Some believe that garcinia cambogia can suppress appetite and block fat. Quercetin is a plant pigment ( flavonoid) that people sometimes take as a medicine. This fact sheet provides information on weight- loss dietary supplements * including summaries of research on the safety efficacy of several of the most commonly used ingredients in these products. You' ve probably heard the claims about how this " miracle" fruit can help you shed pounds and boost your workout.
Garcinia Tablets Review Best Cardio For Burning Belly Fat Fat Burning Shots At Home what. Although Garcinia Cambogia extract is made from natural ingredients, it can still have some unwanted effects on our health. Jan 16, · Top 5 Natural Appetite Suppressants. Garcinia Cambogia is a natural fruit herb that is very good for weight loss with its marvelous extract HCA.
This acid, shortly called just HCA is the crucial component behind this weight loss supplement. I know I do so let' s get down to it check out how does Garcinia Cambogia Work. A double- blind clinical trial evaluated the effect of G.
From tests that have been carried out it is not apparent that. Garcinia Cambogia Cause Headaches? This signals your brain that you don' t need to eat food anymore.
Cambogia extract ( 50% HCA) was 800 mg 3 times daily, 30 minutes before meals. Natural garcinia cambogia health risks. One of the ingredients is Garcinia Cambogia which the company does a great job at.
Some studies have found a diet high in soy may decrease the risk of breast cancer recurrence and breast cancer mortality ( death from breast cancer) [ ]. Effects Forskolin Dr Oz How Much Forskolin Dose For High Blood Pressure To get going on fat loss in fat belly ( even fat thighs), you should definitely have an excellent set of hiking/ running shoes jogging shoes. @ What Is The Best Pure Garcinia Cambogia - Side Effects Of Slimquick Fat Burner Best Target Heart Rate For Fat Burning What Is The Best Pure Garcinia Cambogia Burn Belly Fat garcinia cambogia brands that work Fat Burner Herbal Products Fastest Way To Burn Body Fat For Men Fat Burning Workouts With search Verified Garcinia Cambogia 95 Dr Oz Forskolin Extract Forskolin At Gnc Stores garcinia. These include liver damage dizziness digestive problems.
This hormone is just activated when the stomach is full. Natural garcinia cambogia health risks.
When you take activated charcoal drugs toxins can bind to it. Garcinia Tablets Review Fat Burners Comparable To Oxyelite Pro Garcinia Tablets Review Liquid Fat Burner For Women what.
Welcome to Pharmacy Direct' s Natural Health Section. Most studies look at the impact of flavonoids like quercetin within the.
One study published in the journal Fitoterapia in links garcinia cambogia extract to negative health effects like diarrhea brain fog liver damage. Health experts agree that making lifestyle changes— including following a healthy eating provides independent test results comparisons of vitamins, reviews, nutrition products to consumers , ratings , supplements, herb healthcare providers.
Today scientists are breaking down marijuana extract finding some surprising results. Cambogia extract on the lipid profile of overweight women. 14 Women with a body mass index ( BMI) of 25 kg/ m 2 or greater were randomized to receive G.
Sletrokor Review – Does it Really Work? Activated charcoal is sometimes used to help treat a drug overdose or a poisoning.
Health Benefits Of Garcinia Cambogia – Improve Appetite. Jun 22, · The garcinia cambogia fruit has been a focus for many people looking for natural ways to lose weight. Other benefits includes improving blood flow managing hemorrhoids , increasing endurance fighting inflammation. Get information facts on the supposed benefits of garcinia cambogia the potential side effects.
It is found in many plants and foods. Sletrokor is used to support many weight loss functions including reduced appetite improved fat burning, increased metabolism reduced cortisol which is a stress hormone that can cause emotional eating. Coli in the intestinal tract.
Statins, drugs that lower cholesterol. Garcinia G3000 Pure Forskolin Extract Review Garcinia G3000 Forskolin Side Effect Forskolin 500 Mg For Weight Loss Where To Buy Forskolin 500 The Best Forskolin To Buy try reducing your food intake , just as start off walking continuously, like I said before consuming much healthier foods. Additionally want to do all you can to try to reduce it. This helps rid the body of unwanted substances.
It is best to boost weight loss through various studies disagree on its effectiveness. Some believe that garcinia cambogia can suppress appetite and block fat production. What Is The Best Pure Garcinia Cambogia Fat Burning Workouts With Weights Safe Belly Fat Burning Pills garcinia cambogia brands that work Burn Belly Fat Without Losing Muscle Highest Rated Fat Burners For Men I wish to do is to nibble on foods and beverages with fat- burning search Verified Garcinia Cambogia 95 Dr Oz Forskolin Extract Forskolin At Gnc Stores garcinia. Iron, for anemia.
@ Buy Garcinia Cambogia In Walmart - Fat Burning Diet Recipes Natural Fat Burning Wraps Buy Garcinia Cambogia In Walmart Burn Belly Fat garcinia cambogia dose for weight loss Tummy Fat Burning Food How Long Does It Take To Burn 1 Pound Of Fat Green Tea Fat Burning Supliment. Do you sometimes wonder how stuff works? Jan 11, · Top 6 Natural Fat Burners.
