count[r + 1] += count[r];

        for (int i = 0; i < N; i++) {
            int pos = (int) (degrees[i] * 100);
            aux[count[pos]] = degrees[i];
            aux2[count[pos]++] = names[i];
        }

        for (int i = 0; i < N; i++) {
            degrees[i] = aux[i];
            names[i] = aux2[i];
        }

        for (int i = 0; i < N; i++) {
            System.out.print(names[i] + ": ");
            System.out.println(degrees[i]);
        }
    }

, output
Nour: 85.6
Jack: 90.0
Smith: 98.5
Sara: 98.6
Salah: 100.0

A: Firstly, since you're using Java, the natural way to do this would be to create a class, e.g. Student, with grade and name instance members. You'd then have a list of Students that you could sort, which would naturally keep associated data together.
However, if you need to stick with separate lists, the trick is to sort a list of indexes into the grades list, rather than the grades list itself. In the comparator you compare the grades at the corresponding positions in your grades list, rather than the indices.
List<String> grades = Arrays.asList("F", "A", "C", "D");
List<String> names = Arrays.asList("Tom", "Sue", "Dick", "Harry");

List<Integer> indexes = new ArrayList<>();
for(int i=0; i<grades.size(); i++) indexes.add(i);

indexes.sort((i1, i2) -> grades.get(i1).compareTo(grades.get(i2)));

for(Integer i : indexes)
    System.out.format("%s : %s%n", names.get(i), grades.get(i));

List<String> sortedGrades = new ArrayList<>();
List<String> sortedNames = new ArrayList<>();
for(Integer i : indexes)
{
    sortedGrades.add(grades.get(i));
    sortedNames.add(names.get(i));
}

System.out.println();
System.out.println(sortedNames);
System.out.println(sortedGrades);

Output:
Sue : A
Dick : C
Harry : D
Tom : F

[Sue, Dick, Harry, Tom]
[A, C, D, F]

Just for comparison, here's how you might do it using a Student class:
class Student
{
    String grade;
    String name;
    public Student(String name, String grade)
    {
        this.name = name;
        this.grade = grade;

    }
}

Test:
List<String> grades = Arrays.asList("F", "A", "C", "D");
List<String> names = Arrays.asList("Tom", "Sue", "Dick", "Harry");

List<Student> students = new ArrayList<>();
for(int i=0; i<grades.size(); i++)
    students.add(new Student(names.get(i), grades.get(i)));

students.sort((s1, s2) -> s1.grade.compareTo(s2.grade));

for(Student s : students)
    System.out.format("%s : %s%n", s.name, s.grade);

Output:
Sue : A
Dick : C
Harry : D
Tom : F

A: Explanation
It might be a better idea to create an object to represent your Student (which will contain name and grade as attributes) instead of trying to sync the ordering of different arrays.
Considering both your arrays are already in the same order (grades[0] match names[0] and so on) you will basically need to:

*

*iterate one of your arrays to create your Students list;

*create a Comparator to sort your list in ascending order or a Comparator.reversed() if you to sort it in descending order;

Example
Student.java
package com.stackoverflow;

import java.math.BigDecimal;

public class Student {

    private String name;

    private BigDecimal grade;

    public Student(String name, BigDecimal grade) {
        this.name = name;
        this.grade = grade;
    }

    public String getName() {
        return name;
    }

    public void setName(String name) {
        this.name = name;
    }

    public BigDecimal getGrade() {
        return grade;
    }

    public void setGrade(BigDecimal grade) {
        this.grade = grade;
    }

}

GradeComparator.java
package com.stackoverflow;

import java.util.Comparator;

public class GradeComparator implements Comparator<Student> {

    @Override
    public int compare(Student source, Student target) {
        return source.getGrade().compareTo(target.getGrade());
    }

}

Example.java
package com.stackoverflow;

import java.math.BigDecimal;
import java.util.ArrayList;
import java.util.List;

public class Example {

    public static void main(String[] args) {

        String[] names = {"John", "Mary", "Paul", "Alex"};

        BigDecimal[] grades = {BigDecimal.valueOf(5), BigDecimal.valueOf(3), BigDecimal.valueOf(8), BigDecimal.valueOf(2)};

        List<Student> studentList = new ArrayList<>();

        for (int i = 0; i < names.length; i++) {
            studentList.add(new Student(names[i], grades[i])); // make sure arrays have the same size so you don't get an ArrayOutOfBoundsException
        }

        studentList.sort(new GradeComparator()); // list is now sorted in ascending order

        studentList.sort(new GradeComparator().reversed()); // list is now sorted in descending order

    }

}

redpajama_set_name: RedPajamaStackExchange


People in Germany enjoy freedom of speech and freedom of religion. These are among the key human rights. Article 4 of the German Basic Law protects freedom of religion. It reads: "Freedom of faith and of conscience, and freedom to profess a religious or philosophical creed, shall be inviolable. The undisturbed practice of religion shall be guaranteed." In practice this means nobody may be discriminated against on account of their religious beliefs; there is no "state church", politics and religion are kept separate; religion is a private matter. People of different religious beliefs live in Germany peacefully alongside one another. Migration has created a more diverse religious world. Some 47 million people belong to one of the Christian denominations. Of them, around 24 million are Catholics, and some 23 million are Protestants. Another third do not belong to any religion. Many have also left the Church. This option is open to anyone in Germany over the age of 18. The majority of people in east Germany are atheists. The largest religious communities include four to five million Muslims, 200,000 Jews, and members of the Orthodox Christian faith and of Free Churches. In everyday life a person's religion does not play much of a role. Government schools are obliged to offer religious instruction; some states also offer instruction in the Islamic religion.


text:
Cheema is a village in Batala in Gurdaspur district of Punjab State, India. The village is administrated by Sarpanch an elected representative of the village.

Demography
, The village has a total number of 597 houses and the population of 3371 of which 1777 are males while 1594 are females according to the report published by Census India in 2011. The literacy rate of the village is 72.92%, lower than the state average of 75.84%. The population of children under the age of 6 years is 339 which is 10.06% of total population of the village, and child sex ratio is approximately 687 lower than the state average of 846.

