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HomeAbout ACPChapters & RegionsUnited StatesVirginiaInterim Governor's Notes
Interim Governor's Notes
July 2011 Michael F. Rein, MD, FACP, Interim Governor
Nominations Sought for Virginia Chapter Awards
Governor's Notes
Virginia Chapter Associates' Meeting
Annual Chapter Meeting and Clinical Update
Report from the Board of Governors' Meeting
VA Chapter of the ACP Well Represented at IM 2011
Leadership Day Update 2011
Dear Colleagues:
It is with great sadness that I report that our Governor, Paul Florentino, MD, FACP, tragically died on June 19. Paul was an outstanding physician, a great friend, an honored colleague, and a long-term contributor to the Chapter and the College. He served on our Council for many years and brought considerable enthusiasm and wisdom to the task. He had interest and expertise in strategic planning, and, indeed, presented on our Chapter's (his) approach at the last national meeting of the College's Board of Governors. He had excellent and innovative plans for the Chapter, which we will do our best to carry out. Paul would have been an absolutely outstanding Governor, and we will feel his loss personally and professionally. Paul's obituary appeared in the Washington Post:
Paul Florentino, MD, FACP, Deputy Commander of Medical Services at National Naval Medical Center, died June 19th in Alexandria, Virginia. He was 56.
He was born in Brooklyn, NY and received his undergraduate degree magna cum laude from Colgate University and his medical degree cum laude from St. Louis University School of Medicine. He completed his training in Internal Medicine at Cornell Cooperating Hospitals-Memorial Sloan Kettering and North Shore University Hospitals. He served as a US Air Force Flight Surgeon following residency. He later joined the faculty at the Uniformed Services University of Health Sciences as a civilian pulmonary/internal medicine specialist. His dedication and interest in making a leadership difference eventually brought him to the Board of Directors where, in the words of RADM Nathan, "he had been a true shaker and mover as the Director". More recently he assumed the position of Deputy Commander of Medical Services, the only civilian to have ever held this position. There he made vital contributions to the Board, using his corporate experience and knowledge to assist in the major transitions involved in the merger of Walter Reed Army Medical Center and NNMC Bethesda. He had a lifelong pursuit of clinical excellence and dedication to Internal Medicine. In addition to his full time work at NNMC, he also served as Governor, Virginia Chapter of the American College of Physicians.
He is survived by his life partner Chris Pedersen of Alexandria, Virginia; his mother Rose Florentino of Spring Hill, FL; his brothers Michael Florentino of Manalapan, NJ; and Gene Florentino of Buffalo, NY, in addition to many beloved aunts, uncles, nieces, nephews, cousins, and an extensive network of dear friends.
Although flowers are appreciated, Paul would have been grateful for contributions in his name to the Whitman Walker Clinic, 1701 14th Street, NW Washington D.C., DC 20009, (202) 745-7000. www.whitman-walker.org/donate.
The College sent the following statement to be read at a memorial celebration on June 28.
To: Admiral Matthew L. Nathan Rear Admiral, Medical Corps, U. S. Navy Commander, Navy Medicine National Capital Area National Naval Medical Center Chief, Navy Medical Corps
On behalf of the American College of Physicians (ACP), its members, staff, and leadership, it is with great sorrow that we send this statement of condolence regarding the passing of Dr. Paul Florentino. Along with many others, we were grateful and honored to have had the opportunity to know and work with a gifted physician, natural leader and man of high character.
As stated so well in his obituary, "he had a lifelong pursuit of clinical excellence and dedication to internal medicine," which served him well in all of his endeavors. In his short time as Governor of ACP's Virginia Chapter, he was a productive and enthusiastic representative for our organization and we hope that his involvement with ACP brought him professional and personal fulfillment. We offer our heartfelt condolences to Paul's family, friends, colleagues, and patients and we appreciate the opportunity to send this statement in honor of his life. He will be missed.
Virginia L. Hood, MBSS, MPH, FACP, President, American College of Physicians
Yul D. Ejnes, MD, FACP, Chair, Board of Regents, American College of Physicians
David A. Fleming, MD, MA, FACP, Chair, Board of Governors, American College of Physicians
Steven E. Weinberger, MD, FACP, EVP/CEO, American College of Physicians
It has been both a particular privilege and a great pleasure to serve as your Governor for the past four years. The privilege results from being able to work in an organization in which I strongly believe, and to do so at a time during which we have had to consider major changes in the profession, which affect each of the purposes of the College. In accordance with the Bylaws of the Virginia Chapter and the practice of the College, I have been asked to serve as Interim Governor until a successor for Dr. Florentino has been duly elected. We will keep you informed about this procedure.
The Virginia Chapter bestows certain awards on its members annually. We are actively seeking nominations for the 2012 awards. If you are considering a nomination, please contact James Long, MD, FACP, Chair, Awards Committee at Drjameslong@yahoo.com for information regarding the protocol for nominations. Completed nominations packets must be received by October 15, 2011.
Faculty Teaching Awards
The Virginia Chapter of the American College of Physicians now offers two teaching awards. One award will be presented to a full-time faculty member, and one to a community-based clinical faculty member or preceptor. We are now accepting nominations for the 2012 awards. The ACP Virginia Chapter Faculty Teaching Awards recognizes dedication to teaching and skill and accomplishment in the education of medical students, residents, or other physicians. Educational endeavors could take place in the clinic, on the wards, or in a practice setting. Particular emphasis is placed on a record of continued educational activity. The award will be presented at our Annual Associates' Day meeting on January 21, 2012.
Young Internist of the Year Award
This award recognizes outstanding achievement by a physician member within 16 years of graduating from medical school and who is not an ACP Medical Student Member or Associate. Areas of achievement may include leadership and advocacy; academics, including publishing, teaching, and mentoring; volunteerism; and service to the College.
Volunteerism Award
The Virginia Chapter presents a Volunteerism Award to a person who has demonstrated excellence in volunteer programs or has provided exceptional volunteer service post-training. The service must have been performed on a completely voluntary basis and not for the completion of training or for position requirements. Volunteer work must have been done as a physician or medical trainee and must be medically related.
Laureate Award
The Virginia Chapter presents a single Laureate Award annually. The award honors a Fellow or Master of the College who has demonstrated by example and conduct an abiding commitment to excellence in medical care, education, or research and in service to their community, their Chapter, and the American College of Physicians. The recipient of this award shall bear the title Laureate of the Virginia Chapter. This award is presented at the Annual Meeting and Clinical Update. The awardee should be a senior physician and Fellow or Master of long-standing, with acknowledged excellence and peer approval in the field of Internal Medicine. In addition, the awardee should have served the Chapter with distinction.
At my first Board of Governors meeting this spring, the College reviewed its FY2011-12 Strategic Plan. While this plan reflects current ACP operations, it also highlights the four priorities in which the ACP will strategically focus its resources and direct its initiatives. Our task as a chapter is to align our strategic objectives to these following four goals.
The first and foremost strategic goal is to be the premier synthesizer and distributor of education and information for the internal medicine community. In addition to those products that we readily associate with the ACP, such as the MKSAP, the college seeks to develop an adaptable, electronic infrastructure to facilitate the delivery of new programs and services; provide educational products that meet accreditation, certification and licensure requirements; revitalize PIER; and develop products about high-value, cost-conscious care.
The second goal is to be the professional home for all internists. In order to achieve this goal, we will need to develop products that appeal to key member segments including hospitalists, subspecialists, and large group practices.
Given the declining interest in primary care, the third goal is to define and communicate the unique value of the internal medicine physician as a provider of patient-centered, complex, high quality, and evidence-based care. It has never been more important. We must improve the attitude of medical students and residents, as well as the general public, towards internal medicine.
Finally, we must support changes in the U. S. healthcare system that improve patient care, improve health, and promote cost conscious care. Whatever your position on the Affordable Care Act may be, we must, as a group, continue to advocate for its improvement and funding, as we model new paradigms for reimbursement. A first step is immediately to seek more than just a temporary fix to the SGR.
As I begin my four-year term as Governor, I have reflected on what my personal goals for the Chapter should be, in view of the College's priorities. After a careful Chapter assessment, I see the following immediate challenges:
1. The Chapter needs a short and long term strategic plan.
2. The Governor's Council does not reflect the diversity of our membership
3. Chapter expenses have exceeded revenues over the past few years
4. Social networking sites have not been used to their full potential as a means of communicating with our membership
5. Only 42% of the state's internists are members. We need a formal marketing plan to increase our market share
6. Student membership in the Chapter ranks 36th among all chapters with only 24% participation.
7. The Chapter does not sponsor any volunteer or community service activities
8. Although active nationally, the chapter needs to expand its local involvement in political advocacy activities, particularly in conjunction with other professional organizations.
Given the constraints of time and resources, I think it will be important for us to determine our strategic priorities for the immediate future. The Governor's Council will come together on the weekend of September 16-17 in Richmond to fine-tune our short and long-term goals. I invite you to write me with your thoughts on what the priorities of our Chapter should be. Hopefully we can achieve much more with your participation and encouragement. In the meantime, I would like to go on record as stating the following objectives I hope to achieve during my term as Governor:
1. The development and implementation of a financial and investment strategy to preserve our capital and fund our activities with a goal of return on investment > 1% over the rise in the consumer price index.
2. An increase in membership share in the state to >50%; increase medical student membership by 25%.
3. An improvement in our Clinical Update attendance by 10% each year, by surveying the membership and creating a program to meet their CME needs.
4. Expanded participation of membership in College, Chapter and Council Activities especially with regard to political advocacy.
5. Increase in communications, through email and social networking sites.
As I begin my term as Governor of your Chapter, I am humbled by my predecessors' accomplishments, and the Chapter's legacy of extraordinary achievement. There is a great deal of work to be done, however, for the profession of internal medicine. I hope to make the Virginia Chapter of the American College of Physicians your professional home of choice. I embrace the challenge and enlist your participation to make it happen. Please contact Dr. Rein, mfr6t@virginia.edu
The Governor's Council includes three representatives from each region of the state, whom you have elected to represent you on issues at the local and national level. Each year, one of the three rotates off council, and a successor is elected by you, our membership. These representatives, elected in 2011, will remain on our Council until the first Governor's Council meeting following Internal Medicine 2014. They are:
Region 1, Northern Virginia: Brad Pontz, MD, FACP; bradpontz@gmail.com Region 2, Richmond Area: Lisa Ellis, MD, FACP; lellis2@mcvh-vcu.edu Region 3 Tidewater: Dean Gianakos, MD, FACP; deangianakos@yahoo.com Region 4 Charlottesville/Shenandoah Valley Area: Douglas Keim, MD, FACP; douglaskeim@gmail.com
Dr. Florentino used his Governor's prerogative and appointed Stuart Henochowicz, MD, FACP of Burke, VA (henochmd@gmail.com) to fill the seat vacated by Chalapathy Venkatesan, MD, FACP in Region 1. Dr. Rein has appointed Sami Tahhan, MD, FACP to fill the seat vacated by Glenn Jones, MD, FACP in Region 3. Your other representatives are as follows:
Region 1: James Long, MD, FACP (2012)
Region 2: Alan Dow, MD, FACP (2012); Ranjodh Gill, MD, FACP (2013)
Region 3: William Atchley, MD, FACP (2012)
Region 4: Jeri Lantz, MD, FACP (2012); William Fox, MD, FACP (2013)
By Michael F. Rein, MD, FACP, Immediate Past Governor
Jon Sweet, MD, FACP welcomes attendees to Associates Day (photo by Suehyb G. Alkhatib)
Our annual Associates' Day meeting was held on January 8, 2011, at the Virginia Tech Carilion School of Medicine under the stewardship of Jon Sweet, MD, FACP, Chair, Associates' Programs; Anke Hacker, MD, FACP, Chair-Elect, Associates' Programs; John Port, MD, ACP Member; and Salman Gohar, MD, Associate. This program is a very high priority for the Chapter, and it is a project supported by your Chapter dues. Associates' Day gives our young members a chance to present their research work in an open and, in fact, competitive forum. It stimulates interest in research and in evidence-based medicine, and it exposes Associates to the sorts of professional networking that is provided by membership in the College.
