The Mount Blade Repository is a file hosting site for the game Mount Blade. Download mods, Warband Multiplayer related stuff belongs in here. The Best of Apr 15, 2015 at 7:16a PST by Draug. Top 10 Mods for Mount Blade to Sweeten the Anticipation for Bannerlord. We have chosen the hottest modifications. Mount Blade: Warband General Discussions Topic Details 45th Top 10 Mount and Blade Warband mods for single player. 1860 Old America.
TLD is a total conversion of Mount and Blade (NOT WARBAND) would you mind letting our community know a little bit about you? Thanks very much for having. Hallo. I am Gabrilduro, the Developer of this Western Mod of M&B WB v. 1.158/ 1.167. I always dreamt of a Western videogame or of a ACW videogame Finland At WW2 aims to provide a historically accurate mod about the three wars in Finland which were fought between 1939 and 1945. The mod gives you an oppurtunity. Моды к mount & blade делятся на два типа. - Вносящие изменения в Лучший мод за всю историю Mount Blade теперь и на Warband 1860 Old America. MOUNT BLADE WARBAND Nexus. MOUNT BLADE Warsword Conquest is a total conversion of warbands mount and blade 1.153 based on the warhammer fantasy world by Games. The Mount Blade Repository is a file hosting site for the game Mount Blade. Download mods, guides, maps, and more for the game. Share your own creations 1860 s Old America com Mount and Blade 2: Bannerlord-МОДЫ! ВЛАСТЕЛИН КОЛЕЦ, Mount Blade Warband. 5-02-2012, 14:18. 5-02-2012, 14:18 · Mount and Blade / Моды на Warband · edc678123; 74 970; 174 · mount blade . 1860s Old America 1860s Old America Mount Blade: Warband mod Released 2013. summary; articles; tutorials; reviews; Mexican Second Empire and Indian Wars.DOWNLOAD LINK for 1860s.
Моды для Mount Blade Warband. Моды к mount blade делятся на два типа. - Вносящие изменения в исходную. 1860's Old America ВБ 1 168. Последняя версия: 1860s Old America 1.5. ВБ 1 153 v. 099 Z СКАЧАТЬ 0.99Z.7z · СКАЧАТЬ 0.99Z.7z · 1860s Old America. Browse 1860s Old America mod for Mount Blade: Warband files to download full releases, installer, sdk, patches, mods, demos, and media. Hello guest register 1860's Old America Изображение Описание: Год 1860 от Рождества Христова. Место действия - Новый Свет. Север поссорился с югом. Mount Blade:Freelancer gives the player the option to immerse themselves in combat between the Lords of Calradia serving on the front line, you are no longer.
Сайт "Всадники Кальрадии" не является СМИ. Администрация не несет ответственность. Моды для Mount & Blade и Warband без регистрации, тут! ГДЕ МОЙ ВИНЧЕСТЕР? (Описание старой версии) Скриншот к моду 1860: Old America - мод. Mount Blade: Эпоха турниров / Mount Blade: Warband v1.113 (2010) PC RePack. Название: Mount Blade. Эпоха турниров / Mount. The Top 5 Mount Blade Warband Mods DKent. Loading Mount Blade Warband - Duration: Mount And Blade Warband - Duration. 3 янв 2016 ССЫЛКИ НА МОДЫ И РУСИФИКАТОРЫ. Mount And Blade Русификатор - com.ua/modswarband/87-1860s-old-ameri. Rome at есть русификатор для мода mount blade warband mod lost kingdoms. Warband, Mount Blade и все моды к ним! ВИВА, ЧИЛИ! (Warband) Мод очень красив, ведь в то время, особенно. Mount Blade: Warband version 1.172 is out now! This update brings the higher resolution textures, we used in the console release, over to Windows, macOS and Linux.