See also
List of villages in India

References

Villages in Gurdaspur district

redpajama_set_name: RedPajamaWikipedia


Weston A. Price, founded by Nourishing Traditions author Sally Fallon, deems liver an "unidentified anti-fatigue factor" which "makes it a favorite with athletes and bodybuilders." Remarking on the ravishing deficiency of B12 among our country's populace, Price establishes liver as a "cure for anemia."
Graham acknowledged the fact that while the candidate selections may not exactly appeal to Christians---indeed, may require "holding their noses"---Christians hold the responsibility nonetheless to vote-in "biblical values."
Born and died this month, the valued apologist is remembered by his words of keen relevance in relation to the Christian life.
Surprising benefits---and appeal---of sensational, fermented tea.
In response to journalist, Pope Francis denies female priesthood in favor of traditional role of women.
A basic overview of the health benefit claims associated with bone broth.
Sean Sherman takes his desire to restore his people's vision regarding indigenous foods to a whole new level: The Sioux Chef An Indigenous Kitchen.
Mexico dons its brightest colors for the Day of the Dead.
Monday, October 31, Pope Francis visited Sweden on the 500th anniversary of the Reformation. He did not attend in support of the Reformation itself Martin Luther, though he did have plenty to say in favor of Doctor Luther's courage and role in part towards restoring the sacred view of Scripture for peoples and generations to come. Rather, his motive was one more of humility and ecumenical respect, urging Christ's followers to "look with love and honesty at our past, recognizing error and seeking forgiveness."
"The most merciful thing that a family does to one of its infant members is to kill it." The woman responsible for these words is the same women who inspired the racist theory of eugenics, popularized by the Nazis during World War II. She is additionally responsible for the millions of babies lost at the brutal hand of Planned Parenthood. She is Margaret Sanger, and the proclaimed inspiration of present presidential candidate, Hillary Clinton.
With an overwhelming number of at least 18,800 civilians murdered at the hand of ISIS within the past two years, it may not come as a surprise that Iraq has declared support in favor of presidential candidate Donald Trump.
The symbiotic relationship between familial degeneration and the philosophy of statism. As of 2011, a whopping 47.6% of all households consist of homes headed by mothers. The fact of absentee fathers and the devastating effects on children in association with spiritual, emotional, and social troubles is hardly an obscurity anymore. What is less often known or acknowledged, however, is the philosophical and subsequent outcome of the degeneration of what Ronald Reagan so famously labeled the cornerstone of society: the family.
Political Solutions to prohibit familial degeneration presented in the UN Convention on the Rights of the Child.


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Music: "Both of Us" by B.o.B feat. Taylor Swift
Title: Bind
Disclaimer: Aoyama created Shin'ichi and Shiho. I'm a mere slave to their banter.
Friends: Kudou Shin'ichi/Edogawa Conan and Miyano Shiho/Haibara Ai
Notes: 30 Friends: #28 – golden thread
Kudou Shin'ichi
Student, 2nd Year, Teitan High School
Consulting Detective, Tokyo Metropolitan Police Department
This last entry, under Secondary Occupation, made Miyano Shiho frown at the picture on her laboratory terminal's glowing screen. She had returned from the detective's house with the investigation teams an hour ago, but as twilight waned into deep, black night, she began to dread her current task. There was something about Kudou's cocky grin that disarmed her. Gin and Vodka had—regardless of her wishes—given him APTX 4869. He should be dead.
Right now, she was the only one certain he was alive.
For one thing, during the initial search, his refrigerator had been unwashed, but bare, with all the appearances of having been cleaned out. The trash was gone, too. When they asked her about it, she shrugged and said, "Probably lived on takeout dinners."
The vast house was tidy, but needed a good scrubbing. Shiho was unnerved by the clear snapshot of Kudou's life that developed by rifling through his home: Top student (As on most tests) and soccer player (several trophies and dirty, damaged balls in various rooms) with an eccentric love of mystery novels (stacks of Sherlock Holmes) and a friend who looked more like a girlfriend (many smiling, close pictures of the pair). Police were impressed enough to take a high schooler's advice (computer and hard copy case files) because of his successful deductions (newspaper clippings). All this evidence of a promising future was covered by a fine layer of dust, like a neglected museum exhibit.
And yet, in today's second search, as the teams wended their way upstairs, past room after unswept room, and returned to the boy's bedroom, Shiho made sure she was the first to inspect his wardrobe. If this had gone untouched, she could write him off as dead and forget him. As soon as she opened the drawer to double-check his childhood clothes, however, she slid it closed, swallowed her panic with a yawn, and parked herself in front of the wardrobe like a bored guard. Based on all her current research, she understood too well why it was empty.
"Are you staying?"
Shiho jumped and spun in her chair to face one of her assistants, Hayashida Ryu, who appeared in the darkened doorway across the room. She spoke to Hayashida, like any of her colleagues, as rarely as possible. Dim security lights shone behind him. "What?"
"If you're staying, you'll have to lock up," Hayashida said, rolling a kink in his shoulder. He pulled on his long, tan overcoat and glanced at her with tired eyes.
"Yes," she said. She turned her back to him and pretended to type.
"Alright, then," he said. As he turned to leave, he muttered to himself, "Bitch."
Shiho ignored it. Hayashida was handsome, in his late 20s, and one of the many coworkers who did not appreciate being bossed around by an antisocial, half-Japanese, teenage girl. It was better this way, anyhow. Friendships and relationships of any kind got people like her into needless trouble, no matter what her sister, Akemi, had to say about their merits.
No, silly, said a nagging voice inside that sounded too much like Akemi. You're worried it will get them into trouble.
"Maybe," Shiho said aloud, thinking her code name had something to do with it. If sweet sherry masked its potency, she was determined to be as dry a Sherry as possible. But no amount of dryness or bitterness could change the fact that Kudou Shin'ichi's life hung by a single thread placed squarely in her hands.
Just then, her desk phone rang. Shiho knew only one person who would think to call her at this late hour. "Moshi moshi."
"Hey, little sis," said Akemi, her voice deep and warm, as always.
"What do you want?" Shiho said, glaring at the receiver.
"Oh, how cold," Akemi teased. A soft laugh sounded on the other line. "Nope, sorry, you're not getting off that easy. How are you?"
"…Fine. You?" Shiho replied, kicking herself for taking too long. That answer would open a can of worms.
"Better than you, sounds like," Akemi said. Shiho could hear a faint car horn in the background which, combined with the wind and general static, suggested her sister was calling from a pay phone. "Care to talk about it?"
Shiho sighed, battling the urge to do just that. Her line was still attached to the research facility; whether she smelled the presence of a fellow organization member or not, there was no way of knowing who could be listening in. "Sorry, I—I can't."
"I understand," Akemi said, sighing with her. A comfortable pause lingered for a brief moment. "Wish I could help."
Shiho leaned back in her mesh chair, crossed her legs, and gazed at the image of Kudou Shin'ichi on her monitor. Frowning again, she murmured, "Big sister, do you believe in fate?"
"Fate?" Akemi, she was sure, knew better than to ask what brought on such questions. Instead, her sister fell silent for some time and let several cars pass before saying, "It depends on what you mean by that. If you're talking about something being doomed to happen, then I'd say no. I believe you carve out your own fate."
Shiho quirked a smile. "Is there another meaning?"
"No matter what we do, our actions affect everyone around us, whether or not we realize it. The girl I just bought coffee from got a smile with my change. I'd like to think it did her some good," said Akemi. Clicks sounded on her end as if she were drumming her fingers on the thick cord. "She could've just been tired after a long day, or she could've been contemplating suicide. I'll probably never know."
"You think too much," Shiho said. Numabuchi Ki'ichiro's face flashed in her memory, giving her insides a twist. Murderer or not, she wondered for a fleeting moment how the fear of her experiments had affected his life and where he was now.
"No, you think too much," Akemi said, though her teasing was gentler this time. "Simply put, we're all connected. Let's just work hard."
"Right," Shiho said, though her restlessness was stronger now.
"Ah, that reminds me!" Akemi said, her voice muffled. Shiho surmised she was digging in her purse for extra coins. "It's been too long since we've met for lunch. Meet me next week or the week after next at the latest. I'm not taking 'no' for an answer."
"First you tell me to work hard, then you tell me not to work," Shiho said, dryly, though a wider smile spread on her face against her will. "Which is it?"
"Both, little sis. We'll talk soon."
In other words, Shiho thought, we need to talk soon. She took a mental note of this. "Be care—take care of yourself, big sister."
"I always do," chirped Akemi. "You do the same, you hear me? Ja ne."
"Ja ne." Shiho hung up and quieted her racing heartbeat as she moved her cursor for the hundredth time to the radio buttons beneath Kudou Shin'ichi's profile. Only three options presented themselves: Living, Deceased, and Unknown. For Kudou's safety, wherever he was hiding, his status could not remain unknown forever. The choice was irrevocable. It would be tagged with her ID. If he were discovered alive, they would both die.
But I knew from the start what I wanted to do, didn't I?
Before she could change her mind, she selected Deceased and saved it.
Shiho attached the list of evidence the team had compiled to support its findings of an abandoned home and school absenteeism, all the while thinking that as much as she hated it, her sister was right. No matter her choice, her life was bound with that of Kudou Shin'ichi. He crossed the organization's path and suffered the effects of her apotoxin; her neck was now on the line because she could not bring herself to kill him on purpose, not for her own safety, not anymore.
As she finished her work and, at last, shut down her computer, Shiho breathed a sigh and thought, This was pointless. If anything, they'll put us both to an agonizing death.
Removing her lab coat and reaching for her handbag, she smiled a little. But if big sister has her way, maybe this will do us some good.
Tags: 30 friends, detective conan, fanfiction


