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Kaneohe condo complex defies city ordinance and cuts down protected trees to enhance views
By Andrew Gomes agomes@staradvertiser.com
CINDY ELLEN RUSSELL / CRUSSELL@STARADVERTISER.COM
Ocean views from the Puu Alii and Pohakea Point condominium complex, pictured at top, have long clashed with trees on the property that are supposed to be protected by a 1975 city ordinance. Recently, the city Department of Planning and Permitting cited the condo complex for improperly removing numerous trees along one edge of the property that offers views of Kaneohe Bay.
Ocean views from the Puu Alii and Pohakea Point condominium complex have long clashed with trees on the property that are supposed to be protected by a 1975 city ordinance. Recently, the city Department of Planning and Permitting cited the condo complex for improperly removing numerous trees along one edge of the property that offers views of Kaneohe Bay.
On the slopes of a Kaneohe promontory prized for its ocean views, more than 1,000 trees including milo, mango, kukui, weeping banyan and silver trumpet have stood for decades as part of a lush hillside — and a knotty problem. Read more
On the slopes of a Kaneohe promontory prized for its ocean views, more than 1,000 trees including milo, mango, kukui, weeping banyan and silver trumpet have stood for decades as part of a lush hillside — and a knotty problem.
Under a special city ordinance, these trees are supposed to be maintained by one of Hawaii's biggest residential condominium communities.
But many of the specimens are gone.
Recently, the city Department of Planning and Permitting issued a violation notice to the Puu Alii Community Association for cutting down "numerous" trees in one area, and said the community of condo owners hasn't complied with landscaping rules since the the 540-home complex on about 50 acres was approved for development in 1975.
The missing trees noted by DPP — Formosan koa, Java plum, Mindanao gum and white monkeypod — were removed from a slope below a couple of condo buildings in the community fronting Lilipuna Road.
And this wasn't the first time protected trees have been cut down around Puu Alii, though an accounting of how many trees have been removed in violation of the ordinance over more than four decades could not be obtained.
According to documents from the community association and DPP, tree removals around Puu Alii have been a chronic problem related to special conditions of a 1975 zoning change that allowed the collection of condos to be built on the largely forested hill that juts out nearly into Kaneohe Bay near Coconut Island with stunning ocean views reaching Mokolii Island, or Chinaman's Hat, five miles away off Kualoa.
Such views — and the issue of trees growing to block them — have been the object of contention, complaints and threatened litigation over four decades at the condo complex where 39 buildings were built in four phases from the late 1970s to the mid-1990s under two names — Puu Alii and Pohakea Point.
All these condos were sold with views described as fantastic, magnificent and breathtaking.
"We have walked each building site and placed a premium on the value of the view," Mike McCormack, the developer of the project originally dubbed Lilipuna Hillside, said in 1978 for a Honolulu Star-Bulletin story.
It wasn't long, however, for concerns and disputes to emerge over tree removal or extreme trimming to preserve views for residents in the town homes that rise up to seven stories.
Some Puu Alii residents have sought to preserve views by getting rid of trees as far back as the mid-1980s even before the latter two phases known as Pohakea Point were completed. Others within the same community have opposed such efforts and shared their concerns with DPP.
DPP has four file boxes stuffed with documents on the issue, including letters, photographs, reports and landscape architect drawings.
The community association, which has members from four separate condo association boards representing each phase of Puu Alii and Pohakea Point, has made considerable efforts to address the issue over the decades, including obtaining DPP approval to remove certain trees and drafting master plans for the disposition of every tree that exists or was supposed to exist on the property.
Yet protected trees have been removed from the property over many years without DPP approval.
The issue came to a new head earlier this year when owners of one Pohakea Point condo who, through an attorney, urged DPP in February to investigate landscaping practices of the Puu Alii Community Association, or PCA, and take enforcement action based on the ordinance.
In their request to DPP, the owners — Michael, Kathryn and David Henton — expressed frustration that trees had grown to block views of Kaneohe Bay from most homes in the complex, including their own. They also said mediation with the community association overseen by a retired state judge last year failed.
A central issue is that the Puu Alii/Pohakea Point community, under city Ordinance 4421 from 1975, was supposed to submit to DPP a detailed landscaping plan identifying trees on the property for retention, removal or replacement.
This plan, which is subject to DPP approval, is a huge undertaking that covers more than 1,300 trees that serve as landscaping throughout the town-home complex as well as buffer screens along several property borders.
Because of past compliance issues, DPP directed PCA to produce a landscape plan in 2008, according to a 2011 arborist report by Carol Kwan Consulting LLC for the condo complex. A plan was submitted to DPP in 2015 and approved by the agency in 2016. But because of faulty PCA board action, this plan was later deemed invalid by DPP, so the agency considers this obligation as unmet under the ordinance.
The Hentons, in their letter, expressed support for having an approved plan so that their ocean views can be restored. The letter pressed DPP to push the issue, and also said the Hentons and many of their neighbors will be forced to sue if there is no swift resolution.
"Absent the threat of violation notices or litigation, the (PCA) board will not act," the letter said.
In response to the February letter, DPP investigated and in October concluded that trees fronting four Pohakea Point buildings in the project's fourth phase along Lilipuna Road were removed in violation of the ordinance.
"We ask that the PCA take immediate action to cure this violation by replacing the removed trees with equivalent plants or functional equivalents acceptable to the PCA general membership," DPP said in its response on Oct. 11. "As such, the DPP is taking enforcement action against the PCA for the above-described violation."
The agency followed up on Oct. 17 with a formal violation notice that said DPP will impose civil fines if numerous trees are not replaced by Nov. 17.
DPP also let PCA know that the agency will refrain from penalizing the association for not having an approved landscaping plan if one is submitted by Jan. 6.
Shawn Scott, PCA president, did not respond to a request for comment.
Before DPP informed PCA of the violations last month, Scott said in a June letter to the agency that DPP over many years has given PCA conflicting and unclear advice about what was required regarding maintenance of trees between the complex and neighboring homes along Lilipuna Road.
One contention by the Hentons is that a rough landscaping plan from the developer in 1975 specifies ground cover as opposed to trees on the slope in front of their home. But PCA has been told by consultants that trees for screening should exist in this area. Today, one part of a slope in this area is close to bare while other areas have a fairly sparse presence of trees that look radically different from past photos resembling more of a jungle look.
Scott said in his June letter that PCA believes it can produce a landscaping plan that is acceptable to DPP and complies with the ordinance for maintaining trees while also providing desired views.
"This new plan will be jointly developed by our new arborist and landscape architect and DPP, using the plans previously submitted to DPP as the starting point," Scott's June letter said.
One version of that old plan noted that it could take more than 30 years to replace trees that no longer exist on the property along with existing trees that PCA wants to remove and replace.
Kauai woman washed away during flash flood found with head injury
Fire at Volcano vacation rental home believed to be intentionally set


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Q: Openquery Data Type Conversion I have created a linked server to query some CSV files. The query below works with no errors:
SELECT * FROM OPENQUERY(LINKEDSERVER, 'Select * FROM [import.csv]')

There is a field that could contain either an number or text and the query seems to want to treat it strictly as an integer and returns NULL as the values for any records that have text in that field. All of the records that contain numeric data in that field are displaying properly.
My first thought was maybe that I needed to cast or convert that field to a string to make sure that the query returned data regardless of whether it was numeric or text, but I haven't been able to get that to work. Something like:
SELECT * FROM OPENQUERY(LINKEDSERVER, 'Select cast(field1, varchar(50)) as newfield, field2 FROM [import.csv]')

Does anyone have any ideas?