Garcinia Cambogia Effects High Blood Pressure Is the concern regarding High Blood pressure and Garcinia Cambogia Warranted? Optimal Healthe is a natural nutrition that is focused on operating with the utmost commitment to: honesty high standards, integrity superior customer satisfaction. Garcinia cambogia may interact badly with: Asthma allergy medicines such as Accolate Singulair. Marijuana Extract Health Benefits.
Buy Garcinia Cambogia In Walmart Cla Burns Belly Fat Fat Burning Diet Recipes garcinia cambogia. Garcinia Cambogia health benefits includes promoting weight loss suppressing appetite, promoting fat metabolism , reducing depression, aiding cholesterol level, treating gastric ulcers inducing ketosis. It' s been the focus of hundreds of studies related to everything from preventing cognitive disorders like dementia to managing metabolic dysfunction.
Modern research has discovered that acidophilus kills the harmful bacteria strain of E. Where you can find the very best of Natural Health products that New Zealand has to offer. Green tea has been consumed for thousands of years and is still one of the healthiest beverages available to us today. Given the potential risks of taking commercial fat burners including key anti- aging compounds , weight loss products, nutrients to help increase growth of lean muscle tissue , below are healthier natural fat burners to consider .
While research hasn' t definitively concluded that the extract actually caused those health problems, there' s certainly is a link. Most of these findings are from studies of Asian women, who tend to eat more soy throughout their lives ( starting early in life.
There are many brands that claim to be the best now more than ever there are several all- natural weight loss products. But, some research shows that it may cause slightly more weight loss than taking any other supplement.
Marijuana Extract may be one of the most powerful natural substances in the world. Prescriptions for psychiatric conditions. Diabetes medicines including pills insulin. Top 6 Natural Fat Burners.
Top 5 Natural Appetite Suppressants. Warfarin, a blood lated: How to Turn Off Your Weight Gain Hormones. Current studies suggest eating moderate amounts of soy foods is safe for breast cancer survivors [ ]. Dr Lucas after years of research as a botanist , medical practitioner stated in his 1906 handbook that he believed the papaw was the finest natural medicine yet discovered.
Acidophilus Lactobacillus acidophilus is a ' friendly' organism which helps the body fight disease and restore health. The small fruit which resembles a cross between a pumpkin a. Garcinia Cambogia Webmd Reviews Miracle Weight Loss Garcinia Cambogia · Taking apple cider vinegar , garcinia cambogia, Hcg What Is Garcinia Pure Extract best diet while taking garcinia cambogia Garcinia Boost Empire Garcinia Side Effects Another reason one of the most popular causes of belly fat of women if the change of v 06, the extract of a tropical fruit is claimed to aid weight loss. Natural garcinia cambogia health risks.
Garcinia Cambogia 100 Pure 95 Hca Healthiest Fat Burning Supplements Garcinia Cambogia 100 Pure 95 Hca Zenoctil Natural Fat Burner garcinia cambodia capsules that you drink Super Hd Fat Burner Amazon 7 Cheap Foods To Burn Fat On Men Fat Burner With Hcg For Weight Loss Ladies I know you hate that belly fat! Jan 26, · Most Popular posts. Mar 26, · Garcinia cambogia is all over the news. It' s been used for centuries in herbal remedies.
Dec 20, · Clinical data. Natural garcinia cambogia health risks. Garcinia Cambogia is sold as a weight loss supplement.
One way to avoid the digestive side effects is to take Garcinia Cambogia supplements in topical patch form instead. Cambogia extract ( n = 30) or placebo ( n = 13) for 60 days.
First of all the Hydroxycitric acid. Let' s see what is it about. The hydroxycitric acid in the garcinia cambogia increases the level of a hormone called serotonin.
Cambogia Burn Fat Foods Lean Muscle Fat Burning Supplements You can barely first start your TV these days without getting confronted by using a infomercial selling you some kind of ab coffee machine. It isn' t necessary attempt to everything at once, small steps are your step to success. Given the potential risks of taking commercial fat burners nutrients to help increase growth of lean muscle tissue , including key anti- aging compounds , weight loss products, below are healthier natural fat burners to consider boost your energy level naturally.
Green Tea Extract. Cambogia Ephedra Sinica Fat Burner Top Fat Burners For Women Fat Burning Powder Used In Shakes The belly is an area where most obese people would like to lose extra load. When all these benefits are combined, it' s a very powerful all around weight loss supplement. Taking apple cider vinegar garcinia cambogia, the extract of a tropical fruit is claimed to aid weight loss.
Before you start taking Garcinia Cambogia, find out how it works and the possible dangers and side effects that you might be exposed to! If you have browsed the Internet for weight loss supplements, you have probably come across Garcinia Cambogia. Reviews describing Garcinia Cambogia weight loss successes seem just as abundant as those about Garcinia Cambogia not working or even causing negative side- effects.


