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Advocates Address CA Attorney General Regarding Health Impact Report
Mark Urban
Deputy Attorney General
Tricia Wynne
Special Assistant Attorney General
RE: Proposed Transaction Between Vista Hospital Systems, Inc. and French Hospital Medical Center, Seller and Universal Health Services, Buyer
Dear Deputy Attorney General Urban and Special Assistant Attorney General Wynne,
We appreciate the opportunity to speak at the public hearing in San Luis Obispo on September 15, 2003 regarding the proposed acquisition of Vista Hospital Systems (Vista) by Universal Health Services, Inc. (UHS). At the hearing, many elected officials, medical professionals, community leaders, advocates, and residents expressed their concerns that this transaction will destabilize an already fragile healthcare system. We strongly recommend that the Attorney General's investigation of this transaction and the health impact statement include all concerns raised at the public hearing.
I. Attorney General Investigation.
A. Incomplete Transaction Filing.
Vista's filing of this proposed sale did not contain all of the information mandated by law.(1) We request that all information that was not provided in the filing be obtained by the Attorney General and made public as soon as possible.(2) Namely:
1) the two most recent community needs assessments(3) ;
2) a breakdown of inpatient, outpatient, emergency room charity care spending and the annual number of such visits for the past 5 years(4) ;
3) all services to Medi-Cal patients, county indigent patients and other class of patients and the type of services provided, the payor and the cost of services provided for the past 5 years(5) ;
4) all material effects that this proposed sale may have on the delivery of healthcare services to the surrounding communities and a statement on how this sale will affect the availability and accessibility of healthcare in these communities(6);
5) a description of each measure proposed by the applicant to mitigate or eliminate any significant adverse effect on the availability or accessibility of healthcare services to these communities(7);
6) any board minutes or other documents relating or referring to consideration by the Board of Directors of the applicant involving any of the health facilities that are the subject of the transaction(8);
7) the estimated market value of each health facility.(9)
We urge the Attorney General to find that the application is incomplete and until all of the necessary information is received, the Attorney General is not required to commence the 60 day review period.(10) We also urge the Attorney General to extend the period of review for this transaction by 45 days. The 45 day extension is appropriate because this transaction involves "a multifacility health system serving multiple communities, rather than a single facility."(11)
B. Additional Information.
The Attorney General is permitted to require the applicant to "provide such additional information as the Attorney General deems reasonably necessary to decide whether to consent to, give conditional consent to or not to consent to a proposed agreement or transaction under Corporations Code sections 5915 and 5921."(12) As there are significant issues involved in this transaction, it is appropriate for additional information to be obtained from the applicant in order that the Attorney General may conduct a thorough evaluation of this proposed transaction.
1) Property Restrictions. It is imperative that the Attorney General investigates whether there are constraints on the property that prohibit its sale to a for-profit entity. We strongly urge the Attorney General to request all deed documents to the property now and investigate all conditions on the use of the property.
2) Breach of Fiduciary Duty. Given the Attorney General's authority over all nonprofit organizations it is appropriate to investigate whether actions taken relating to the causes of the accumulation of $230 million in debt amounts to a breach of fiduciary duty and whether actions of the parties has caused the value of the assets to decrease.(13)
3) Antitrust. Tenet Healthcare Corporation (Tenet) is the owner of two nearby hospitals, Sierra Vista Medical Center and Twin Cities Community Hospital. If French Hospital is closed, Tenet will own 81% of the beds in San Luis Obispo County and all of the beds in the city of San Luis Obispo.(14) It is unknown whether Tenet would increase prices on healthcare if French Hospital closes, but that is an important question to address. We request that Camden review the prices Tenet charges at its hospitals in San Luis Obispo County and compare them to the prices at French Hospital and Arroyo Grande. In addition, the Federal Trade Commission should be contacted to review this transaction for potential detrimental effects on marketplace competition, leaving the potential for increased prices and reduced quality of care in their wake.(15)
II. Health Impact Statement.
The information provided by the public should be integrated into the development and production of the health impact statement so that the Attorney General may adequately evaluate the availability and accessibility of healthcare services.(16) In particular, the health impact statement produced by the Camden Group (Camden) should, at a minimum, include all pertinent healthcare resource issues and address the full range of concerns that were presented at the public hearing. In addition, it should include all of the information the Attorney General needs to make an appropriate decision under the law. By means of example, Camden should evaluate:
* All potential effects of the closure of San Luis Obispo General Hospital as that has direct bearing on the healthcare delivery system.
* All potential effects of the closure of French Hospital and Consolidation with Arroyo Grande, as that has been proposed by UHS.
These issues will be addressed in turn.
A. The Effects of the Closure of San Luis Obispo General Hospital.
Vista's filing fails to acknowledge that San Luis Obispo recently lost a significant provider of Medi-Cal, CMSP, charity care and outpatient services. The closure of San Luis Obispo General Hospital (General Hospital) and this conversion leaving only for-profit facilities in the county may have far-reaching effects on the access to healthcare for low-income and uninsured or underinsured residents. As such, it is appropriate to obtain the answers to these questions:
* Where will Medi-Cal patients receive services?
* Where will CMSP patients receive services?
* Where will people who are uninsured or underinsured receive charity care?
Significant testimony was provided relating to where indigent residents will receive services in San Luis Obispo with the closure of General Hospital and the proposed conversion of the last remaining nonprofit hospitals in the county. Camden should identify the void that has been left by the closure of General Hospital and how this transaction may exacerbate those deficiencies. Camden should investigate the impact on other counties where the county hospital has been closed and the local hospital market had subsequently become predominantly for-profit. Camden should also evaluate the impact of this proposed transaction on all populations that do not speak English as their primary language.
B. The Effects of the Closure of French Hospital or Consolidation with Arroyo Grande Community Hospital.
Vista has provided very limited information about the plan to consolidate or close French Hospital but has asked the Attorney General for approval to do so. Camden should, therefore, identify the healthcare impact if UHS is permitted to consolidate or close French Hospital in the following areas:
1) Services. Vista's filing fails to address the question of whether there will be material effects on the delivery of healthcare services to the communities served by each facility.
a) French Hospital is the only facility in San Luis Obispo providing a number of critical services in the county such as:
(i) Medical care for mental health inpatients with acute illnesses
(ii) Oral surgery for developmentally disabled adults and children