redpajama_set_name: RedPajamaStackExchange


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Although originally published in 1804 in Dessalines (then capital of Hayti), it is with their second edition by Saint-Remy (Paris, 1851), that Boisrond-Tonnerre's Mémoires were passed on to posterity.
Until recently, misled by Saint-Remy's remarks on the rarity of the book and his difficulties in tracing a single copy in good condition in the 1840s, it was generally incorrectly assumed that the original edition was no longer available, or perhaps never even existed as Raphaël Berrou and Pradel Pompilus claimed in their Manuel d'histoire de la littérature haïtienne. Decades later, it was also Marlene Daut's first conclusion as she states in an article on Boisrond-Tonnerre and de Vastey: "I have not been able to find an original copy of the 1804 text in any libraries in the U.S., France or Haiti. This caused me to momentarily question whether or not the memoir was published at all before 1851".
Yet Saint-Remy, in his "historical and critical study" of Boisrond-Tonnerre's text, explicitly refers to the edition of 1804, and Beaubrun Ardouin in volume 6 of Études sur l'histoire d'Haïti states that the Memoirs were "written and published in 1804". In addition, the 1804 first edition is listed in the Catalogue of the Harvard University Library in Cambridge, Massachusetts, at least since 1830 (vol. 1, 85). This gift of Colonel Israel Thorndike (1755-1832), according to Harvard reference librarian, Susan Halpert, based on a note in William Bentinck-Smith's Building a Great Library: The Coolidge Years at Harvard, most likely dates from 1818.
If the Dessalines edition is now online, it is primarily because Henri Cauvin and Nicole Xavier Cauvin in 1987 had published a third edition of the Memoirs, which, except for some typos or omissions, carefully followed the 1804 text, even reproducing word for word its front cover. This self-published book went unnoticed. But after I read it in August 2011, I knew there was a copy of the first edition still available. I decided to go to the source. Thanks to such modern research tools as online catalogs, I was able to trace the unique volume that has probably survived at the Houghton Library of Harvard University (call number *FC8.B6366.804m). It is a reproduction of this very rare document that is now in cyberspace. This is a great premiere for the Caribbean, and for Haiti in particular.
A Very Historic Moment in Caribbean Studies: Boisrond-Tonnerre's Mémoires (1804) online.
English translation of the opening and closing of the Mémoires.
Congratulations Professor Jonassaint for your dedication and hard work in bringing this historic document to our attention. Kudos to you and Harvard University!


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MICROSOFT WINDOWS 8.1 ENTERPRISE
Available as instant download
Manufacturer no: CV2-00025
Version Full version
Devices 1x
Scope of delivery Download + License
Medium Download
Delivery time Few minutes
System 32bit/64bit
Windows 8.1 Enterprise is the most comprehensive edition of the Microsoft Operating system version 8.1 - it offers a fundamental revision of the previous version while retaining its essential innovations: in particular, the completely new Metro design, which for the first time offers a uniform user interface across all end devices. The so-called "Modern UI" design (UI = "User Interface") displays all frequently used apps and other tools in simple, minimalist icons in tile form.
Product information "MICROSOFT WINDOWS 8.1 ENTERPRISE"
Windows 8.1 Enterprise - buy the maximum efficiency as a single license
Windows 8.1 Enterprise is the most comprehensive edition of the Microsoft operating system version 8.1 - it offers a fundamental revision of the previous version while retaining its essential innovations: in particular, the visually completely new Metro design, which for the first time offers a uniform user interface across all terminals. The so-called "Modern UI" design (UI = "User Interface") displays all frequently used apps and other tools in simple, minimalistically designed icons in a tiled form.
Under the innovative desktop interface, which now also includes the familiar startup view of the older versions, offers Windows 8.1 especially in the Enterprise Edition a whole range of important exclusive functions and possibilities, which are indispensable in companies especially for the creation and administration of networks - including comprehensive security and data protection: In addition to Windows To Go, which allows users to take the entire Windows 8.1 operating system with them virtually anywhere on a USB stick, these include DirectAccess, which allows a remote connection to be established between client computers and company networks even without a VPN, AppLocker, which allows programs and scripts to be restricted to end devices, and BranchCache for accelerated data access in company networks.
The purchase of the 8.1 Enterprise Edition as used software from Wiresoft offers users the advantage of being able to use this operating system, which was offered by Microsoft exclusively as a volume license, as a single license. In addition, Windows 8.1 Enterprise is compatible with many older hardware systems, which further extends the circle of users.
In addition to the Windows 8.1 Enterprise Edition, the Wiresoft online shop also offers other Windows operating systems as single-purchase versions in various editions that are not available in regular stores, as well as many other Microsoft programs. The following overview presents all typical exclusive features of Windows 8.1 Enterprise, as well as important general features of Windows 8.1.
Exclusive features of Windows 8.1 Enterprise Edition
The Windows 8.1 Enterprise, with its exclusive plus of functions and features, is primarily designed for larger companies and organizations for which remote availability plays an important role in addition to network administration. The following features in particular make up the decisive added value of Windows 8.1 Enterprise:
Windows To Go Creator
With Windows To Go, Windows 8.1 Enterprise users have everything they need to start using Windows 8.1 Enterprise on any device in one hand: as a USB stick. This feature expands the possible uses of the Windows operating system to include non-company computers, for example by freelancers or temporary employees, who can also gain temporary access to the network. With features such as Start Screen Control, the start screen can be pre-defined by the admin in order to define uniform use across all users.
DirectAccess for Windows 8.1 Enterprise allows the creation of a proprietary, IPv6-based remote connection where users can access resources in a corporate network without the need to start a VPN. Administrators can also access the computers of remote users to change policies and update software.
BranchCache
In Windows 8.1 Enterprise, BranchCache is used to optimize the transmission of content over Wide Area Networks (WANs) - it can be used to cache content from file, remote and web servers on local clients and servers. As soon as files change at the source, Windows 8.1 Enterprise does not transfer the complete files, but only the blocks that have changed. This also applies when accessing via DirectAccess or other VPN scenarios. The advantage is therefore the reduction of network traffic and the increase of the access speed to all contents. BranchCache can be especially useful when connecting branch offices.
AppLocker
This exclusive feature in Windows 8.1 Enterprise restricts access rights to run certain programs and scripts to strengthen the security of endpoints and the data on them.
SideLoading
With Windows 8.1 Enterprise, SideLoading allows the installation of in-house apps on domain PCs and tablets without using the "official" method of deployment. In addition, SideLoading offers access to more applications on mobile devices than via commercial app stores such as Google Play.
Other features in Windows 8.1 Enterprise that are important for businesses
As the most Windows 8.1 Editions most comprehensive, Windows 8.1 Enterprise also offers additional functions that are particularly important for companies, especially those that play a role in the creation and administration of networks and security:
BitLocker - So that the hardware is always protected Sometimes it is quite banal: The laptop is currently traveling on the subway before your very eyes, lying forgotten on the seat on the train - or was actually stolen! The integrated BitLocker uses secure encryption to prevent the finder from misusing sensitive company or personal data stored on the laptop.
BitLocker To Go is the counterpart for the encryption of USB sticks and external hard drives.
Domain Join for managing endpoint devices in a corporate network is an important feature, especially for remote deployment of data and programs. By joining a computer's domain, it can connect to a company network offline via the access directory - without the need for a physical or VPN connection. The integrated Domain Controller allows IT administrators to manage all network computers that are united under a domain. DirectAccess is used to centrally create and manage policies so that network computers have a common database and security policy. BYOD scenarios (Bring your own device - usually private end devices that do not belong to a specific domain) can also be managed via this.
Hyper-V is used for the virtualization of data centers. This version, which is also integrated in Windows 8.1 Enterprise, can be used for client virtualization, so that virtual servers can be moved or copied between Hyper-V hosts even during operation, including hard disk images in VDHX format. Individual systems can be completely isolated with Hyper-V, and security functions such as Data Execution Prevention (DEP) and Network Address Translation (NAT) for managing IPv4 addresses are also available.
Other security features include enhanced end-to-end security with Trusted Boot and Secure Boot, Windows Defender and Microsoft SmartScreen for detecting malicious software behind a URL, Encrypting File System (EFS) for encrypting files on NTFS volumes of Windows operating systems, and Windows Firewall.
Typical additions and new features for the entire Windows 8.1 version
The Windows 8.1 operating system retains the typical, fundamentally revised design of the previous version of Windows 8, but Microsoft has responded to the wishes of many users and now offers an improved version with several changes that make it easier to use.
"Modern UI" tile look and Charms Bar
As before, the start screen of Windows 8.1 Enterprise and the other editions the new Metro design with the single-color tiles. However, users can now switch to the familiar older start menu view by clicking the Windows. Here they can change important settings directly with a right click or perform functions such as restarting or switching off immediately. Windows 8.1. also offers the following:
In Windows version 8.1 Enterprise etc., four tile sizes (Large, Wide, Medium, Small) are available to further customize the icons. More important apps can thus be displayed more prominently on the desktop, with the larger display also showing additional functions/live information. A separate app "Help and tips" is available to explain further options.
Even when apps are open, the active programs in Windows 8.1 can now be displayed in freely selectable sizes - depending on the screen resolution, up to four open apps can be displayed simultaneously. The display size remains variable even after opening.
Windows 8.1. also offers new setting options for the Charms Bar, a tool that was also introduced in the previous version. This gives users immediate access to the five Standard"Start, Settings, Devices, Search, Share". Those who want to do without them can also deactivate the Charms Bar in Windows 8.1 Enterprise, as well as the switch function between apps.
In addition, in addition to the previous integrated Standard, users can also display their own or downloaded photos or several in rotation.
Update for SkyDrive
SkyDrive, Microsoft's online storage service, now has a more powerful synchronization, where only folders and thumbnails are updated, compared to the complete automatic data synchronization with end devices. Files are now actually updated and downloaded only after double-clicking, saving hard drive resources and being especially useful when the Internet connection is weak.
New apps in Windows 8.1
For the entire Windows 8.1 version, including the 8.1 Enterprise Edition, there are various new apps that can be used to do practical things. These include the calculator app for simple calculations, but also for converting units of measurement, the alarm clock app including countdown timer and stopwatch, the app for cooking and enjoyment, with many recipes and shopping lists, and the sound recorder app for your own sound recordings, which can be saved directly from the app to SkyDrive. The photo app contains basic image editing functions, for example to adjust the exposure and colour tone. All apps can now also be grouped according to your own wishes.
Hardware requirements for the installation of Windows 8.1 Enterprise
The installation of Windows 8.1 Enterprise places certain requirements on the hardware: Windows 8.1 Enterprise is available in a 32-bit and a 64-bit version, certain programs and apps can only be used with the 64-bit version. The following minimum technical requirements must be met by each end device when installing Windows 8.1:
Processor: 1 GHz / 32-bit with PAE, NX/XD and SSE2 support or 1 GHz / 64-bit with CMPXCHG16b, LAHF/SAHF and PrefetchW support
Hard disk space (HDD): 16 GB or 20 GB
Working memory: 1 GB RAM or 2 GB RAM
Graphics card: DirectX 9 graphics processor with WDDM 1.0
Screen: for Windows Store Apps 1,024 x 768, for further features like the docking function at least 1,366 x 768 pixels
Your secure purchase - Windows 8.1 Enterprise at Wiresoft as single license
Windows 8.1 Enterprise is only offered by Microsoft or conventional retailers as a volume license. In the Wiresoft online shop, however, you can buy the Windows 8.1 Enterprise Edition as a single user license - as so-called used software, but with identical functional scope.
Microsoft used software purchase - safe and cheap at Wiresoft: The single license of the Windows 8.1 Enterprise Edition offered here for purchase was part of a more extensive volume license, as it is usually only purchased by larger companies. The latter has the right to resell - a legal procedure according to EU law - whereby the volume license is first broken down into individual licenses and then marketed as used software. This splitting up and the new designation as used software does not have any actual effect on the usability or functionality of this Windows 8.1 Enterprise or any other desktop operating system, because software is generally not subject to wear and tear.
Wiresoft sells original Enterprise editions of the Windows 8.1 software, which is identical with the product offered by Microsoft. The purchase of used software in Wiresoft's software shop does not represent any legal risk for you, because the trade with used Microsoft software is clearly permitted by law, which has also been confirmed by numerous legally binding judgements.
For this reason, you can download the Windows 8.1 Enterprise licence immediately after the purchase process completed by you on a terminal device and activate it with the volume licence key supplied with it, which is only valid for you, and use it without any restrictions.
Purchasing software from Wiresoft is therefore also inexpensive: Used software from Wiresoft offers customers a clearly favourable alternative to many other software offers, if they want to use the Windows 8.1 Enterprise desktop operating system as a single-user license. By the Used Software offer of single user licenses in the Wiresoft Shop you can also buy special editions like 8.1 Enterprise at a particularly favourable price - just like many of our previous customers, which include SMEs and organisations, but also self-employed persons and private individuals, who benefit from our reasonably priced software offer!
In the Wiresoft software shop you will find Windows 8.1 Enterprise as used software as well as other versions of Windows Desktop operating systems as well as programs from Microsoft as an inexpensive purchase version for immediate download. If you have any questions about this or any other Microsoft software, simply use our competent advice in chat or by e-mail or telephone.
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redpajama_set_name: RedPajamaCommonCrawl