Wayne M. Sotile, PhD, presented the keynote address on the topic of The Resilient Physician. A nationally recognized expert in the fields of health psychology and work/family balance, Dr. Sotile effectively described skills and techniques for "transforming the medical workplace into a positive interpersonal culture." Over 140 research abstracts and clinical vignettes were received from our Virginia residents. The initial submissions were reviewed by a panel of volunteer judges from throughout the state: John McGurl, MD, ACP Member; Sidney Barritt III, MD, FACP; Michael Rein, MD, FACP; Bruce Johnson, MD, FACP; Ross Murchison, MD, ACP Member; Csaba Kovesdy, MD; Joel Schectman, MD, FACP; Amitabh Parashar, MD, ACP Member; Rhonda Whittie-Bradford, MD, FACP; and Richard Butler, DO, ACP Member. Forty excellent abstracts were chosen for oral presentation.
Abstracts selected for presentation were usually collaborative efforts and benefitted from mentorship, but only the ACP Associate presenter's name is shown below.
Christopher Wood, DO (VTC) - Varicella Zoster Virus Encephalitis in a Patient with AIDS and Seizures (Selected for poster presentation at state meeting)
Kristen Peichert, MD (UVA) - An Unforeseen Benefit to Gastric Bypass Surgery
Mayur Patel, MD (VTC) - Isolated Diplopia: An Atypical Presentation of Temporal Arteritis
Robert Cajes, MD (EVMS) - A Hot Dog Meal That Started It All (Selected for oral presentation at state meeting)
Krystal Larson, MD (VCU) - Unknown Pregnancy Presenting as Severe Preeclampsia
Laura Habelow, MD (NMCP) - Membranoproliferative Glomerulonephritis After a Premature Delivery for HELLP Syndrome
Christopher Clark, MD (VTC) - "Stink Bugs" and Permethrin Inhalation: A Stimulus for Apical Ballooning Cardiomyopathy
Allison Chan, MD (VCU) - Bilateral Ankle Arthritis
Jennifer Knips, MD (EVMS) - Superior Mesenteric Venous Thrombosis in Setting of Diverticulitis
Vlad Stanila, MD (NMCP) - Asymptomatic Neurosyphilis in a Newly Diagnosed HIV Positive Patient
Robert Becker, MD (UVA) - A Particularly Aggressive Course of Acute Myelomonocytic Leukemia Leading to Spontaneous Splenic Rupture and Cardiac Arrest
Christopher Partovi, MD (NMCP) - So You Think a Right Bundle Branch Block is Harmless?
Susan Szulc, MD (EVMS) - Anti-retroviral Agent Turned Anti-tubule Agent Tenofovir-Induced Fanconi's Syndrome (Selected for poster presentation at state meeting)
Vijai Bhola, MD (VTC) - Nafcillin Induced Hypokalemia Secondary to Electrolyte Redistribution and Kaliuresis (Selected for oral presentation at state meeting)
Salman Gohar, MD (VTC) - Fatal Left Coronary Artery Aneurysm Infection (Selected for poster presentation at state meeting)
Robert Brevetta, DO (VTC) - Refractory Hypoglycemia due to Prostate Cancer-Related NICTH (Sent to National; Selected for oral presentation at state meeting)
Imran Farooq, MD (VCU) - Uncontrolled Hypertension and Elevated Alkaline Phosphatase: Presenting Symptoms of Low Grade Metastatic Neuroendocrine Carcinoma
Chandana Bommireddy, MD (VTC) - Massive Hematemesis Due to a Hepatic Artery Pseudoaneurysm Complicating Pancreatitis
Richard Hedelius, MD (NMCP) - Nephrotic Syndrome and Unrecognized Plasmodium malariae Infection in a U.S. Navy Sailor Fourteen Years after Departing Nigeria (Selected for poster presentation at state meeting)
Jean Fiedler, MD (VCU) - Migratory Polyarthralgia in a Renal Transplant Patient
Margaret Williams, MD (EVMS) - There is a Fungus Among Us
Leia Ince-Mercer, MD (VTC) - A Case of Intramuscular Monosodium Urate Crystal "Abscesses" (Selected for poster presentation at state meeting)
Mary Caroniti, MD (NMCP) - Silent Herald: A Unique Case of Idiopathic Membranous Glomerulonephritis Presenting as a Pulmonary Embolism
Faizah Siddique, MD (VCU) - A Triple-Secreting Challenge
Alisha Young, MD (EVMS) - Massive Pulmonary Embolism Diagnosed by Bedside Ultrasound
Christopher Arnold, MD (UVA) - A Case of Grave's Disease Presenting as Vasospasm-Induced Myocardial Infarction
Marcus Carden, MD (VCU) - Acute Chest Syndrome: I-N-O Spells Relief
Sean Cowley, MD (NMCP) - Aggressive Refractory Cervical, Vaginal, and Vulvar Carcinoma In-Situ as a Manifestation of Idiopathic CD4 Lymphocytopenia (Selected for poster presentation at state meeting)
Om Samantray, MD (VTC) - "Broken Heart Syndrome": A Critical, Reversible Complication of Status Epilepticus
Tamika Khan, MD (VTC) - Chiari 1 Malformation Presenting as Unilateral Facial and Abducens Nerve Palsies
Michael Lucas Gambill, MD (VCU) - Enhanced Interleukin-1 Activity in Plasma of Patients with Acute Decompensated Heart Failure
Poonum Korpe, MD (UVA) - Degree of Peripheral Inflammation is Associated with Poor Outcomes in Hospitalized Patients with C. difficile Infection(Selected for poster presentation at state meeting)
Heidi Zapata, MD (UVA) - The Presence of the KPC Gene in Kluvyvera Intermedia: An Environmental Bystander
Rosemary Rengel, MD (VCU) - Circulating Cardiodepressant Factors in Patients with Sepsis (Sent to National; Selected for oral presentation at state meeting)
Ian Anderson, MD (UVA) - Dehydration Prevalence Among Elderly Patients Admitted to a Tertiary Care Hospital Using ICD-9 Coding Versus Laboratory Data
Haeseong Park, MD (VCU) - A Pilot Phase II Trial of Magnesium Supplements to Reduce Menopausal Hot Flashes in Breast Cancer Patients
Mary Caroniti, MD (NMCP) - Evaluation of Possible Association Between Statins and Abnormal Esophageal Motility (Selected for poster presentation at state meeting)
Robert Schutt, MD (UVA) - Evaluation of Clinical and Angiographic Factors Associated with the Presence of Coronary Collaterals in Patients with Coronary Artery Disease
The 40 selected oral presentations were judged by: Dean Gianakos, MD, FACP; Amitabh Parashar, MD, ACP Member; Dexter DeLeon, MD, ACP Member; John McGurl, MD, ACP Member; Michael Rein, MD, FACP; Cecilia Steans, MD, ACP Member; Ganesh Kini, MD, FACP; Shikha Vasudeva, MD, ACP Member; Donald Steinweg, MD, FACP, Ranjodh Gill, MD, FACP, John Cary, MD, FACP, and Sami Tahhan, MD, FACP
Top 4 Abstracts
A Triple-Secreting Challenge, Faizah Siddique, MD, ACP Associate, Virginia Commonwealth University (Selected for oral presentation at state meeting)
Refractory Hypoglycemia Due to Prostate Cancer-related Nicth, Robert Brevetta, DO, ACP Associate, Virginia Tech Carilion School of Medicine
Membranoproliferative Glomerulonenephritis After a Premature Delivery for Hellp Syndrome, Laura Habelow, MD, ACP Associate, Naval Medical Center Portsmouth (Selected for oral presentation at state meeting)
Circulating Cardiodepressant Factors in Patients with Sepsis, Rosemary Rengel, MD, ACP Associate, Virginia Commonwealth University (Sent to National; Selected for oral presentation at state meeting)
The Virginia Chapter ACP annually presents a teaching award to physicians in Virginia. The award recognizes dedication to teaching and skill and accomplishment in the education of medical students, residents, or other physicians. Educational endeavors can take place in the clinic, on the wards, or in a practice setting. Particular emphasis is placed on a record of continued educational activity. This year the Virginia Chapter Teaching award was presented to Mitchell Rosner, M.D., FACP. The ACP Virginia Chapter's annual Teaching Award was presented at Associates' Day, January 8, 2011, in Roanoke, Virginia. Michael Rein, MD, FACP, Governor of the Virginia Chapter presented the award.
Dr. Rosner is currently an Associate Professor of Medicine at the University of Virginia School of Medicine as well as the Vice Chairman of the Department of Medicine. Dr. Rosner also serves as the director of the Nephrology Fellowship Training program. Dr. Rosner serves on the executive committee of training program directors for the American Society of Nephrology. His research interests include sodium and water metabolism and acute kidney injury. He is a Fellow of the American Society of Nephrology and a Fellow of the American College of Physicians. He has authored over 80 manuscripts and 3 textbooks. He is recognized as an outstanding teaching and has been awarded the University of Virginia All-University Teaching Award.
Michael F. Rein, MD FACP, Governor, Presents the Teaching Award to Dr. Rosner (photo by Suehyb G. Alkhatib)
Dr. Rein's Comments:
It is a particular pleasure to present the Virginia Chapter's Teaching Award to Mitchell Rosner M.D., FACP. I have known Dr. Rosner since he was a resident and then a chief resident at the University of Virginia, but neither of us would like you to know how long ago that occurred. I have personally observed Dr. Rosner as a teacher in many different settings. As a resident, he was an excellent teacher of medical students. I was able to observe him, as junior faculty, on his rounds and in his performance of consultations. He was able to create an outstanding teaching environment, with a wonderful balance of being supportive and, at the same time, appropriately challenging. More recently, I have heard him lecture in many settings, including our Grand Rounds and, repeatedly, at ACP events. His lectures are characterized by exceptional clarity of thought, and he is able to communicate his ideas with great effectiveness. In addition to all of this, Mitch teaches professionalism by serving as an outstanding role model. He is also a really nice guy. His winning this award actually contributes to its stature.
Doctor's Dilemma
Jon Port, MD, FACP explains the rules of Medical Jeopardy to the teams
Associates from the 5 Virginia residency programs competed in Doctor's Dilemma, the medical "Jeopardy" game. The program was designed and directed by John Port, MD, ACP Member. Buzzers and a game-show board similar to that of the television show were used for teams to choose categories and questions and to log in. In a hard-fought contest, teams vied for the championship of the Commonwealth and the coveted trophy! The winning team will keep the trophy in its possession until the 2012 competition. Teams that participated in the Medical Jeopardy competition were:
Virginia Tech Carilion: Bonny Moore, MD; Emily Thomas, DO; Kevin Loughry, DO Eastern Virginia Medical School: Jody Boggs, MD; Ellen Peterman, MD; Armin Rashidi, MD Naval Medical Center, Portsmouth: Jennifer Cunningham, MD; Mike Wagner, MD; Sarah Wied, MD. University of Virginia: Christopher Arnold, MD; Glenn Moulder, MD; Robert Schutt, MD Virginia Commonwealth University/Medical College of Virginia: Nayef Abouzaki, MD; Amit Bharara, MD; Krystal Larson, MD Virginia Commonwealth University/Medical College of Virginia won the competition, and the team was sent to compete at Internal Medicine 2011 in San Diego in April.
Winning Medical Jeopardy Team from VCU/MCV: Amit Bharara, MD; Stephanie Call, MD, FACP, Program Director; Nayef Abouzaki, MD; Krystal Larson, MD
This year's Clinical Update at the Hilton at Short Pump in March saw attendance increased to 226, for what proved to be an exciting and innovative program of interest to both ambulists and hospitalists. Chaired by Lisa Ellis, MD, FACP, Associate Professor, Obstetrics and Gynecology and Internal Medicine at VCU and Medical Director of Clinical Services at Stony Point Women's Health Center in Richmond, the update included a series of four talks that focused on facilitating the transition for patients and providers as they move from inpatient to outpatient care. The overwhelming majority (87%) of physicians in the initial post-conference survey sample reported that the 2-day continuing medical education meeting definitely improved their skills in areas where they felt their patient care needed improvement. Of note was the remarkable medical student program chaired by Thamiris Palacios, ACP Student Member, which attracted 47 medical students from around the state to the meeting.
At the Awards Luncheon on Saturday, March 5, the Chapter awarded its Laureate to the UVA Chair of Medicine, Robert M. Strieter, MD. PhD, MACP, for excellence in all areas of academic medicine and his contributions to the ACP. The Young Internist Ward for 2011 was presented to Leanne Yanni, MD, FACP, for the extraordinary magnitude of her contributions at the institutional, state, regional and national level in teaching, scholarship, clinical, and administrative services. With a long history of community service activities including renal screenings for medically underserved populations in Charlottesville and its Remote Area Medical Clinic, the Volunteerism Award was given to Rasheed A Balogun, MD, FACP, a popular and inspiring teacher at UVA.
Despite the overwhelmingly positive reviews of the meeting, income from tuition and exhibitors resulted in a net cost to the Chapter of approximately $14,000. We will continue to promote interest and attendance for 2012 with hopes making this year's meeting a more budget neutral event. Our Council of Young Physicians, chaired by John Port, MD, ACP Member, will serve as the Program Committee for the 2012 ACP Virginia Annual Meeting and Clinical Update 2012 to be held at the Omni Charlottesville Hotel, March 16-17, 2012. Already the program is shaping up to be an interesting, timely, and relevant event for all internists. At this time, plans are in progress to continue to provide 15 hours of CME credit, with updates on traumatic brain injuries in sports, tick-borne illnesses in Virginia, and many more of the topics you have requested in your post-meeting surveys. We will hopefully continue our medical student participation with a program led by our new medical student rep, Neha Chande, Student Member. We have purposely planned the meeting in a central part of the state for ease of travel and lower hotel costs. I hope we can count on your attendance! As always, we are interested in hearing from those of you who did not attend the meeting. Please let us know how we can make this meeting more attractive to you.
Report from the Board of Governors Meeting
Thirty resolutions were considered by the Board of Governors (BOG) at this year's meeting held just prior to Internal Medicine 2011 in San Diego. After considerable discussion, eight of those were adopted by the BOG, referred to the Board of Regents, and are in various stages of implementation:
08-S11. Promoting the Leadership Role of Physicians in the Health Care Team
14-S11. Supporting Federal Legislation and/or Regulations that Require Clearly Labeling Food with Genetically Engineered Ingredients
16-S11. Allowing Members of ACP Military Chapters to Maintain Membership in Both Military and State ACP Chapters
17-S11. Notifying Governors when Fellowship Nominees are Approved
20-S11. Developing a Strategy to Market MKSAP and Other ACP Products through ACP Chapters
26-S11. Endorsing and Encouraging the Development of Preceptorship Programs throughout ACP Chapters
29-S11. Developing a Strategic Theme to Improve the Health of the Public by Promoting Health and Preventing Disease in Populations as well as Individuals
You can see the details of these resolutions here.
The resolutions deadline (May 23) for our Fall BOG conference has passed and the number of resolutions is significantly fewer. We have a total of 7 resolutions to be heard at the Fall BOG meeting. You can review these online at http://www.acponline.org/private/resolutions/fall2011 Please send any comments to Dr. Rein, Interim Governor, or your local Council Representative so we can bring your views to the meeting. The resolution process is a powerful way for our members to reaffirm or change College policy and to align it with the current needs of the membership. Your suggestions for future resolutions are always welcome by your council reps or Dr. Rein.