text:
2015 • The Stinging Fly Press
I'm drawn to explore characters who find themselves apart from others, apart from the world, for whatever reason; characters who aren't coping, who are on an edge of some sort, who find the world a strange and frightening place that can only be negotiated with difficulty. I also allow things to be inflicted upon my characters, perhaps as a means of observing how they react under pressure. I say 'perhaps' because usually it's not a thing that I will set out to do as part of a grand scheme at the beginning, it's just the way the stories tend to unfold.
— Danielle McLaughlin
A woman battles bluebottles as she plots an ill-judged encounter with a stranger; a young husband commutes a treacherous route to his job in the city, fearful for the wife and small daughter he has left behind; a mother struggles to understand her nine-year-old son's obsession with dead birds and the apocalypse. In Danielle McLaughlin's stories, the world is both beautiful and alien. Men and women negotiate their surroundings as a tourist might navigate a distant country: watchfully, with a mixture of wonder and apprehension. Here are characters living lives in translation, ever at the mercy of distortions and misunderstandings, striving to make sense both of the spaces they inhabit and of the people they share them with.
'The Dinosaurs on Other Planets,' published in The New Yorker
'In The Act of Falling,' published in The New Yorker
Irish Examiner: Interview with Danielle McLaughlin
Motley: 'Meet Danielle McLaughlin, Writer-In-Residence at UCC'
Wales Arts Review: An Interview With Danielle McLaughlin
The New Yorker: 'Danielle McLaughlin Talks About "In The Act of Falling"'
The Irish Times: Danielle McLaughlin – 'I Think We Need Different Books At Different Times'
Winner of Merriman Short Story Competition 2013
Winner of Best Short Story Collection, Saboteur Award 2016
Shortlisted for the Sunday Independent Newcomer of the Year, An Post Irish Book Awards 2015
Winner of Windham Campbell Prize 2019
Winner of Sunday Times 2019 Audible Short Story Award
Catherine Taylor, The Guardian
Martin Doyle, The Irish Times
Sophie Gorman, Irish Independent
Marian Ryan, Star Tribune
Todd Van Luling, Chicago Review of Books
John Murray, Dublin Review of Books
Dublin City Council Podcast: Danielle McLaughlin and Roisin O'Donnell Read From their Collections
The Irish Times Books Podcast: Danielle McLaughlin - A Partial List of the Saved
Arts Council of Ireland: What the Hell/Heaven Are We Doing – Danielle McLaughlin
The Sunday Times Audible Short Story Award: Danielle McLaughlin's Favourite Short Story
Film or TV Adaptations
RTÉ Radio Dramatization of Short Story 'The Art of Footbinding'
JSTOR References