text:
Albert Owen
Ian Lucas
Mark Livock
Katie Allister
Illiam Costain McCade
Elizabeth Haywood
Neil Lindsay
Kimberley Law
Kofi Appiah
Katy Walker
Irina Yudacheva
Ian joined Cogitamus in 2020 after retiring from the UK Parliament having been elected five times to serve as Wrexham's Member of Parliament in the House of Commons between 2001 and 2019.
A qualified and highly experienced solicitor before entering Parliament, Ian's political career includes:
Serving as UK Minister for the automotive and aerospace sectors, construction, corporate issues, regulatory reform and active industrial policy in the Labour Government led by Prime Minister Gordon Brown
Responsibility as a Government Whip for management of parliamentary business relating to the Ministry of Justice and the Cabinet Office
Establishing and chairing the All Party Parliamentary Group for Economic Development in North Wales and North West England to improve infrastructure including rail, road and broadband, working cross-party with MPs, Members of the National Assembly for Wales, UK and Welsh Ministers, local government and industry leaders
Membership of House of Commons Select Committees responsible for Transport and Digital, Culture, Media and Sport issues
Ian has a BA degree in Law from the University of Oxford.
11 Woodfield Road
PE3 6HD
Website by Jigowatt


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Q: jQuery window.resize issue I am using jquery to stick footer to the bottom. The code works, but when the browser is resized it needs to refresh for the footer to stick to the bottom. I dont want it to need to be refreshed. I tried using the jquery resize method but it doesnt work.
My code is:
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Federal "right to try" is law! Now what? | Richard Jaffe, Esq.
Federal "right to try" is law! Now what?
Last week, Pres. Trump signed the federal right to try law. So what happens next? Meaning, who is it going to affect and how big of a difference is it going to make in the lives of the terminally ill and those without any other therapeutic option.
Why a federal law was needed?
As most of you know, a majority of states have already passed a right to try law. The problem with just having the law on a state level is that the state laws were inconsistent with federal law, in the same way as state medical marijuana laws are inconsistent with the federal DEA drug laws.
But the inconsistency was much more impactful in the prescription drug context, because as I and others in the field have said, the drug companies wouldn't want to anger the FDA by providing their investigational drugs in violation of federal law, even it was supposedly legal under a state's law.
Patient eligibility: the law applies to a person with a "life-threatening disease or condition," which the FDA defines narrowly as "where the likelihood of death is high unless the course of the disease is interrupted and "where the end point of clinical trial analysis is survival." (21 CFR 312.82). It is interesting to note that this regulation also defines "severely debilitating" as a disease or condition that causes major irreversible morbidity." But the law doesn't apply to people with conditions like MS or any other severely debilitating diseases or conditions, since the likely result of MS and other seriously debilitating diseases is not death, and the purpose or clinical trial analysis is not survival in these types of clinical trials.
The law also prohibits the doc certifying the terminal condition from receiving direct compensation for the drug manufacturer. And of course, proper informed consent is required, but that always a requirement with investigational drugs.
Most importantly: the drug has to have gone through an FDA approved Phase I clinical trial. Phase 1 is usually a small toxicity study, the goal of which is to make sure that the drug isn't too toxic to administer to patients at the expected therapeutic dosage.
Phase 1 studies do not have to show efficacy; however, a drug which shows zero efficacy might not create much enthusiasm from the sponsoring drug company to justify the cost of further study. And I would think that most people might want to see at least some benefit, however small, from a study, or at least some anecdotal evidence of some positive result. My sense is that many drugs which have passed through phase 1 can show at least some marginal improvement in some subjects. This is the case despite the fact that the overwhelming majority of post phase 1 drugs don't get approved. (And there are a lot of reasons for that, including the obvious that the drug doesn't work, or doesn't work in a high enough percentage of subjects).
The post phase 1 drug must also be in active development and not be on a clinical hold.
Second, the sponsor can't promote the safety or efficacy of the drug, but a sponsor is not allowed to do that in clinical trials either. So the sponsor doesn't have to do anything different from its actions (non-actions) in the clinical trial.
Third, the sponsor at most can recover the direct costs of the drug provided to the patient, but that's a narrow and parsimonious amount of money. I read the statute as not requiring an accountant's certified statement supporting the cost recovery which is the case when a sponsor wants to cost recover for patients in clinical trials. The bad news (for the drug company) is that the direct costs for each patient is likely to be an insignificant number as it doesn't include the drug's development costs. So I don't see many drug companies charging for the investigational drug.
If the sponsor and prescriber follows the law, they can't be sued for simple negligence, but they can be sued for alleged reckless or willful misconduct, gross negligence or an intentional tort under state law. Practically speaking, that's not all that much protection since it's easy to allege facts which show more than simple negligence. But it's something.
Can the FDA use the serious adverse in evaluating the sponsor's new drug application?
Yes, but only if the FDA determines that the use of the data is critical in determining the safety of the drug. That's pretty broad. I would expect that if the drug is producing many serious adverse events, beyond what was reported in the results of the regular clinical trials, these data will be carefully looked at by the FDA.
The statute specifically states that drug manufacturers do not have to provide investigational drugs pursuant to the law, and can't be liable for not doing so.
Why is that good news for them?
I am hard pressed to think why any manufacturer involved in clinical trials would agree to provide its drug under this law. All I see is downside. The patients likely to want its drug are probably a lot sicker than the subjects it selected via entry criteria to get the drug on the study. The sicker the patient, the more serious adverse events which may or may not have been caused by the study drug, but as indicated, adverse events aren't about causation, just a temporal association. Drug sponsors try to stack the deck in their favor by treating the healthiest patients than can with the condition. Why stack the deck the other way?
I can only think of two circumstances where that would make sense.
First, the results of the phase 1 study are so spectacular and the company lacks the funds to do further clinical studies. It might make sense to push a lot of people onto the treatment to amass more spectacular data.
Second, a sponsor/manufacturer is a physician and the business model involves providing an investigational drug to patients. But that's a very rare model in the U.S.
The bottom line is that I don't think many drug companies will voluntarily use this law. Frankly, if I was asked to advise a company about it, I'd tell them not to do so other than the two above circumstances because I just see downside. I know that sounds harsh, but the main job of a drug company developing a new drug is getting it approved. Anything that helps that process should be pursued. Anything that doesn't, could hurt, or distracts from approval shouldn't.
"SEC. 3. SENSE OF THE SENATE.
I'm not sure what it means or why its in the bill, but I like.
Congrats to the Goldwater Institute and all the supporters who made it happen. Hope it helps, and from my perspective, it's moving in the right direction.
In case you folks are looking for the next thing. Maybe access to some foreign approved drugs for terminal or severely debilitating conditions.


Victoria's Secret veteran, mother, general goddess: it's quite the CV for Candice Swanepoel. Still, the heavy workload didn't stop the 29-year-old from recently launching her own swimwear line, Tropic of C.
God apparently made Adam and Eve, but you'd be forgiven for thinking the likes of Jasmine Tookes – one of the hottest women in the world – and Josephine Skriver were also sent direct from Eden. They sure suit the oversized fig leaves.
As the new face of Carolina Herrera's latest fragrance, Good Girl, Karlie Kloss looked as good as she presumably smelt while working the step and repeat in New York City. Ah, the sweet smell of success.
Yes, the all-American sweethearts of the Victoria's Secret show deserve our praise (and/or hearts), but they've got nothing on our homegrown girl, Megan Williams. This is what they mean by 'best of British'.
She wasn't nominated for anything at this year's Grammys, but Ciara was still centre of attention last weekend. The evidence: here's the 'Ride' siren at a pre-awards party in New York City.
Yes, this is Miley Cyrus. Not the Hannah Montana pop squawking teenybopper, not the cockatoo-haired maniac licking sledgehammers and dwarves, but one of country's best voices looking all grown up. Brings a tear to your eye.
Anti-Trump, anti-sexual harassment and anti-discrimination, Camila Cabello seamlessly melds the duties of a bona fide pop star with the causes of a woke philanthropist. We're with her.
Proving she practises what she preaches in 'New Rules', Dua Lipa's split from musician Paul Klein should be a clean cut. Which means there's a big boyfriend-shaped hole that we're more than happy to fill.


This brooch uses a celtic weave to create a cricular brooch with an opening in the middle. Art Pewter Jewellery often incorporates Celtic Interlacing, with its "overs and unders" representing the "ups and downs" of life; and the unbroken continuity of the endless ribbon symbolises the hope of eternal life. As such, they are considered by many as a talisman of long life.


Stella Leona Artisan Chocolates: Stella Leona Needs Your Votes!
Stella Leona Needs Your Votes!
We are a food category nominee in the 2013 Martha Stewart American Made Contest and voting starts today!
American Made spotlights the maker, supports the local, and celebrates the handmade. It's a movement made up of people and communities who have turned their passion for quality craftsmanship and well-designed goods into a way of life.
Click on the Martha Stewart badge above or any of the pictures in this post to be taken to our profile page to place your vote!
You will be prompted to login via Facebook or register to vote. It's very easy! You can vote 6 times/day!
Public Voting for Category Winners begins TODAY, August 26, 2013 and ends at 11:59:59 PM on September 13, 2013.
Things are moving a little slow due to the overwhelming response to the start of the contest, but Martha Stewart's people are working on it so don't give up if you are trying to vote!
We appreciate your votes and would love it if you would also share our blog, newsletter, and/or facebook posts with everyone you know! We always say we have THE best customers! Thank You for supporting Stella Leona!


Did you know that we also offer this clever little design on several other products as well? Well, we do, and they're all just as awesome as this one. Are you a woman who happens to prefer a slim fitting v-neck? Are you searching for a maternity shirt, and want to use your new baby bump to show off your love of higher mathematics? Sweet. We also offer our Name the Triangles design in youth styles, shower curtains, duvet covers, and our super stylish cotton canvas tote bags!


The iconic Dubai Creek area is the home to our museum, where visitors can experience the vibrant history of Dubai. It was developed as part of an initiative to transform the creek into a regional culture and traditional centre.
Shindagha Museum tells the universal tale of human innovation, resilience, and the desire for progress which shaped the Dubai of nowadays. We invite our visitors to explore the heritage submerging them into true Emirati culture and its origins. The museum also highlights Dubai's shared heritage with the region and wider world.
"We may not live for hundreds of years, but the products of our creativity can leave a legacy long after we are gone."
Set sail across the centuries to a time when Dubai's modern society was beginning to take shape on the shimmering blue waters of its famous 'khor' – a traditional regional word for creek or waterway.
Find out what it took to grow a business and raise a family by the creek for the hardworking and innovative Emiratis of the past, from the shrewd merchants and tradesmen to tough seafarers and boat builders. Learn how the skills they developed in response to extreme conditions set the whole society on the road to affluence.
Story of the Creek offers a state-of-the-art multimedia experience, including an informative and inspiring film that allows visitors to immerse themselves in personal stories that bring the neighbourhood to life. A unique sensory experience, it tells the universal tale of the power of the human spirit and how Dubai's inhabitants managed to build a successful city rooted in its heritage and taking wisdom from the past.
Allow all your senses to be stimulated and delighted in the realm of exotic Emirati fragrance, while delving into the skills that bring them to life.
Showcasing traditional techniques for making scented oils and perfumes that date back centuries, Perfume House takes visitors on an aromatic journey to learn about ancient traditions while exploring some unusual Ingredients.
Discover the important role traditional scents play in Emirati culture, how they connect to the past, and their role in religious and everyday life.