Members of our Chapter participated in many different ways at Internal Medicine 2011, the College's national meeting in San Diego, April 7-9, 2011. Our Virginia Reception was generously supported by the Departments of Medicine at Eastern Virginia Medical School, University of Virginia, Virginia College of Osteopathic Medicine, Virginia Commonwealth University-Medical College of Virginia, and Virginia Tech Carilion School of Medicine. Many thanks. It was great fun to introduce our new Governor, Paul Florentino MD, FACP, and once again to meet with current and former students and residents, academic colleagues, and practitioners from across the state.
Among the attendees enjoying the Virginia Reception at IM2010
Our Chapter leads the pack in the strength of its strategic planning program. Paul Florentino, MD, FACP, Governor, and Ann Tennett, Executive Director, were invited presenters at the Board of Governors Chapter Leader Networking Session, immediately preceding the national meeting. They discussed the Virginia Chapter's Strategic Plan and presented information on putting the plan into action.
Congratulations to our newest Fellows who marched at Convocation.
Abdullah M. Al-Osaimi, MBBS, FACP, FACG
Valentina L. Brashers, MD, FACP
Kristin M. Clontz-Bell, MD, FACP
Richard Y. Kim, MD, FACP
Ganesh D. Kini, MD, FACP
John W. Pendleton, MD, FACP
Sami G. Tahhan, MD, FACP
Phyllis K. Yeboah, MBChB, FACP
Fellowship inductees at IM2010: Abdullah Al-Osaimi, Governor-elect Paul Florentino, Kristin Clontz-Bell, John Pendleton, Governor Michael Rein, Phyllis Yeboah, Ganesh Kini, Sami Tahhan, and Richard Kim (Photo by Ann Tennett)
Doctors' Dilemma Team Does Particularly Well
Our Virginia Championship "Jeopardy" Team, from Virginia Commonwealth University-Medical College of Virginia included:
Nayef Abouzaki, M.D., Associate
Amit Bharara, M.D., Associate
Krystal Larson, M.D., Associate
They fought knowledgably, brilliantly, and valiantly in Doctors' Dilemma. Tied for first place with a team from the University of Michigan at the end of the Regular Round, they underestimated their mastery of Ophthalmology, the category in Final Jeopardy Round. Of course, they knew the answer, but having failed to bet the boat, they did not end up with the highest final score. Congratulations, VCU-MCV Team, you are better than you thought you were! Vastly well done!
The team's attendance was co-sponsored by the Virginia Chapter and the Department of Medicine at Virginia Commonwealth University-Medical College of Virginia.
Virginia Associates' Presentations Receive High Acclaim
A good number of Virginia's Associates were selected to present papers and posters at the national Associates' Competition. Two received special recognition:
VIRGINIA - PODIUM PRESENTATION - CLINICAL VIGNETTE
SUSAN V SZULC, MD, ASSOCIATE, EASTERN VIRGINIA MEDICAL SCHOOL
Leave No Stone Unturned: Atazanavir -Induced Nephrolithiasis
First Author: Susan V Szulc, MD, Associate, Second Author: David J Castaldo, MD, FACP
Introduction: There are over one million HIV+ individuals in the U.S.1 ART has become commonplace and management is no longer reserved for infectious disease specialists. However, do medicine practitioners see what's hidden beneath the stones of common therapy? Case Presentation: A 40-year-old male with HIV (CD4 404, undetectable viral load) presented with complaints of flank pain and "passing kidney stones". The patient had a history of indinavir-associated nephrolithiasis. He was switched from his original ART regimen (indinavir, lamivudine/zidovudine) to ritonavir-boosted atazanavir, tenofovir/emtricitabine in 2005. With this change, he reported no further episodes of nephrolithiasis. However, the patient presented four years later, with complaints of "passing kidney stones" again. He denied fevers, nausea or vomiting. On examination, the patient was afebrile and did not display CVA tenderness. Urinalysis revealed a pH of 5.5 and no red blood cells. Labwork was only significant for an elevated total bilirubin of 2.3, which was stable. The patient was advised to strain his urine. The stones were sent for analysis and found to be composed of atazanavir. Discussion: Atazanavir was FDA-approved in 2003 and was embraced for its once-daily dosing and its favorable side effect profile. Compared with other protease inhibitors (PI), atazanavir has less adverse effects of hyperlipidemia, diarrhea and lipodystrophy.1 Furthermore, the CASTLE study in 2008 demonstrated noninferiority of atazanavir/ritonavir to lopinavir/ritonavir, solidifying its place as cornerstone initial therapy. Currently, ritonavir-boosted atazanavir is a CDC-preferred regimen. Nephrolithiasis is a well-known complication of therapy with indinavir, another PI. However, this isn't a class effect and was not initially reported during the clinical trials for atazanavir. In fact, the first case wasn't reported until 2006. Since then, there have been only three cases described in the literature. Furthermore, from December 2002 through January 2007, there were only 30 cases reported to the USDA Adverse Event Reporting System. The mechanism of the development of the stones is unknown. However, atazanavir is primarily metabolized by the CYP3A isoenzyme and 7% is excreted unchanged in the urine. Drug solubility increases substantially with urine acidity. Thus, hepatic dysfunction and alkaline urine act as risk factors for crystal formation. However, as in our patient, atazanavir-stones may develop de novo. Physicians must maintain a high level of suspicion in patients on atazanavir with urinary complaints. Stones should be sent for composition analysis, to guide decisions on therapy changes. Currently, nephrolithiasis is not a strict indication for discontinuation. In fact, only 30% of the USDA-reported cases resulted in atazanavir discontinuation. In addition, clinicians should consider urinary acidification as possible treatment. Because this complication is associated with significant morbidity, including invasive procedures, hydronephrosis and renal failure, additional studies are needed to help prevent and treat this very important side effect of a commonly used medication.
2011 ASSOCIATES CLINICAL VIGNETTE POSTER WINNER
LT MICHAEL S WAGNER, MD, ASSOCIATE, NAVAL MEDICAL CENTER (PORTSMOUTH) PROGRAM, VA
When Cultures Fail, PCR Gets to the Heart of the Matter: The Use of PCR in the Diagnosis of Culture-Negative Endocarditis First Author: LT Michael S. Wagner, MD, Associate, Second Author: CDR Jeffrey Tjaden, MD, MPH, FACP
Introduction: In cases of endocarditis when cultures remain negative, there is increasing use of PCR of valvular tissue to identify an organism to tailor antibiotic therapy. The following is a case of an active duty male with culture-negative endocarditis (CNE) found to have Aggregatibacter aphrophilus. Case Presentation: The patient is a 53-year-old physician who developed progressive fatigue, fevers, night sweats, and headaches shortly after deploying to Iraq. Symptoms did not resolve after conservative treatment and continued despite treatment with 5 days of azithromycin for a presumed sinus infection. Weeks later he was found to have persistent fevers, thrombocytopenia, elevated liver associated enzymes, and 20lb weight loss requiring transfer to Naval Medical Center Portsmouth for further evaluation. Although febrile (103°F) and with markedly elevated C-reactive protein on presentation, initial blood cultures were negative despite extended incubation and terminal subculture. MRI of the brain obtained for persistent retro-orbital headaches and left inferior quadrant hemianopsia revealed multifocal regions of acute ischemia. He was found to have two vegetations on the posterior leaflet of the mitral valve by trans-esophageal echocardiogram. An extensive workup to obtain microbiologic diagnosis to include multiple cultures (bacterial, fungal, mycobacterial) from the blood, urine, CSF, and bone marrow as well as serologic testing for Coxiella burnetii, Brucella species, and Bartonella species were negative. The patient was treated for CNE (possible endocarditis by modified Duke Criteria) with 30 days of gentamicin and 42 days of vancomycin (PCN allergy) plus ciprofloxacin. Due to worsened symptomatic mitral regurgitation, the patient required a posterior leaflet resection and primary reconstruction. Special stains did not reveal any organisms, and bacterial, fungal, and mycobacterial cultures of the valve were finalized as negative. PCR testing on valvular tissue using 16S rDNA primers were positive for Aggregatibacter aphrophilus.
Internal Medicine 2011 Virginia Chapter Faculty:
Corbett, Eugene C. Jr., MD, FACP, Professor of Medicine, Department of Internal Medicine, University of Virginia, Charlottesville, VA Ophthalmoscopic Skills for the Internist
Crowe, Sheila E., MD, FACP, FRCPC, FACG, AGAF, Professor of Medicine, Department of Medicine, University of Virginia, Charlottesville, VA Multiple Small Feedings of the Mind: Gastroenterology, Psychiatry, and Rheumatology
Dallas, Apostolos P., MD, FACP, Assistant Professor of Medicine, Department of Internal Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA. News You Can Use: Current Clinical Guidelines
Ellis, Lisa, MD, FACP, Associate Professor, Departments of Obstetrics and Gynecology and Internal Medicine; Director of Clinical Services, Women's Health Center at Stony Point, Medical College of Virginia, Medical Commonwealth University, Richmond, VA Moderator: Multiple Small Feedings of the Mind: Oncology, Infectious Diseases, and Hematology
Klein, Wendy Simons, MD, FACP, Associate Professor Emeritus of Internal Medicine and Obstetrics/Gynecology, VCU Institute for Women's Health, Virginia Commonwealth University School of Medicine, Richmond, VA. Moderator: Mars and Venus: Male and Female Sexual Health, Scientific Program Committee
Florentino, Paul, MD, FACP, Governor, Virginia Chapter, ACP, Director Of Medical Services, National Naval Medical Center, Bethesda, MD: Chapter Leader Networking Session, Strategic Execution
Macik, B. Gail, MD, Member, Professor of Internal Medicine and Pathology, Division of Hematology and Oncology, Department of Internal Medicine, University of Virginia Health System, Charlottesville, VA Multiple Small Feedings of the Mind: Oncology, Infectious Diseases, and Hematology
Nadkarni, Mohan M., MD, FACP, Associate Professor, Department of Internal Medicine, University of Virginia Health Systems, Charlottesville, VA Moderator: Multiple Small Feedings of the Mind: Gastroenterology, Psychiatry, and Rheumatology
Pendleton, John W., MD, FACP, Associate Professor of Internal Medicine, Virginia Tech Carilion School of Medicine, Assistant Professor of Clinical Internal Medicine, University of Virginia School of Medicine, Department of Medicine, Carilion Clinic, Roanoke,VA; Rheumatology Section, Medical Service, Salem Veterans Affairs Medical Center, Salem, VA Multiple Small Feedings of the Mind: Gastroenterology, Psychiatry, and Rheumatology
Ann Tennett, Executive Director, Virginia Chapter, ACP: Chapter Leader Networking Session, Strategic Execution
Yanni, Leanne M., MD, FACP, Assistant Professor, Department of Internal Medicine and Palliative Care, Virginia Commonwealth University Medical Center, Richmond, VA Managing Chronic Pain; Opioids for Chronic Pain: Maximizing Benefits and Minimizing Risks
By William Fox, MD, FACP
On May 24 and 25, I had the honor of leading an intrepid group of Virginia members to Washington, DC as part of ACP Leadership Day. Our delegation, comprised of Downs Little, MD, FACP, Sami Tahhan, MD, FACP, Joseph Aloi, MD, FACP, Joe Verdirame, MD, FACP, Preston Reynolds, MD, FACP, Patrick Baroco, MD, John Daniel, MD, FACP, Renee' Carter, MD, FACP, Governor Paul Florentino, MD, FACP, Sarah Corley, MD, FACP, Jeffrey Harris, MD, MACP, Stuart Henochowicz, MD FACP, Doug Summerfield, MD, Anthony Fam, MD, Ursula Kelly, MD, Jennifer Knips, MD, Morgan Obrian, MD, Rob Green, MD, and Furhan Qureshi, MS, received briefings on medical policy from members of congress and their staff, and then spread out across Capitol Hill to meet directly with our congressional offices.
In our discussions with congressional offices, we focused on the following concerns:
Eliminating the Medicare SGR and transitioning to better payment systems.
Preserving key Discretionary Workforce Programs including the National Health Service Corps, the National Health Care Workforce Commission, and Section 747 of Title VII funding for training in primary care.
Preserving key mandatory programs such as the Medicare Primary Care Incentive Program and the Medicaid Comparability Program.
Moving forward legislation on liability reform.
With regard to the SGR, Republican and Democratic Leadership have both stated their commitment to permanently fix the broken payment system. At their request, the ACP, along with several other major medical organizations, recently sent a letter to the House Energy and Commerce Committee outlining our view of how this should be done. ACP's proposal recommends eliminating the SGR and guaranteeing five years of stability that would ensure that no physician services would receive negative updates. During this five-year period, according to the ACP proposal, E/M services should receive updates of no less than 2%, regardless of the specialty of the physician that provides them, while non E/M services should receive updates of no less than zero percent. Also during this five year period, there should be robust testing of new payment models, including Patient Centered Medical Homes and Accountable Care Organizations among other innovative models. By 2019, the expectation would be that physicians would completely transition away from the traditional fee-for-service model. Read the full ACP letter
Our visit wasn't all business, however. At the awards dinner, our organization heard remarks from Senator Max Baucus, to whom we presented our Joseph F. Boyle Award for Distinguished Public Service, and political strategist and CNN analyst Alex Castellanos. In addition, our own Downs Little, MD, FACP received one of the Top Ten Key Contact of the Year Awards. Congratulations Downs!
We are always looking for members who wish to join us for Leadership Day. Our chapter will support one member from each congressional district, and one medical student and resident from each program in the Commonwealth. We are especially interested in members from Congressman Morgan Griffith's 9th congressional district. If you are interested, please contact me.
Leadership Day, 2010. Robert Green, ACP Member; The Honorable Robert Hurt (R-5th); William Fox, MD, FACP, Chair Virginia Chapter's Health and Public Policy Committe
Associates' Day
Virginia Chapter ACP Annual Meeting and Clinical Update
Omni, Charlottesville, VA
Internal Medicine 2012