(iii) Trained emergency response to emergencies related to the Diablo Canyon Nuclear Power Plant
b) French Hospital provides necessary capacity in the county, as it currently offers:
(i) Emergency Room services
(ii) Obstetrics/Gynecological unit for deliveries
(iii) Helipad for emergency transport
c) French Hospital provides a significant number of hospital beds including:
(i) Emergency
(ii) Intensive Care
(iii) Pediatric
(iv) Obstetric
d) French Hospital provides a significant amount of Medi-Cal services. In 2002:
(i) More than 1,600 outpatient visits
(ii) More than 900 patient days.
e) French Hospital provides charity care to all patients whose income is
up to 200% of the Federal Poverty Level.
Testimony provided at the public hearing indicated that French was the only facility geared up to handle a nuclear emergency. Camden should investigate how much better prepared French is in comparison to the other facilities in the county. Camden should also ascertain the length of time and the amount of money required to train hospital staff and to prepare other acute healthcare facilities for a nuclear emergency.
Medical staff at the public hearing provided testimony indicating that twice in the two weeks leading up to the hearing the Sierra Vista Medical Center Obstetrics unit had to close because there were insufficient beds. It would be appropriate for Camden to monitor the number of times Sierra Vista has had to close its door to new patients because of the lack of beds. In addition, Camden should investigate Sierra Vista's ability to absorb the rise in patient numbers if French were to close.
In addition, emergency room capacity is limited and expansion of such services is not trivial, and can take many months or years to accomplish. Camden should evaluate each of these issues in detail to determine the effect of the closure or consolidation of French Hospital on the healthcare services available to all San Luis Obispo County residents.
2) Population Growth. Vista's filing suggests that San Luis Obispo has sufficient beds to handle the population of the county even if French Hospital is closed.
a) San Luis Obispo County is expected to grow significantly in the
future, having been mandated by the state to build more than 18,000 homes which will bring the county more than 70,000 new residents.
b) The county is home to many students attending Cal Poly, with a student population of over 18,000 and Cuesta Community College with a population of more than 8,600.
Testimony provided at the public hearing indicated that there is no surplus of hospital beds and the loss of the 112 available beds at French Hospital, when Arroyo Grande Community Hospital currently has only 65 available beds will be significant. Camden should evaluate the capacity of the healthcare system to address these short-term and long-term population changes in the event French Hospital is closed. The effect of the population growth on the number of uninsured and Medi-Cal patients should also be addressed. A review of public transportation alternatives for people who do not have a car should be included.
3) Geography. Vista's filing does not address the challenges posed by San Luis Obispo's geography.
a) San Luis Obispo County is currently serviced by four hospitals. With the closure or consolidation of Arroyo Grande and French, this would leave the residents of the city of San Luis Obispo with only one hospital, Sierra Vista. The geography to the north of San Luis Obispo bars many elderly, critically injured, chronically ill or homebound patients from accessing the other hospitals in North County.
b) If Sierra Vista cannot accept additional patients, the patient or the visitor of a patient will have to travel up to an additional 30 minutes north to Twin Cities or south to Arroyo Grande.
Testimony provided at the public hearing indicated that the closure of French Hospital may pose great barriers to some members of the population. It may also have an effect on the ability to deliver life-saving treatment if travel times for emergency vehicles are increased substantially as a result of the closure of French Hospital, particularly if Sierra Vista cannot accept more patients. Camden should evaluate these challenges in relation to the provision of healthcare services.
C. Public Hearing Transcript.
We support the suggestion made at the hearing that the transcript of the September 15th public hearing be attached to the health impact statement to provide the public with the opportunity to make sure the issues raised at the hearing are adequately addressed.
D. Additional Conditions.
We recommend that Camden articulate conditions that could be placed on the transaction to mitigate the negative effects on the availability and accessibility to healthcare services in San Luis Obispo as a result of this transaction, as was provided in the health impact statement for Daniel Freeman Hospitals.(17) Such recommendations are necessary to assist the Attorney General in fulfilling his legal mandate to ensure the "transaction is in the public interest."(18)
These recommendations are provided as additions to a complete and thorough health impact statement, reviewing the transaction in full and addressing all pertinent statistical and health services delivery issues.
We encourage you to carefully evaluate this transaction and its potential negative implications on the delivery of healthcare to the people of San Luis Obispo and surrounding areas. If you have questions, please do not hesitate to contact us.
Michelle Jun
Staff Attorney
And on behalf of:
Pam Heatherington and Vita Miller, Directors of San Luis Obispo County General Hospital and Family Care Clinics Charitable Foundation Inc.
(805) 528-5926 or
(1) See California Corp. Code § 5915-5920, 11 CCR § 999.5.
(2) See 11 CCR § 999.5(d)(5).
(3) Id. at § 999.5(d)(5)(A).
(4) Id. at § 999.5(d)(5)(B).
(5) Id. at § 999.5(d)(5)(C).
(6) Id. at § 999.5(d)(5)(G).
(7) Id. at § 999.5(d)(5)(H).
(8) Id. at § 999.5(d)(11)(A).
(10) Id. at § 999.5(e)(B).
(11) Id. at § 5915(c).
(12) 11 CCR § 999.5(c)(2).
(13) See California Corp. Code § 5917(d).
(14) See Office of Statewide Health Planning and Development filings.
(15) The Federal Trade Commission recently commented on the proposed sale of Slidell Memorial Hospital in Slidell, Louisiana to Tenet, leaving Tenet as the owner of all of the hospital beds in the town. See Appendix A. The FTC found that the sale could result in increased prices because health insurance companies could not use competition between the two facilities to keep prices down. See id.
(16) California Corp. Code § 5917(h).
(17) The Lewin Group provided additional mitigation measures based on the findings of its research on the effect of the Daniel Freeman Hospitals sale to Tenet Healthcare Corporation. Among the conditions were recommendations relating to maintaining for at least five years: the types and levels of emergency services; a minimum level of charity care based on a ratio of cost to charges; obstetrical services including high-risk prenatal and neonatal intensive care services. See "Effect of Purchase of Daniel Freeman Hospitals by Tenet Healthcare Corporation on the Availability and accessibility of Healthcare Services," November 1, 2001. In addition, the recommendations included providing for: public input in a comprehensive planning process in the event of a service change; the establishment of an urgent care facility in the event that one of the hospitals was closed; and notice to the Attorney General of the intent to terminate participation in Medicare and Medi-Cal programs. See id.
(18) California Corp. Code § 5917(i).
Appendix A (for a copy please contact Michelle Jun at (415) 431-6747.
Federal Trade Commission April 1, 2003 Letter to Louisiana Attorney General Richard Ieyoub on the Acquisition of Slidell Memorial Hospital by Tenet Healthcare Corporation.
IssuesHealth
Bill to end forced arbitration in workplace sexual assault/harassment
CR letter to Senate Judiciary Committee supporting bipartisan prescription drug antitrust bills
CR letter to House Judiciary Committee, competition in health care and pharmaceuticals
Congress acts to restore competition to health insurance by removing 75-year-old antitrust exemption