The idea behind the Jug Hugger® came to the co-creator, Amanda Otero, as an "aha" moment while sitting in a busy doctor's office back in 2012. Back then carrying a gallon jug was not as common as it is today, and she kept getting funny looks when she drank from her jug in public. She wanted to solve the problem of feeling uncomfortable without having to leave her gallon jug at home.
As health & fitness professionals always emphasize, it's important to drink plenty of water throughout the day. Let's take into consideration an average size bottle of water, which holds 16.9fl oz of water. You would need to carry around 7 ½ of those average size bottles of water to fill the gallon quota.
The Jug Hugger® is a unique fashion accessory originally developed as a cover to hide the ugly gallon jug appearance. Advancing on the original idea for the Jug Hugger®, co-creator Christopher Stacy, added user-friendly and functional elements.
With our array of colors, you'll have no problem dressing your jug for work or play.
Tag us in all your #JugHugger moments on social media at @theJugHugger on Instagram, Facebook, and Twitter.
Copyright © 2019 JUG HUGGER®. Powered by Shopify.


text:
<?php
defined('BASEPATH') OR exit('No direct script access allowed');

class Home extends CI_Controller {

	public function __construct(){
		parent::__construct();
		$this->load->model('categorias_model','modelcategorias');
		$this->categorias = $this->modelcategorias->listar_categorias();

	}

	public function index()
	{
		$dados['categorias'] = $this->categorias;
		$this->load->model('publicacoes_model','modelpublicacoes');
		$dados['postagem']= $this->modelpublicacoes->destaques_home();

		//dados para o cabeçalho
		$dados['titulo'] ='Página Inicial';
		$dados['subtitulo'] ='Postagens Recentes';

		$this->load->view('frontend/template/html-header',$dados);
		$this->load->view('frontend/template/header');
		$this->load->view('frontend/home');
		$this->load->view('frontend/template/asside');
		$this->load->view('frontend/template/footer');
		$this->load->view('frontend/template/html-footer');
	}
}

redpajama_set_name: RedPajamaGithub


text:
cpt 38230, 38232, 38240- 38241, S2140, S2142, S2150 - Chronic Myeloid Leukemia
Code Description CPT
38230 Bone marrow harvesting for transplantation; allogeneic
38232 Bone marrow harvesting for transplantation; autologous
38240 Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor
38241 Hematopoietic progenitor cell (HPC); autologous transplantation
38242 Allogeneic lymphocyte infusions
S2140 Cord blood harvesting for transplantation, allogeneic
S2142 Cord blood derived stem cell transplantation, allogeneic
S2150 Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation and related complications; including: pheresis and cell preparation/storage; marrow ablative therapy; drugs, supplies, hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative service; and the number of days of pre- and post-transplant care in the global definition
Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia
Chronic myeloid leukemia (CML) is a type of cancer that starts in certain blood-forming cells within the bone marrow. These blood-forming calls are called "hematopoietic" cells. When a person has CML, they make too many white blood cells. Different types of treatment have been used against CML, including chemotherapy and other medications. Another common type of treatment is a hematopoietic cell transplant. In a hematopoietic cell transplant, hematopoietic cells are taken from a donor's bone marrow and are given to the person with CML, just like in a transfusion. It is hoped that these new cells will then settle into the bone marrow and start producing normal blood cells, and the person will no longer have CML.
When the hematopoietic cells are harvested from another person, it is called an allogeneic transplant. When the cells come from the patient himself, it is called an autologous cell transplant. This policy discusses when an allogeneic hematopoietic cell transplant would be medically necessary to treat CML.
Policy Coverage Criteria
Transplant Medical Necessity
Allogeneic hematopoietic cell transplantation (HCT)
Allogeneic hematopoietic cell transplantation (HCT) using a myeloablative conditioning regimen may be considered medically necessary as a treatment of chronic myeloid leukemia. Allogeneic hematopoietic cell transplantation using a reducedintensity conditioning regimen may be considered medically necessary as a treatment of chronic myeloid leukemia in patients who meet clinical criteria for an allogeneic HCT but who are not considered candidates for a myeloablative conditioning allogeneic HCT.
Transplant Investigational
Autologous HCT Autologous HCT is investigational as a treatment of chronic myeloid leukemia.
* Some patients for whom a conventional myeloablative allotransplant could be curative may be considered candidates for reduced-intensity conditioning allogeneic hematopoietic stem-cell transplantation (HCT). These include those patients whose age (typically >60 years) or comorbidities (eg, liver or kidney dysfunction, generalized debilitation, prior intensive chemotherapy, low Karnofsky Performance Status) preclude use of a standard myeloablative conditioning regimen.
* For patients who qualify for a myeloablative allogeneic HCT on the basis of clinical status, either a myeloablative or reduced-intensity conditioning regimen may be considered medically necessary.
Benefit Application
The following considerations may supersede this policy: * State mandates requiring coverage for autologous bone marrow transplantation offered as part of clinical trials of autologous bone marrow transplantation approved by the National Institutes of Health (NIH).
* Some plans may participate in voluntary programs offering coverage for patients participating in NIH-approved clinical trials of cancer chemotherapies, including autologous bone marrow transplantation.
* Some contracts or certificates of coverage may include specific conditions in which autologous bone marrow transplantation would be considered eligible for coverage.
Evidence Review
Chronic myeloid leukemia (CML) is a hematopoietic stem cell disorder that is characterized by the presence of a chromosomal abnormality called the Philadelphia chromosome, which results from reciprocal translocation between the long arms of chromosomes 9 and 22. CML most often presents in a chronic phase from which it progresses to an accelerated and then a blast phase. Allogeneic hematopoietic cell transplantation (allo-HCT) is a treatment option for CML.
Background Chronic Myeloid Leukemia
CML is a hematopoietic stem-cell disorder that is characterized by the presence of a chromosomal abnormality called the Philadelphia chromosome, which results from reciprocal translocation between the long arms of chromosomes 9 and 22. This cytogenetic change results in constitutive activation of BCR-ABL, a tyrosine kinase (TK) that stimulates unregulated cell proliferation, inhibition of apoptosis, genetic instability, and perturbation of the interactions between CML cells and the bone marrow stroma only in malignant cells. CML accounts for about 15% of newly diagnosed cases of leukemia in adults and occurs in about 1 to 2 cases per 100,000 adults.
The natural history of the disease consists of an initial (indolent) chronic phase, lasting a median of 3 years, which typically transforms into an accelerated phase, followed by a "blast crisis," which is usually the terminal event. Most patients present in chronic phase, often with nonspecific symptoms that are secondary to anemia and splenomegaly. CML is diagnosed based on the presence of the Philadelphia chromosome abnormality by routine cytogenetics, or by detection of abnormal BCR-ABL products by fluorescence in situ hybridization or molecular studies, in the setting of persistent unexplained leukocytosis. Conventional-dose chemotherapy regimens used for chronic-phase disease can induce multiple remissions and delay the onset of blast crisis to a median of 4 to 6 years. However, successive remissions are usually shorter and more difficult to achieve than their predecessors.
Historically, the only curative therapy for CML in blast phase has been allogeneic hematopoietic cell transplantation (allo-HCT), which was used more widely earlier in the disease process given the lack of other curative therapies for chronic phase CML as well as improved efficacy when used prior to blast phase. Prior to the current TKI (tyrosine kinase inhibitor) drug era therapies for chronic phase CML were limited to nonspecific agents including busulfan, hydroxyurea, and interferon-a.
Imatinib mesylate (Gleevec®), a selective inhibitor of the abnormal BCR-ABL TK protein, for example, among the initial treatments of choice for newly diagnosed CML. Imatinib and other TKIs can be highly effective in suppressing CML in most patients, and some patients can achieve complete molecular remissions unmaintained after several years of therapy. The overall survival (OS) of patients who present in chronic phase is greater than 95% at 2 years and 80% to 90% at 5 years.
For CML, 2 other tyrosine kinase inhibitors (TKIs; dasatinib, nilotinib) have received marketing approval from the U.S. Food and Drug Administration (FDA) as front-line therapies or following failure or patient intolerance of imatinib. Recently two additional TKIs (bosutinib, ponatinib) have been approved for use in patients resistant or intolerant to prior therapy.
For patients who progress on imatinib, the therapeutic options include increasing the imatinib dose, changing to another TKI, or allo-HCT. Detection of BCR-ABL variants may be important in determining an alternative TKI; the presence of T315I mutation is associated with resistance to all TKIs except ponitinib and may indicate the need for allo-HCT or an experimental therapy. TKIs have been associated with long-term remissions; if progression occurs after exhausting TKI therapy, allo-HCT is generally indicated and offers the potential for cure.
Hematopoietic Cell Transplant
Hematopoietic cell transplantation (HCT) is a procedure in which hematopoietic stem cells are infused to restore bone marrow function in cancer patients who receive bone-marrow-toxic doses of drugs with or without whole body radiotherapy. Hematopoietic stem cells may be obtained from the transplant recipient (autologous HCT) or from a donor (allogeneic HCT). They can be harvested from bone marrow, peripheral blood, or umbilical cord blood shortly after delivery of neonates. Although cord blood is an allogeneic source, the stem cells in it are antigenically "naive" and thus are associated with a lower incidence of rejection or graft-versushost disease (GVHD). Cord blood is discussed in greater detail in another policy. (See Related Policies.)
Immunologic compatibility between infused hematopoietic stem cells and the recipient is not an issue in autologous HCT. However, immunologic compatibility between donor and patient is a critical factor for achieving a good outcome of allogeneic HCT. Compatibility is established by typing of human leukocyte antigens (HLAs) using cellular, serologic, or molecular techniques. HLA refers to the tissue type expressed at the HLA A, B, and DR loci on each arm of chromosome 6. Depending on the disease being treated, an acceptable donor will match the patient at all or most of the HLA loci (with the exception of umbilical cord blood).
Conditioning for HCT
The conventional ("classical") practice of allogeneic HCT involves administration of cytotoxic agents (eg, cyclophosphamide, busulfan) with or without total body irradiation at doses sufficient to destroy endogenous hematopoietic capability in the recipient. The beneficial treatment effect in this procedure is due to a combination of initial eradication of malignant cells and subsequent graft-versus-malignancy (GVM) effect that develops after engraftment of allogeneic stem cells within the patient's bone marrow space. While the slower GVM effect is considered to be the potentially curative component, it may be overwhelmed by extant disease without the use of pretransplant conditioning. However, intense conditioning regimens are limited to patients who are sufficiently fit medically to tolerate substantial adverse effects that include pre-engraftment opportunistic infections secondary to loss of endogenous bone marrow function and organ damage and failure caused by the cytotoxic drugs. Furthermore, in any allogeneic HCT, immune suppressant drugs are required to minimize graft rejection and GVHD, which also increases susceptibility of the patient to opportunistic infections. The immune reactivity between donor T cells and malignant cells that is responsible for the GVM effect also leads to acute and chronic GVHD.
The success of autologous HCT is predicated on the ability of cytotoxic chemotherapy with or without radiation to eradicate cancerous cells from the blood and bone marrow. This permits subsequent engraftment and repopulation of bone marrow space with presumably normal hematopoietic stem cells obtained from the patient before undergoing bone marrow ablation. As a consequence, autologous HCT is typically performed as consolidation therapy when the patient's disease is in complete remission. Patients who undergo autologous HCT are
susceptible to chemotherapy-related toxicities and opportunistic infections before engraftment, but not GVHD.
RIC (Reduced Intensity Conditioning) for Allogeneic HCT
RIC refers to the pretransplant use of lower doses or less intense regimens of cytotoxic drugs or radiation than are used in conventional full-dose myeloablative conditioning treatments. The goal of RIC is to reduce disease burden but also to minimize as much as possible associated treatment-related morbidity and nonrelapse mortality (NRM) in the period during which the beneficial GVM effect of allogeneic transplantation develops. Although the definition of RIC remains arbitrary, with numerous versions employed, all seek to balance the competing effects of NRM and relapse due to residual disease. RIC regimens can be viewed as a continuum in effects, from nearly totally myeloablative, to minimally myeloablative with lymphoablation, with intensity tailored to specific diseases and patient condition. Patients who undergo RIC with allogeneic HCT initially demonstrate donor cell engraftment and bone marrow mixed chimerism. Most will subsequently convert to full-donor chimerism, which may be supplemented with donor lymphocyte infusions to eradicate residual malignant cells. For the purposes of this Policy, the term "reduced-intensity conditioning" will refer to all conditioning regimens intended to be nonmyeloablative, as opposed to fully myeloablative (conventional) regimens.
For CML, RIC regimens were initially used to extend the use of allogeneic HCT to the estimated 70% of CML patients who were ineligible for myeloablative conditioning regimens because of advanced age or comorbidities. The use of RIC and allogeneic HCT is of particular interest for treatment of CML given the relatively pronounced susceptibility of this malignancy to the graft versus leukemia (GVL) effect of allogeneic hematopoietic progenitor cells following their engraftment in the host.
Labels: Anesthesia billing basic, CPT codes