Dr. Karpman completed his undergraduate studies at McGill University in Montreal and followed this with a Masters Degree in Health Administration from the University of Ottawa. He completed his medical degree at the University of Alberta. Following the completion of his Family Practice Residency, he entered the Sport Medicine Fellowship at the Glen Sather Sport Medicine Clinic in Edmonton in 1989 and received his Diploma in Sport Medicine in 1990, joining HealthPointe as a consultant in 2008.
Dr. Karpman has served as the medical consultant for the Canadian Forces Base Edmonton, as well as the varsity athletic teams at the Northern Alberta Institute of Technology, Concordia University College, and the University of Alberta. He also served as team physician for the Edmonton Oil Kings Hockey Club and the Edmonton Rush Lacrosse Club. He is currently the Team Physician for the University of Alberta Golden Bears hockey and wrestling teams. He is the Chief Medical Advisor for the Edmonton Combative Sports Commission and has travelled internationally on numerous occasions with Canadian athletics, wrestling and rugby teams.
Dr. Karpman is a clinical lecturer in the Department of Family Medicine at the University of Alberta and is a past President of the Alberta Medical Association Section of Sport and Exercise Medicine.


text:
From concept to reality, we deliver unrivaled service, design, and quality – creating captivating experiences with water.
The Water Odyssey™ division of Fountain People was established in 1996 to provide the market with the highest quality aquatic playground equipment available. As the leading designer and manufacturer of interactive water features in the country we have been able to bring cutting edge technology to the design of aquatic playgrounds.
Water Odyssey™ products are installed in commercial and municipal facilities across the U.S. and in Europe, the Middle East, New Zealand, Australia, Japan, Mexico, and Canada. All Fountain People and Water Odyssey™ products are made in the USA and are fabricated at our facilities in San Marcos, TX.
Fountain People, A PlayCore Company
Fountain People, Inc. was founded in early 1987 with the goal of providing Architectural Specifiers with a complete package of products and services previously unavailable from a single source. Bringing over 60 years of collective experience, the principals of the firm developed the Total Services Approach to water feature design.
The company has grown from three employees operating out of a single 3,000 square foot building into a multi-divisional operation employing over 100 people with more than 60,000 square feet under-roof at our state of the art manufacturing and design facility located on 10 acres near San Marcos, Texas.
Fountain People domestic projects range from water features for the headquarters of major corporations such as Chrysler, J.C. Penney, and Eli Lilly to work for MCA/Universal and the country's best known entertainment company. On the international scene, Fountain People systems are installed from Abu Dhabi to Hong Kong.
Now the country's leading designer and manufacturer of architectural and interactive fountain equipment and systems, Fountain People, Inc. thanks the many design professionals who have chosen us as a member of their design team.
About PlayCore
PlayCore is a purpose driven Company committed to building stronger communities around the world by advancing play and recreation. The company infuses scholarly learning, through its Center for Outreach, Research, and Education, into its comprehensive family of brands. PlayCore combines best-in-class educational programming with the most comprehensive portfolio of play and recreation products and services to create tailored solutions that match the unique needs of each community served.