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News The latest developments in autism research.
See All in News
Sex differences in brain hint at roots of 'camouflaging' in autism
by Nicholette Zeliadt / 10 December 2018
Social network:Two social brain areas (white) are just as active in women with autism as in controls.
Autistic women's activity in a 'social' brain region tracks with the extent to which they mask their autism, according to a new study1.
Their activity in this and another social brain region when they reflect on themselves or others resembles that of their typical peers. Men with autism, by contrast, show less activity in these regions than typical men do.
The new findings reinforce the idea that autism manifests differently in women than it does in men.
"Maybe the idea of a hypoactivated social brain doesn't apply universally to everyone on the spectrum," says co-lead investigator Meng-Chuan Lai, assistant professor of psychiatry at the University of Toronto in Canada.
The findings represent the first attempt to pinpoint brain areas that may be involved when autistic women 'camouflage,' or mask their autism traits.
A related study describes a new tool that reliably measures camouflaging behaviors2.
"In order to answer important questions, like what capacities underpin camouflaging, why do people camouflage, and what are the consequences, we need to be able to measure camouflaging and how it varies between people," says William Mandy, senior lecturer in clinical psychology at University College London, who led the tool's development.
Thought–provoking:
Lai and his colleagues scanned the brains of 28 women with autism and 29 typical women while they answered questions about their own thoughts or physical appearance, and those of another person: Queen Elizabeth II3.
They looked at the activity of two 'social' brain regions, the ventromedial prefrontal cortex (vmPFC) and the right temporoparietal junction (RTPJ). These two areas are equally active in both groups of women.
In autistic men, both areas are less active than in controls. The researchers based this on data from a 2010 study that used the same paradigm to look at 29 men with autism and 33 controls.
"We really don't know what leads to [these sex differences]," Lai says. "It may be related to their sex but also may be related to their experiences living with autism."
The researchers then explored how social brain function may relate to the ability to camouflage.
They compared their findings with data from a 2017 study that measured camouflaging in the same men and women4. In that study, they quantified camouflaging by comparing the participants' scores on an autism diagnostic test with those on a self-report survey of autism traits, as well as a test in which they try to deduce emotions from pictures of eyes.
Among the autistic women, higher camouflaging scores track with greater brain activity in the vmPFC during self-reflection. Men's camouflaging scores show no such link. Camouflaging does not relate to brain activity in the RTPJ in either sex. Researchers reported the findings 24 October in Autism.
The results suggest that the extent to which a person reflects on their own thoughts is associated with the extent to which they mask their autism, Lai says.
The findings need to be replicated in a larger sample. Activity in other brain areas may also underlie camouflaging, says Kajsa Igelström, assistant professor of neuroscience at Linköping University in Sweden, who was not involved in the work.
"It's not all about social behaviors," Igelström says. "Camouflaging may involve many other functions, such as top-down attention and executive function, and those networks would be really interesting to study."
Masking measure:
In the second study, Lai and Mandy collaborated to build a 25-item test to quantify camouflaging.
They generated questions about camouflaging behaviors based on how 92 autistic adults described their own experiences5. The behaviors involve compensating for social difficulties, masking or hiding autistic traits, or otherwise trying to 'fit in.'
The researchers gave the test, called the Camouflaging Autistic Traits Questionnaire, or CAT-Q, to 832 women and men, including 354 with autism. The participants also completed questionnaires about autism traits, social anxiety and other behaviors related to the condition.
Autistic adults scored higher on the CAT-Q, as a group, than controls. And the participants with high scores also show high levels of autistic traits and mental-health difficulties. Researchers reported the results 25 October in the Journal of Autism and Developmental Disorders.
The researchers demonstrated the reliability of the test by retesting 30 of the participants three months later: The scores remained stable. They also confirmed its validity — for example, by finding that individuals respond to questions that are related in consistent ways.
Validating the questionnaire in children is an important next step, experts say.
"It is really a pity that there is no child or adolescent version, as the social camouflaging especially might drive late [autism] diagnoses," says Sven Bölte, professor of child and adolescent psychiatric science at the Karolinska Institutet in Stockholm, Sweden, who was not involved in the study.
The researchers are testing the questionnaire in adolescents. They are also trying to identify cognitive factors related to camouflaging and to determine how the behavior relates to mental-health problems. Ultimately, Mandy says, they would like to use the questionnaire to better understand the benefits and drawbacks of camouflaging, and whether it is unique to people with autism.
Lai M.C. et al. Autism Epub ahead of print (2018) PubMed
Hull L. et al. J. Autism Dev. Disord. Epub ahead of print (2018) PubMed
Lombardo M.V. et al. Brain 133, 611-624 (2010) PubMed
Lai M.C. et al. Autism 21, 690-702 (2017) PubMed
Hull L. et al. J. Autism Dev. Disord. 47, 2519-2534 (2017) PubMed
TAGS: adults with autism, autism, brain imaging, gender, sex