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Michaela Taupe-Traer (* 25. Januar 1975 in Klagenfurt) ist eine österreichische Ruderin. Sie war Weltmeisterin im Leichtgewichts-Einer 2013.

Werdegang
Die Ruderin vom Ruderverein Nautilus Klagenfurt begann 1986 mit dem Rudersport. 1991 belegte sie bei den Junioren-Weltmeisterschaften den sechsten Platz mit dem Leichtgewichts-Doppelvierer. Ihr erstes Finale in der Erwachsenen-Klasse erreichte sie bei den Weltmeisterschaften 2000, als sie den sechsten Platz mit dem Leichtgewichts-Doppelvierer belegte. Von 2001 bis 2009 war Taupe Teil des Kaders des Heeressportzentrums des Österreichischen Bundesheers.

Ab 2002 trat Michaela Taupe-Traer vorwiegend im Leichtgewichts-Einer an. 2007 erreichte sie bei zwei Weltcup-Regatten den zweiten Platz. Bei den Weltmeisterschaften 2009 qualifizierte sich Taupe-Traer erstmals mit dem Einer für ein Weltmeisterschafts-Finale und belegte den sechsten Rang. Im Jahr darauf gewann sie bei den Europameisterschaften 2010 in Portugal die Silbermedaille hinter der deutschen Marie-Louise Dräger.
2011 trat Taupe-Traer international nur im Doppelzweier an, konnte sich aber nicht für die Olympischen Spiele 2012 qualifizieren, sodass sie 2012 in den Einer zurückkehrte. In Belgrad und Luzern gewann sie 2012 ihre ersten beiden Weltcupregatten, bei den Weltmeisterschaften 2012 erhielt sie die Silbermedaille für den zweiten Platz hinter der Griechin Alexandra Tsiavou. Bei den Europameisterschaften 2013 gewann sie erneut Silber, diesmal siegte die Griechin Aikaterini Nikolaidou.

Im südkoreanischen Chungju gelang Michaela Taupe-Traer am 30. August 2013 ihr größter Erfolg: sie gewann das Finale im Leichtgewichts-Einer bei den Weltmeisterschaften 2013 vor Nikolaidou und der Britin Ruth Walczak.