redpajama_set_name: RedPajamaCommonCrawl


text:
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<input id="addinv" type="button" value="Add Custom Item">

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A: Are you getting a Javascript error? In FireFox, open the tools->web developer->error console then reload your page. (Assuming you have the FF plugins for this).

redpajama_set_name: RedPajamaStackExchange


Our products work together and with your existing equipment seamlessly. Choose from enclosures and thermal management tools that protect your data storage while minimizing cost and wasted energy.
Our products work together and with your existing equipment seamlessly. Choose from enclosures and thermo-regulation tools that protect your data storage while minimizing cost and wasted energy.
Precision built for maximum efficiency, Silver Linings products pull huge amounts of heat from your most challenging environments. Fluid Coolers and Chillers—together or independently—provide cooled fluid to Enclosures or Heat Exchangers, giving them the capacity they need to control high temperatures.
Water moves through the entire system — shown here — absorbing heat and being cooled as it completes each cycle.


text:
Guidelines and Procedures
Commission Based Programs
HomeOur SchoolLocation
Oatley Public School is situated near the picturesque Georges River only a short walk from Oatley Village shops and train station. Oatley has provided quality education in a warm, supportive and nurturing environment for students from Kindergarten to Year Six since 1917.
The school is on spacious well kept grounds bounded by Letitia Street in the east and Oatley Avenue in the west. The site is split into two campuses, separated by Neville St which is closed to all traffic during school hours providing easy, safe access to both sites for all students.
Our new administration building and school library were opened in 2008 with the school office now situated in the new building accessed from the Letitia Street entrance. See school site plan below.
The Oatley Public School map has been provided to assist with finding various school locations and buildings. Please note that all visitors during school hours are required to report to the school office upon arrival.
Welcome to 2020 from OPS Parents and Citizens Committee
Update Novel Coronavirus Tuesday 7.30pm Oatley Public School students returning
Oatley Public School return to school Wednesday 29 January, 2020.
Health Information-Novel Coronavirus
Our final week of 2019. Have a Merry Christmas and a Happy New Year.
Yrs 3- 6 Celebrating Success
Thursday, 10 December @ 9:30 am - 12:30 pm
Oatley Organiser
Gallery - Filmpond
OOSH Care
Copyright © 2019, Oatley Public School.


This walk of about 2 miles is between West & East Croydon Stations. Croydon (zone 5) is well served by public transport.
If you want to stand and stare avoid Saturdays and weekday lunchtimes when the town is at its busiest.
Begin at West Croydon Bus Station or Tramstop. If you arrive by train on exiting the station go around to the left into Station Road.
West Croydon has been a station site since the London & Croydon Railway opened in 1839 on the route previously followed by the Croydon Canal (1809-1836) and includes the site of the Croydon Canal Basin. The old station building is now used by a motor spares shop. West Croydon was also the site of the Atmospheric Engine House (for an experimental form of railway) which was re-located and will be seen later. Notice the design of the 'Prospect West' building.
The building on the left with the large arched windows on the first floor was the Station Picture Hall, Croydon's first cinema, converted from a shop in 1908 and closed in 1917.
Go across the junction down Tamworth Road.
This follows the line of a tramway which ran from alongside the canal basin. It is now a Tram route.
Follow this road to a crossroads just before the main road ahead.
The small green on the right marks the point where the tramway joined the Surrey Iron Railway (1801) and Croydon Merstram & Godstone Iron Railway (1803) tracks (all freight railways).
Go around the Reeves Corner island.
This is named after the furniture store (established in 1867) which occupied premises here until destroyed in the summer riots of 2011.
There are former almshouses at Ramsey Court. The buildings date from 1875 & 1887 but they were founded in 1447. The 'Rose & Crown' pub is over 300 years old.
Across to the parish church of St. Johns (Croydon Minster).
This medieval church was largely destroyed by fire and reconstructed by George Gilbert Scott in 1867. A guide book to the church is available inside.
Take the path between the churchyard and the main road.
Notice the old style 'Bradshaw' lamps with town crest, granite cattle trough and drinking fountain.
Turn left into Howley Road.
The Tudor arch is of Reigate stone. This was the site of Palace fish ponds supplied by the River Wandle.
Left into Old Palace Road which was the Palace driveway.
The Palace, now a school, served as the summer residence of the Archbishops of Canterbury. In the 19thc it was a washing/ bleaching/ printing factory utilising the old fish ponds. Former premises of Pickfords Removals (notice dates) are now part of the school. 'Palace Cottages' were built in 1851. The site of the parish school, built on land once occupied by the Palace stables, is now a new school building.
'Laud Cottages' were built in 1852. The former Mission Chapel is now a nursery school.
Ahead is the Surrey Street Waterworks building. The oldest part, dated 1851, utilised the Atmospheric Engine House moved from West Croydon. Extensions were added in 1866, 1872 & 1912.
At the end of Charles Street turn left into Scarbrook Road.
This follows the line of Scarbrook Ponds.
Go up the steps ahead.
There is a drinking fountain and plaque marking the widening of the High Street. The Town Hall which stood here had to be demolished for this work along with the slum area of Market Street.
Surrey Street has been a market area since 1276, formerly noted for its meat trade. Points of interest include: Millets wall advertisement on right and views of the pumping station to the left. Halfway along steps on the right lead through Arcade to the High Street.
Go left into Overtons Yard.
The car park occupies the site of Page & Overton's Brewery (1814-1954). Opposite its granaries have been converted to a nightclub.
Return to and continue along Surrey Street.
Old established Dog & Bull pub on the left. Opposite are buildings supported on pillars, formerly butcher's premises, some with mathematical tiles (made to look like bricks).
These are warehouse buildings with wall mounted hoist and former printing premises. Notice the shop topped with a Wyvern decoration.
Out of Middle Street turn right to crossroads.
There are some Art Deco styled buildings on the right. Barclays Bank is on site of ancient Crown Inn demolished in 1955. Opposite are 16thc almshouses built by Archbishop Whitgift for retired servants of the Palace.
To the left is pedestrianised North End, Croydon's main shopping street. The buildings above some of the shops are worth looking at [more info]. This road leads back to West Croydon Station for a shortened circular walk.
Nat West Bank is on the site of the George Inn. The adjacent building was formerly a residential house & location of Croydon's first telephone exchange 1886-90.
To the right is the High Street - take this keeping on left hand side.
A range of late 19thc buildings opposite include the former Castle Coffee House, Post Office and the remaining façade of Grants Store which has been incorporated into a new development.
Second left into Katherine Street.
This was once the yard of the Kings Arms Hotel. The Spread Eagle is a converted Nat West Bank. Adjoining is the former Corn Exchange with a statue of Croydon's benefactor Archbishop Whitgift on its stairs. Set back is the Braithwaite Hall, now part of the Clocktower building - Croydon's cultural Centre. The clock and bells were made by local firm, Gillett & Johnson. Next to this is the elaborate Town Hall designed by local architect Charles Henman and opened by the Prince of Wales in 1896.
Return to the High Street, turn left and take the first left into Mint Walk.
From here you can see the new library building by Tibbalds Monro which is linked to the Katherine Street building by a full height glass atrium.
Stand at the top of Mint Walk.
The road continued ahead along the line of the park path and was formerly a ropewalk.
The police station, demolished in 1980, was sited here with a subway link under the road to the court rooms (still existing).
Taberner House to the right was designed in 1967 by H Thornley and named after Ernest Taverner, Town Clerk 1937-63.
Go left down the steps. Go right along the path ahead.
This was the location of a railway cutting of the spur line from East Croydon to Central Croydon Station (now Town Hall site) operational 1866-71 & 1886-90 (a plaque on the wall records this).
Go through the subway which comes out in front of the Fairfield Halls then into the park area to the left of the Halls.
Site of Fair Field and location of the Great Fair, stopped when the land was purchased by the railway company for their branch line. Gravel was extracted from this site.
There are court buildings on the left.
There is the option of exploring PARK HILL here (see add info).
The church has wooden tiles and there are 'Arts & Crafts' style houses.
Cross the road ahead to reach East Croydon Station where the walk ends. There is also a bus station and tramstop at this location.
East Croydon station is by Alan Brookes Associates. At the roundabout is No. 1 Croydon known as the 'threepenny bit building'. It was designed by R Seifert & Partners and is 269' high.