redpajama_set_name: RedPajamaCommonCrawl


What a beautiful summer we had last year! I was lucky enough to enjoy it while shooting Katie & Dan's Wedding in Edgbaston.
Well, what a year 2018 was! I had the privilege to attend a lot of amazing weddings and make some awesome friends.
Back in May I shot Katie & James' Star Wars Themed Wedding at The Holiday Inn in Great Barr.
Back in May I had the pleasure of being part of Tammy & Lewis' big day at The Bonded Warehouse in Stourbridge.


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To the mobile version
Tretyakov Art Gallery
The State Tretyakov Gallery holds the great collection of Russian art and Russian icons.
The museum was founded in the middle of the 19th century. Nowadays the museum has got one of the largest, most significant and broadest collections of Russian fine art and icons in the world. Pavel Tretyakov, the founder of the museum, started to collect pieces of art in the middle of the 1850's when he acquired several paintings by Dutch painters. Already at that time P. Tretyakov decided to create an art gallery in Moscow. The tretyakov family lived in their estate in the center of Moscow and as the collection grew bigger the architects rebuilt the house several times in order to accommodate all the paintings. In 1881 p. Tretyakov opened his private gallery to the public, and the entrance was free of charge. A few years later the gallery was presented to the city of Moscow and the official opening took place on August 15th, 1893. The first gallery was called "Moscow city gallery of Pavel and Sergei Tretyakov". The collection numbered 1287 paintings, 518 drawings and 10 sculptures as well as 84 paintings of foreign artists. In the period of 1900-1905 the facade of the gallery was reconstructed in neorussian style to the design of the famous Russian painter V. Vasnetsov.
In 1918 the Tretyakov gallery was nationalized and became the property of the Russian Federative Soviet Republic and received the name of "The State Tretyakov Gallery". The Soviet government gave many paintings and collections, nationalized during the revolution, to the museum. In 1928 the first reconstruction of the gallery took place. In 1932 three new halls were added to the gallery. During the first days of the Great Patriotic War the collection of the museum was ready for evacuation. In the middle of the summer of 1941 seventeen train carriages were evacuated from Moscow to the tcity of Novosibirsk in Siberia. Only in May of 1945 the gallery was again opened to the public.
During 1982-1996 the gallery was closed for capital reconstruction. Today the museum is opened for visitors and it is equiped with modern control and security devices. It has got its branches in different parts of Moscow.
daily from 10:00 till 19:30, the ticket office closes at 18:30.
Closed: on Mondays.
Feel free to request a tailor made tour to Russia
Explore Russia from West to East and from North to South
Culture, adventure and nature holidays
St. Petersburg Tours Karelia Tours Moscow Tours Golden Ring Tours Novgorod Tours Russia Arctic Trips Arkhangelsk Region Tours Murmansk Region Tours Far East Tours Vologda Region Tours Pskov Region Tours Leningrad Region Tours Siberia Tours
Other sights in: Moscow
Moscow Kremlin and the Red Square
Novodevichy Convent
Pushkin Museum of Fine Arts
Moscow Metro