redpajama_set_name: RedPajamaCommonCrawl


text:
GOP moving forward with Biden probes
The US House investigations into Biden family "influence peddling" are not political, Rep. James Comer said
Now in control of the House, Republicans are pushing forward with probes into President Joe Biden and his family's business dealings in Ukraine and China, the incoming chair of the House Oversight Committee has said. Big Tech 'censorship' of the Hunter Biden laptop story will also be under the spotlight.
Rep. James Comer told NBC News' 'Meet the Press' on Sunday that the chamber now controlled by Republicans will thoroughly examine the Biden family's "influence peddling" and "shady business dealings" abroad.
"We're not investigating Hunter Biden, we're investigating Joe Biden," the Kentucky lawmaker insisted, adding that Americans "need to know what is allowable and what isn't allowable with respect to foreign adversarial intervention among family members of presidents of the United States."
Comer argued that the only people who see the investigations as partisan are "the media and the hardcore Democrats."
House Judiciary Chairman Jim Jordan will also chair a new Subcommittee on the Weaponization of the Federal Government, which would look at the role government agencies like the DOJ and FBI played in suppressing reporting on the Hunter Biden story.
New US House chief makes pledge on Ukraine aid – media
The New York Post's reporting on Biden junior's mislaid laptop – which revealed information about his business relationships in China and Ukraine – was heavily censored on social media ahead of the 2020 presidential election.
Files released by new Twitter CEO Elon Musk in December appeared to confirm that FBI officials pressured the platform's staff to classify the story as a foreign-influence operation.
In an interview with Fox News Sunday, Jordan promised to investigate "vigorously" and "aggressively" to expose "every single bit of it." The Ohio Republican previously requested information from Big Tech companies on their alleged "collusion with the Biden administration to censor conservatives."
The probe will also look for any evidence of government pressure to quash debate on controversial issues like the response to the Covid-19 pandemic.
READ MORE: Fauci responds to Musk's Twitter-data leak threat
GOP sources told Axios that the new committee will demand copies of White House emails, memos and other communications with Big Tech platforms.
The White House has dismissed the probes as "pointless political stunts," and accused the GOP of failing to work with the administration "to take on the issues Americans care about like tackling inflation."


Wie heeft er al in meer detail gekeken naar Greengrass van AWS? @Richard-Marijs en @christiaanvermeulen, wat is jullie mening?
AWS Greengrass is software that lets you run local compute, messaging & data caching for connected devices in a secure way. AWS Greengrass devices can act locally on the data they generate, while still using the cloud for management, analytics, and durable storage.
@michiel yesterday I met with AWS and we discussed the topic shortly. AWS Greengrass can run amongst others AWS Lambda functions. It provides an option to run some computing off the amazon cloud locally. This is a useful scenario for Gateway devices that want to concentrate traffic and securely deliver this to AWS. It also provides an enabler for edge (fog) computing scenarios in which low latency is required or low bandwidth resource constraints occur. So indeed interesting but not specifically for NB-IOT.


It was, as they say in the classics, a dark and stormy night. My wife gently nudged me, and then after a time, not-so-gently nudged me again. It was 4 a.m., and water was dripping onto our bed. In the dark and cold, I tried to move the bed.


ALEXANDRIA, Va. — A man who had posted angry messages against President Donald Trump and other Republicans on social media opened fire on Republican lawmakers practicing for a charity baseball game on Wednesday, wounding a senior U.S. House member and three other people.
Hodgkinson from the St. Louis suburb of Belleville, Illinois, fired repeatedly at the men playing on a baseball field in suburban Alexandria, Virginia, near Washington. Hodgkinson was wounded in a gunfight with Capitol Hill police who were at the scene, and police said he later died.
Steve Scalise, the No. 3 Republican in the House of Representatives, was shot in the hip. He was tended to by fellow lawmakers including Representative Brad Wenstrup, who is a physician, before being transported to a hospital, where he was listed in critical condition.
Wednesday's shooting revived debate about gun rights in America. Virginia's Democratic governor, Terry McAuliffe, urged gun control measures. "This is not what today is about, but there are too many guns on the street," McAuliffe said at a news conference near the scene of the shooting.
"We've got to get back to … where things aren't so personal and we're so judgmental of each other. It's got to stop. A member of the U.S. Congress got shot because they didn't like (his) political views," Ryan said.
At the Pork Barrel BBQ in Alexandria, a staff member remembered Hodgkinson as an ordinary man in khakis and a polo shirt with a Midwestern twang who started coming in for beers about a month ago.
Trump announced the gunman's death and called Scalise, a 51-year-old Louisiana congressman, a good friend. "He's a patriot and he's a fighter. He will recover from this assault," Trump said.
The president also called for unity. "We are strongest when we are unified and when we work together for the common good," he said.
Duncan said that as he left the field, the man who would later open fire approached him in the parking lot. "He asked me who was practicing this morning, Republicans or Democrats, and I said: 'That's the Republicans practicing,'" Duncan told reporters. DeSantis gave a similar account.
Wednesday's attack was the first shooting of a member of Congress since January 2011, when Democratic Representative Gabby Giffords was seriously wounded in an assassination attempt at a gathering of constituents in Tucson, Arizona. Six people were killed.