If you are looking for a full service generator contractor we are here for you. We offer the following services to our customers in Sailboat Bend.
We offer our customers in Sailboat Bend a range of generator types and brands.


In family law cases, many clients think that some information they have available to them is not relevant, are ashamed to admit something, or are actively trying to disguise their true intentions from a lawyer.
You may be aware that your lawyer has a duty to not mislead the Court and so you may withhold information from them as a result.
However your lawyer is the person best positioned to advise you as to whether something is relevant or irrelevant.
For example, in parenting cases, sometimes a response to your Court documents is received that suddenly raises allegations of drug use, alcohol use or a prior criminal history. When asked about why the client did not mention this to you previously, the response might be that 'it was irrelevant' or a client felt ashamed about their situation. This leaves you and your lawyer having to perform a great deal of work to catch up and explain why there was not disclosure initially.
It also feeds into a perception that you are not being upfront or able to deal with problems, or that you will not openly admit to any difficulties that may arise in the future.
If you tell your lawyer early on, they are able to provide you with guidance to help you address any drug or alcohol issues, or direct you towards appropriate resources such as counsellors to support you to avoid delays.
Similarly, a business deal or written agreement might not be mentioned to a lawyer in a property proceeding because you did not want to bring a third party into your personal life. Again, your lawyer is best positioned to assess whether this is necessary; they can then give you all the options and you can make a conscious choice, instead of regretting a failure to even discuss the issue latter.
Having to disclose such a document later in proceedings ignites accusations from other parties that the document may have been prepared after the fact or that there has been an attempt to ambush. A failure to disclose may also result in another party to your case seeking costs against you for your conduct of the case.
As a rule of thumb, it is better that you are transparent and honest with your motivations, history and difficulties you are currently facing to your lawyer, so that you and your lawyer aren't caught off-guard.
To find out more or for specific advice about your circumstances, call us on 03 9614 7111 or email Melbourne@nevettford.com.au.


text:
The Star Wars: Visions Story That Fans Agree Deserves Its Own Series
NEWS EXCLUSIVES MOVIES TV REVIEWS FEATURES
Lucasfilm/Disney+
By Eammon Jacobs/Sept. 23, 2021 2:56 pm EST
It might be some time before fans see the "Star Wars" universe on the big screen again, considering that the Skywalker Saga seemingly came to a close with 2019's "The Rise of Skywalker." Fortunately, Disney+ has been busy expanding the galaxy far, far away during the franchise's time away from the silver screen. "The Mandalorian" is charting a new path forward for bounty hunters, Jedi, and Imperials within the "Star Wars" universe, and there's plenty of other spin-off shows on the way. Now, in addition to the streaming service's live-action offerings, Lucasfilm and Disney have delivered a stunning new entry into the legendary franchise with "Star Wars: Visions."
Lucasfilm and Disney worked with seven different Japanese animation studios to create the anthology series, with each studio creating a unique vision of what "Star Wars" can look like. The 9-episode season consists of some hugely inventive stories that serve to widen fans' understanding of the Jedi, the Sith, the Empire, and the Rebellion. Some episodes are quite short at just around 13 minutes, while others last around 22 minutes, and it's genuinely astounding to see what some of the series' installments still manage to do within the constraints of such condensed runtimes.
In fact, many "Star Wars" fans seem to think one of its episodes deserves its own spin-off series.
The Ninth Jedi blew Star Wars fans away
"Star Wars: Visions" Episode 5, titled "The Ninth Jedi," is produced by Production I.G and takes place centuries after the Jedi have disappeared, with a new Sith empire ruling over the galaxy. The episode sees a mysterious man named Juro (Andrew Kishino/Tetsuo Kanao) call a number of Force users to his floating base (where he mines kyber crystals in order to build new lightsabers) and attempt to restart the Jedi Order. The meeting doesn't exactly go to plan because the Sith hijack it, but the episode's story seems to have instantly charmed "Star Wars" fans.
When discussing the episode on Reddit, u/ThexanI wrote, "Ninth Jedi is the best one for me, holy s**t what an amazing episode." Meanwhile, u/Recovery25 admitted that they want to see more of the episode's story, saying, "If we don't get a full show for this or a continuation of the story in a novel or something, I'm going to be very upset." The same Redditor also added that the episode "felt the most like the original trilogy to me than a lot of recent Star Wars stuff. The world felt new and unexplored. I haven't stopped thinking about that one since watching it."
Elsewhere, u/jish5 revealed they want to see the episode become the basis for the rest of the franchise in the future, writing, "Honestly, I would LOVE for this to be legit canon as the future," before noting that "it would be a great way" for the franchise "to move forward and be legit unique and original."
Here's to hoping that these fans' wishes come true and "The Ninth Jedi" does get its own series. However, if it doesn't, we'll happily settle for "Star Wars: Visions" Season 2.


Machapuchare, "Fish Tail Mountain," where no human has ever set foot…or have they?
This majestic peak in the Himalayas is called Machapuchare, also known as "Fish Tail Mountain." At 22,943 feet it's considerably less tall than Mt. Everest, but this mountain is definitely in illustrious company–legendary peaks such as Annapurna (which actually has three summits) and Manaslu, both in the "8,000-meter club," are not far away. If you've read National Geographic for a couple of years or even been to an IMAX movie you've probably heard a lot about those mountains, along with Everest and the others, being climbed frequently. You probably have never heard of anyone who's climbed Machapuchare, and that's for a very good reason: no one ever has…at least we think not.
Fish Tail Mountain is a sacred peak in the Hindu religion, associated with the god Shiva. Lord Shiva is supposed to live on the peak, which evidently gets is name from the shape of the summit seen from a certain angle. As one of the last places on Earth where human beings had never set foot, naturally it was a target for Western mountaineers, particularly the British, who had conquered the big Kahuna of no-humans-allowed places–Mt. Everest–in 1953. In fact, it was a member of that expedition, one Wilfrid Noyce, who came the closest anybody ever has to the summit on a 1957 expedition. The king of Nepal had asked Noyce to respect Hindu religious customs and not set foot on the summit. He and his climbing companion, A.D.M. Cox, turned back 150 feet short of the summit. This expedition produced the only climbing record of this mountain, a very rare book called Climbing the Fish's Tail.
Machapuchare as seen in Google Earth, April 2013.
So is Machapuchare really one of the very few places left on our planet where no human has ever set foot? It would be romantic and wonderful to suggest unquestionably that it is, but sadly it may not be true. It appears to be an open secret in climbing circles that a New Zealand climber named Bill Denz climbed the mountain, alone, sometime in the early 1980s. He also seems to have made a few other illegal climbs in his career before he was killed in an avalanche on Mansalu in 1983. The truth about whether he really did set foot on the peak of Fish Tail Mountain died with him 30 years ago.
Today, as the environmental impact of alpine climbing is becoming much more understood–especially on heavily-trafficked sites like Everest, which is being completely ruined by climbers, according to a recent National Geographic article–Machapuchare's religious status may work an environmental benefit by leaving it as the only pristine mountain left in the Himalayas. I can't imagine that no one will ever go to the top, as human beings just have to ruin everything, but I'd like to think that it won't be for a long, long time. Some places on Earth are meant only for the presence of God, not man, and Fish Tail Mountain seems to be one of those places.
Trivia: Machapuchare is mentioned in the Choose Your Own Adventure book The Abominable Snowman as one of the possible habitats of the Yeti.
Everest is not being ruined by mountaineers and climbers; it is being ruined by commercialism and tourists.
I completely agree with your views. And For once I thank religion that is able to protect nature.
Climbers do a lot of harm to Nepali mountains I can say from experience. My motto is clear: human beings should not go where trails do not reach. Without peaks, the Himalayas are hard enough to walk.


9 Run Run ... we were there!
It is hard to believe it has been almost a week since we were set up at Stittsville's own 9 Run Run charity race, on Saturday October 14th, 2017. Not to mention the months of preparation leading up to the 'big day'. Although mother nature was threatening rain, only a few drizzles fell, and spirits remained high all day. Runners helped raise money for local charities, including Do It For Daron (DIFD).
Eight Motion Works Physiotherapy & Sports Injury Centre team members (5 physiotherapists, 2 massage therapists, 1 admin) volunteered their time and helped provide free post-race stretch and massage for runners. Our booth, information/education, and services were greatly appreciated by runners and family alike, as we had a steady line up at the tent! Not to mention the draw for our prize pack (massage gift certificate, foam roller, self-massage stick, exercise bands, and more) valued at over $250. Our winner, Terri, was elated to find out she won, and proudly picked up her prize this week in her 9 Run Run race shirt!
Thank you to the staff that volunteered their time and energy to help the runners and the clinic's contribution back to our community. Thank you to the people that stopped by the booth for new information; or to catch up since their last treatment/visit in clinic; or runners that were running their first half marathon. We had a blast and look forward to another successful presence next year!