text:
Abstracts In Press
Special Issue Archive
The JABFM
ABFM News
abfm
JABFM On Twitter
JABFM On YouTube
JABFM On Facebook
Research ArticleOriginal Article
Overcoming Obstacles to Skin Cancer Examinations and Prevention Counseling for High-Risk Patients: Results of a National Survey of Primary Care Physicians
Alan C. Geller, David L. O'Riordan, Susan A. Oliveria, Sabrina Valvo, Mark Teich and Allan C. Halpern
The Journal of the American Board of Family Practice November 2004, 17 (6) 416-423; DOI: https://doi.org/10.3122/jabfm.17.6.416
Alan C. Geller
David L. O'Riordan
Susan A. Oliveria
Sabrina Valvo
Mark Teich
Allan C. Halpern
Objective: Primary care physicians are in a unique position to perform skin cancer examinations and provide prevention counseling, given that approximately 40% of office visits to physicians in the United States are to a family practitioner or internist. Compared with family or self-detection, physician detection is associated with an increased probability of detecting thinner melanomas. However, little research has attempted to identify the major obstacles to performing a skin cancer examination and recommending prevention practices.
Methods: In the spring of 2002, we surveyed primary care physicians from all 50 states, including family medicine physicians, internists, and general practitioners sampled from the American Medical Association's Medical Marketing Services' database. There were 4 primary outcome variables related to early detection and prevention practices for average-risk patients and patients with risk factors: performing a full-body skin examination; recommending regular skin self-examination; and recommending sun protection practices and avoidance of tanning booths for patients younger than age 35.
Results: We received surveys from 380 (60%) of 632 eligible physicians. Nearly 60% of physicians routinely performed full-body examinations with their high-risk patients. In the regression analysis of factors influencing physician examination of high-risk patients, lack of time was the strongest barrier [odds ratio (OR) 0.3 (95% confidence interval (CI) 0.2 to 0.6)]. Physicians using the most information sources [OR 2.5 (95% CI 1.3 to 4.8)] were the most likely to examine their high-risk patients. Physicians whose patients requested a skin examination were more likely to examine their patients compared with physicians whose patients did not request such an examination (P < .01).
Conclusions: Concerted public and professional education efforts must be made to provide resources that help physicians efficiently weave skin cancer examinations and prevention counseling into routine practice while also motivating high-risk patients to request full-body examinations and counseling.
Incidence and mortality rates for melanoma are rising faster than those for nearly all other cancers.1 Invasive melanoma, which occurs in more than 50,000 Americans each year,2 is a potentially fatal malignancy for which cure depends critically on early diagnosis.3 In general, screening and early diagnosis are greatly facilitated by the tumor's visibility from its onset, its highly characteristic clinical features, and the existence of a minimally invasive, definitive diagnostic test (skin biopsy).3 Visual examination by a qualified health care provider should improve early detection.3,4
Primary care physicians are in a unique position to perform cancer screenings and to provide prevention counseling, because approximately 40% of office visits to physicians in the United States are to a family practitioner or internist.5 Almost all physician-detected melanoma is discovered by primary care physicians rather than specialists.6 Compared with family or self-detection, physician detection is associated with an increased probability of detecting thinner melanomas.7 However, although most melanoma patients have at least one primary care visit in the year before diagnosis, only 20% report receiving a skin cancer examination.6 Thus, primary care physicians are an appropriate group to target for new interventions and educational campaigns designed to increase skin cancer examination and prevention practices.
It is clear that skin cancer examination and prevention comprise only one of many areas of activity that primary care physicians must focus on today as part of their routine office procedures.8 The frequency of skin cancer examination rates lag well behind screening for breast, cervical, and colorectal cancer.5 Numerous barriers to cancer screening9,10 have been cited, but little research has been done to understand the major obstacles against the skin cancer examination. Furthermore, no clear consensus exists among medical organizations regarding skin cancer screening and prevention recommendations. Some organizations endorse screening of all adults;11 others promote screening of those at high risk only,12 and others do not endorse screening at all.13,14
In light of the inconsistent guidelines, we conducted a national study of primary care physicians' skin cancer examination and prevention practices. Given the greater incidence of skin cancer among persons at high risk,15,16 we focused on physicians' obstacles and their practices used with these patients and explored strategies for improvement.
We surveyed primary care physicians, including family medicine physicians, internists, and general practitioners from all 50 states. We identified primary care physicians from the American Medical Association's Medical Marketing Services' database (n = 30,000). This database included only office-based practicing physicians and is a representative, proportionate sample by specialty and by state. We surveyed 1000 physicians randomly chosen from the sampling frame. Eligibility for inclusion in the study sample required having an updated working telephone and fax number and/or mailing address and devoting more than 50% of practice time to primary care.
Physicians were mailed a brief survey in the spring of 2002, along with an explanatory letter of introduction. Four weeks after the first mailing, all nonrespondents were sent another. Three weeks later, remaining nonresponders were faxed yet another copy of the survey. A $5.00 check and a $5.00 gift certificate, respectively, were provided in the two mailings to enhance physician response.
Survey Instrument
The 20-question survey was divided into (1) primary outcomes related to early detection and prevention practices, (2) covariates, including demographics, office practices, awareness of and attitudes toward early detection, sources of cancer information, and (3) treatment practices.
Primary Outcome Variables
There were 4 primary outcome variables related to early detection and prevention practices for average-risk patients and patients with risk factors: (1) performing a full-body skin examination (excluding buttocks and genitalia); (2) recommending regular skin self-examination; (3) recommending sun protection practices (eg, shade, clothing, sunscreen, sunglasses), and (4) recommending avoidance of tanning booths for patients younger than age 35. Risk factors specifically described in the survey included: fair skin, many moles, a few atypical moles, family and/or personal history of skin cancer, and excessive sun exposure.
Descriptive Variables/Covariates
Additional study variables included demographics and personal practices. Establishing basic information on the physicians, the survey first asked what percentage of their practice was primary care. The demographics and personal practices section further asked whether their primary office setting was solo private, group private, HMO, academic, etc; whether their practice was rural, suburban, or urban; what the age range of their patients was, and what percentage of them were white or light-skinned Hispanic. Physician's state of residence was categorized into high and low ultraviolet radiation (UV) areas as defined in earlier studies.17 They were also asked who in their offices (themselves or other professional staff) usually performed skin exams, and the percentage of their patients who requested skin cancer exams. Respondents were also asked how long it had been since they had personally undergone a skin cancer examination by a clinician.
Awareness of and Attitudes Regarding Early Detection
The survey featured several other questions related to early detection. Physicians were asked about the major obstacles against their performing skin exams or recommending skin self-exams. Obstacles included lack of time, lack of training, lack of confidence in recognizing lesions, lack of reimbursement or training, and patient reluctance or patient comorbidities. Physicians were also asked about their familiarity with the ABCD rule (asymmetry, borders, color, diameter) for melanoma detection, their opinion about the effectiveness of physician skin exams and self-exams, and their confidence in their ability to identify a suspicious lesion.
Sources for Cancer Information
The survey also asked physicians their preferred sources (eg, medical journals, media coverage, conferences, Internet, and discussions/consults with colleagues) for learning more about new cancer screening and prevention recommendations, and the types of skin cancer educational materials (newsletters, brochures, posters, Internet, videos, and CD-ROMs) that they would be most likely to use in their office.
Finally, to gauge the extent of skin cancer-related treatment that the physicians performed themselves, the survey asked what percentage of the time they referred out patients with suspected nonmelanoma skin cancer, whether they primarily treated or referred patients with actinic keratoses, and what methods they used if they treated actinic keratoses.
Frequency distributions were calculated for each of the survey variables. In addition to descriptive statistics, univariate statistics were calculated to assess the association between each variable (covariate) of interest and primary outcomes. For average-risk patients, we defined examination and prevention recommendations as routinely performed if they were completed with at least 76% of the physician's patients. For patients with risk factors (defined as high-risk patients), we defined examination and prevention recommendations as routinely performed if they were completed with at least 76% of the patients. This last outcome serves as the major focus of this study.
Logistic regression was used to assess the relationship between covariates, such as obstacles noted above and physician examination of high-risk patients, controlling for potential confounding factors, such as patient age and race. Variables that were significant to P < .05 in univariate analysis were included in the regression model. All analyses were conducted using the SPSS version 10.1.
Of 1000 physicians, 663 had updated working telephones, mailing addresses, and fax machines. Thirty-one respondents had practices that were less than 50% primary care and were thus excluded from the study, leaving 632 eligible physicians.
We received surveys from 380 (60%) of the 632 remaining physicians. Their specialties included family practice (48%), internal medicine (45%), and general practice (7%). Primary office settings were as follows: group private, 49%; solo private, 31%; HMO, 6%; other group practice, 6%; academic, 4%; and other type of practice, 4%. The practices were located in suburban (44%), urban (31%), and rural (25%) areas. Seventy-six percent of physicians stated that more than half of their patients were white or fair-skinned Hispanics, and 51% reported that more than half of their patients were 51 years of age or older. Physicians practicing in group office settings and those practicing in suburban and rural areas proved more likely to perform full-body exams; those with a higher proportion of white patients also had a modestly higher tendency to do so. Physicians from all 50 states participated in the survey, and 40% practiced in areas with high UV levels. No differences were found in examination or prevention recommendations based on whether the physician practiced in a high- or low-UV area.
Forty-seven percent of physicians referred out patients with suspected nonmelanoma skin cancer, and 95% referred out treatment for actinic keratoses. The findings showed that examinations were performed almost exclusively by physicians (97%); nurse practitioners, physician assistants, and nurses performed fewer than 3%. Nearly 80% of physicians were aware of the ABCD rule for melanoma detection.
Skin cancer examination and prevention counseling rates for average-risk patients and high-risk patients are described in Table 1. Thirty-two percent of physicians routinely performed full-body examinations on their average-risk patients; 59% said they routinely examined their high-risk patients. Fifty-eight percent routinely recommended regular skin self-examination for their high-risk patients. More than two thirds reported that they routinely counseled high-risk patients about sun protection and tanning bed avoidance.
Percentage of Physicians (n = 380) Routinely* Performing Skin Cancer Screening and Prevention for Average-Risk and High-Risk Patients
Forty-four percent of respondents (169 of 380) considered the physician skin examination to be very effective. As shown in Table 2, 65% of these physicians screened high-risk patients, compared with only 54% of physicians who considered the examination less than very effective (χ2 = 4.0, P < .05). Thirty-eight percent of respondents (145 of 379) stated that they were very confident in their ability to identify a suspicious lesion; patient screening rates were significantly higher among these physicians (χ2 = 24.3, P < 0.001).
Skin Cancer Examinations and Counseling for High-Risk Patients by Physician Attitudes
Thirty percent of physicians (114 of 380) reported that more than a quarter of their patients asked for a skin cancer examination, and examination rates were significantly higher for physicians whose patients made such a request compared with those whose patients did not request exams (63% v. 46%) (χ2 = 6.0, P = .05).
Sixty-three percent of physicians had ever received a personal examination for skin cancer; among these, 64% examined high-risk patients, compared with only 49% of those who had not been personally examined (χ2 = 7.0, P < .001). Physicians who had been personally examined were also 14% to 21% more likely to offer skin cancer prevention recommendations.
Obstacles to Early Detection and Prevention Recommendations
Seventy percent of respondents cited lack of time as the major impediment—a rate twice as high as that for each of the obstacles, competing comorbidities and patient reluctance and more than 4 times higher than that for lack of reimbursement. Fewer physicians cited lack of confidence (7%) or lack of scientific evidence (3%) as obstacles.
Eight percent of physicians reported no obstacles to screening; 66% reported 1 to 2 obstacles, and 26% reported ≥3 obstacles. Those reporting ≥3 obstacles screened fewer patients (32%) than those reporting no obstacles (59%) (χ2 = 20.6, P < .001).