Auszeichnungen
 Der Kärntner Sportpresseklub wählte Taupe-Traer dreimal (2009, 2012, 2013) zur "Kärntner Sportlerin des Jahres"
 Silbernes Ehrenzeichen für Verdienste um die Republik Österreich (2014)

Weblinks

Einzelnachweise

Ruderer (Österreich)
Weltmeister (Rudern)
Träger des Silbernen Ehrenzeichens für Verdienste um die Republik Österreich
Mitglied des Heeressportverbandes
Sportler (Klagenfurt am Wörthersee)
Österreicher
Geboren 1975
Frau


Waterproof mattress pad is something that of us need nowadays. Whether you are young or an adult, the wetting of the bed is something that will surely irritate you. All of us use bed for comfort and peace. It will surely make us angry if we are unable to get the comfort or the sleep that we really wanted. But there is a solution to every problem. The solution to this problem is waterproof mattress padding. Mattress pads are created in such a w ay that it will prevent your bed from getting wet. There are different kinds of mattress pads. You need to know a few things before you buy any specific mattress pad.
The first thing to do is to measure the length and width of the room where you are going to place the mattress pad. Note down these measurements a nd buy an accurate waterproof mattress pad. If the size is smaller or larger, it will not give a nice look.
You must know different types of waterproof mattresses have different benefits. You need to search the benefits of different types and choose a perfect pad. You also need to know the thickness of the pad t hat you need. If there are few kids in your house and there is a chance that the kids will throw water on the mattress on regular intervals, you need a thick mattress. The thickness is directly proportional to the amount of water. The greater the danger of water, the greater should be the thickness of pad.
Budge t is one of the major problems for a common man. Every one of us wants quality thing in lowest possible budget. Of course, no one is going to spend thousands on a waterproof mattress pad. In order to minimize the price you need to need to search a bit and compare the prices. Waterproof mattress pads are easily availabl e everywhere. You can also search them on the internet. Many of the online stores are offering a huge range of waterproof mattress pads.


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37-wht-audiotape-557-log.pdf
On August 9, 1971, President Richard M. Nixon, H. R. ("Bob") Haldeman, White House operator, Henry A. Kissinger, unknown person(s), and Ronald L. Ziegler met in the Oval Office of the White House from 8:52 am to 11:47 am. The Oval Office taping system captured this recording, which is known as Conversation 557-001 of the White House Tapes.
Nixon, Richard M. (President), Haldeman, H. R. ("Bob"), White House operator, Kissinger, Henry A., [Unknown person(s)], Ziegler, Ronald L.
On August 9, 1971, President Richard M. Nixon and Manolo Sanchez met in the Oval Office of the White House at an unknown time between 11:47 am and 11:59 am. The Oval Office taping system captured this recording, which is known as Conversation 557-002 of the White House Tapes.
Nixon, Richard M. (President), Sanchez, Manolo
On August 9, 1971, President Richard M. Nixon, Alexander P. Butterfield, and Stephen B. Bull met in the Oval Office of the White House from 11:59 am to 12:02 pm. The Oval Office taping system captured this recording, which is known as Conversation 557-003 of the White House Tapes.
Nixon, Richard M. (President), Butterfield, Alexander P., Bull, Stephen B.
On August 9, 1971, President Richard M. Nixon, George P. Shultz, and Alexander P. Butterfield met in the Oval Office of the White House from 12:02 pm to 12:04 pm. The Oval Office taping system captured this recording, which is known as Conversation 557-005 of the White House Tapes.
Nixon, Richard M. (President), Shultz, George P., Butterfield, Alexander P.
On August 9, 1971, President Richard M. Nixon and H. R. ("Bob") Haldeman met in the Oval Office of the White House at an unknown time between 12:04 pm and 12:55 pm. The Oval Office taping system captured this recording, which is known as Conversation 557-006 of the White House Tapes.
On August 9, 1971, United States Secret Service agents met in the Oval Office of the White House at an unknown time between 12:55 pm and 2:58 pm. The Oval Office taping system captured this recording, which is known as Conversation 557-007 of the White House Tapes.


Home / Blog / Why Can't Kids Read?
On its face, "Why Can't Kids Read," is a pretty crazy question to be asking in this day and age, but a necessary one nonetheless.
This is beyond tragic and should be of great concern to all parents. Anyone who cares about children needs to ask themselves, Why Can't Kids Read?
I've been following these statistics for several years now since my initial desire to acquire more knowledge about the whole process of how children learn to read. I could never understand how our nationwide schools can be failing so miserably to teach this critically essential skill. As an author, through my own research prior to publishing my Alphabet Anatomy books, I discovered the emphatic drive to improve early literacy opportunities in the preschool years, and the focus on parents to facilitate the groundwork in order to maximize their toddlers' future academic potential.
That's all wonderful and beneficial of course, but the implied lack of such early learning foundations as the reason for a national reading failure still didn't make sense.
I don't recall my parents ever reading books to me or my siblings (2 sisters and 3 brothers), or deliberately engaging us in any "early learning" activities. We simply entertained ourselves with the little amount of toys that were available and through our own imagination and initiative. My mother even worked full-time and we were mostly left to amuse ourselves with minimum supervision from grandparents.
Despite the lack of any preschool preparation or parental literacy involvement, I and my siblings mastered reading extremely well. I can attest to the same for my husband and his siblings (1 brother and 3 sisters). All of our formal schooling began in public kindergarten. Although my sisters and I attended Catholic school from 1st through 8th grade, my husband and his siblings attended public school through high school graduation. One thing I know for sure is that classrooms were much stricter back then. Teachers were to be respected and obeyed, and there were consequences for any misbehavior.
And the question remained: Why Can't Kids Read?
But it is equally horrifying to realize that all these teachers, who no doubt choose this profession because they love kids and want to make a positive difference in their lives, have not received proper training themselves in order to effectively perform their jobs. I think everyone would agree that learning to read is by far the most basic and vital of all educational quests.
How could such a disaster occur?
Whose bright idea was it to change the way reading had obviously been successfully taught just a few decades ago?
As a result of the pathetic failure of "whole language," there arose a band-aid type of remedy called "balanced literacy," which included a little bit of phonics here and there, but not too much. As could be expected, that approach also failed to significantly improve reading proficiency nationally.
PHONICS IS THE RELATIONSHIP BETWEEN LETTERS OF THE ALPHABET AND THE SOUNDS THAT THOSE LETTERS STAND FOR IN WRITTEN WORDS.
Common sense then dictates that children must be instructed on how to connect the alphabet letters with their corresponding sounds in order to read.
So, it appears this matter is still in a state of limbo and children will continue to suffer lifelong effects of this enormous injustice. Parents should be righteously outraged, as we naturally assume our kids are receiving a quality education that will enable them to become successful adults. Every child deserves that opportunity! I think most parents just take for granted that this is what happens at school.
There are some who believe the education system has been deliberately modified to "dumb children down." Certainly many parents and teachers are upset over Common Core, which has also proven to drastically reduce student math scores on a national scale. Unfortunately, that suggestion may not be too far off the mark considering these alarming statistics.
As with any problem, the first step to a viable solution is the awareness of its existence. Parents must then hold their schools accountable and demand that they function efficiently in order to ensure the successful performance of their utmost important job – effectively teaching our kids. Their futures depend on it! And it appears at this point that we must step up and advocate for them, so that laborious question — Why Can't Kids Read — is forever put to rest.