How much typing can someone do!
Wow, it has been quite the week. I have decided to help some friends not only with their car build but also in setting up a new site.
Lots to do and little sleep to do it with, I am making progress on another project that I am not ready to announce, but soon…we will blow your doors off!
I've been living vicariously through some of my friends by helping them with their race cars. Mostly I'd say it has been Dave and Allison Kern. Originally I had helped them with some work on their Pikes Peak Hill Climb Evo. I did a bunch of work on their aero package, but also ended up welding some parts as well as installing and fitting body parts as well. It is fun to get to work on this stuff. There is a lot of problem solving and a lot of building, creating and working with your hands. Currently they are working on the creation of a BMW rally car.
The BMW will be used as a 2wd Rally car. It is cheaper to run and compete in and with a privateer budget that is good news. It is also going to provide the opportunity to run in Max Attack which is a 2wd specific rally event that will give them good competition in an affordable package. If all that wasn't enough the BMW will be set up so the drivers seat is able to accommodate a shorter driver or a taller one…so Allison now has the ability to drive!
The car has been caged by SCR Performance but Dave is taking on the majority of the rest of the work. The beginning steps (beyond all the research that he has into figuring out the parts for the car) is the underbody. The BMW isn't exactly designed for Rally, so you have a couple options. Paint the car and replace the chassis when it gets wrecked or try to protect the chassis. The plan for this car was to protect the chassis with Kevlar and Macropoxy. Macropoxy is a paint that is a good barrier against rust and light impact. Kevlar, well that takes the bigger dings and dents well. The EVO Works well with the Kevlar under body, but it is separating a bit in places, so this time we tried a few different tricks to try to keep the body and the kevlar together.
The Kevlar now has epoxy that has been seeped into all the welded seams so it hopefully gets more adheason, also we put chunks of Kevlar into some of the gaps between seem welds so those will hopefully give the kevlar even more places to adhere.
It is a messy process, so we only have a few photos of this part. This is what the end result looks like. Almost time to flip the car over and start putting parts on it!
Well after a week on the mountain and posting GoPro's all over two open wheel cars I had a chance to tinker with the footage we got. Unfortunately I haven't had as much time as I'd like, but we put together a nice little video. The audio is all engine and the speed is all as it happened. It is pretty impressive to ride along and see how close they get to the edge!
I have been a huge fan of the Pikes Peak Hill climb for a long time. I have been attending it for the last 7 years and it is pretty addicting. The procession to the top of the hill by all the fans, the sound of engines miles away firing up and the distinct roar of a V8 as it is bouncing off the rev limiter on a road that you just negotiated at 25mph.
Over the years I have met more and more people who participate in this event. I have shot for publications such as Autoweek and even worked with companies like Suzuki to provide photos to their marketing. A few years ago I had the opportunity to provide video on Autoweek's site. We ran a car on the record breaking Time Attack 4wd vehicle that year piloted by Dave Kern with his wife Allison in the passenger seat calling the shots. I was pretty impressed with the duo. It isn't every day that you have athletes who not only are the top of their class, but also are willing to go talk to their fans. If someone approaches them, they will talk to that fan about any part of the car, course or preparation that they went through to get to where they are.
As I continue learning more and shifting more to building and creating things I have had the opportunity to help them out in another way. I talked to Dave not long ago and we talked about the wing that he runs on the back of his car. He has had two wings and both broke in one way or another. He had some remaining parts from the two wings but no way to put them together. So I volunteered to take on the challenge. Between the composite skills that I have acquired over the last couple years and the problem solving skills that I have always been cultivating I felt pretty confident that I could come up with something. So I picked up the wing from Dave and started looking at it.
I was given side plates and a wing that were made for different applications, so I slid them together in the most obvious way that I could and started working on an appropriate way to mount these together. My goals were to provide a clean flow of air around the mounting points, provide adjustability for the wing, so he could tune it for his future needs and also (because I could see the wing shaking when he was racing) I wanted to stiffen the whole assembly up.
I cut off the old mounting tabs, and designed a new mounting system. It consisted of custom machined aluminum attachments that would epoxy through the wings sides. The goal of these parts was to allow the user to tighten the wing to the sideplates without crushing the interior foam of the wing. The attachment points flush mounted on the outside of the wing and bulged out in the inside surface. They provide enough threads to live up to aerospace standards, though I wouldn't say that they are aerospace quality…I mean..I made them!
Once the inserts set I needed to figure out the guy wire setup. Guy wires were the best way to add lateral stiffness to the wing without causing to much aerodynamic drag. I wanted it to be clean and simple, but reliable and stiff. Dave wanted it to be easily interchangeable from trunklid to trunklid in case they needed to move it at some point in the future. So I started brainstorming and came up with a stainless pill design that was able to find its perfect angle in an aluminum cradle. This, of course, is probably overkill, but you know what. It is a great solution! It works incredibly well and I couldn't be happier with it.
I designed the part in solidworks and revised it a couple times. In the end I had a bit of assistance from John Grimberg to come up with this.
The system works perfectly. Once attached the guy wire increased the stiffness of the wing by what I can only estimate as a 100% gain. It is incredibly stiff now, this is going to provide the carbon part of the wing a lot less load in the corners and allow it to focus on its job of keeping the car on the ground!
We will be mounting this thing up and hopefully heading to the track tomorrow to test it out. With easily adjustable increments for the wing it is now tunable so dave will be able to decide on 16, 19, 22 and 25 degrees for the back wing which means that he can decide how he wants it set up in order to serve his driving style the best.
The wing will be mounted up by tomorrow and on the track for testing the same day. It will be nice to have the opportunity to test it out, try out the different angles and be sure that it is all functioning as it should be before the event!