text:
TRIBECA TALKS: NOTES FROM DUNBLANE: LESSONS FROM A SCHOOL SHOOTING
TRIBECA TALKS 22 Minutes Panel Premiere
FILM GUIDE TRIBECA TALKS: NOTES FROM DUNBLANE: LESSONS FROM A SCHOOL SHOOTING
Following the Sandy Hook Massacre, a priest from Dunblane, Scotland reaches out to Father Bob offering support 16 years after a school shooting in his own town. The men bond over personal trauma and responsibilities... In the aftermath the UK reformed its gun laws; the US responded with inaction. With Monsignor Bob Weiss, Monsignor Basil O'Sullivan.
After the screening on April 29th: a conversation with director Kim Snyder, producer Maria Cuomo Cole along with subject Monsignor Robert Weiss, Sandy Hook surviving teacher Mary Ann Jacob, and Parkland, Florida student Ryan Deitsch. Moderated by actor & director John Slattery.
Ryan Deitsch
Ryan Deitsch is a Senior Journalism and TV production student at Marjory Stoneman Douglas High School in Parkland Florida. Ryan is the founder and president of the Improv Club by day and Activist for Sensible Gun Legislation by night.
Kim A. Snyder
Kim A. Snyder is a NYC-based director/producer, with her most recent documentary Newtown  premiering at 2016's Sundance Film Festival. Also known for Welcome to Shelbyville, both films broadcast nationally on PBS's Independent Lens. Kim graduated with a Masters in International Affairs from the Johns Hopkins School of Advanced International Studies.
Mary Ann Jacob
Mary Ann Jacob is a survivor of the shooting at Sandy Hook School where she was a Library Clerk for 12 years. She recently completed serving on the Newtown Legislative Council as an elected Republican representative and as its Chairman for four years. She is the primary author of the Firearms Ordinance in Newtown written in response to safety concerns stemming from target shooting on private property. Since 2013, Mary Ann has volunteered as a Fellow in the Survivor Network for Everytown for Gun Safety. She speaks on gun violence prevention topics to Medical School residents and others.
Maria Cuomo Cole
Maria Cuomo Cole is the award-winning producer of the feature documentary, Newtown, which premiered at the 2016 Sundance Film Festival. Through film, she has tackled such relevant subjects as gun violence, homelessness, veterans' PTSD, domestic violence and sexual assault. She has produced the Emmy and Peabody award-winning film, The Hunting Ground, directed by Kirby Dick, the 2014 Oscar® nominated documentary, The Invisible War, and Living for 32, which was short listed for an Academy Award® and premiered at the 2011 Sundance Film Festival. Since 1992, she has led HELP USA, the national nonprofit leader in both homeless and permanent supportive service housing and employment programs for veterans, families and survivors of domestic violence.
Monsignor Robert Weiss
Monsignor Robert Weiss was ordained in May 1973. Over the years, he has served in several parishes and in 2007, he was given the title Monsignor, Chaplain to His Holiness by Pope Benedict XVI and as Lieutenant Commander of the Knights of the Holy Sepulchre in 2017. Presently, he serves as pastor at Saint Rose of Lima Parish in Newtown, CT where he officiated the funerals of eight children who were victims of the Sandy Hook School shooting. He continues to be called upon as a support to the families and the Newtown community and to other communities experiencing similar tragedies.
John Slattery is a renowned actor of TV, film, and stage. He received four Emmy nominations for his portrayal of Roger Sterling in AMC's critically-acclaimed Mad Men and starred in Tom McCarthy's Oscar-winning feature film, Spotlight. On Broadway, Slattery appeared in the Pulitzer Prize-winning Rabbit Hole, earning him a Drama League Award, the revival of Betrayal, Laughter on the 23rd Floor, and The Front Page. Slattery has also directed multiple episodes of Mad Men and Love, and his first feature, God's Pocket, which premiered at Sundance in 2014. Most recently, Slattery starred as in Matt Weiner's The Romanoffs.