The most common obstacles and their association with performing examinations and recommending skin self-examination are delineated in Table 3. Most notably, 75% of the 115 physicians stating that time was not an obstacle screened their high-risk patients, compared with 52% of the 265 physicians who stated that time was an obstacle (χ2 = 14.6, P < .001). However, lack of time had less influence on prevention counseling recommendations. Although reported by only 15% of physicians, lack of training was associated with 17% to 20% fewer screenings and prevention recommendations among high-risk patients.
Skin Cancer Examinations and Prevention Recommendations for High-Risk Patients by Physician Obstacles for Performance (n = 380)
Sources for Cancer Screening and Prevention
'Standard-bearers' such as medical journals (82%), conferences (65%), and discussions with colleagues (48%) were the most common sources for information about cancer screening recommendations, far surpassing the Internet (16%). Likewise, skin cancer brochures (66%), posters (45%), and newsletters (40%) were far more commonly used than CD-ROMs (20%), videos (19%), and the Internet (16%). In general, a positive association was found between the number of information sources on skin cancer screening and the physician's likelihood of offering screening and prevention recommendations. Physicians reporting use of 2 or more sources to learn about cancer screening recommendations were significantly more likely to state that they were very confident in their ability to detect a suspicious lesion, compared with physicians who used less than 2 sources (χ2 = 4.5, P < .05).
In the regression analysis of factors influencing physician examination of high-risk patients, lack of time was the strongest barrier [OR 0.3 (95% CI, 0.2 to 0.6)]. Physicians using the most information sources [OR 2.5 (95% CI 1.3 to 4.8)] and expressing the most confidence in their ability to identify suspect lesions [OR 2.3 (95% CI 1.3 to 4.0)] were the most likely to screen their high-risk patients.
Among a sample of physicians from all 50 states, we examined a broad range of skin cancer early detection and prevention practices, including full-body skin exams and counseling for skin self-examination, sun protection, and tanning bed avoidance. We considered it especially important to examine these practices in light of key screening and prevention recommendations disseminated in 2000 and 2001.14,15 Because the majority of melanomas occur in a relatively small portion of the population16 possessing some or all the risk factors noted, we sought to focus our analysis on high-risk populations.
To the best of our knowledge, this is the first national study to examine physician practices concerning the 4 key measures of early skin cancer detection and prevention noted above. We are encouraged that 59% and 68% of physicians, respectively, examine and provide prevention counseling for their high-risk patients. However, 41% of physicians are not routinely examining their high-risk patients or instructing them in skin self-examination. Seventy percent of physicians cited lack of time as a key obstacle, and physicians citing this obstacle were far less likely to examine their high-risk patients. Although lack of reimbursement and training were also associated with less screening, they were infrequently cited as barriers. Physicians using multiple information sources for cancer education were substantially more likely to screen and counsel their patients on skin cancer detection and prevention. Furthermore, physicians were far more likely to prefer tangible, easy-to-use materials such as posters, brochures, and newsletters as information sources, rather than technologies such as CD-ROMS, the Internet, or videos.
Results of this study strongly suggest that new steps must be taken to ensure that high-risk patients receive at least a baseline, full-body skin cancer examination. Minimizing time burdens and providing more sources of information could significantly boost screening rates among physicians who are not routinely screening their high-risk patients.
Physicians can play one of 3 roles—they can screen their high-risk patients themselves, provide training opportunities for nurses and physician assistants to enable them to do screening, or refer these patients to specialists. Patients with many moles or some atypical moles found in a baseline examination can subsequently be followed by dermatologists.
Time burdens, although onerous, do not have to be insurmountable. First, screening examinations can be brief and woven into the routine physical examination, with particular emphasis on 'hard-to-see' areas such as the back, where at least a third of melanomas are found in men.18 Second, recent reports from the United States Prevention Services Task Force and the Institute of Medicine highlight the need to develop systems for identifying older white males for skin cancer screening, because melanoma mortality continues to rise in this population.14,15,19 Many middle-aged and older patients make 5 to 10 physician visits per year,15 and skin cancer screening can be incorporated into only one of these visits. Screening prompts and chart reminders, successfully used in other health promotion counseling,20 should be studied as ways to augment skin cancer screening. Triaging higher-risk patients into expert screening is yet another promising strategy to reduce the time burden on primary care physicians.21
Professional education campaigns can be bolstered and guided by other findings from this study. In the absence of a randomized trial providing evidence for or against the efficacy of skin cancer screening, we expected that conflicting guidelines for the skin cancer examination and prevention counseling would be strong impediments. We were surprised to find that fewer than 5% of physicians saw such a lack of evidence as an obstacle to performing a skin cancer examination or giving prevention counseling, and almost all respondents believed that the physician skin cancer examination was effective in reducing melanoma mortality. Furthermore, because no differences in the physician's state of residence influenced the delivery of skin cancer examinations or counseling, it would seem that national strategies cutting across all primary care specialties may be possible.
We were also encouraged by the physicians' strong recognition of the ABCD rule for melanoma detection, possibly because of the educational efforts of organizations such as the American Academy of Dermatology (http://www.aad.org), the American Cancer Society,11 and The Skin Cancer Foundation (http://www.skincancer.org).
The results of this survey indicate that physicians who are personally screened for skin cancer have significantly higher rates of patient screening. We did not have information on the physicians' personal risk for skin cancer, and it is possible that those with higher melanoma risk are more apt to seek or receive personal screening and to offer screening to their patients.
Not surprisingly, greater examination rates were reported by physicians whose patients asked to be screened. This study reports important benchmark data on the percentage of patients making such a request and suggests that future public education efforts be designed to motivate high-risk patients to request skin cancer examinations from both primary care physicians and dermatologists.
In the current study, we defined the skin cancer examination as routine if it was performed on at least 76% of high-risk patients. In a survey of 191 primary care physicians in Connecticut and Florida, Kirsner et al22 reported examination rates of 31% for average-risk patients and 50% for high-risk patients. As in the current study, Kirsner et al22 found little evidence of reimbursement as an obstacle to examinations. Similar to the current study, nearly two thirds of Australian family physicians believe in the value of the skin cancer examination despite national guidelines opposing formal skin cancer screening.23 The rates of nonphysician skin cancer examinations in this study were far lower than the rates of 22% to 29% for physician assistants and nurse practitioners found by Oliveria et al.24
In a survey of 3032 female nondermatologists and 95 dermatologists in 1994, Saraiya et al25 found that 27% of nondermatologists counseled their typical patients on sunscreen or screened them for skin cancer at least once a year. They also found higher patient screening and counseling rates among physicians who reported having had a personal skin cancer examination.25
Study results should be interpreted in light of several limitations. First, physicians may tend to overestimate prevention behavior, although the relatively low examination rates in high-risk patients slightly mitigates this bias. However, future studies should consider validation of self-reports, such as with patient interviews. Second, 40% of eligible physicians did not respond to multiple attempts to reach them, and their screening rates may be lower than those of the respondents. Third, we did not include a full battery of questions regarding predictors of skin cancer examinations, such as office-based prompts or intake forms. Finally, we did not include questions on other cancer screenings that might have been used for comparisons with skin cancer examination rates.
This national survey of primary care physicians finds that nearly 60% of physicians are performing examinations on their high-risk patients. A dual strategy is required to maximize the use of skin cancer examinations and prevention counseling for the nation's high-risk population: concerted professional and public education efforts to help physicians weave the skin cancer examination and counseling into routine practice efficiently and motivation of high-risk patients to request full-body examinations and counseling.
This research was conducted on behalf of The Skin Cancer Foundation. We acknowledge Dermik Laboratories, Inc., for its unrestricted educational grant to The Skin Cancer Foundation.
Received for publication July 12, 2004.
Revision received July 12, 2004.
Howe HL, Wingo PA, Thun MJ, et al. Annual report to the nation on the status of cancer (1973 through 1998), featuring cancers with recent increasing trends. J Natl Cancer Inst 2001; 93: 824–42.
Jemal A, Thomas A, Murray T, Thun M. Cancer statistics 2002. CA Cancer J Clin 2002; 52: 23–47. Erratum in: CA Cancer J Clin 2002;52:119; CA Cancer J Clin 2002;52:181–2.
Koh HK. Cutaneous melanoma. N Engl J Med 1991; 325: 171–82.
NIH Consensus conference. Diagnosis and treatment of early melanoma. JAMA 1992; 268: 1314–9.
Oliveria SA, Christos PJ, Marghoob AA, Halpern AC. Skin cancer screening and prevention in the primary care setting: national ambulatory medical care survey 1997. J Gen Intern Med 2001; 16: 297–301.
Geller AC, Koh HK, Miller DR, Mercer MB, Lew RA. Health services before the diagnosis of melanoma. Implications for early detection and screening. J Gen Intern Med 1992; 3: 154–8.
Epstein DS, Lange JR, Gruber SB, Mofid M, Koch SE. Is physician detection associated with thinner melanomas? JAMA 1999; 281: 640–3.
Guide to clinical prevention services, 3rd edition, 2000–2003. Report of the United States Prevention Services Task Force. Washington (DC): Agency for Health Care Research and Quality; 2003.
Costanza ME, Stoddard AM, Zapka JG, Gaw VP, Barth R. Physician compliance with mammography guidelines: barriers and enhancers. J Am Board Fam Pract 1992; 5: 143–52.
Wender RC. Barriers to screening for colorectal cancer. Gastrointest Endosc Clin N Am 2002; 12: 145–70.
American Cancer Society [homepage on the Internet]. Atlanta (GA): American Cancer Society; 2003 [updated 2003 Mar; cited 2004 Sep 13]. Detecting skin cancer; [about 3 screens]. Available from: http://www.cancer.org/docroot/PED/content/ped_7_1_Skin_Cancer_Detection_What_You_Can_Do.asp.
Ferrini RL, Perlman M, Hill L. American College of Prevention Medicine policy statement: screening for skin cancer. Am J Prev Med 1998; 14: 80–2.
Helfand M, Mahon SM, Eden KB, Frame PS, Orleans CT. Screening for skin cancer. Am J Prev Med 2001; 20(3 Suppl): 48–58.
Institute of Medicine. Extending Medicare coverage for prevention and other services. Washington DC: National Academy Press; 2000.
Rhodes AR, Weinstock MA, Fitzpatrick TB, Mihm MC Jr, Sober AJ. Risk factors for cutaneous melanoma. A practical method of recognizing predisposed individuals. JAMA 1987; 258: 3146–54.
Koh HK, Geller AC, Miller DR, Grossbart T, Lew RA. Prevention and early detection strategies for melanoma and skin cancer. Arch Dermatol 1996; 132: 436–43.
Geller AC, Hufford D, Miller DR, et al. Evaluation of the ultraviolet index: media reactions and public response. J Am Acad Dermatol 1997; 37: 935–41.
Balch CM, Soong SJ, Shaw HM, et al. An analysis of prognostic factors in 8500 patients with cutaneous melanoma. In: Balch CM, Houghton AN, Milton GW, Sober AJ, Soong SJ, eds. Cutaneous melanoma, 2nd ed. Philadelphia: JB Lippincott; 1992.
Geller AC, Miller DR, Annas GD, Demierre MF, Gilchrest BA, Koh HK. Melanoma incidence and mortality among US whites, 1969–1999. JAMA 2002; 288: 1719–20.
Gottlieb NH, Huang PP, Blozis SA, Guo JL, Murphy Smith M. The impact of Put Prevention into Practice on selected clinical prevention services in five Texas sites. Am J Prev Med 2001; 21: 35–40.
Mikkilineni R, Weinstock MA, Goldstein MG, Dube CE, Rossi JS. The impact of the basic skin cancer triage curriculum on providers' skills, confidence, and knowledge in skin cancer control. Prev Med 2002; 34: 144–52.
Kirsner RS, Muhkerjee S, Federman DG. Skin cancer screening in primary care: prevalence and barriers. J Am Acad Dermatol 1999; 41: 564–6.
Sladden MJ, Ward JE, Del Mar CB, Lowe JB. Skin cancer screening by Australian family physicians: variation with physician beliefs and geographic locality. Am J Prev Med 1999; 17: 142–6.
Oliveria SA, Altman JF, Christos PJ, Halpern AC. Use of nonphysician health care providers for skin cancer screening in the primary care setting. Prev Med 2002; 34: 374–9.
Saraiya M, Frank E, Elon L, Baldwin G, McAlpine BE. Personal and clinical skin cancer prevention practices of US women physicians. Arch Dermatol 2000; 136: 633–42.
The Journal of the American Board of Family Practice
Thank you for your interest in spreading the word on American Board of Family Medicine.
You are going to email the following Overcoming Obstacles to Skin Cancer Examinations and Prevention Counseling for High-Risk Patients: Results of a National Survey of Primary Care Physicians
Message Subject (Your Name) has sent you a message from American Board of Family Medicine
Message Body (Your Name) thought you would like to see the American Board of Family Medicine web site.
Alan C. Geller, David L. O'Riordan, Susan A. Oliveria, Sabrina Valvo, Mark Teich, Allan C. Halpern
The Journal of the American Board of Family Practice Nov 2004, 17 (6) 416-423; DOI: 10.3122/jabfm.17.6.416
How Much Time Do Patients with Diabetes Spend on Self-Care?
Screening for Bipolar Disorder in Patients Treated for Depression in a Family Medicine Clinic
Screening for Dementia: Family Caregiver Questionnaires Reliably Predict Dementia
Show more Original Articles
Info For Reviewers
Submit A Manuscript/Review
© 2023 American Board of Family Medicine