The Leptin Diet is the secret to getting more energy from less food. The scientific principles upon which it is based are unlikely to ever change. This is not a fad diet, a calorie manipulation scheme, or a starvation routine masquerading as a diet. It does not involve deprivation of pleasure. The underlying principles of The Leptin Diet apply to everyone, whether you need to lose weight or not. It is a lifestyle for eating properly grounded in the science of leptin. It is something you can do happily and healthfully for life.
1. Never eat after dinner. Finish eating dinner at least three hours before bed.
3. Do not eat large meals. Finish a meal when you are slightly less than full.
4. Eat a high protein breakfast. Aim for 20-30 grams of protein at breakfast.
5. Reduce the amount of carbohydrates eaten. Limit, don't cut out carbs.
When you eat is important, and so is what you eat. Eat a variety of fresh, organic foods that give you good energy. It's important to cut out the chemicals and additives and eat REAL food.
Eat 50 to 75 percent of your ideal body weight in grams of protein per day.
Include 35 to 50 grams of fiber per day.
No snacking between meals; it's just a bad habit.
Hungry between meals? Afternoon energy slump?
Drink 8 to 16 oz. of water; hunger and thirst signals are often confused. Take LeptiSlim® between meals to ward off hunger. To combat afternoon energy slump take a Leptin Control Pack® supplement packet in the afternoon.* Busy yourself with activities away from food.
Moderate exercise turns on your genes and facilitates healthy leptin function and metabolism. Consistency is more important than intensity. Start out slowly and increase your efforts gradually; do enough to feel refreshed and support your weight loss effort.


Jasmine is going to prepare summer special ice cream for her friends. She need your help. Your job is to follow the instructions to make a special ice cream. Decorate the ice cream with dozens of toppings. Jasmine will be happy at the end and she will reward you. Have fun and enjoy this cooking game!


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14-year-old raises $8K to pay off student lunch debt in Austin
KTRK
AUSTIN, Texas (KTRK) -- A 14-year-old has pledged to eliminate the sizable lunch debt for a district of 129 schools in Texas.
Ben Hofer, an eighth-grade student at St. Andrews Episcopal School, recently raised $8,000 for a project he's dubbed, "LunchCounts!" He plans on putting the money towards nearly $18,000 of school lunch debt in the Austin Independent School District (Austin ISD).
"I was never expecting to raise this much money, really, honestly," Ben told Good Morning America. "It's pretty crazy but the more the better because it's more kids we could pay off."
Ben kicked off his initiative on GoFundMe on April 21 as part of a semester-long school project in which students dig into a community issue.
societyaustinlunchschool lunchgofundmefeel good
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17-year-old killed in hit-and-run crash in southwest Houston
NASA takes a look back at Apollo 11's launch day
Homeless N.M. teen earns full ride to college


Win a $100 Gift Card you can use for anything on the site (excluding gift cards and shipping and handling). Make it a fantastic fall – courtesy of DVDPlanet!
DeepDiscount is the place for all your entertainment needs – all at prices you can afford. And where shipping is free every day on orders over $15.


Come to shop, hang and enjoy libations!
Based in Los Angeles, Kathryn Bentley's aesthetic arises out of changing obsessions and visual research. Inspiration comes to Kathryn from past design movements, travel, artisans, flea markets, architecture, and textiles. Both her namesake line of fine jewelry and Dream Collective flourish from carefully selected materials and the hands that craft them.