text:
Whitetail and Mule Deer Lock Antlers in Cross-Species Brawl
YouTube: Mossy Oak
Who wins in a fight between a whitetail and a mule deer?
The two most popular big game animals in North America are arguably the white-tailed deer and the mule deer. The animals are similar in body size, but differ greatly in terms of typical antler characteristics, coloration and range.
Have you ever wondered what would happen if a whitetail and a mule deer buck ever had a fight? Well, you are about to find out thanks to this incredible footage from Mossy Oak.
Taken where the animals' ranges overlap in Montana, it's a rare showdown of two North American icons that is rarely seen by deer hunting enthusiasts. The encounter is short, but aggressive, and fascinating to watch unfold. Place your bets on which animal comes out on top in this battle!
In this matchup of odocoileus virginianus vs odocoileus hemionus, the whitetail deer came out on top of this battle. He didn't just win, he ran that other buck off angrily. If you're not familiar with either species, the whitetail is the more reddish-brown animal with the white underside visible under his tail and the white patch on his throat. The mule deer is the one with the large ears that got his butt kicked. The rut makes all subspecies of deer aggressive, whitetails, muleys Coues and blacktail deer included.
Whitetail and mule deer populations overlap in many parts of Canada and the United States. While the two species of deer usually keep their distance from one another, they can sometimes be found feeding on the same food sources and hanging out in the same bedding areas. I've personally witnessed both species in farmer fields in Wyoming, although it seemed like the mule deer preferred the sagebrush. Rocky Mountain States like Idaho, Colorado, Montana and Wyoming are the areas you're probably most likely to see a cross species battle like this.
We're not sure what prompted this fight. Perhaps it was simply a territorial thing. Maybe there was a hot whitetail or mule deer doe nearby that wasn't visible in the video. There have been wild hybrids between the two species before. Although it is worth noting these hybrids are rare. Either way, this was a fascinating fight to watch. These hunters witnessed a rare treat to see a fight like this firsthand!
NEXT: THE AXIS DEER AND HOW THEY'RE IMPACTING PARTS OF THE UNITED STATES


As a group we love to grow together, one of the ways that we do that is to set group challenges and working together to achieve it! We have seen God move in incredible ways, and have just completed our 40 days of prayer challenge finishing it with a whole weekend of prayer and fasting! We are super excited to launch our 40 days of random acts of kindness (to find out more please visit: https://40acts.org.uk/). Our hope and vision is that we will be able to form a plan of both everyday acts we can do, and also big events that we can organise and run in order to grow the kingdom of God!


Johnson County elections officials are hailing the renovation of a polling precinct to make it handicapped-accessible. Johnson County Auditor Tom Slockett says the Cedar Township Hall just outside the town of Solon was slated to be closed because it didn't comply with the Americans With Disabilities Act. But then a Boy Scout with cerebral palsy read about it. The Solon high-schooler named Zach Hebl spearheaded the project as part of his eagle-scout work, inspiring the community to pull together and make the historic building accessible for voting and other uses. A new grant program for remodeling sites could make the change more commonplace in Iowa. Slockett says the secretary of state's office hopes to make this a model project for other counties and is even providing financial assistance. He says each county can get up to 25-hundred dollars to make polling places accessible — things like compliance in the width of doors, ramps and parking places that let a handicapped person park and unload a wheelchair. Slockett says the counties have gotten "quite innovative" at finding places to hold voting that can comply with handicapped access rules. Farmers' machine sheds, simple metal buildings, are often heated and have telephones in them. He points out many sit on a simple cement slab with no steps, so they're handicapped accessible. In Johnson County, Slockett says Hebl conviced local businesses to donate or discount the materials needed to build a new ramp, deck, parking space and walkway for the hall. Then Hebl's Scout troop and fellow high-school students pitched in to do the work.


Candidates for the ADBA Oral Examination are graduates of approved anesthesiology residencies who have successfully passed the ADBA written examination, and in addition, acquired a minimum six (6) months post-training anesthetic practice. The format of the oral examination allows the candidate to further demonstrate their ability to assess and manage patients presenting for anesthesia treatment, including pediatric, geriatric and special needs patients, as well as an ability to effectively communicate these relevant issues with both patients and colleagues.
The ADBA recognizes that there are differences in the didactic training and clinical experience among residency programs and that there may often be multiple acceptable approaches to anesthetic management. However, the ability to analyze and act appropriately and expediently in all situations is a fundamental characteristic of the Diplomate. The oral examination encompasses several aspects of anesthesiology practice, including preoperative management, and proper responses to urgent and emergency situations.
Applications for Oral Examination must be postmarked no later than 120 days before the date of examination.
The oral examination is divided into two separate forty-five (45) minute sessions: pediatric and adult. Two examiners will conduct each testing session. The order of the sessions will vary for each candidate, and there may be a waiting period between the two sessions.
Candidates will be given case scenarios and will be asked to interpret and discuss findings, make a clinical judgment, and defend their position. The candidate may request additional information that is relevant to aid in their assessment and management.
The focus of each discussion can change as new issues develop in a given case. Candidates will be evaluated throughout the preoperative, perioperative and postoperative periods. Candidates will demonstrate how urgency and emergency situations are identified and managed.
While a solid base of factual knowledge is necessary, the ability to apply that knowledge clinically and adapt appropriately is essential for the successful completion of this examination. The candidate should comfortably anticipate and manage deviations from normal routine anesthetic care. It is also important for the candidate to be clear and concise to effectively communicate their position to the examiners. Slow responses and excessive questioning of examiners can lead to insufficient time to finish the case. Candidates should be able to efficiently articulate and defend a course of action.
Candidates are encouraged during their training and practice experiences to engage in active discussion and study, an action which should serve them well in their future capacity as a dentist anesthesiologist Diplomate.
It is the long-standing policy of the ADBA to avoid any real or perceived conflict of interest regarding examiners for the oral examination. Examiners are not allowed to serve if the candidate is a former resident, current co-worker, close personal friend or relative. Additionally, if the candidate feels that any examiner has a real or perceived conflict of interest, a new examiner will be appointed without prejudice to the candidate.


Using VoIP (Voice Over Internet Protocol) technology for making calls over the internet is becoming increasingly popular for many businesses and organisations and is more than just a way of transporting data, it's also a tool that simplifies and streamlines a wide range of business applications.
Powered by our 900SAT Satellite Broadband we provide a number of options for your site to benefit from site phones that utilise the internet connection and it's capacity to provide a cost effective and efficient phone system to connect your on-site teams and external contacts.
What are the benefits of using VoIP phones on your site?
One of the biggest advantages of switching to VoIP is the cost savings your business will achieve.
Using a VoIP phone is much cheaper than conventional analogue systems as you are using the internet to make phone calls. This is also great for companies making long distance phone calls. There is no longer a need for several teams to manage a data network and another to manage a voice network.
No need to continue giving out multiple contact details. Callers are able to contact you on your main business number wherever you are, no matter what device you are using.
No more having to wait for the phone company to come out and repair. With VoIP if you lose your service it's likely to be due to the internet being down.
Some of the standard features you can get with VoIP include caller ID, Call Forwarding and 3-way calling just to name a few. You pay less money by switching and get all these great features on top.
Log in from virtually any broadband location worldwide over a PC or compatible wireless enabled mobile device and be contactable at your normal telephone number.