If you haven't gotten started yet - don't fret - it's not too late! Grab a piece of paper and start jotting down a list - what do you want Christmas to look like for your family this year? What do you need to do to make that happen? How can you break it down over the next 8 weeks to make it doable? Progress today = accomplishment for tomorrow...jump in & get started! Christmas is coming, ready or not!
check wrapping supplies - what needs restocking?
So what do you say - are you ready to get started this week? or have you already? Let me know - I'd love to hear how your Christmas plan is coming!


Vision Statement: Tyendinaga, as part of the Mohawk Nation, is a healthy, sustainable Kanyen'kehà:ka community, built on and united by our language, culture, traditions, knowledge, and history. We exercise our rights and responsibilities for the protection of and respect for our people, our land, our resources, and the environment.
The Mohawks of the Bay of Quinte (MBQ) are proud of our heritage, history, and culture. MBQ is part of the Mohawk Nation within the Six Nations Iroquois Confederacy.
We are one of the Six Nation communities politically associated with the Iroquois Caucus and a member First Nation of the Association of Iroquois and Allied Indians (AIAI).
Our current membership as of February 1st, 2017, is 9,714, of which 2,178 members live on the Territory. As of 2007, we have the ninth largest membership of all First Nations in Canada, and are the third largest in Ontario.
We welcome you to explore our website to learn more about our community and culture, the programs and services provided by the MBQ Administration, and the political leadership of Tyendinaga Mohawk Council.
There are currently no surveys.
Tyendinaga Mohawk Territory is located along the shores of the beautiful Bay of Quinte. We are approximately 200km east of Toronto, 65km west of Kingston, and 250km southwest of Ottawa. You can reach us from two exits off Highway 401.


Gambling online is quite popular, and slots is all time favourite. Slots is easy to pick up and it's a game which is both fun and finishes really quick and you can play many slot games in an hour. In many casinos and online too there are free spins that is given to allow the players who are new to experience the slots game and get hooked. There is a time period for those free spins as per terms and conditions and if you want to continue to play you will have to give into the initial deposit and play as you want for the number of games. So next time you are online why not take a peek.
Slots is purely a game of chance and the stakes are quite low, hence the wins won't be as much as the high wager games. But if try and rake upon certain tips you could really make some bucks in this game. It has to kept in mind that you can't manipulate the slots machine and online too there the random number generator which cannot be rigged. Though its one of the simplest games on the block, it isn't easy to win as the combinations can come in any permutation and combination which cannot memorise. It is neither a game of superstitions where in you could just perform a ritual or talisman for good luck. Now go to the best slots adventure on strictlyslots.eu.
Learning to make a manage your bankroll. This necessary before you begin play, the amount you are ready to set aside to play slots, when playing in casinos especially gambling you will never know how fast money can vanish and spent within a few games. So, spending carefully. Keeping the money in change is a good way of spending less each time and making the bank roll last for a longer time in a land-based casino. But online you will be careful and allocate the money for the game and not go overboard.
The betting range of the slots machine has to be judged prehand with the bankroll you have in your pocket for the slots and then make the decision.
Paylines are not for only winning spins or knowing the calculation of the amount you may end up winning. If It also gives you an idea of much the slot machine is going to cost you when you play, this is common for both online and land-based casinos. If you are able to bet a maximum on all the available paylines, there is hope of winning big. Here you would have to keep in mind the amount you are paying in each slot games and the amount you put in each bet. The online slots are offering identical pay-outs with whatever some you bet on.
The biggest wins are those who bet the maximum in slots.


South Tama senior, Taylor Hrabak, qualified for the 2018 State Swimming and Diving Meet in the 400 Yard Freestyle Relay with her team from Marshalltown High School. Hrabak has been a swimmer on the Marshalltown Bobcats team throughout her high school career.
Hrabak along with teammates Cori Jorgenson, Shakira Hererra and Klaudia Hernandez qualified for State at the Regional meet on Saturday, Oct.27 in Grinnell.
The State Swimming Meet will be held November 2-3 at the Marshalltown YMCA.
Taylor Hrabak at the start of the 400 Yard Freestyle Relay.