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Apply For Italian Citizenship
Research Your Family
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Pursuing my Italian Citizenship in New York
Being Italian has always been something I've identified with growing up. There would always be get togethers with our big Italian family and stories shared about Italy and what is was like there. In June 2009, my parents, brother and I went to Italy and it was the trip of a lifetime; we learned so much more about our culture and our family. It was then that I knew this place was special and I wanted to be a part of it in some way. For as long as I can remember, my father talked about becoming an Italian citizen.
Preparing your Italian Citizenship Document Portfolio
We often receive this question: "Will the Italian Consulate return the original documents to me?" The answer is "they do not", in fact all Consulates will keep your original documents in your permanent file.
Throwing a "Frozen Rope" in Italy with Dual Citizenship
Who says Baseball and Softball are not popular in Italy? Although the "Soccer" hegemony is still going strong, the game of Baseball is not new to Italians, in fact it was documented already in the late 1800s (as Base-ball) when the port city of Livorno hosted a match between the Navy crew of the USS Lancaster and of the ship Guinnebaug. Bring the clock forward 100+ years and in 2006 Team Italy was one of the nations invited to compete in the WBC.
What is the right "price" for Italian Dual Citizenship?
If you are just getting started with your Italian Dual Citizenship, assuming you found out that you qualify, one of the main questions you should ask is: HOW MUCH DOES IT COST?
We get this question all the time and there are several answers to that. First, you need to determine whether you have the time (and patience) to gather all the required documents yourself, OR, whether you would like to outsource the entire process to a company that specializes in Italian Dual Citizenship. The fees are obviously different.
US Citizens traveling to Europe: Upcoming Changes
US Citizens traveling to Europe will soon need to apply for an ETIAS (European Travel Information and Authorization System) visa waiver, the new travel authorization for Europe, which will come into effect January 2021. This authorization will cost Euro 7 (approx $8) and will be valid for three (3) consecutive years, allowing for multiple trips within the 3-year frame. The ETIAS application form will be obtained through a simple online process that will be able to be completed quickly (no more than 10 minutes) with the authorization being granted in a matter of minutes.
The issue of passing on Italian Citizenship to a minor
We have talked many times about the instance where your Italy-born Ancestors brought their children with them to the United States (or any other Country) and then became a "Citizen of the US" (or the other country) before the children turned 21 years old. This means that your Italy-born child Ancestor was naturalized along with his or her parent (as a minor), because he or she effectively renounced his or her right to Italian citizenship. This is the law and no exceptions are made in these cases.
How long does the process of obtaining Italian Citizenship take?
The length of time it takes to reach a goal should always be compared to a similar process. With that in mind, do you know how long it takes to obtain US citizenship for a foreigner? It's an average of about four to thirteen years or longer. So when you ask yourself the question: how long does the process of obtaining Italian Dual Citizenship jure sanguinis (by right of blood) take? The answer is WAY LESS than thirteen years, in fact, in most cases, less than four.
Let's analyze the process step by step:
Discounts For UNICO Members
UNICO MISSION
UNICO was founded on October 10, 1922 in Waterbury, Connecticut. A group of 15 men, led by Dr. Anthony P. Vastola, came together to create what has become a very special and very proud organization. It was Dr. Vastola's dream to create an Italian American service organization to engage in charitable works, support higher education, and perform patriotic deeds.
Italian Dual Citizenship for British Nationals
Dual citizenship (also known as dual nationality) is allowed in the UK. This means you can be a British citizen and also a citizen of other countries.
British citizens over 18 born in the UK to Italian nationals registered with the Italian Consulate
Applicants over 18 of age born in the UK to Italian nationals registered with the AIRE office and with an Italian passport issued before 05.02.1992, whose birth certificate has never been registered in Italy, need to produce the following:
Find your Italian Consulate in the U.S.
You can only apply with the Italian Consulate that has jurisdiction over the State where you reside.
NOTE: As of July 8th, 2014 all applications for the recognition of the Italian citizenship Jure Sanguinis (by descent) and Jure Matrimonii (in case of foreign national whose husband is an Italian citizen married prior to April 27, 1983) are subject to the PAYMENT OF A € 300 FEE (Law n. 66 April 24th, 2014 and modifications Law n. 89 June 23rd, 2014 art. 5-bis, comma 1). The application fee is NON REFUNDABLE, regardless of the outcome of the petition.
Fast-Track Applications in Italy
Fast-Track Applications are a great way to acquire your Italian Dual Citizenship; cut the wait time in half and enjoy living in Italy while your application is processed at the Italian municipality.
About the State of the Family Record
The Anagrafe Office (Office of the Census or Demographics Office) is the repository of this record called Stato di Famiglia Storico (Historical State of the Family). This document shows the composition of the family unit which includes the following information:
About Italian Military Records
Military and conscription records contain very precious genealogical information. They provide not only vital information on your ancestor but also physical information.
About the Italian Certificate Positive/Negative
It is not uncommon to discover that first and last names are different from the original spelling found in the Italian vital records. Inconsistencies can also be found in the date of birth; US records (birth, marriage, death and naturalization records) may list different birthdates.
About the Italian Certificate of Citizenship
The Certificate of Citizenship is not the Naturalization Certificate issued by the USCIS here in the U.S. It is a certification issued by the local Italian Town hall stating that your Ancestor at the time of his/her migration was still an Italian citizen.
NOTE: Town halls do not have a common procedure regarding what to issue when it comes to Certificates of Citizenship:
Italian Citizenship Services
Schedule a Phone Consultation
Order a Naturalization Record
Find your Living Relatives
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* command.c (cmd_killagent) [W32]: New.
+ * gpg.c (gpgconf_list): Percent escape output of --gpgconf-list.
* call-agent.c (start_agent): Use gnupg_module_name.
+ * stringhelp.h (percent_escape): New prototype.
+ * stringhelp.c (percent_escape): New function.
* utf8conv.c (jnlib_iconv_open, jnlib_iconv, jnlib_iconv_close): New.
+ 2005, 2006, 2007 Free Software Foundation, Inc.
+ * 2006, 2007 Free Software Foundation, Inc.
+ * scdaemon.c (main): Percent escape output of --gpgconf-list.
* scdaemon.c (main): Replace some calls by init_common_subsystems.
- Copyright 2002, 2003, 2004, 2005 Free Software Foundation, Inc.
+ Copyright 2002, 2003, 2004, 2005, 2007 Free Software Foundation, Inc.
- * Copyright (C) 2001, 2002, 2004, 2005 Free Software Foundation, Inc.
+ * Copyright (C) 2001, 2002, 2004, 2005, 2007 Free Software Foundation, Inc.
+ * gpgsm.c (main): Percent escape output of --gpgconf-list.
- 2006 Free Software Foundation, Inc.
+ 2006, 2007 Free Software Foundation, Inc.