redpajama_set_name: RedPajamaCommonCrawl


text:
Roberto Blanco (born 26 November 1938) is an Argentine former footballer who competed in the 1960 Summer Olympics.

References

1938 births
Living people
Association football midfielders
Argentine footballers
Olympic footballers of Argentina
Footballers at the 1960 Summer Olympics
Racing Club de Avellaneda footballers
Pan American Games medalists in football
Pan American Games gold medalists for Argentina
Footballers at the 1959 Pan American Games
Medalists at the 1959 Pan American Games

redpajama_set_name: RedPajamaWikipedia


text:
MADD, Nationwide Launch '21 Ways to Engage Challenge' on 10th Anniversary of Power of Parents Program
DALLAS – Mothers Against Drunk Driving® (MADD) and National Presenting Sponsor Nationwide are encouraging parents to talk with their teens about the consequences of drinking before age 21 and to take part in the #PowerTalk21Challenge focused on 21 ways to engage your teen in 2021. MADD will launch 21 creative ways for parents to initiate connection and conversation with their kids through interactive, fun activities on April 21.
The #PowerTalk21Challenge is intended to continue the connections made during quarantine as the nation reopens and many families across America begin to return to their pre-pandemic school and work activities. There has been a reduction in underage drinking during the COVID-19 pandemic. Having less opportunities to drink and more time connecting as a family, kids have benefited from more protection from substance use. Experts warn, however, that as social activities resume, teen alcohol and drug consumption could spike. But there is good news. Research also shows that adolescents who are more connected with their parents, for example, attending family dinners more frequently, are less likely to drink alcohol or use other drugs among other risk factors.
"Throughout the pandemic we have witnessed that parents are a bigger influence on their teens than they might think," said MADD National President Alex Otte. "We want to support and encourage parents to continue to be intentional about connecting with their teens as they resume activities outside of their homes. We know that when parents and their teens are connecting, they are more likely to engage in meaningful conversations, particularly those pertaining to alcohol and other drugs."
"Nationwide is honored to partner with MADD to empower parents to talk to their children about the dangers and consequences of underage drinking and drug use," said MADD National Board Member Martha Frye, Nationwide's Senior Vice President of Personal Lines Claims. "The Power of Parents campaign is an excellent resource to help parents start and continue these crucial conversations. As a company committed to protecting people, businesses and futures with extraordinary care, there is no more important work that aligns with our values than to keep drivers and passengers safe."
According to the Centers for Disease Control and Prevention (CDC), underage drinking is responsible for more than 4,300 deaths each year and can lead to early addiction as well as many other dangerous outcomes. In addition, marijuana is the leading cause of substance dependence other than alcohol in the United States.
In observation of Alcohol Awareness Month in April and Teen Driver Safety Month in May, MADD has designated April 1 through May 31 as PowerTalk21® Season. This time of year presents multiple milestones such as prom, graduation and the start of summer break that may bring an increased presence of alcohol and other drugs for teens and young adults under 21. During this time, MADD staff and volunteers across the country will host events in their communities and online to provide resources and information to parents about the dangers of underage drinking and drug use.
"We remain grateful to Nationwide for their long-standing commitment to MADD's mission. This program truly would not have been possible without their support," said Otte in consideration of the 10-year Anniversary of the Power of Parents® program.
Beginning April 21, MADD will share 21 creative ways to engage your teen throughout 2021 on social media. The #PowerTalk21Challenge '21 Ways to Engage' will also feature Dr. Robert Turrisi, PhD, Penn State professor of Biobehavioral Health and Prevention Research Center, providing guidance on how to leverage these connection points to open dialogue into difficult but essential topics like underage drinking and drug use. Parents can enter the #PowerTalk21Challenge by following MADD on Facebook (@MADD.Official), Instagram (@mothersagainstdrunkdriving), and Twitter (@MADDOnline).
PowerTalk 21® is a part of MADD's Power of Parents® program, based on research by Dr. Turrisi, that empowers parents of middle school and high school students to have ongoing, intentional conversations about the dangers and consequences of underage drinking and drug use. Parents can download free Power of Parents® handbooks for parents of middle school and high school students at www.madd.org/powerofparents.
About Mothers Against Drunk Driving
Founded in 1980 by a mother whose daughter was killed by a drunk driver, Mothers Against Drunk Driving® (MADD) is the nation's largest nonprofit working to end drunk driving, help fight drugged driving, support the victims of these violent crimes and prevent underage drinking. MADD has helped to save more than 400,000 lives, reduce drunk driving deaths by more than 50 percent and promote designating a non-drinking driver. MADD's Campaign to Eliminate Drunk Driving® calls for law enforcement support, ignition interlocks for all offenders and advanced vehicle technology. MADD has provided supportive services to nearly one million drunk and drugged driving victims and survivors at no charge through local victim advocates and the 24-Hour Victim Help Line 1-877-MADD-HELP. Visit madd.org or call 1-877-ASK-MADD.
About Nationwide®
Nationwide, a Fortune 100 company based in Columbus, Ohio, is one of the largest and strongest diversified insurance and financial services organizations in the United States. Nationwide is rated A+ by both A.M. Best and Standard & Poor's. An industry leader in driving customer-focused innovation, Nationwide provides a full range of insurance and financial services products including auto, business, homeowners, farm and life insurance; public and private sector retirement plans, annuities and mutual funds; excess & surplus, specialty and surety; pet, motorcycle and boat insurance. For more information, visit www.nationwide.com. Follow us on Facebook and Twitter.
A Life Stolen: John Austin Blough
Karen Labarbera
NADCP Conference
Thank you for saving lives
A mother's plea
Guest Author – December 2021
Officer of the Month – December 2021


text:
Category: Stamps
Stamps featuring the Camera Club of the Philippines
The Philippine Postal Corporation will issue a stamp to commemorate the 75th Anniversary of the Camera Club of the Philippines.
Stamps featuring the Development Bank of the Philippines
The Philippine Postal Corporation will issue a set of four stamps and a souvenir sheet to commemorate the 60th anniversary of the Development Bank of the Philippines.
Stamps featuring the Philippine Se Jo Tong Lim Family Association
The Philippine Postal Corporation will issue a set of stamps and a souvenir sheet to commemorate the centennial of the Philippine Se Jo Tong Lim Family Association.
The Philippine Se Jo Tong Lim Family Association The Philippine Postal Corporation will issue a set of stamps and a souvenir sheet to commemorate the centennial of the Philippine Se Jo Tong Lim Family Association.
Stamps featuring the Philippine Marine Turtles
The Philippine Postal Corporation will issue a set of special stamps and a souvenir sheet featuring the 5 marine turtles found in the Philippines.
Stamps featuring the Battle of Paye
The Philippine Postal Corporation will issue a stamp to commemorate the Centennial of the Battle of Paye, Boac, Marinduque.
Stamps featuring the Battle of Mabitac
The Philippine Postal Corporation will issue a stamp to commemorate the Centennial of the Battle of Mabitac.
1950-1959 / 1955 / Stamps
Stamps featuring the Liceo de Cagayan University
The Philippine Postal Corporation will issue a stamp to commemorate the 50th years of the Liceo de Cagayan University.
Stamps featuring the Seventh-Day Adventist Church
The Philippine Postal Corporation will issue a stamp to commemorate the centennial of the Seventh- day Adventist Church.
Stamps featuring the Philippine Postal Service
The Philippine Postal Corporation will issue a pair of special stamps in celebration of the 108th Anniversary of the Postal Service.
Stamps featuring the province of La Union
The Philippine Postal Corporation will issue a set of stamps to commemorate the 150th Anniversary of the Province of La Union.


We are a full service company that provides affordable cabinetry and custom woodwork for all areas of the home. Our goal is to create a lasting impression on our customers, their friends and family, and their home. We are located in Hamilton County and serve all of central Indiana.
This project was built with solid red and white oak reclaimed lumber. The finish was West Systems epoxy and M.L. Campbell ClearVar lacquer.
The table was built using reclaimed lumber from Indiana barns. The base was built from solid 6"x8" beams. The rest of the table was built using 2" red and white oak. The base beams were left rough, and the top was flattened on one side on the jointer. The customer wanted to see some of the circle-sawn pattern in the finished product, so the top was skip-planed in order to leave some character.
The joinery used on the base was mortise and tenon. This was used for both horizontal members. The joints were reinforced with adhesive. The only modification to each beam, besides joinery, was to cut a pattern in the bottom of the beam that would rest on the floor.
The finish was applied in two stages. The bottom side of the table top was finished with a seal coat of West Systems epoxy. For the top side, a light wash coat of stain was applied and allowed to dry. Next, a seal coat of West Systems epoxy was applied, then sanded. A second layer of epoxy was applied using a perimeter dam to build up the top. This was to allow a smooth writing surface and still be able to see the circle-sawn pattern of the wood. The second coat was sanded and a final coat of M.L. Campbell ClearVar lacquer was applied to all surfaces. The base of the table was also stained, then finished with ClearVar.
The use of the reclaimed lumber, giving the finished project a rugged look. Even though the table has a worn, used, and rugged look, the finishing process makes the table elegant enough for a conference room.
The benefits of being a member of the CMA include continued learning opportunities through collaboration with other shops, and being seen as the go-to professional by both current and prospective clients.
No items were outsourced for this project.


text:
GreekReporter.comGreek NewsMagnitude 5.4 Earthquake Rattles Kefalonia Island in Greece
Magnitude 5.4 Earthquake Rattles Kefalonia Island in Greece
By Tasos Kokkinidis
The epicenter of the earthquake was 57 kilometers southwest of the town of Lixouri at Kefalonia.
A magnitude 5.4 earthquake hit between the islands of Kefalonia and Zakynthos in the Ionian Sea on Thursday morning.
The earthquake occurred a few minutes after 10:30 local time. There are no reports of injuries to people.
However, on Zakynthos, Greek authorities closed off the famous Navagio Beach, also known as Shipwreck Beach, following a landslide caused by the earthquake.
The area has been evacuated, and tourists and boats are prohibited from accessing the beach.
Videos posted on social media show a major landslide on the left cliff of the beach which is visited by thousands every day.
According to the Geodynamics Institute of the National Observatory of Athens, the epicenter of the tremor is located in the sea area 57 kilometers southwest of the town of Lixouri at Kefalonia.
Initially, the Geodynamics Institute had identified the intensity of the earthquake as 5.3 Richter; however, a short time later, the assessment was revised to 5.4.
Back in 1953, within four days from August 9th to August 12th, the island was struck by three great earthquakes, all measuring above 6.0 on the Richter scale (with 6.4 on August 9th, 6.8 on August 11th, and 7.2 on August 12th). These led to the death of 455 people.
In addition, the event caused widespread damage on infrastructure throughout Kefalonia and Ithaca.
Greece lies in a highly seismically-active region. The vast majority of earthquakes cause no damage or injuries, however.
In October 2020, an earthquake that struck the eastern Greek Aegean island of Samos and the nearby Turkish coast killed two people on Samos and at least seventy-five people in Turkey.
The country is located in a complex geological boundary zone in the eastern Mediterranean between the African and Eurasian Plates.
The northern part of Greece lies on the Eurasian Plate while the southern part lies on the Aegean Sea Plate.
The Aegean Sea Plate is moving southwestward with respect to the Eurasian Plate at about thirty millimeters (one inch) per year while the African Plate is subducting northward beneath the Aegean Sea Plate at a rate of about forty millimeters (1.6 inches) per year.
Giannis Antetokounmpo Scores 50 Points in Bucks Win
Egg Shortage Drives Up Prices for Consumers
Who Really Governs Greece? The Wiretapping Scandal Shaking the Country