If you would like a quotation, please fill in the Form below. So that we are able to give you an accurate quotation as possible, please try to fill in as many details as possible, where applicable. If you are unsure of any of the information or your Conservatory project is more complicated, no need to worry. Simply contact us on Freephone: 0800 781 0518 and we would be pleased to discuss your requirements with you and take details over the phone.


Originally, the 12 complaints were to have been aired in medical tribunal hearings scheduled for Darwin (NT) in November. Nitschke admitted, in various news reports today that he had 'reached an agreement' with the medical board in September this year to accept the boards restrictions rather than facing 'four to six weeks of "costly" tribunal hearings.' He may have been concerned for the cost after recently incurring significant legal fees in successfully appealing an earlier suspension.
However, it is perhaps more likely that his 'agreement' with the medical board was more about trying to avoid the airing of the substance of the 12 complaints in a public forum.
The only other action the board could have taken would have been to cancel Nitschke's medical practice certificate outright. I'm glad they did not take this course. If they had, we would not now have the itemized list of 25 particular matters of concern to the board in the operation of Exit International.
The most significant restrictions will mean that Nitschke can no longer have any formal involvement in the work of Exit. No workshops, no advice, name removed from his published handbook, name and association removed from the website and the removal of all advocacy videos from the internet etc. It would be foolish to assume that this spells the end of Exit; it does not. His partner, Fiona Stewart has promised to continue his work and Nitschke has indicated that, upon his return to Australia, he will consider whether or not to abandon his medical licence completely.
All the while the Australian public remain in the dark about these 12 complaints and the macabre and clandestine practices that see a continuing escalation in the body count. The suicide statistics are now showing an increase in the number of suicides using Exit-preferred methods and amongst a younger cohort.
The medical board have done all that they can under their charter and we applaud their efforts. Hope is now calling for a national inquiry into Exit and Dr Nitschke as a matter of public safety. All Australians deserve to know, those that have lost loved ones deserve justice and vulnerable people deserve to be protected.
In May this year at the inaugural HOPE International Symposium in Adelaide, two courageous women who had lost loved ones to Exit methods told their stories. There are, unfortunately, others; many others besides. I dedicated the conference to them, their loved ones and to their courage and the pursuit of justice.
Today some justice was metred out. But while ever Exit can operate in the shadows and ply its grotesque trade others are at risk. We would not tolerate this under any other guise or circumstance.
As a matter of some urgency, we have called upon those in power to create an inquiry into Exit and its activities. The suicide coaching must stop.
Note: If anything in this article causes you any difficlty, please talk to someone.


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Looking for the school website? Click HERE
NM School for the Arts breaks ground on new campus
Edmundo Carrillo | Albuquerque Journal
SANTA FE — About 2 1/2 years after acquiring property for a new campus, the New Mexico School for the Arts broke ground Friday at the former Sanbusco Center in Santa Fe's Railyard.
The $30 million campus, being developed in three phases, is expected to be open for class...
New Mexico School for the Arts expands its horizons at Sanbusco
Elayne Lowe | The New Mexican
The old Sanbusco Market Center echoed with energy Friday morning as the New Mexico School for the Arts and community supporters celebrated the start of a construction project to create a new Railyard District campus where the 8-year-old, state-chartered high school wil...
New Mexico School for the Arts' New Campus Officially Underway
Construction Update #4
NMSA
railyard
#BuildNMSA


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Montval-sur-Loir est une commune française située dans le département de la Sarthe en région Pays de la Loire, peuplée de . Elle est créée le  par la fusion de trois communes, sous le régime juridique des communes nouvelles. Les communes de Château-du-Loir, Montabon et Vouvray-sur-Loir deviennent des communes déléguées.

La commune fait partie de la province historique du Maine, et se situe dans le Haut-Maine.

Géographie

La commune est desservie par la gare SNCF de Château-du-Loir.

Urbanisme

Typologie
Montval-sur-Loir est une commune rurale, car elle fait partie des communes peu ou très peu denses, au sens de la grille communale de densité de l'Insee.
Elle appartient à l'unité urbaine de Montval-sur-Loir, une agglomération intra-départementale regroupant  et  en , dont elle est ville-centre.

Par ailleurs la commune fait partie de l'aire d'attraction de Montval-sur-Loir, dont elle est la commune-centre. Cette aire, qui regroupe , est catégorisée dans les aires de moins de .

Toponymie

Histoire

La commune nouvelle regroupe les communes de Château-du-Loir, de Montabon et de Vouvray-sur-Loir, qui deviennent des communes déléguées, le . Son chef-lieu se situe à Château-du-Loir.

Politique et administration

Liste des maires

Communes déléguées

Population et société

Démographie

Économie

Culture locale et patrimoine

Lieux et monuments
 Rotonde ferroviaire,
 Église Saint-Guingalois de Château-du-Loir,
 Hôtel Maillard

Personnalités liées à la commune

Voir aussi

Articles connexes
 Liste des communes de la Sarthe
 Liste des communes nouvelles créées en 2016
 Unité urbaine de Château-du-Loir

Liens externes

Notes et références

Notes

Références

Commune dans la Sarthe
Commune nouvelle dans la Sarthe
Unité urbaine de Montval-sur-Loir
Aire d'attraction de Montval-sur-Loir


If you need representation at Leeds Crown Court then please call Andrew Thompson on 0113 4677946 or 0207 7887993.
Information and contact details for Leeds Magistrates' Court including address, and telephone numbers. Representation by solicitor counsel barrister.