Simply mind boggling how easy it's to consider things as a given. We predict that electricity will emerge from the small hole within the wall whenever we plug something in, the vehicle will begin the very first time, and emails will arrive and become sent hassle-free. Kids, obviously, expect their mother is going to be there 24/7. And, even individuals people with domestic blindness, knows which help finding stuff (even when what we are searching for is at the front in our noses) isn't a long way away.
You will find, however, several things we ought to never ignore. Certainly one of individuals may be the friendship of others – based on Epicurus, certainly one of life's finest pleasures. But we have to work on it.
It's greater than what Aristotle suggested about keeping a friendship solid to eat greater than 1 1 / 2 bushels of salt together. It's developing friendships over different age ranges. And, when one friend departs for which ever reason, that she or he is substituted for some other. It's virtually no recent thought that, as we grow older, we want a friendship-building strategy. Greater than 250 years back, Samuel Manley was emphasising the necessity to make new acquaintances through existence.
I met another lately who explained he and the wife always attended local dances within their area and anticipated the neighborhood 'ball season'. Their reason, he explained, was threefold. The very first was that dancing was a task they enjoyed. The 2nd was he and the wife needed to help make the effort to network with individuals from a multitude of areas. He stated when they did not, others would respect their privacy and let them be. Their third motivation was their must have something to expect to. So when one event was over, there always was a different one to expect to. Almost instinctively, these folk understood that they couldn't ignore being viewed as key individuals their community without striving to become incorporated.
There's one other good reason mixing with other people and making and looking after friendships has much to recommend it. That added extra is creativeness. Nobody has ever had the ability to say where an authentic idea originates from. Yet mixing with other people, it appears, can help the creative process where new ideas flourish. The concept-initiators might not be conscious of their contributions, however that does not really matter.


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Q: Display label for OOTB FormField <SharePoint:FormField id="ffFirstName" ControlMode="New" FieldName="Title" runat="server" />

This works fine but only displays the input field. Can I get it to display the form field label too?
Title (*):  [Input Field]

Also, what does the DisableInputFieldLabel="False" property do? It doesn't seem to have any effect.

A: I think this is a block of code in a page layout. I ususally my self add label manually to my code! but propabably you can see something in snippet gallery to show the label of your Field. Alternatively you can just add a spantag before the Field Snippet using your custome label!

redpajama_set_name: RedPajamaStackExchange


The Blackloud AF1 FM headset works by building its FM tuner into an in-line control box, while the cable functions as the antenna. The headphones then plug into your iPhone via the Lightning jack (a USB Type-C model for Android handsets is planned for next year), and you control radio playback via a companion app.
Simple. Elegant. Useful. $80 though.


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More on Mausam!
Movies, News, Slider | July 23, 2011 | | by Stacey Yount
Eros International and Vistar Religare's much awaited film Mausam was directed by dynamic Pankaj Kapoor and stars the first time jodi of Shahid Kapoor and Sonam Kapoor. In a recent interview Shahid revealed a bit of the timeless love story, "Mausam is about seasons of love. It is about the different emotions and situations that the two principal characters – Harinder Singh (Shahid) and Aayat (Sonam Kapoor)- undergo… what seasons of love they go is the theme of the film."
Shahid added, "It is a film that is very close to my heart." Especially since this is the first time he has worked with his father Pankaj as director. "It is a film we have made as a family together."
An interesting fact is that the film was written with Shahid in mind. Director Pankaj says, "I had other scripts and we wondered whether Shahid could be part of them or a fresh script should be written for him? We decided to write a fresh script and that's how the birth of Mausam took place."
About the story and treatment of the Mausam he says, "It has its own comment to make. Though the endeavour is to make an entertaining film, which reaches to almost everyone and yet have a certain level of presentation that appeals to one and all."
Sonam is sure audiences are going to enjoy the film, "This film is a labour of love. I am grateful to Pankaj sir and Shahid to have given me the chance to be a part of this film. We all have worked enormously hard and given it a lot of time and attention. This love story has been an overall different trip for us and I am sure the cine-goers will like Mausam."
Mausam releases in cinemas worldwide on 16th September.
We have some exclusive stills just for you!
We showed you exclusively the first look at the theatrical trailer of the film and now the gorgeous trailer is playing on the big screen in cinemas as well. In case you missed it here it is again!
httpvh://www.youtube.com/watch?v=OJDLctb2ltE
Stacey Yount
View all posts by Stacey Yount	→
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Safi (in maltese Ħal Safi) è un villaggio di 1.948 persone situato a sud est di Malta, vicino a Chircop e Zurrico.

Note

Altri progetti

Collegamenti esterni

Centri abitati di Malta

redpajama_set_name: RedPajamaWikipedia