text:
Étude Op. 10, No. 2 (Chopin)
Excerpt from the Étude Op. 10, No. 2
Étude Op. 10, No. 2, in A minor, is a technical study composed by Frédéric Chopin for the piano. Composed in 1829 it was first published in 1833 in France,[1] Germany,[2] and England[3] This étude is an exercise in developing the independence of the weaker fingers of the right hand by playing rapid chromatic scale figures with the third, fourth, and fifth fingers of the right hand. Meanwhile, the first two fingers of the right and the left hand play an accompaniment of short chords and single notes. Chopin indicated the fingering himself note by note for almost 800 notes.[4]
1 Structure and stylistic traits
3 Technical difficulties
4 Paraphrases and arrangements
5 Notes and references
Structure and stylistic traits
The melody consists of rapid chromatic scale figures played by the outer right-hand fingers, accompanied by chord attacks. Like most of Chopin's other études, this work is in ternary form A-B-A. The harmonic scheme of the A section is relatively simple, with A minor, E major, A minor, but the chromatic scale and the exotic clash of its C-sharps with the A minor chords tend to veil the clarity of A minor and create a mysterious sound effect further increased by the Neapolitan chord, bar 15. The middle section brings a dramatic increase with the dynamic climax exactly in the center of the piece, bar 25. This climax is approached by stepwise rising two-bar sequences from F major to A minor via G minor. The final dominant seventh chord of each sequence leads to the next one by means of a deceptive cadence.[5] The longer and asymmetric second part of the B section, leading back to the restatement of the A section, uses a similar harmonic progression but shorter sequences. The final A section is a quite literal though shortened restatement of the first one ending with a Coda of a rising and falling scale into a Picardy ending.
Chopin demanded that the chromatic scale be played sempre legato, a direction mentioned seven times throughout the score. This contrasts with the staccato chords played as accompaniment.
A copy by Józef Linowski of Chopin's autograph reads cut time (alla breve) for No. 2,[6] but this seems to have been overlooked. The original (first French, German, and English) editions have common time.[7] Chopin's metronome marking for the piece is MM 144 referring to quarter notes. Later editors have followed Chopin in this regard with the exception of Hans von Bülow who suggests MM 114.[8]
Musicologist Hugo Leichtentritt (1874–1951) calls the étude a "moto perpetuo."[9] The transparent texture of nonstop semiquavers accompanied by a light "dancing" bass has its forerunners in Bach's Prelude No. 5 in D major (BWV 850) from the first book of the Well Tempered Clavier and resembles other virtuoso pieces from around 1830 such as Paganini's Moto Perpetuo for violin and piano. In Schumann's substantial NZM article on Pianoforte-Études, NZM (1836),[10] all Chopin Etudes Op. 10 are awarded an asteriks (*) for "poetic character" except No. 2. But Leichtentritt describes its sound effect as the "murmuring and blowing of a gentle wind",[9] French pianist Alfred Cortot (1877–1962) mentions its "gliding and vaporous character"[11] and Alfredo Casella talks about a "character of swift, aerial and unsubstantial mysteriousness".[12] The American music critic James Huneker (1857–1921) writes that "the entire composition, with its murmering, meandering, chromatic character, is a forerunner to the whispering, weaving, moonlit effects in some of [Chopin's] later studies".[8]
Proof sheet of Étude Op. 10, No. 2 with fingerings in Chopin's handwriting, ca.1833
The technical novelty of this étude is the chromatic scale to be played by the three outer fingers of the right hand together with short semiquaver notes to be played by the first and second fingers of the same hand and the difficulty is to do this evenly in piano and legato at the required tempo of MM 144. Other piano composers before Chopin, such as Ignaz Moscheles (1794–1870) in his Études Op. 70,[13] have introduced chromatic scales with accompanying notes to be played by the same hand. But the chromatic scale is never given to the "weak" fingers. Leichtentritt believes that Chopin in his Étude Op. 10 No. 2 revives an old fingering habit [of not using the thumb] from the pre-Bach clavichord time of the 17th century which had already long been regarded as obsolete. The technical significance of this étude for Chopin is proved by the extensiveness of his fingerings, an effort he did not apply to any other piece.[14] An analysis of Chopin's fingering reveals that, like in the "standard" chromatic scale fingering, the long 3rd finger plays the black keys, the 2nd finger, which "normally" plays C and F, is replaced by the 5th one. The 1st finger, usually playing all other white keys, is replaced by the 4th one. While it is fairly easy to cross the long 3rd finger over the short thumb, acrobatic dexterity is required to cross the 3rd finger over the 4th one. An obvious way to proceed is straightening 3 while bending 4 and 5.
French pianist Alfred Cortot (1877–1962) states that the first difficulty to overcome is the "crossings of the 3rd, 4th and 5th fingers" and the "strain resulting from the continuous action of the said fingers."[15] Preparatory exercises introduced by Cortot, Gottfried Galston[16] and Alfredo Casella[12] always commence with the chromatic scale (top voice) alone without the filling voice. Cortot divides the hand into an "active element" and an "accompanying element." He first insists on practicing chromatic scales with the three outer fingers in all permutations. Galston recommends to hold and press a little object with the 1st and 2nd fingers while playing the chromatic semiquavers with the other ones. Cortot recommends the "pizzicato" notes to be "plucked rather than struck" and Casella wittily compares the three outer fingers to a "motorcycle dragging along its own sidecar [the first two fingers]". Australian pianist Alan Kogosowski (born 1952) recommends keeping 1 and 2 completely relaxed while playing the top voice alone: The "little two-note chords on each beat in the right hand" should be released "as soon as they've been played." The thumb should not be operated vertically to avoid strain and "play its notes extremely lightly –becoming as light as a feather, almost as if it is hardly there at all."[17] Von Bülow orders "the middle harmonies to be played throughout distinctly, and yet transiently [flüchtig]."[8] Galston suggests to accentuate all the upper notes of the two-note chords (played by the 2nd finger) while practicing the right hand.
It is a particular physical and psychological challenge to perform this étude in public and especially after the C major one with its enormous stretches. Kogosowski reports that even "the imposingly powerful Sviatoslav Richter, who possessed the most awesome technical equipment of any pianist in the world, would quake before this tiny piece. When performing the twelve Etudes Op. 10 as a set, he'd hesitate and sometimes skip over the quiet but treacherous second Etude. And Richter was certainly not the only pianist to feel this way about this little Etude."[17] Galston believes that "he who wants to perform at Chopin's tempo (MM 144) has to be able to control it at home [im Kämmerlein] at MM 152, or MM 160."[16]
Paraphrases and arrangements
Opening of Czerny's Etude Op. 365 No. 19, first published in 1836
Three years after the publication of Chopin's Études Op. 10 Carl Czerny who had frequently entertained Chopin at his Viennese home, 1829, included a study in his Schule des Virtuosen,[18] 1836, that begins like a parody of Chopin's Op. 10 No. 2. In the course of this study the chromatic scale and the two-note accompaniment chords appear in all kinds of permutations given to the right to the left and to both hands simultaneously. Busoni in his Klavierübung introduces an extensive exercise, somewhat reminiscent of this. An exercise in double notes is included[19] Leopold Godowsky's 53 Studies on Chopin's Études include two versions. The first one is for the left hand alone while the popular second one, Ignis Fatuus (will-o'-the-wisp), is an exercise in polyrhythm superimposing Chopin's right-hand part transposed to the left hand with triplet two-note chords in the right hand. The result sounds much faster than the actual tempo which is MM 120-132. German pianist Friedrich Wührer's version resembles Godowsky's first one but with an accompaniment in the right hand.[20] In his Triple Étude (after Chopin)[21] from 1992, Canadian pianist Marc-André Hamelin (born 1961) combines Chopin's Étude Op. 10 No. 2 with Chopin's other A minor études, Op. 25 No. 4 and Op. 25 No. 11, trying to emulate Godowsky whose triple version has been lost. Scottish composer Alistair Hinton likewise combines Chopin's A minor Études Op. 10 No. 2 and Op. 25 No. 11 in his Étude en forme de Chopin Op. 26.
The étude has been transcribed for clarinet and piano by I. Butirsky.[22]
^ ("French edition"). Paris: M. Schlesinger, June 1833.
^ ("German edition"). Leipzig: Fr. Kistner, August 1833 .
^ ("English edition"). London: Wessel & Co, August 1833.
^ Below that of Chopin, an alternative fingering by Paderewski is given in the edition published in Cracow by the Instytut Fryderyka Chopina Polskie Wydawnictwo Muzyczne
^ Leichtentritt, Hugo. "Die Etüden." In Analyse der Chopin'schen Klavierwerke [Analysis of Chopin's Piano Works]. Band II. Berlin: Max Hesses Verlag, 1922, p. 92.
^ Ekier, Jan, ed. (National Edition). "Source Commentary." Chopin Etudes. Warsaw: Polskie Wydawnictwo Muzyczne, 1999.
^ Palmer, W: Chopin Etudes for the Piano, page 10. Alfred Publishing Co., Inc., 1992
^ a b c Huneker, James. "The Studies—Titanic Experiments." In Chopin: The Man and His Music. New York: Charles Scribner's Sons, 1900.
^ a b Leichtentritt, Hugo. "Die Etüden." In Analyse der Chopin'schen Klavierwerke [Analysis of Chopin's Piano Works]. Band II. Berlin: Max Hesses Verlag, 1922.
^ Schumann, Robert. "Die Pianoforte-Etuden [sic], ihren Zwecken nach geordnet" ["The Pianoforte Études, Categorized According to their Purposes"]. Neue Zeitschrift für Musik No. 11, February 6, 1836, p. 45.
^ Cortot, Alfred. Frédéric Chopin. 12 Études, op. 10. Édition de travail des oeuvres de Chopin. Paris: Éditions Salabert, 1915.
^ a b Casella, Alfredo. F. Chopin. Studi per pianoforte. Milano: Edizioni Curci, 1946.
^ Moscheles, Ignaz. Studien für das Pianoforte zur höheren Vollendung bereits ausgebildeter Klavierspieler, bestehend aus 24 charakteristischen Tonstücken in verschiedenen Dur- und Molltonarten. Leipzig: H. A. Probst, 1827, reprint Kistner, 1860, No. 3, G major, p. 20.
^ Cortot, Alfred. Frédéric Chopin. 12 Études, op. 10. Édition de travail des oeuvres de Chopin. Paris: Éditions Salabert, 1915, p. 14.
^ a b Galston, Gottfried. Studienbuch [Study Book]. III. Abend [3rd Recital] (Frédéric Chopin). Berlin: Bruno Cassirer, 1910, p. 15.
^ a b Kogosowski, Alan. "Mastering the Chopin Études." A compendium to Chopin: Genius of the Piano. E-Book, 2010.
^ Czerny, Carl. Schule des Virtuosen ["School of Virtuosity"]. Vienna: Haslinger, 1836, No. 19.
^ Busoni, Ferruccio. Klavierübung in zehn Büchern [Keyboard Study in Ten Books], zweite umgestaltete und bereicherte Ausgabe. Buch 8 (Variationen und Varianten nach Chopin). Leipzig: Breitkopf & Härtel, 1925.
^ Wührer, Friedrich. Achtzehn Studien zu Frederic Chopins Etuden [sic] [18 Studies on Chopin's Etudes]. In Motu Contrario [In Contrary Motion]. Heidelberg: Willy Müller, Süddeutscher Musikverlag, 1958.
^ Hamelin, Marc-André. "Triple Étude nach Chopin" in 12 Études in allen Moll-Tonarten ["12 Etudes in all the Minor Keys"]. Edition Peters (EP68235).
^ Chopin, Frédéric. Etude Op. 10 No. 2 "chromatic" . Transcription of I. Butirsky. Moscow: Muzgiz [state Music Publishing House].
Analysis of Chopin Etudes at Chopin: the poet of the piano
Find an entry on this piece and hear a performance by pianist Xiaofeng Wu at the Chopin Project site or watch his performance
Études Op.10: Free scores at the International Music Score Library Project.
Sheet music available in .pdf or LilyPond format, from Mutopia.
Chopin Etude Op. 10, No. 2 played by Alfred Cortot (Youtube)
Chopin Etude Op. 10, No. 2 played by Wilhelm Backhaus, 1928 (Youtube)
Chopin Etude Op. 10, No. 2 and Chopin-Godowsky Etude op. 10 No. 2 (2nd version) played by David Saperton (Youtube)
Chopin-Godowsky - Etude op. 10, No. 2 (2nd version "Ignis Fatuus") played by Marc-André Hamelin (Youtube)
v · d · eÉtudes by Frédéric Chopin
No. 1 (Waterfall)
No. 2 (Chromatic)
No. 3 (Tristesse)
No. 4 (Torrent)
No. 5 (Black Key)
No. 7 (Toccata)
No. 8 (Sunshine)
No. 11 (Arpeggio)
No. 12 (Revolutionary)
No. 1 (Aeolian Harp)
No. 2 (The Bees)
No. 3 (The Horseman)
No. 4 (Paganini)
No. 5 (Wrong Note)
No. 6 (Double Third)
No. 7 (Cello)
No. 8 (Sixths)
No. 9 (Butterfly)
No. 10 (Octave)
No. 11 (Winter Wind)
No. 12 (Ocean)
Trois nouvelles études
Chopin Études
List of compositions by Frédéric Chopin by musical form
List of compositions by Frédéric Chopin by opus number
Études by Frédéric Chopin
1829 compositions
BC Junior A Lacrosse League
Étude Op. 10, No. 3 (Chopin) — The beginning of Chopin s Étude Op. 10 No. 3 Étude Op. 10 No. 3, in E major, is a study for solo piano composed by Frédéric Chopin in 1832. It was first published in 1833 in France,[1] Germany,[2] and England … Wikipedia
Étude Op. 10, No. 1 (Chopin) — Excerpt from the Étude Op. 10, No. 1 Étude Op. 10, No.1 in C major is a study for solo piano composed by Frédéric Chopin in 1829. It was first published in 1833 in France[1], Germany … Wikipedia
Étude Op. 25, No. 9 (Chopin) — Étude Op. 25, No. 9 in G flat major Butterfly is an étude by Frederic Chopin. It is a study in staccato legato alternations, marked throughout the piece. The title Butterfly was not given by Chopin (as is true for all Chopin pieces with such… … Wikipedia
Étude Op. 10, No. 10 (Chopin) — Étude Op. 10, No. 10 in A flat major is a technical study composed by Frédéric Chopin. This étude places huge demands on the performer in varying a single pattern by changes of accent and touch. Chopin's primary concern in this work is for the… … Wikipedia
Étude Op. 25, No. 3 (Chopin) — Étude Op. 25, No. 3 in F major is a technical study composed by Frédéric Chopin. The romanticized nickname of this piece (not given by Chopin, who thought that idea was repulsive) is The Horseman or The Knight , probably because of its galloping… … Wikipedia
Étude Op. 10, No. 8 (Chopin) — Étude Op. 10, No. 8 in F major is a technical study composed by Frédéric Chopin. It is nicknamed Sunshine . This work follows on from No.7 as being primarily another work concerned with counterpoint. In this case, however, the principal melody is … Wikipedia
Étude Op. 10, No. 11 (Chopin) — Étude Op. 10, No. 11 in E flat major is a technical study composed by Frédéric Chopin. External links * [http://chopinetudes.spaces.live.com/default.aspx? c01 BlogPart=blogentry c=BlogPart handle=cns!2EC0EBD34634601A!241 The Ultimate Chopin… … Wikipedia
Étude Op. 25, No. 2 (Chopin) — Étude Op. 25, No. 2 in F minor is a technical study composed by Frédéric Chopin. It is based on a polyrhythm, with pairs of eighth note (quaver) triplets in the right hand against quarter note (crotchet) triplets in the left. External links *… … Wikipedia
Étude Op. 25, No. 4 (Chopin) — Étude Op. 25, No. 4 in A minor is a technical study composed by Frédéric Chopin. External links * [http://chopinetudes.spaces.live.com/default.aspx? c01 BlogPart=blogentry c=BlogPart handle=cns!2EC0EBD34634601A!241 The Ultimate Chopin Etudes… … Wikipedia
Étude Op. 25, No. 6 (Chopin) — Étude Op. 25, No. 6 in G sharp minor is a technical study composed by Frédéric Chopin. External links * [http://chopinetudes.spaces.live.com/default.aspx? c01 BlogPart=blogentry c=BlogPart handle=cns!2EC0EBD34634601A!241 The Ultimate Chopin… … Wikipedia
Étude Op. 25, No. 8 (Chopin) — Étude Op. 25, No. 8 in D flat major is a technical study composed by Frédéric Chopin. External links * [http://chopinetudes.spaces.live.com/default.aspx? c01 BlogPart=blogentry c=BlogPart handle=cns!2EC0EBD34634601A!241 The Ultimate Chopin Etudes … Wikipedia