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We're thrilled to offer tuition assistance, employee assistance programs, free underground parking, discounted pet insurance, financial wellness tools, paid medical leave programs, and career development opportunities.
Benefit eligibility varies by benefit and by type of employment.


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Q: How to call Static method in powershell I have third party DLL(written in c#)
That has a class called DBConnection and static method called Connect
When I call that method from my C# console application like below it will work fine.
DataPackage.Db.DBConnection.Connect()

Next I tried to do the same thing using powershell.
[DataPackage.Db.DBConnection]::Connect()

But that gives me error
Exception calling "Connect" with "0" argument(s): "Object reference not set to an instance of an object."

What is the reason for this and how to fix this??

A: I hate to drop an answer without a reference beyond personal experience, but I have never found an explanation for this behavior, so sorry this is not more informative.
When calling a parameterless method leave off the parens.  So for your example do:
[DataPackage.Db.DBConnection]::Connect

instead of ...Connect()

A: That's not a problem with PowerShell per se because your method call is indeed correct. Apparently the method itself tries to dereference null somewhere. Maybe other methods have to be called first, or maybe a static property set somewhere.


In the UK we have ''Advisories'' similar to your 1. We then have ''Major Fault'' which is a Fail but 10 days to fix and a free re-test. Finally the new category of ''Dangerous'' which means your vehicle cannot leave the Test Station and must be repaired by them, you can sometimes sign a release form but at your own risk if stopped by police especially with ANPR which can carry a big fine or vehicle seized . Mine are classed as Major but ok to drive.
I think anybody was lucky to survive it. MH topics are a bit thin on the ground at the moment so I'm sure Gordon would understand However just to balance things my MH is due it's MOT this week and I'm not expecting any suprises but as we say in England 6 eggs does not guarantee 6 chickens so hopefully the Gods are in the right karma My cup is always half full, never half empty so trip to Wales is highly likely..
Fair play to you Gordon, I do 'dabble' in local dishes when abroad but mostly ends in disappointment to be fair. One amusing episode while in Spain was Jayne ordering what she thought were mushrooms with her steak and turned out to be a large bowl of muscles which got quite a laugh but thankfully she does like them, in moderation, but not for me thank you so at least half were returned uneaten. This was in a remote village next to a ruined monastery where English & Spanish were lost in translation but the stunning location and freshly squeezed oranges made up for it. A trip abroad for me is all about local traditions & cultures and having settled into a ''tourist'' campsite I literally head for the hills well away from crowds.