Midwest Bias with Jack Fu and The Diddy: Go Cavs?
It's a dead spot in the sports world. NHL playoffs, NASCAR, MLB in April, and the beginning of the NBA playoffs which I believe take longer than the regular season. Is it me or does it almost seem at times that the 2 NBA teams have an agreement to keep the lead to within 12 points until the last few minutes of the game? It's like they're track runners in an 8 laps race just jogging for the first 6 laps. If you give any defensive effort at all someone will throw up a terrible shot. I think the 24 second clock should be 30 IF the players agree to run a real offense. We'd have to trust them, their wives do. That's why the Warriors are currently ahead of a team that has no excuse to not win it all.
As I watched certain OSU players this year who would be considering playing in this FANtastic league, I noticed that they do something that is kind of a basketball pet peeve of mine. Mind you, I was a coach's son. WHEN WILL COLLEGE AND PRO PLAYERS LEARN WHICH WAY TO ROLL AFTER THEY SET A PICK?! It's simple, you open up to the ball so that your eyes never leave the person you set the pick for. By turning the wrong way you lose any chance of having that crucial glance that lets the guard know you're open. It amazes me how fundamental that skill is yet pros are too lazy to do it. With the right two players the pick and roll can be almost unstoppable. Often it takes help from someone else to stop it resulting in a kick out for a 3 pointer...and if you're playing against OSU you are guaranteed to make about 86% of those shots (he's still not over it is he?). I'm sure there are a few of you who still think the NBA is the bees knees...but you probably also still use phrases like bees knees.
By the way I'm picking the Suns, I think they try the hardest.


Microgaming is known for providing customization options in its online casino games. Microgaming Craps also has these features. Some aspects of these features are useful, whereas others are not. It is essential to understand how to use these features to best effect.
The Craps options have two settings. One is Sound Settings and the other is Bet Settings. Sound Settings provide the player with four options. These options are game sounds, win sounds, background sounds and advanced sounds. Microgaming Craps allows players to enable or disable each of these four options individually. New players should play with some of these options enabled because it adds to live casino experience, which is enjoyable. The game sounds simulate the shaking and rolling of the dice. The advanced sounds are the commentary on the game situation and the outcome of the roll. For example if an easy six is rolled in the come out roll then the announcement says "Easy six. The point is six." Before the next roll the announcement will be "Rolling for the six." Then the actual numbers are announced. Rolls of four, six, eight and ten are prefaced with "hard" or "easy" depending on whether they are doubles or not. Outcomes of three and twelve are preceded by "craps" because they are a part of the craps bet.
The other two sound options are not that exciting. The win sounds option is more suited to online slot games and in Microgaming Craps it is hardly discernible if this sound is enabled or disabled. The background sounds contain light music and sound of general chatter to simulate the background noise around the craps table. The problem is that these two sounds appear incongruent but come as a package deal and cannot be individually addressed. Players who do not want any sounds at all can enable the "Switch off all sounds" option.
The Bet Settings in Microgaming Craps need a preliminary explanation. Take the example of a player betting on Hardways Eight in a roll when the point is established as a six. Then a six is rolled signifying the end of the round, but the Hardways Eight bet still stands because it has been neither won nor lost. The new round is started with a come out roll. Conventionally many bets, including the Hardways, bets are turned "off" during a come out roll. In Microgaming Craps a marker labeled "OFF" is placed next to the bets. In the case of the Hardways Eight bet under discussion the marker will be placed next to the Hardways Eight cell. Then the outcome of the come out roll will have no effect on the Hardways Eight bet. Even if the come out roll is a seven or an easy eight the Hardways Eight bet will not lose and even if the come out roll is a hardways eight the bet will not win. After the come out roll the marker will be removed and the craps game will proceed as usual.
Microgaming Craps provides players with an option to keep certain bets on during come out rolls if they want to. These bets are Place, Buy, Hardways, Come and Big 6 and Big 8. If players check the box next to these bets in the Options box, then Microgaming Craps will not place the "OFF" marker next to these bets during the come out roll and these bets will win or lose as usual. The advantage in Microgaming Craps is that these bets can be addressed individually. If the player wants to keep the Hardways bets on but the other bets off he will be able to do so.


Berlin - Take My Breath Away CDS A promotional only CD Single Not sold to the general music public. Enjoy! Tracks 1) Take My Breath Away (4.15) 2) Take My Breath Away - Extended Mix (7.00) 3) Take My Breath Away - Mission UK Remix (4.41) 4) Take My Breath Away - Ultimix (6.20) 5) Take My Breath Away - Paul Dakeyne Remix (5.13) 6) Take My Breath Away - Extended Retro Mix (6.05) Download: http://nitroflare.com/view/4846EE8896F7319/Berlin.rar Password, E mail me for it.


Shot at Musmeah Yeshua Synagogue in Yangon, Myanmar.
The major religion in Myanmar is Buddhism. Yet there are also Christian, Muslim, and others. And one of the minorities is Jew. During Burma's Colonial era, some Jew migrated to this country. Walking the streets in Yangon, it was impossible to find the Jewish atmosphere. So Musmeah Yeshua Synagogue was the only place to feel the Jewish culture in this city.
It was said that this synagogue was built by Jewish people came from the middle east and India in 1896. Entering the synagogue, the building was deserted. That made sense because the Jewish population of this country was fewer than 19. It could be much uncommon to meet Jewish people here. In the back of the hall, two Torah arks were housed. They were shining under the light. In spite of few worshipers, both of the hall and arks seemed to be well looked after.


Machado Construction offers full-service asphalt paving and surface repair of the highest quality, with a commitment to competitive pricing, fast completion, and flexibility in our operations to meet your unique project requirements. Machado Construction is prequalified to pave in Baltimore City, Baltimore County, Howard County and any other commercial or private project.
With over three decades of experience, Machado Construction is a trusted partner to top construction firms throughout the Baltimore metropolitan region. We've earned a reputation for reliability and flexibility in our partnerships. If there's a way for us to make your project more cost-effective, you can count on us to do what we can to deliver what you need. In addition, Machado's concrete supply, recycling, and trucking and hauling divisions allow us to partner with you on a project from start to finish.
Following a major water line break in Cockeysville, Maryland, Machado Construction Company, Inc. was called upon to perform emergency asphalt paving. We were able to quickly and efficiently complete the surface repair according to specifications, and return York Road, a major thoroughfare in the region, to full operation in a timely manner. The emergency asphalt paving project called for 6″ of a graded aggregate base (GAB), which was installed for the road bed followed by 511 tons of 19.0mm, PG 64S-22 Level 2 Base, installed in two 4″ lifts. Additionally, Machado tacked and installed 233 tons of 12.5 mm, PG 64S-22, Level 2 surface, in one 2″ lift.. Thermoplastic pavement markings were also installed for traffic control. Due to the urgency of opening York Road to traffic, Machado had to manipulate their schedule and have crews out there on a Friday and complete paving by Saturday.


Got up bright and early and headed off to Lowe's. Best time to go is opening time on a Sunday morn. We hee-hawed around inside for half hour or more, grabbed supplies and out we went. No muss. No fuss.
I think I have enough manure and dirt for one more smaller bed. Maybe two. Should be plenty. If not, they have more. Also, picked up a 32 gallon trash can for water catchment off the shop roof. Once it warms up a little bit more, I'll install it. Don't want it to freeze!
I turned the grass over with a shovel and lined the outer frame with cardboard. These stand 6 inches high. If it turns out I need more, I'll had another board. Should be fine for what I'm growing.
I've been trying to comment on several post but when I click over from my email it doesn't post them. Fickle internet.
Did you put cardboard under all of it or just the edges? Looks great.


How to migrate from Community Edition to Enterprise Edition is explained.
Migrate according to following procedure.
Please make a new registration of ECLWebRTC on the Registration page. The Community Edition can be used for free. Please refer to Pricing page for details. The following procedure is the same even if you registration the Enterprise Edition.
API Key used in SkyWay is not allowed to use in ECLwebRTC.
Generate new APIKey on the Dashboard and change the APIKey at the next step 3. Replace SDK.
As some differences exist in API of the SDK, please modify the program by referencing to the following document.
The SDK of SkyWay and the SDK of ECLWebRTC cannot be interconnected.
The SDK of ECLWebRTC accepts APIKey generated only by the Community Edition or the Enterprise Edition of ECLWebRTC.
Please make a registration for the Enterprise Edition.
On the Dashboard of Enterprise Edition, the APIKey of Community Edition can be migrated to Enterprise Edition.
A function to check monthly usage on the Dashboard of the Community Edition is available. If you reach the usage limit of the Community Edition, please subscribe the Enterprise Edition.
It will take about one week from application to create the account of Enterprise Edition. Just creating the account does not incur a cost.