In some outbreaks this can even be seen as a fine, Fungal disease identification. Our turf varieties include Sir Walter soft-leaf Buffalo and Nullarbor Couch.... Weed Identification Broadleaf Weeds. leaf arrangements, true leaves, grass ligules, and cotyledons. Sketches are used to determine proper identification.
Broadleaf grass, also referred to as broadleaf weeds, infests turf grass. Broad Leaf Grass Types By Tarah Damask; Updated September 21, 2017 .


Horchata de Chufa is a wonderful drink made from pressed tiger nuts. Although this drink is normally associated with refreshments or desserts I thought I would show you a rather unusual recipe which uses horchata in a savoury dish with chicken.
For those who are not so familiar with this summer refreshment, It is made from chufa, which in English would be the tiger nut and as a drink it goes back thousands of years. Old civilizations such as the Egyptians left samples of this healthy product in their tombs and sarcophagi. Also, diverse Persian and Arab authors already mentioned in their writings the digestive benefits of the chufa. But it was in the 13th century when the Arabs introduced their crop into the Mediterranean area.
Valencia was and continues to be the only area in Europe where chufa is grown. Currently it is farmed in 16 towns around the area known as L'Horta Nord (or the Northern fertile land), which surrounds Valencia. About 5.3 million kilograms of tiger nut are produced in this area, of which 90% are covered by the Denomination of Origin.
First you will need to season the chicken inside and out with salt and pepper, put it in a small non stick baking tray and smear it with olive oil. Roast it in pre-heated oven at 180C degrees for one hour and a half approximately. Baste the chicken every ten minutes with a little horchata. When the chicken is golden, remove it from the oven and cut it up into pieces.
Pour the juice from the chicken and the horchata into a frying pan to reduce it and then thicken it slightly with a little refined corn flour that needs to be previously diluted in water. Once the sauce is ready place to one side.
Serve the chicken and place the mushrooms, tomatoes and pine nut kernels garnish on top, next pour over the horchata sauce. Accompany the dish with basmati rice mixed with finely chopped fresh dill. Finally decorate with a sprig of parsley.
People often think that table olives can come straight off the tree and into a jar with perhaps some seasoning, but this is not the case and far from it. The olive fruit is a drupe. It has a bitter component which is called 'oleuropein', a low sugar content from 2.6-6% when compared with other drupes which have on average 12% or more and finally a high oil content from 12-30% depending on the time of year and variety.
Due to these characteristics it makes it a fruit that cannot be consumed directly from the tree and it has to undergo a series of processes that differ considerably from region to region, and which also depend on the variety of olive. Some olives are, however, an exception to this rule because as they ripen they sweeten right on the tree, in most cases this is due to fermentation. One case is the Thrubolea variety in Greece, however this is not common.
Oleuropein, which is distinctive to the olive, has to be removed as it has a really strong bitter taste and those who have eaten an olive straight off the tree know what I am talking about: it is not, however, pernicious to health. It just tastes terrible. Depending on local methods and customs, the fruit is generally treated in sodium or potassium hydroxide, brine or successively rinsed in aerated water.
The olive's suitability for table consumption is a function of its size, which is important to presentation. Olives between 3 and 5g are considered medium-sized, while those weighing over 5 g are large. The stone should come away easily from the flesh and a 'flesh:stone' ratio of 5 to 1 is acceptable; the higher this ratio the better the commercial value of the olives. The skin of the fruit should be fine, yet elastic and resistant to blows and to the action of alkalis and brine.
High sugar content in the flesh is an asset. The lowest acceptable level is 4%, especially in olives that undergo fermentation.
For table olives oil content should be as low as possible because in many cases it impairs the keeping properties and consistency of the processed fruit. Only in certain types of black olives is a medium to high oil content desirable.
In Spain most of the table olives are green olives. These are obtained from olives harvested during the ripening cycle when they have reached normal size, but prior to colour change. They are usually hand picked when there is a slight change in hue from leaf-green to a slightly yellowish green and when the flesh begins to change consistency but before it turns soft. Colour change should not have begun. Trials have been run to machine harvest table olives, but owing to the high percentage of bruised fruit they had to be immersed in a diluted alkaline solution while still in the orchard, this being said table olive are still in their majority harvested by hand. Recently harvested, the olives should be taken to the plant for processing on the same day.
Green olives are processed in two principal ways: with fermentation, which is considered the Spanish style, and without fermentation, which is considered the Picholine or American style.
In Spain the majority of olives are treated in a diluted lye solution (sodium hydroxide) to eliminate and transform the oleuropein and sugars, to form organic acids that aid in subsequent fermentation, and to increase the permeability of the fruit. The lye concentrations vary from 2% to 3.5%, depending on the ripeness of the olives, the temperature, the variety and the quality of the water. The treatment is performed in containers of varying sizes in which the solution completely covers the fruit. The olives remain in this solution until the lye has penetrated two thirds of the way through the flesh. The lye is then replaced by water, which removes any remaining residue and the process is repeated. Lengthy washing properly eliminates soda particles but also washes away soluble sugars, which are necessary for subsequent fermentation.
Fermentation is carried out in suitable containers in which the olives are covered with brine. Traditionally, this was done in wooden casks. More recently, larger containers have come into use that are inert on the inside. The brine causes the release of the fruit cell juices, forming a culture medium suitable for fermentation. Brine concentrations are 9-10% to begin with, but rapidly drop to 5% owing to the olive's higher content of interchangeable water.
When properly fermented, olives keep for a long time. If they are in casks, the brine level must be topped up. At the time of shipment, the olives have to be classified for the first or second time as the case may be. The original brine is replaced and the olives are packed in barrels and tin or glass containers. Sometimes they are stoned (pitted) or stuffed with anchovies, pimento, etc.
The most commonly used varieties in Spain are Manzanillo and Gordal.


There's an uneasy early momentthe first of several, as it turns outin Blowfish, playwright Carl Thiessen's deceptive one-man-show-that-really-isn't. It's obvious why I'll have to tell you about it: Raleigh Ensemble Players' abbreviated five-night run of the show, in a gallery of Cary's Page-Walker House that couldn't have held 50 patrons, surely robbed hundreds of regional theater-goers of the chance to experience one of the more intriguing evenings of the season.
We were seated at tables stunningly set for formal dining. Crystal stemwarefilled, alas, with only water for a working criticgleamed in golden candlelight above table arrangements in white and black linen, while a tuxedoed musician coaxed Ravel's "Pavane for a Dead Princess" from a baby grand piano in the corner. Miniature quiches with mushrooms, leeks, parmesan and goat cheese had already been offered as hors d'oeuvres.
But as our hostLumiere, a caterer by trade, and the center of the still-undefined event for which we had gatheredassured us he was here to serve us splendidly this evening, he was carefully lowering the shades, one by one, on all of the windows in the room except the one that was furthest from his guests.
Perhaps it was the uncertainty of the candlelight, or the sheen of unreality bestowed somehow by the heightened aesthetic of the epicure. Either way, a moment's mistrust ensued, in which the ghost of a thought flickered: What is this magic trick we have been placed inside? In a moment, will the world disappearor will we be made to disappear instead?
As it turns, the question was prescient. Something more than eggplant timbales and Cornish hen was slated to disappear that night. Our host had also constructed this fine and private place as a personal vanishing point as well, a locus of departure in the midst of the utmost in dignity and taste. On the way out, he had a few thoughts to share with us, before his six fastidiousand enigmaticwaiters were forced to deal with other matters.
If Thiessen's scriptand this productionis doing its job, the audience should have basically lost its appetite by the time the dessert trays come around.
Chris Milner's Lumiere is a pallid character whose knowledge of the preparation and presentation of fine food dovetails far too appropriately with childhood memories behind the scenes at the funeral home his parents ran. In mid-meal, he assures us that, if we took the moment the wilted greens, roasted red peppers and red onions on which we dined were plucked from the ground as their point of death, our meal had in fact been "dead for weeks." By extension, our chef (Sunny McDaniel) is merely a competent mortician, in her way.
These cheery thoughts are joined by similar ones as Lumiere detailspoetically at times, unflinchingly at othershis version of the real goings-on back in the kitchen of life. Needless to say perhaps, given his knowledge, many of us might have well rethought our own orders.
Under C. Glen Matthews' direction, the sextet of servants (Donnis Collins, Jesse Gephart, Joel Horton, Tim Overcash, Ashlee Quinones and particularly Jaret Preston) present tableaus from Lumiere's life, including an enviable homage to Eadweard Muybridge, in a cornfield somewhere in Oklahoma.
But do Matthews and Milner always overcome Thiessen's portentous tendencies as a playwright? Perhaps not. Two or three boors in the audience repeatedly chose to impose their laughter (and mid-show commentary) on proceedings befitting a more sober countenance. It's certainly not the first time that servicea central theme, and one Thiessen returns to repeatedlywas met in some quarters with an offensive attitude of entitlement and indifference. But in this case it derailed several admittedly florid momentsand some of the most thoughtful work of the night as well. In short, another not-so-gentle object lesson that alcohol and theater don't always mix.