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Kashmir Global - News and Research on Kashmir
In depth full coverage on Kashmir
You are here: Home / News / Militants / India puts Kashmir in lockdown on Burhan Wani's death anniversary
India puts Kashmir in lockdown on Burhan Wani's death anniversary
Publish Date: 9-07-17 12:16 AM
SRINAGAR (AP): Residents in Indian-controlled Kashmir clashed with government forces Saturday as they defied a stringent curfew on the anniversary of the killing of a charismatic rebel leader Burhan Wani whose death triggered open defiance against Indian rule.
Officials and witnesses said residents in the main city of Srinagar and at least four places in southern Kashmir tried to march on the streets while chanting slogans in favor of rebels and ending Indian rule. Police and paramilitary soldiers fired tear gas to disperse the crowds.
The protesters responded by hurling rocks at troops. At least 15 people were reported injured in the clashes.
While Kashmir has remained on edge, the Indian and Pakistani armies, which regularly trade fire and blame across the de-facto militarized frontier that divides the disputed territory between them, fired at each other's positions, killing three civilians and an off-duty soldier, officials said.
Pakistan's military said two civilians were killed and three others wounded in the Indian army's "unprovoked" firing and shelling at two places along the highly militarized Line of Control.
India's military said an off-duty soldier visiting his home was killed along with his wife after a shell fired from the Pakistani side hit their house in Poonch sector. Army spokesman Lt. Col. Manish Mehta called it an "unprovoked" violation of the 2003 cease-fire between India and Pakistan.
India has accused Pakistan of arming and training the rebels, which Pakistan denies.
For the second straight day, government forces sealed off the hometown of Burhan Wani, the 22-year-old rebel leader who was killed along with two associates in a gunbattle with Indian troops last year. Witnesses said security forces ordered residents in southern Tral town to stay indoors.
"I've never seen so many soldiers in aggressive posturing enforcing a curfew in my town. This is an unprecedented restriction," local resident Mohammed Hanief said by phone.
Troops laid steel barricades and coiled razor wire on roads and intersections to cut off neighborhoods as authorities anticipated widespread protests. They also shut mobile internet services as part of the lockdown to stop activists from rallying online support.
"We're enforcing strict restrictions to deal with any law and order issues," said S.P. Vaid, the region's police chief.
Separatist leaders, who challenge India's sovereignty over Kashmir, called for a strike and protests to honor Wani. Most of the top leaders have either been detained or put under house arrest.
Wani's killing set off months of protests and deadly clashes across the region, during which at least 90 people were killed and thousands injured.
Wani, who attracted dozens of new recruits while using Facebook and other social media sites, had rejuvenated Hizbul Mujahideen, the largest of Kashmir's militant groups. Its top leader based in Pakistani-controlled Kashmir, Syed Salahuddin, was recently designated as a "global terrorist" by the U.S.
In Muzaffarabad, the capital of Pakistani-controlled Kashmir, Salahuddin asked Pakistan for military support to militants as he spoke Saturday at a rally attended by thousands of people to honor Wani.
"We don't need only political, diplomatic and moral support. Now we need a solid military support against Indian forces," Salahuddin said.
The death of Wani and the public fury it caused made the armed rebellion mainstream in Kashmir and gave new life to the militant movement that had withered in recent years, reduced to just about 100 fighters in scattered rebel outfits. Officials say that since his killing, at least 100 young men have joined rebel ranks, some of them after snatching weapons from soldiers and police.
It also cemented a shift in public behavior by displaying anger at Indian rule openly and violently when troops raid villages and towns to hunt rebels. Villagers who had learned to hide any sympathy they felt for fighters now speak of them openly with reverence and warmth and also engage in deadly clashes with government forces during their counterinsurgency operations.
Rebel groups have been fighting since 1989 for Kashmir's independence or merger with neighboring Pakistan. Nearly 70,000 people have been killed in the fighting and the ensuing Indian crackdown.
Anti-India sentiment runs deep among the region's mostly Muslim population and most people support the rebels despite a decades-long military crackdown.
Associated Press writers Zarar Khan in Islamabad and Roshan Mughal in Muzaffarabad, Pakistan, contributed to this report.
Civilian killed, several injured in Shopian
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Thousands attend funeral prayers of Zakir Musa, restrictions, demos, shutdown in Kashmir
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Two missing SPO's among four militants killed in Pulwama gunfight
4 fighters, civilian killed, in south Kashmir
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Kashmir group seeks UN probe into torture by Indian troops
https://youtu.be/CbjjAbh3uns
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Cuban Foreign Ministry rejects EU statements on opposition artists' prison sentences
The general director of bilateral affairs of the MINREX, Emilio Lozada, pointed out on Twitter that the statements by the European Union institutions regarding the convictions of Luis Manuel Otero Alcántara and Maikel Castillo Pérez "Osorbo" are "contrary to the principles of the Political Dialogue and Cooperation Agreement (ADPC) of equality, non-interference and respect for the sovereignty of the parties."
Building of the Ministry of Foreign Affairs of Cuba (MINREX) in Havana. Photo: Archive.
The Cuban Foreign Ministry rejected this Monday recent statements by the European Union (EU) regarding the recent convictions imposed by a court on the island on artists and opposition activists Luis Manuel Otero Alcántara and Maikel Castillo Pérez "Osorbo."
The general director of bilateral affairs of the Ministry of Foreign Affairs (MINREX), Emilio Lozada, pointed out on his Twitter account that these statements about Cuba by EU institutions, including those of spokesman Peter Stano, "are contrary to the principles of the Political Dialogue and Cooperation Agreement (ADPC) of equality, non-interference and respect for the sovereignty of the parties."
"The EU should abandon its double standards and address serious human rights violations involving its member states," added the director of the Cuban Foreign Ministry in a second tweet.
La UE debería abandonar su doble rasero y atender graves violaciones de #DDHH que involucran a sus Estados miembros (2/2).
— Emilio Lozada García (@EmilioLozadaG) July 4, 2022
The spokesman for the EU Foreign Service, Peter Stano, said last week in a message through his social networks that the European bloc reiterated its "concern" after the sentences imposed on Otero and Castillo, and also urged the Cuban authorities "to respect all civil and political rights," EFE news agency specified.
The Spanish media recalled that the Attorney General of the Republic of Cuba (FGR) reported on June 24 that plastic artist Otero Alcántara and rapper Maikel Castillo Pérez, known as "Osorbo," had received prison sentences of 5 and 9 years, respectively.
In the case of Otero, leader of the opposition San Isidro Movement (MSI), and imprisoned since July 11, the Court "argued the express intention, sustained over time, of offending the national flag, through the publication of photos in social networks where it is used in denigrating acts, accompanied by notoriously offensive and disrespectful expressions, underestimating the feelings of nationality and pride that the Cuban people profess to our national flag," said a note from the FGR.
Meanwhile, regarding Osorbo, co-author of the well-known musical theme "Patria y vida" and imprisoned for a year, the Prosecutor's Office affirmed that "with the manifest purpose of insulting, offending the honor and dignity of the highest authorities of the country, he used false images of them, digitally manipulated, which he made public on social networks; and with the same purpose, he made direct interventions from his personal profile to dishonor the function that law enforcement officers fulfill in society, which compromised social and collective coexistence and entailed an affront to them."
Cuban opponents Otero Alcántara and Maykel Castillo to be tried at end of month
The trial of both opponents — considered prisoners of conscience by Amnesty International, according to EFE — took place on May 30 and 31 in the Court of the Marianao municipality of Havana. In that process, three other people were also sentenced for events that occurred in April 2021.
The sentences against Otero and Osorbo have been criticized by non-governmental organizations and international human rights organizations such as AI and Human Rights Watch (HRW), the Spanish agency added. However, the court's decision is not yet final, so "as established by law, the accused and the district attorney have the right to establish an appeal," according to the FGR.
EFE/OnCuba
Tags: European Union (EU)July 11protests in Cuba
Cuba closes as leader of medal table in Guadeloupe 2022 Caribbean Games
Houses and broken dreams
Postscript #2: talk with a young man who left and returned (II and final)
Cuba: state ticket sales enterprise to limit online booking per customer


Here's a new short video highlighting the markets that Swanson Flo serves in the upper midwest United States.
Electric actuators bring automation to industrial valve operation, allowing complex processes to be managed and controlled by remotely located control systems.
There are other motive forces used for valve actuators, including hydraulic and pneumatic, but electric actuators carry their own particular set of operating characteristics that make them an advantageous choice for many applications.
There are certainly other elements to consider when applying an electric actuator for industrial use. Share your valve and actuator requirements and challenges with product specialists, combining your process knowledge with their product application expertise to forge the most effective solutions.