Ybnl Tiger, Chinko Ekun drops another massive jam titled "Shayo" featuring Falz The BahdGuy & Dremo in quick succession of his latest jam "Bless Me".
Shayo was produced by fast rising producer Killertunes.
your site loads fast i love that……..
I love this songs chinko you dey dere joo love ur song but donnt let rap down. Don't forget dagren.


When thinking of Bali's premier art and cultural destinations, immediately the tourist Mecca of Ubud springs to mind. For those treading the art map, the well-known museums Puri Lukisan, Neka, and ARMA (the Agung Rai Museum of Art) display fine collections of Balinese traditional art, along with some modern and contemporary Indonesian art.
Within the constantly evolving art landscape of Ubud, galleries and art spaces come and go. The post-2008 Indonesian art boom economics has taken its toll and has led to the closure of some renowned fine art galleries in Bali.
In recent years however, private and artist-driven initiatives – art spaces – that operate outside of the commercial gallery model, have become the essential art infrastructure behind the development of contemporary art on the island.
Attracting the non-commercial and experimental artists thriving on dialogue and creativity, art spaces are plugged into social media (vital to the new paradigm of art organizations connecting them 24/7 to the global community, a bonus with the wealth of information available on the Internet). You can check them out via Facebook or Instagram prior to your arrival and Google maps will help in finding the location.
Two icons of Ubud must be mentioned: Sika Contemporary and Pranoto's. Here are some recommendations.
Fifteen minutes north of Ubud, on Jalan Sri Wedari, Junjungan, on the right side in the rice fields, look out for the big white installation 'Not For Sale'. Balinese landowner, social activist and artist Gede Sayur along with his friends established Luden House in 2009. Committed to art with a social and environmental conscience, Luden began as an art space and gallery to support the development of contemporary art via exhibitions, workshops and events.
Not For Sale evolved in 2010 in response to the alarming rate of Balinese agricultural land being sold for development and has since grown into a popular social movement, which has secured in marking Luden House on the Bali map. When the Luden family are not organizing events, often for children, they are painting or creating art products from sustainable products and wearables to sell, with a percentage of sales going to local farmers' associations.
In Penestanan, Cata Odata introduces a new model of infrastructure to Bali, combining artist and gallery management, residency programmes and internships along with exhibitions and a community space for discussions and workshops. Established in 2014, the space is the brainchild of two dedicated and hardworking East Javanese characters: Ratna Odata and Djunaidi Kenyut. Kenyut has many years' experience as an exhibiting artist, managing events and spaces in Bali and Surabaya. He and Odata promote Indonesian artists based in East Java and Bali while encouraging global connections and exchanges.
Upcoming events include 'Bare Journal #3' artist in residency programme. This requires participating artists to create a daily journal, complete with their thoughts, ideas and sketches. These are then exhibited alongside their work to inspire deeper levels of connectivity between artists and the community, while granting insights into the machinations of the artist's mind. Periodically they offer lodgings for those curious to know more about this young art space and its workings.
The husband and wife team of Balinese artist Budi Agung Kuswara and Singaporean artist Samantha Tio drive Ketemu Project Space in Batu Bulan, 30 minutes south of Ubud. Dedicated to engaging a wider audience and individual sectors of the public arena, Ketemu embarks on large projects drawing upon their local, national and regional networks. Inviting artists and curators to participate in their artists in residency programme, Ketemu's 2016 project, Merayakan Murni promises to be a landmark event. The occasion will celebrate one of Indonesia's most important female artists, Balinese painter I GAK Murniasih (1966-2006), who was instrumental in forging new thematic grounds in Balinese and Indonesian art. The project gathers artists and writers to create works in response to the legacy of Murni and will culminate in an exhibition in July.
Launched on January 29 in celebration of the 80th anniversary of the influential Pita Maha artists collective, the TiTian Bali Foundation is located at the TiTian Art Space in Jalan Bisma, Ubud. Driven by a revolutionary vision for Balinese art on the local and global stage, the Chairman of the Board of Advisors of Yayasan TiTian Bali, Soemantri Widagdo says, "TiTian Bali is being founded in an effort to 'reframe' the potential of Balinese visual arts with the belief that in order to flourish they need to be integrated into a creative economy." Aiming to be the leading hub for Balinese visual arts by 2021, Yayasan TiTian Bali is building a new ecosystem for Balinese art for the 21st century through education and new pathways of engagement.
Location: Opposite the Pura Dalem temple in Penestanan Kelod, Ubud. Look for the big white building on the left.
Location: Jalan Bisma no. 88, Ubud. Travel way down to the end of Jalan Bisma and look for an aqua blue building on the left side.
Features: An experimental playground and global launch pad for young talented Balinese artists. Backed by local and international foundations with members whose experience is second to none. On display in the gallery is some of the finest Balinese traditional and contemporary art on the island.
Location: Perumahan Taman Asri no. 3A, Batu Bulan, Gianyar. Head east 500 metres along Jalan Batuyang, on the right look for the entry to Perumahan Taman Asri.
Features: A savvy and professional team, with a compact and cosy facility. Regular events open to the public. Out to raise the bar in what's possible within artist driven spaces in Bali.
Location: Jalan Sri Wedari, Junjungan, Ubud.
Features: A grassroots local art experience that brings social and environmental awareness to the fore. Regular events – big and small – a good time is always guaranteed. Look out for the soon-to-open Balinese warung with tasty local delicacies.