Azarath Metrion ZINTHOS! Cast a spell when you dress up as this sarcastic demon girl from the Teen Titans! This hero would just rather be left alone but that doesn't mean she won't save the day every once in a while! Put on the purple cloak and become the Titans' darkest hero!
Was very impressed overall experience was great all the way from ordering, shipping to getting merchandise. Waffles waffles waffles!!!


text:
A Dinner in Honor of Kathy Sreedhar at the Embassy of the United States in New Delhi
By Derek Mitchell
On October 31st the United States Chargé d'Affaires in New Delhi, Ambassador Peter Burleigh, held a dinner in honor of Kathy Sreedhar, Director Emerita of the UU Holdeen India Program (UUHIP). Ambassador Burleigh hosted the dinner at Roosevelt House, the historic Ambassador's residence on the grounds of the United States Embassy. Kathy has known Ambassador Burleigh since his days as a Peace Corps volunteer in Nepal in the 1960s, when she was a Peace Corps staff member in New Delhi. They have remained friends since and she was thrilled to learn of his recent appointment as Chargé d'Affaires in New Delhi. Joining Ambassador Burleigh to celebrate Kathy's nearly fifty years of service in India were numerous friends and Embassy officials. Kerry Pelzman, Kathy's god-daughter, and her husband Patrick Robinson, both now serving in senior positions at the USAID mission in India, were among the guests, who also included Kathy's sister-in-law, the feminist scholar Devaki Jain, and Indira Jaisingh, Assistant Solicitor General of India and a renowned women's rights lawyer. Renana Jhabvala, the National Coordinator of UUHIP partner organization SEWA Bharat, was joined by her husband Harish Khare, Media Advisor to the Prime Minister of India. Also present were friends serving as foreign correspondents from National Public Radio and the Associated Press, an artist from Alaska, a teacher at the American Embassy School, and Derek Mitchell, who succeeded Kathy as Director of UUHIP last August. Officials at the dinner included the Embassy Spokesperson and USAID's Chief of Mission. The Ambassador's guests were delighted to discover that he had chosen stunning tribal paintings to decorate Roosevelt House during his residence there. The paintings were created by members of the Gond tribe, with whom two UUHIP partners have long worked. Much discussion during the evening centered on UUHIP's courageous partners and Kathy's twenty-seven years working with them. Ambassador Burleigh's dinner was a heartfelt tribute to her pioneering vision for social change in India.
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I sent my first letter to one of my correspondent kiddos, Rasmané, on January 19th. Yesterday, February 12th, I sent him a birthday card. Both were created using the online letter writing. When I was on my account today I noticed that it showed that the card has already went through but the letter is still in translation. Is there a problem with the letter?
I am so sorry for the delay with this letter! I do see that this letter is just still in translation and there is nothing at all wrong with it. My best guess is that it is just still waiting to be finished because it is quite a bit longer than your card that went through quite quickly. :) I hope that you are able to see this letter finish translation very soon!
Ok thank you! Hopefully it will go through soon so they arrive around the same time.


There are a number of reasons why your computer may be running slow. Failing hardware, software bloat, malware infections and low hard drive space are just a handful of the reasons why your PC may be feeling sluggish.
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While trying to help out our 4 legged friends, I carelessly downloaded a virus. Bad news for me. Tried to fix it myself….right? Found ABCD Computers. Good news for me!! These kind and caring folks had me up and running in exactly the time promised and at exactly the price agreed upon. Pete saved my files, scrubbed them clean and re-installed them. They installed an excellent security program so I won't get infected again. They are an honest FAMILY BUSINESS that I can trust completely, no worries about leaving my personal information with a shop full of computer whiz kids. I'm almost glad it happened. It's like getting a brand new computer for a fraction of the price ! ! If you screwed up like I did, calling ABCD Computers is no mistake. Las Vegas, Nevada.
*******ABCD Computers has been fixing my slow laptop & slow computer repair for two years know. Always takes the time to explain what they doing and has my laptop up and running like new again. I will always recommend Pete and Danielle for laptop computer repair. Las Vegas here's your local computer company to fix all your issue. Great Mobile Service. On time too. Summerlin, Nevada.
Pete came over to repair printing issues. He arrived as scheduled , diagnosed the problems and did speedy recovery and checked his work. He did an excellent job …Pete came over to repair printing issues. He arrived as scheduled , diagnosed the problems and did speedy recovery and checked his work. He did an excellent job, and I am well;;pleases with his work. I highly recommend him for any computer repair task.. Blue Diamond, Nevada.
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Contact us online or call 702-253-0091 today and let us repair your slow computer.


text:
La Iglesia de San Jerónimo es un templo católico ubicado en la localidad de Poconchile, comuna de Arica, Región de Arica y Parinacota, Chile. Construida a fines del siglo , fue declarada monumento histórico, mediante el Decreto n.º 331, del 10 de agosto de 2015.

Historia

Fue mencionada por primera vez en el siglo , y fue reconstruida a fines del siglo  luego de los terremotos de 1868 y de 1877.

Descripción

Presenta un atrio cerrado con muros de adobe, una planta rectangular, dos campanarios de madera en su fachada, y un techo de armadura trapezoidal.

Véase también

 Anexo: Iglesias del altiplano chileno

Referencias

San Jeronimo
Monumentos Históricos de la Región de Arica y Parinacota
San Jeronimo, Poconchile
Poconchile

redpajama_set_name: RedPajamaWikipedia


text:
Exclusive: Minibeasts and the Big Bad Wolf
As Ofsted publishes its second Early Years Annual Report, Nick Hudson looks at how early years settings need to balance teaching and play in a child's early years
Editor's view - it's going to be a busy year
We're here to help as the run-up to the new Early Years Foundation Stage in September 2012 begins.
Editor's View - the revised EYFS
The revised EYFS is everywhere - except on the DfE website home page!
The revised EYFS: Too little, too late
It's time for a completely new approach, argue Margaret Edgington, Grethe Hooper Hansen, Richard House and Kim Simpson, for the the Open EYE Steering Group
Exclusive: The Minister's View - It's common sense
I would hazard a guess that most early years professionals did not choose their career because they love ticking boxes and filling in forms.


text:
Q: Add specific javascript code to a wordpress page I have found some code I want to use to a single page in my wordpress site, but I cannot find the way to do it. I am not a developer, but a newbie.
I have html and css ready, but I don't know how to run this javascript code to a page with id 2922, every time the page loads.
$(function () {
var parent = $("#shuffle");
var divs = parent.children();
while (divs.length) {
    parent.append(divs.splice(Math.floor(Math.random() * divs.length), 1)[0]);
}
});

Thanks for your help,
Thodoris

A: You can do this from jQuery. In your script add condition to check if body has class of that page id is same as your page-id-2922, if yes then run the code.
I have updated your script, try using it:
$(function () {

    if( $('body').hasClass('page-id-2922') == true ){
        var parent = $("#shuffle");
        var divs = parent.children();
        while (divs.length) {
            parent.append(divs.splice(Math.floor(Math.random() * divs.length), 1)[0]);
        }
    }

});

A: You can add it into the single.php with a conditional like so:
<?php if ( is_page(3318) ) : ?>
    <script type='text/javascript'>
        $(function () {
            var parent = $("#shuffle");
            var divs = parent.children();
            while (divs.length) {
                parent.append(divs.splice(Math.floor(Math.random() * divs.length), 1)[0]);
            }
        });
    </script>
<?php endif; ?>

It will add the escript on the page only if it is the single post with ID 3318.
EDIT: added right answer and changed to the correct ID.

A: You can write this code in footer.php[site/wp-content/your-theme/footer.php]
<?php if(get_the_ID()== 2922){ ?>
 <script type='text/javascript'>
        jQuery(function () {
            var parent = jQuery("#shuffle");
            var divs = parent.children();
            while (divs.length) {
                parent.append(divs.splice(Math.floor(Math.random() * divs.length), 1)[0]);
            }
        });
    </script>

or read this https://www.tipsandtricks-hq.com/how-to-add-javascript-in-a-wordpress-post-or-page-1845


text:
Rothmans, Benson & Hedges - threatens to close factory in Quebec..
September 24, 2009 - Canadian tobacco heavyweight Rothmans, Benson & Hedges (RBH - an operating subsidiary of Rothmans, which is owned by Philip Morris International (PMI)) is threatening to close a Quebec factory employing more than 300 people if Ottawa doesn't narrow the scope of a bill aimed at stopping the manufacture of candy- and fruit-flavoured cigars and cigarettes.
The Harper government promised the legislation during last year's election campaign as a means of cracking down on tobacco products that appeal to children. But concerns over its Quebec impact are making Conservative Members of Parliament (MP) in that province eager to accommodate Rothmans.
Rothmans says the legislation, Bill C-32, is too broad and would also ban flavourings traditionally employed to make "American-blend" cigarettes in Canada for local and export markets. Far less popular with Canadians than Virginia tobacco cigarettes, an American blend of several tobaccos can include sweeteners or flavourings to dispel bitter or harsh tastes. These cigarettes, however, don't taste like candy or fruit.
Rothmans spokesman Bert Van Gossum: "The current wording of Bill C-32 puts the future of RBH's factory in Quebec City in jeopardy. RBH employs 750 people in Canada, including more than 300 in its Quebec factory alone." Gossum: his company backs efforts to ban fruit- and candy-flavoured cigars and cigarettes, but says if the legislation isn't fixed it will undermine Rothmans's current business plan in Canada.
His company said a key motivation for Philip Morris's purchase last year of a 100-per-cent interest in Rothmans was to "take advantage of excess manufacturing capacity" in Canada, including the Quebec plant. The idea is to use this equipment to make Philip Morris International's global brands for export markets in addition to local sales.
Anti-smoking groups, however, say an amendment that allows additional flavouring would create a loophole that could be exploited by the tobacco industry to make cigarettes taste better.
Rob Cunningham Canadian Cancer Society senior policy analyst: "Because of advertising restrictions and better warnings, markets have declined, and they see flavours as a means to recruit kids and discourage quitting. That's why it's essential this bill not be weakened." Mr. Cunningham said threatening job losses is a familiar tactic for the tobacco industry when confronted with new restrictions or laws. "But after laws were adopted those jobs remained in place."
Bill C-32 passed the Commons earlier this year and is being studied by the Senate. Quebec Tory MP Maxime Bernier said in a posting on his blog yesterday that Conservatives from his province are going to press for changes to Bill C-32.
"We are going to try to raise this issue with our colleagues in other provinces so that the Senate adopts amendments that would exclude American blended cigarettes from the list of products that would be banned," Mr. Bernier wrote.
Blended cigarettes manufactured by Rothmans at its Quebec plant include Rooftop, Gitanes, Gauloises and Carreras.
Josée Bellemare, spokeswoman for federal Health Minister Leona Aglukkaq, defended Bill C-32's current scope. She said "American-style" cigarettes represent less than 1 per cent of all sold in Canada, and firms will get time to reformulate them without banned flavourings. "Less than half … actually contain flavourings that would be impacted by the bill."
Reference: Amend tobacco bill or Quebeckers will lose jobs, U.S. firm warns, Steven Chase, Globe and Mail, 9/24/2009.
Bill C-32 related news briefs: Canadian House of Commons passes bill to prevent production of mini-cigars or cigarillos..; Canada - Bill C-32 to amend Tobacco Products Control Act...
Posted by tobaccowatch.org Thursday, September 24, 2009 at 11:41 AM
Bernard I. Fowler
These are bad news because Rothmans cigarettes are my favorites. Hope everything will be all right.
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