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"Really understanding what is happening in your area and how to respond to that is the name of the game"Angela Mason CBE
Becoming a multi-cultural city
Such was the challenge for the London boroughs when they assumed their powers and responsibilities on 1 April 1965. London has always been a city of change and in the mid-1960s the 'Londoner' was being rapidly remade. Over the next half a century London would become one of the world's leading capitals of cultural and racial diversity.
In the middle of the 20th century one in 20 Londoners had been born outside the UK - a tiny fraction would be black or of Asian origin. By the 1990s 1.35 million black and Asian origin Londoners accounted for just over one in five of the Greater London population. Successive waves of social change reshaped the communities of post-war London; anti-discrimination movements were finding traction as the London boroughs pioneered their own approaches to the promotion of tolerance and cohesion in their own diverse communities. Difference was now the unifying trait between Londoners.
The story of the boroughs has been marked by key themes in the pursuit for equality.
The early years of the boroughs were dominated by race relations. The convictions of pioneering voices across London local government and decades of multi-agency collaboration lie behind the integrated racial and cultural diversity experienced in London today. Increasing global connectivity, the declining Commonwealth and shockwaves from world events brought new neighbours to the streets of London. This meant change, and with it came unease.
The 1970s was a decade when extremist politics rekindled the fear and mistrust of newcomers. It also saw the regrouping of the far right in the new National Front and crop-haired youngsters styling themselves as skinheads in a series of opportunistic and organised attacks on London's Asian communities.
The London boroughs responded by working with their communities to promote tolerance and cohesion. This is particularly true of festivals that began to be held annually in streets, parks and estates. The London boroughs, alongside local politicians, community groups and residents, worked tirelessly to involve all corners of the community.
Broadwater Farm and its aftermath
The 1980s saw a series of inner-city riots. In 1985, PC Keith Blakelock was the first police officer since 1833 to be killed in a riot in Britain after a day of unrest on the Broadwater Farm estate in Tottenham. One week earlier, Brixton had seen its second riot in the space of four years. These events exposed divided and strained communities.
Inner London boroughs such as Haringey and Lambeth were facing challenges not seen elsewhere. Socio-economic disparities, high levels of population churn and ethnic diversity demanded a new approach to eliminating discrimination and promoting equality. Haringey's pioneering stance on race and equality – now very much the institutional mainstream- was shaped by the context of the late 1970s and early 1980s when the borough's growing ethnic minority population experienced discrimination.
At the same time, Bernie Grant, a Haringey councillor and later MP for Tottenham was emerging as a strong advocate for racial equality and was a key figure in the search for justice in the aftermath of the Broadwater Farm estate riot. His was one of many voices emerging from the London boroughs.
London women
London local government has long been an important platform for female public figures. The hallways and chambers of London's borough councils have paved the way for highly successful female peers, Members of Parliament and chief executives who have helped shape the equality debate over the last 50 years.
Baroness Amos, a life peer since 1997 began her career in equal opportunities, training and management services in the London boroughs of Lambeth, Camden and Hackney. She went on to chair the Equal Opportunities Commission, was appointed Secretary of State for International Development and is now serving as the Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator at the United Nations.
Councillor Angela Mason CBE has been a lifelong campaigner and activist who started her career as a welfare rights adviser for Camden social services and then the borough's principal solicitor. She went on to direct Stonewall, the government's Women & Equality Unit and was national adviser at the Improvement and Development Agency for local government, where she was responsible for advising councils on equality and cohesion.
Kate Allen started her career at the Greater London Council, Haringey Council and later became a councillor in Camden chairing the Women's Committee during the 1980s. She now directs Amnesty International UK.
The scale and range of these achievements demonstrate the important role the boroughs have played in facilitating and shaping some of the most influential voices who have spoken out against inequality. These voices challenged institutional discrimination and made London local government an early pioneer in the equalities and diversity field.
There was no traction in equalities legislation that directly addressed discrimination based on disability until the mid-1990s. It wasn't until 1995 and the Disability Discrimination Act that legislation directly recognised discrimination based on disability. However, as equalities legislation for equal pay has proven, legislative power alone is ineffective in tackling deeply embedded inequalities.
It was actually the work of the London boroughs, their partners and committed advocates such as Mike Devaney that improved the quality of life for Londoners living with a disability. Working through groups such as the Islington Disablement Association in the 1980s, London boroughs started engaging with residents living with a disability in a meaningful and responsive way. Discrimination in the form of access and opportunity could be mitigated against by the application of person-centred practice; this ranged from suitable adjustments in their housing to the tools and equipment they needed to navigate the everyday.
Mike Devaney influenced much of the work happening around disability in London at the time. He spent some of his earlier years with the Islington Disablement Association in the 1980s. At this time there was an increasing understanding that the discrimination experienced by disabled people was caused by the way society treated them.
Across London, organisations led by and for disabled people, often supported by the local authority, were appearing in boroughs from Islington to Southwark to Greenwich. Mike was not only a leading figure within this new movement but in 1987 he became the youngest chair of a social services committee as a councillor in Islington and became Head of Disability Policy and Services for the London Borough of Ealing in 1988. For the next six years he worked tirelessly for his ward as a Labour councillor for Islington. As his career continued so did the growth of local disabled people's organisations; many are still going strong despite the reduced funding which local authorities face.
By the late 1980s London's education system was also changing and integrating disabled people into mainstream education was being pioneered by the Inner London Education Authority. Inclusive education is now synonymous with the wider equalities agenda; regardless of need, inclusive education enables all students to fully participate in any mainstream early years provision, school, college or university.
Really understanding what is happening in their area and responding to that has underpinned the approach of the boroughs in the equality and diversity field throughout the last 50 years. In a climate of significantly reduced budgets across the public sector boroughs continue to work closely with their communities to ensure equality of opportunity reaches all Londoners. That is still the name of the game.


READING will this week try to extend Luke Chadwick's spell on loan.
The Manchester United winger has been a superb acquisition since his arrival at Madejski Stadium.
Royals have won all four games he's played in to jump to third place in the Nationwide Division 1 table.
And manager Alan Pardew will contact United boss Sir Alex Ferguson to see if Chadwick can stay for at least another month.
Chadwick's current loan deal is set to expire on March 15 with his last game being at home to Crystal Palace on that day.
The maximum Chadwick can stay at Reading is 93 days, taking him up to the eve of the semi-final first leg so he will not be eligible for the play-offs.
Chadwick, whose girlfriend gave birth to their first child, Louis, on Sunday night, has made it clear he would love to stay at Reading for longer.
But Pardew admitted any bid to extend the loan deal is not clear cut.
Royals' boss said: "I've got to speak to Alex Ferguson. He's been in Italy so I'll probably contact him in the next couple of days. It would be silly not to try to extend Luke's stay here, but I can see problems.
"United have got a couple of injuries, so nothing is definite.
"But I think he would like to stay here. He's enjoyed it here. He and his girlfriend have just had a baby and he is quite settled at the club."
Pardew admits that if Reading are to go to the next level then they will have to start getting players of the calibre of Chadwick permanently.
The 22-year-old, who has another year on his contract at Old Trafford, would cost more than £1m.
Pardew, though, has not ruled out a permanent move although he accepts he might have to move people on.
Royals' boss added: "Never say never. If he did come here I would have to make sacrifices and that might mean selling players.
"The most important thing with players like Luke Chadwick is getting them in the building.
"We always make sure we get the right player then when they are here they see what the club has to offer and it is an advantage over everyone else."