The College held its first meeting with the freshmen after completing the registration process on Sunday, 2/12/2018 at 10:00 am. The meeting was attended by Dean of the College, Prof. Dr. Mohammed Jawad Fakhruddin, and his assistant for Scientific affairs Dr. Alaa Hussain Jassim. The dean welcomed the freshmen. The Dean guided the students to several basic aspects including: wearing uniforms, striving for excellence, maintaining the environment and also he urged them to volunteer work inside and outside the college, as well as to the internal departments. At the end of the meeting, he wished them the success to serve our beloved Iraq.


New York State has a long and rich history of intertwining art and heritage. With renowned museums like the Metropolitan Museum of Art, the Brooklyn Museum of Art and the New-York Historical Society, New York City is considered by many to be the cultural capital of the world. Lesser known is the fact that Upstate New York and Long Island boast artists' homes and studios landscapes that inspired the art, and well-established, high quality museums. Tourist attractions like Olana State Historic Site, Cedar Grove – The Thomas Cole National Historic Site, Niagara Falls, the Hudson River, Inspiration Point at Letchworth State Park, Munson-Williams-Proctor Arts Institute in Utica, and Albany Institute of History and Art allow travelers to experience the rich history, heritage and beauty that New York has to offer.
The Hudson River, one of the great American rivers that shaped our nation's history and development, also inspired a great school of landscape painters, called the Hudson River School. Nineteenth Century artists such as Thomas Cole (1801-1848), Asher Durand (1796-1886), and Frederic Church (1826-1900) formed this first truly American school of art. The era of the Hudson River School was a time of powerful nationalism in the United States. The dramatic and uniquely American landscapes by Thomas Cole and his followers prompted positive responses from the American public. For many Americans there was a great sense of pride and hope as they discovered these paintings, seeing in them the spirit of the nation. Exhibitions of Hudson River School landscapes drew large audiences and nature-inspired literature became popular. Eventually, the public desired to see the nature depicted so dramatically in the paintings and books – many 19th Century tourists traveled to the Hudson Valley to have a wilderness experience. Improvements in steamboats, the railroad and coach lines also aided in this new tourism phenomena.
While New York City, the Hudson River Valley and the Catskills have a concentration of Hudson River School art collections, artists homes and studios, and landscapes; the Hudson River School art heritage is prevalent in many places around the State.
Olana State Historic Site - Olana is the meticulously created 19th century estate of artist Frederic Edwin Church, a leading member of the Hudson River School. Olana exhibits a significant collection of Church paintings as well as works by fellow 19th century artists and a major collection of Old World Masters within the historic home and artist's studio. The original 250-acre park created by the artist caps the site. Special programs as well as tours of home and landscape make the site available to visitors.
Hudson River School painters living in communities across New York State often painted their local landscapes. In addition to the museums, artists homes and studios showcasing the founders and other well-known members of the Hudson River School, there are also historical societies and other institutions that commemorate lesser known Hudson River School painters, specific aspects of the Hudson River School, or the Hudson River School painters as they relate to their local community.
National Academy of Design - The National Academy of Design was founded in 1825 to establish a school of art and to hold annual exhibitions of contemporary art. The National Academy set standards and imparted prestige to its members. In the early days, annual exhibitions primarily consisted of portraits and landscapes.
At Eaton's Neck in Long Island, you can see the landscape the inspired the painting known by the same name, Eaton's Neck, Long Island, 1872 by John F. Kensett is in the collection at the Metropolitan Museum of Art. U.S. Coast Guard Station Eaton's Neck, 631/261-6959 by appointment only.
Kaaterskill Falls - One of the most celebrated scenic sites in 19th century America, painted several times by Thomas Cole and most of the artists of the Hudson River School. Rte 23A, Haines Falls, 12436.
Lake George, a popular place for visitors, was also a popular landscape for the Hudson River School artists. Paintings of Lake George are included in museums around the state, including the Albany Institute of History and Art, the Brooklyn Museum of Art and the Metropolitan Museum of Art.
John D. Barrow Art Gallery - The John D. Barrow Art Gallery in the Skaneateles Public Library is devoted to the works of John Barrow (1824-1906), who was once a resident of the picturesque village of Skaneateles.
Niagara Falls - Many Hudson River School artists painted Niagara Falls, one of the natural wonders of the world. The painting Under Niagara, 1858, by Frederic Edwin Church, was sketched from a unique vantage point. Church chartered the Maid of the Mist to take him to the very base of the Horseshoe Fall. No artist had dared venture so close, and the captain kept the steamer headed into the current for forty minutes while Church made a rough oil sketch. The study for Under Niagara is in the permanent collection at Olana State Historic site as is Horseshoe Falls, 1856. Goat Island, also a vantage point for the adventurous, was the location from which Niagara from Goat Island, Winter, 1856, Frederic Edwin Church, was painted. This painting is in the collection of the Cooper Hewitt Design Museum. Niagara Reservation State Park, 14303. www.nysparks.com; 716/278-1770.


The womens chlorine proof Striped Pink Legsuit is perfect for when you want extra coverage during aqua aerobics classes or swim training. The flattering boyleg style and contrast stitching will give a stylish look at the pool. The fabric is also completely chlorine resistant, so it's great for regular pool time.


TOKYO, Aug 15 2018 : Japanese Prime Minister Shinzo Abe sent a ritual offering to Tokyo's controversial Yasukuni Shrine for war dead today, the anniversary of Japan's World War Two surrender, but did not visit in person.
Past visits by Japanese leaders to Yasukuni have outraged China and South Korea because the shrine honors 14 Japanese wartime leaders convicted as war criminals by an Allied tribunal, along with war dead.
Ruling Liberal Democratic Party lawmaker Masahiko Shibayama, who made the offering on Abe's behalf, said the prime minister asked him to pray for the souls of the departed and that Abe regretted being unable to pay his respects in person.
Abe has only visited the shrine in person once since taking office in 2012 but has previously sent offerings.
China's relations with Japan have long been haunted by what Beijing sees as Tokyo's failure to atone for its occupation of parts of China before and during World War Two, although ties have thawed somewhat recently. Japan occupied Korea from 1910-1945 and bitter memories still rankle.
Abe was due to speak at a separate annual memorial ceremony for war dead later today that will also be attended by Emperor Akihito – the last time he will take part in the event before abdicating next year.
Akihito, 84, has carved out an active role as a symbol of peace, democracy and reconciliation during his three decades on the throne, visiting wartime battlefields to pray for the war dead of all nationalities.
Akihito expressed "deep remorse" over the war on the 70th anniversary of Japan's defeat in 2015. That departure from his annual script – repeated on subsequent anniversaries – was seen by many liberals and moderate conservatives as a subtle rebuke to the conservative Abe, who has said future generations of Japanese should not have to keep apologizing for the conflict.


Name: John Gba Lite Apk.
John GBA Lite Apk is a free version of John GBA. John GBA Lite is only a piece of cake, the real and full version is JOHN GBA, which is a paid app. The developers of this app come with a new idea that before asking for people to get the paid version why not we launched a free version for testing after which users may decide whether to or not the paid version. And that's the reason that this app is having a very little number of crack versions, in which most of them didn't work.
Launching a lite free version was too much beneficial for developers that the app succeeded in achieving 5 million downloads on the lite version and 100 thousand on the paid version.
The app is a source for using paid games for free you can call for this a jailbreaker or any other. The lite version is having many features like cheats, code breaker of a game and much more which will be discussed below.
Requirements: If we talk about requirements the app requires an Android version of 2.3 or above having a free space of 10 MBs. The app is of small size 2.46 MBs so it can be downloaded on any Android device.
You Must Need To have your game File.
It's Having Original GBA engine.
Automatically search games from SD card and internal memory.
You can save your played games.
Rendering is of high quality.
Fast forward and slow down options.
Compressed files supported like zipping.