Hiking to the Rock House at Hocking Hills State Park, these pumpkin colored mushrooms were a delightful surprise!
The Rock House interior is massive! It's easy to imagine how the Native Americans lived that inhabited this area in the 1800's.
Thanks for coming along on my hiking adventure! Hocking Hills is one of Ohio's premier outdoor playgrounds and shouldn't be missed!
I have been to the Rock House in Hockinh Hills. The water falls at Old Man's Cave and the Cantwell Cliffs. The whole Hocking Hills are is so gorgeous in the autumn, especially.
I just looked at older couple of your posts, Sherry. I have been to see the beautiful sights in that area, including the quirky Yellow Springs. I have also viewed Glen Helen Park, the John Bryant park and Clifton Gorge. We have a great state, Sherry. I hope you enjoyed warm climate over holidays.
While up in Cleveland, my brother grilled steak out for my Mom and me. 🙂 Today was warm but a little gloomy and drizzly.
Hi Robin – Yes…Ohio is wonderful and most people that haven't been here aren't aware of its beauty! Glad you enjoyed a nice dinner with family! Sending peace!
What an amazing place! Love the pics … looks like you girls had a great time!
A beautiful place and your photos are amazing! Thanks for sharing with us.


She's a little beauty. This 5 seater, automatic is easy to drive and park. Great to get around, pick up and drop off. AND if you love automatic car washes then this is the car for you, as I have a membership at Crystal Car wash on for unlimited drive through 4 minute automatic washes (what a dream!).


Today, we would like to introduce you to our Military Spouse of the Day, Kasey Ochipinti. Kasey is a Navy spouse, currently stationed in Virginia. Her best experience in the military has been knowing that she is capable of anything. "I can sell a house, knock down a wasp's nest using a tension rod and not get stung, pack up or unpack a home in a workweek, be a top-notch landscaper or load a military flat-rate box like a seasoned mailman," Kasey says. She has worn many hats over the past 17 years.
Kasey says her biggest obstacle she has faced in the special needs world in the military has been time management. It's a huge barrier for all of us. She says, "How can we juggle hours of therapy sessions, doctor appointments, two school aged children, two different schools, a toddler, a diabetic cat and still have family fun outings???" But somehow, Kasey and her family make it work. "Somedays we make it to all the appointments and session and there is extra time for a movie or a trip to the zoo, but 99% of the time I look like a hot mess, Kasey says. There is always give and take, and we understand that some things have to give. "If we ever run into each other, there's a solid chance I'm wearing the same jeans I wore four days in a row. (Laundry is another area we are borrowing time from) The lesson is – we all have to learn that the not-as-important stuff can wait.
Kasey destresses by going to the gym. She says that she by no means a great runner, but she absolutely loves running on the Arc machine. All she needs is loud music, charged headphones, and an hour to do her thing.
The Military Special Needs Network honors and salutes Kasey Ochipinti, our Military Spouse of the Day. We thank you for being such a wonderful military spouse and an amazing advocate.
This entry was posted on May 30, 2017 by militaryspecialneedsnetwork in All.


Reed's Do it Best Hardware & Gift Shop is Bluffton's best local hardware store, offering a great selection of lawn & garden supplies, paint, and farm & pet supplies.
Reed's also offers rental equipment in Bluffton, including large construction equipment, lawn & garden equipment, hand tools, power tools, concrete equipment, and more. Our rental department has everything you need to complete major jobs.
Our gift shop includes home décor gifts like essential oils, Willow Tree figurines, Yankee Candles, bereavement gifts, and toys.
Reed's Do it Best serves all of Bluffton and Wells County, including the surrounding areas of Warren, Berne, Decatur, Markle, Ossian, and more just south of Fort Wayne.
Reed's Do it Best Rental Center in Bluffton has the equipment and tools to help you complete just about any project, large or small. Offering the best selection of John Deere equipment in Wells County, we have everything from excavators, skid steers, and tractors to trailers, power tools, concrete equipment, and much more.
We set ourselves apart as Bluffton's best hardware store by offering a variety of services. Our friendly and experienced staff can help you fix what's broken, get a new set of keys and color match your paint, along with a variety of other common household needs.
Reed's Do it Best is Bluffton's authorized Yeti dealer! Reed's sells all kinds of Yeti products: Yeti coolers, Yeti tumblers, and tons of Yeti accessories. We're simply the best place to find Yeti products in Wells County.
Reed's Do it Best Hardware really does have something for everyone. Reed's Gift shop features a huge variety of home décor, holiday gifts, kids' toys, and even essential oils! With a fresh gifts and inventory added regularly, there's always something new and unique to check out at Reed's gift shop.