text:
Do you want to see more of this scene featuring Kayden Gray , Oliver Hunt ?
You have previews remaining. Join now for unlimited access.
You must be a member to view this scene!
Oliver Hunt
Sex When Sad
Added: November 9, 2020 | Runtime: 17:47 | 8,116 views
There are many reasons why we have sex. We typically have sex because we are in a romantic mood, wanting intimacy and connection, or just plainly horny and want to get off.
But that is not the only reason why we have sex.
Sex is a way of expressing yourself. It is a way of transforming emotions and feelings that can sometimes feel stuck in body and sex can be the vehicle to release that. It's also exciting to explore sex for the unconventional reasons to help broaden your repertoire of when you traditionally have sex. If you are more liberated in your sexuality, then you have more colours in the pallet.
Sometimes, we have sex because we are sad or grieving. We may have sex to express grief in a physical form. Or, it may be as a way to feel safe, held and comforted. Watch what happens when grief is met with beautiful lovemaking.
Video concept by Jason Tantra: https://www.tantra4gaymen.com/
Directed by altSHIFTxxx.com
Best of Himeros.tv
Sex When Sad And Creating Tantric Chemistry - Himeros LIVE
November 20, 2020 | 01:09:36 | 727 views
DISCUSS ON HIMEROS BACKSTAGE
billyb
What can I say.......I think I am speechless. Just a beautiful scene. I hope the filming is going well in New Mexico, and looking forward to the discussion in 2 weeks.
Xavier949
This scene is hands down the most touching video you have made. Adjectives to describe it are: warm, loving, compassionate, emotional and just plain beautiful. The Oscar should go to Kayden for portraying such a warm, loving and caring person. He focused all of his loving attention to Oliver to console him. The kissing, holding and comforting was a sight to behold. Then when the sex began, it wasn't just sex, it was loving sex meant to show the love of one person to another. When Kayden entered Oliver it was two people becoming one, not just for sex, but for love, comfort and compassion. He was focused on Oliver, not himself. Then after it was over, the holding and comforting - truly beautiful. It is amazing how you guys can portray sex as just not a way to get off, but to evoke feelings. Loving and yet erotic A true expression of love and feelings through sex. As for the erotic, even though it was extremely emotional and loving it still caused me to produce a river of pre cum. This episode is as beautiful as the Journeys episode where Will Tantra consoled the the guy who lost his partner.
I think it is time to thank Davey for creating this wonderful site that helps the community in many ways. Not only does it provide erotica but more than that it educates the community in ways that were previously non existent. It is also wonderful of you to utilize all races, ages and body types in your videos. You include everyone. Also a special thanks to Brad, Jallen, Finn and everyone involved in the making of the videos. You truly provide a much needed and wonderful service to this community.
Hot and romantic scene. I love when the only sounds are from the models and the surroundings. I enjoyed their The Man Behind the Suit scene, too. While watching today's scene, I was thinking it was nice they could connect when off work. lol
Davey Wavey
I'm really glad you mentioned that! I'd encourage folks to watch "Man Behind the Suit" first, and then this video second. It's really awesome to see Oliver and Kayden connect digitally - and then physically.
jbiedenh
When you're sad, depressed or lonely. All you want is for someone to make love to you, and take the pain away! This scene depicts how a partner/friend/husband can make it all go away, even for a brief instance of time. It's not just sex - it's being made love too - and that's what all of us want. To be loved and passionately fucked!
Dc1050guy
I want to echo all the prior messages and add my gratitude for the work that Davey &colleagues do weekly--this is a wonderful site that enriches our lives in many ways on many levels. It is beautiful and uplifting to see men of all types connecting and sharing love, fun, connection, giving, tender emotion, hot pleasure, and more. This video is timely and universal. After months of isolation and social distancing without the physical and emotional intimacy that is so important, the intimate loving deep connection in this film is a wonderful contribution--and Kayden and Oliver make it so true and authentic. THANK YOU
Brinkbu
Your best video to date. Loved the lack of music partway through so we could hear the sounds of their lovemaking. So intimate and tender. Kudos!
KMaven
This video brought me back to life after a longspell of dull and unmotivating sex. Wow. Truly wonderful.
Davey, I am honored that you liked what I wrote and read it on your podcast. That was written from the heart and was so true. I had also mentioned the Journeys Episode 4 episode that I was touched by too. I wrote it under the name as "Cooper" but your system has changed to utilize the login name. When you said that you loved the Himeros community I was thinking to myself that I love it too. This is not just porn. It is magnificently written real life story telling filmed like a cinematic movie. I'm glad that the guys got a kick out of what I wrote about the erotic segment. Even though I was deeply touched by the love and compassion of the story, it was hot too. Thank you again for this one-of-a-kind site for our community that provides not only erotica, but so much more with education, showing how people of all ages and conditions can enjoy a great sex life. You Davey are truly one-of-a-kind in my book. Looking forward to the next episode.
JaHuLeS11
Astonishingly beautiful. This should be the first porn video every gay teenager sees -- it would set a new standard for what making love can be.
joe4242
I want to be sad and loved like that. I think I have been held in such a manner, from the inside out. Felt all this ocean given harbor under stars when they pressed those chests together shined, and breathed, I remember how he'd hold me how the air seemed to pass between our skins, flesh made permeable, through love the warmth of spirit taking tears and all the fur of him, the softest brush to soothe the wild shaking creature of me.
hornysenior765
This is Amazing! Two gorgeous guys. Slow, erotic, tender. Love their sounds and that it is outdoors. I want to be loved like that when I'm sad.
Wayuphigh
I actually cried during the start of this video. It reminded me of the last sex i had after beaking up with my lover. This video will have different meanings to everyone watching it. For me it showed how you can comfort someone you truly love by making real love. Thank you!
Very special connection between these two men in comforting one another.
1 Month Membership Billed at $34.95 $34.95 /mo
3 Month Membership - SAVE 26% Billed at $77.85 Most Popular $25.95 /mo
12 Month Membership - SAVE 54% Billed at $191.40 $15.95 /mo
1 Month Pass Non-recurring option $49.95


Lending ethereal romance to a staple style Chloé designs this white cotton-jersey top with an ivory sheer silk-chiffon cape overlay complete with scalloped-lace trims. It has a relaxed sleeveless shape with a ribbed-jersey round neckline. Wear yours as part of a delicate evening look with a wispy similarly hued skirt.


Woodberry Down in Hackney, East London is one of the largest regeneration projects in the UK, to be phased over 20 years and designed to provide a mix of 4,500+ homes and community facilities.
The Ecology Consultancy's most recent work there has been at Kick Start Site 3 carrying out a preliminary ecological appraisal, protected species risk assessment, bat emergence surveys, tree inspections, Code for Sustainable Homes assessment, biodiverse green roof and bird and bat box specification.
Provision for wildlife was a condition of outline planning permission for the site. Input into ecological masterplanning at an early stage and working closely with the Design Team has safeguarded existing ecology.
The major enhancements are evident by maximum credits awarded under the CfSH category 'Eco 4 – Change of Ecological Value of Site'.


text:
Willem Anne van Keppel (ur. 5 czerwca 1702 w Whitehall w Londynie, zm. 22 grudnia 1754 w Paryżu) – brytyjski arystokrata, polityk, wojskowy i dyplomata, syn Arnolda van Keppela, 1. hrabiego Albemarle, i Gertrudy van der Duyn, córki Adama van der Duyn. Został ochrzczony 16 czerwca 1702 w kościele St. Martin-in-the-Fields w Londynie. Jego matką chrzestną była królowa Anna Stuart.

Życiorys
25 sierpnia 1717 w wieku 15 lat został podpułkownikiem 1 regimentu Gwardii Pieszej (1st Regiment of Foot Guards). Po śmierci ojca w 1718 odziedziczył tytuł hrabiego Albemarle i zasiadł w Izbie Lordów. W latach 1722–1751 pełnił urząd Lorda of Bedchambera Jerzego II. W latach 1724–1734 był adiutantem królów Jerzego I i Jerzego II. 18 maja 1725 został kawalerem Orderu Łaźni. Zrezygnował z tego orderu 12 lipca 1750, kiedy został kawalerem Orderu Podwiązki. Dokładnie rok później wszedł w skład Tajnej Rady.

Albemarle piął się również po szczeblach kariery wojskowej. 4 czerwca 1733 został pułkownikiem 3. plutonu Gwardii Konnej (3rd troop of Horse Guards). 2 lipca 1739 otrzymał rangę generała-brygadiera. 20 lutego 1742 był już generałem-majorem. Kolejny awans otrzymał 26 lutego 1744. Został wtedy generałem-porucznikiem. W latach 1744–1754 był pułkownikiem Coldstream Guards. Brał udział w bitwach pod Dettingen (27 czerwca 1743), Fontenoy (11 maja 1747) i Culloden (16 kwietnia 1746). Po tej ostatniej bitwie został mianowany Głównodowodzącym w Szkocji.

Był jednym z założycieli londyńskiego Foundling Hospital. Od 26 września 1737 do śmierci był gubernatorem Wirginii.

Od 1748 był brytyjskim ambasadorem w Paryżu. Zmarł podczas pełnienia urzędu.

Rodzina
21 lutego 1722 w Caversham w hrabstwie Oxfordshire poślubił lady Anne Lennox (24 czerwca 1703 – 20 października 1789), córkę Charlesa Lennoxa, 1. księcia Richmond i Lennox, oraz Anne Brudenell, córki Francisa Brudenella, lorda Brudenell. Willem i Anne mieli razem czterech synów i trzy córki:
 George Keppel (5 kwietnia 1724 – 13 października 1772), 3. hrabia Albemarle
 Augustus Keppel (2 kwietnia 1725 – 3 października 1786), 1. wicehrabia Keppel
 William Keppel (5 listopada 1727 – marzec 1782)
 Frederick Keppel (19 stycznia 1728 – 27 grudnia 1777), biskup Exeter
 Caroline Keppel (ok. 1734 – ?), żona Roberta Adaira, miała syna, dyplomatę Roberta Adaira, i córkę, która poślubiła 5. wicehrabiego Barrington
 Elizabeth Keppel (15 listopada 1739 – 2 listopada 1768), żona Francisa Russella, markiza Tavistock, miała dzieci

Opinia
Jako jeden z nielicznych związanych z Dworem arystokratów epoki georgiańskiej, lord Albemarle doczekał się pochlebnych opinii na swój temat. Horace Walpole napisał o nim, że był człowiekiem wspaniałej postawy i wielkich manier. Jean-François Marmontel pisał, że hrabia był nazywany "galant homme", był szlachetny, uczuciowy, hojny, lojalny, uprzejmy i wspaniałomyślny. Łączył w sobie to co najlepsze z narodu angielskiego i francuskiego.

Linki zewnętrzne
 dokumenty Keppela

Arystokracja brytyjska
Brytyjscy oficerowie
Kolonialni gubernatorzy Wirginii
Odznaczeni Orderem Podwiązki
Odznaczeni Orderem Łaźni
Urodzeni w 1702
Zmarli w 1754
Ambasadorowie Wielkiej Brytanii we Francji


It may come as some surprise that this is only my second time through one of Mr. Lewis' highly acclaimed classics; the first journey having been in the pages of A Grief Observed. Although the two titles vary in category (the fiction of this recent read versus the non-fiction of the latter), the brilliance of Lewis' writing shines forth regardless of category. So much so, that upon completing this book, I hesitated to attempt to review it—there's no way my words could do it much justice.
The composition is 146 pages and I finished it in one weekend. I couldn't put it down. Though Lewis himself states in the introduction that the work is not "even a guess or a speculation at what may actually await us", the follower of Christ can plainly see his faith interwoven in the paragraphs. This self-described "fantasy" story has much to say about the false idols, injuries, pride, and folly of those repulsed by the offer of a heavenly residence at only the cost of letting go of the past.
If you are looking for a short piece of fiction that is masterfully written, engaging and thought-provoking, this is it. The majority of the time is staged in a breathtaking mountainside country, as the writer witnesses encounters between the grungy ghosts from Hell and the majestic "Solid People" (those who have accepted free entrance into Heaven). The intimate conversations between souls—invitations from the Solid People to trade Hell for permanent placement in Heaven, and the rebuttals from the ghosts who cannot seem to get out of their own way—is simply riveting. At first reflection, we might ask why people would even think twice about choosing Hell over Heaven, but in these conversations we catch a glimpse of a stark reality: the choice has nothing to do with our heads and everything to do with our hearts.
When I finished this book, I couldn't help but say to myself, Jesus, help me remember the worth of Heaven when I get there.