All the legendary Disney favourites in one place. From the classics like Mickey Mouse to the newer Blockbusters like Finding Dory, there is definitely something for your little one here with our great range of new products.
- 6 Assorted activities including: scratch art, stamp art, glitter art, foil art, colour art and stencil art.
- Disney surprise activity pack.
- Filled with goodies for kids.
- Perfect for keeping the little ones busy.
Dory the friendly, but forgetful blue tang fish is the perfect companion for any adventure. From the new Disney Pixar Movie "Finding Dory", where Lovable Dory searches for her parents in the long-awaited sequel to Pixar's Oscar-winning animation 'Finding Nemo'.


text:
// Copyright 2010, Shuo Chen.  All rights reserved.
// http://code.google.com/p/muduo/
//
// Use of this source code is governed by a BSD-style license
// that can be found in the License file.

// Author: Shuo Chen (chenshuo at chenshuo dot com)
//
// This is an internal header file, you should not include this.

#ifndef MUDUO_NET_TIMERQUEUE_H
#define MUDUO_NET_TIMERQUEUE_H

#include <set>
#include <vector>

#include <boost/noncopyable.hpp>

#include <muduo/base/Mutex.h>
#include <muduo/base/Timestamp.h>
#include <muduo/net/Callbacks.h>
#include <muduo/net/Channel.h>

namespace muduo
{
namespace net
{

class EventLoop;
class Timer;
class TimerId;

///
/// A best efforts timer queue.
/// No guarantee that the callback will be on time.
///
class TimerQueue : boost::noncopyable
{
 public:
  TimerQueue(EventLoop* loop);
  ~TimerQueue();

  ///
  /// Schedules the callback to be run at given time,
  /// repeats if @c interval > 0.0.
  ///
  /// Must be thread safe. Usually be called from other threads.
  TimerId addTimer(const TimerCallback& cb,
                   Timestamp when,
                   double interval);
#ifdef __GXX_EXPERIMENTAL_CXX0X__
  TimerId addTimer(TimerCallback&& cb,
                   Timestamp when,
                   double interval);
#endif

  void cancel(TimerId timerId);

 private:

  // FIXME: use unique_ptr<Timer> instead of raw pointers.
  typedef std::pair<Timestamp, Timer*> Entry; // 对应一个定时任务
  typedef std::set<Entry> TimerList; // 定时任务的集合,采用set自动排序
  typedef std::pair<Timer*, int64_t> ActiveTimer;
  typedef std::set<ActiveTimer> ActiveTimerSet;

  void addTimerInLoop(Timer* timer);
  void cancelInLoop(TimerId timerId);
  // called when timerfd alarms
  void handleRead();
  // move out all expired timers
  std::vector<Entry> getExpired(Timestamp now);
  void reset(const std::vector<Entry>& expired, Timestamp now);

  bool insert(Timer* timer);

  EventLoop* loop_; // 持有这个TimerQueue的EventLoop
  const int timerfd_; // 内部的timerfd
  Channel timerfdChannel_; // timerfd对应的Channel
  // Timer list sorted by expiration
  TimerList timers_; // 所有的定时任务

  // for cancel()
  ActiveTimerSet activeTimers_;
  bool callingExpiredTimers_; /* atomic */
  ActiveTimerSet cancelingTimers_;
};

}
}
#endif  // MUDUO_NET_TIMERQUEUE_H

redpajama_set_name: RedPajamaGithub


text:
Bia & James
Engagement | London, UK
London Engagement Photography | Bia & James
Sometimes you meet a couple and you just hit it off. Immediately. Effortlessly. And for no particular reason. Or at least not one that you can put your finger on. Bia and James are that sort of couple.
At the start of their engagement shoot in London, we met up at their favourite place, just north of the city; Alexandra Palace, or Ally Pally, as it's known. For the next six hours, we pissed ourselves with laughter as we made our way from the outskirts of the city into the heart of London, all the while talking the most ridiculous bollocks and telling the most inappropriate jokes that three people who have only just met each other for the first time have ever told!
After leaving Ally Pally, James swore that our romantic engagement session would be made better by looking for a family of street rats that he often talks to on the way to his local tube station. He fucking loves street rats. No-one really knows why. Either way, Bia and I out-voted him and we moved on.
After watching me size up different scenes for interesting angles, nice light, cool reflections, etc., etc., Bia joked that I might want to snap a picture of them in front of some overflowing bins that we were walking past. "Challenge accepted", I said. That one's pic number 12 in this post!
If they were just a helluva lot of fun to hang out with, that'd be enough. But Bia and James were also an absolute pleasure to shoot. They're both complete naturals in front of the camera and have got the patience that's often required to get exactly the shot that you're going for. At the Tube station on our way into town, we missed at least three trains as they stood on the stairs between two escalators while I laid on the ground and waited for the rest of London to give us the place to ourselves for a few seconds. Thankfully, their patience paid off when the place completely cleared out and left the two of them sharing a smooch in the middle of an otherwise empty Tube station a few minutes later. "Good things come…" and all that.
We finished the shoot off at some of London's most iconic locations; Leicester Square, Piccadilly Circus and Millennium Bridge with St. Paul's as a backdrop. Never before have I had so much fun at so many London landmarks.
Bia and James, this shoot was a right laugh and you guys are a couple of absolute legends. Thank you!


text:
EN Edition
Michael Collins, 'forgotten astronaut' of Apollo 11 moon landing mission, dies at 90 — rest in peace
Newsner » News » Michael Collins, 'forgotten astronaut' of Apollo 11 moon landing mission, dies at 90 — rest in peace
The Apollo 11 mission, the first manned spaceflight to the moon, is one of the pivotal moments of modern American history. Nearly everyone knows the names of the first men on the moon: Neil Armstrong and his "one small step for man," followed by Buzz Aldrin.
But far fewer people can remember the name of the third astronaut on the mission: Michael Collins, who flew the command module and remained in orbit while his crewmates made the landing.
Public Domain/Wikimedia Commons
Collins passed away today at the age of 90, following a battle with cancer. But while he was often described as the "forgotten astronaut" of Apollo 11, he is remembered for his crucial role in the historic mission.
Collins was born October 31, 1930 in Rome. He graduated from the United States Military Academy in 1952, and subsequently joined the US Air Force.
In 1962, he was one of the 14 astronauts selected to NASA Astronaut Group 3. His first trip to space was as part of the Gemini 10 mission, which made Collins one of the first people to perform a spacewalk.
But it was Collins' second and final NASA space flight that would define his legacy, as module commander of the Apollo 11 mission.
Collins was one of the three astronauts on the flight, but as Armstrong and Aldrin took off in the lander to become the first men on the moon, Collins remained alone in orbit, 60 miles above them.
"Not since Adam has any human known such solitude as Mike Collins," the mission log said.
But Collins was hard at work. He kept a book of contingency plans, prepared for anything that could go wrong on the mission. He later said his biggest fear was that his fellow astronauts would not survive, and he'd have to return home the lone survivor, according to the Washington Post.
But the mission, of course, was a success, and the three astronauts returned home as heroes. They received the Presidential Medal of Freedom in 1969.
To the general public, Collins never achieved the same name recognition or hero status as his crewmates, and because he was the only member of Apollo 11 to not step foot on the moon, he became known as "the forgotten astronaut" and "the loneliest man in history."
But space experts remember him as an essential member of the mission.
"It's a shame that when people are asked, 'Can you name the Apollo 11 crew.' Mike Collins is normally the name that doesn't come to mind," Francis French of the San Diego Air and Space Museum told NPR. "Because in many ways he was the keystone of the mission."
"He was the one who really knew how to fly the spacecraft solo… and the only one who could get all three of them home."
Collins retired from NASA in 1970, and became the Assistant Secretary of State for Public Affairs. He then became the director of the National Air and Space Museum, and then the undersecretary of the Smithsonian Institution.
Throughout his career, Collins remained a passionate ambassador of space exploration, deeply moved by his own firsthand view of the Earth from space.
"I really believe that if the political leaders of the world could see their planet from a distance of 100,000 miles, their outlook could be fundamentally changed. That all-important border would be invisible, that noisy argument silenced," he said, according to Reuters.
I am certain, if everyone could see the Earth floating just outside their windows, every day would be #EarthDay.
There are few things more fragile or more beautiful than Earth, let's work together today and everyday to protect our home. pic.twitter.com/XJO3RSJczw
— Michael Collins (@AstroMCollins) April 22, 2021
Collins died on April 28, following a battle with cancer. He was 90.
"He spent his final days peacefully, with his family by his side," a statement from his family reads. "Mike always faced the challenges of life with grace and humility, and faced this, his final challenge, in the same way."
"Please join us in fondly remembering his sharp wit, his quiet sense of purpose, and his wise perspective, gained both from looking back at Earth from the vantage of space and gazing across calm waters from the deck of his fishing boat."
Family Statement on Passing of Astronaut Michael Collins pic.twitter.com/6OAw7CzFaz
NASA also released an official statement, praising Collins as "a true pioneer and lifelong advocate for exploration."
"NASA mourns the loss of this accomplished pilot and astronaut, a friend of all who seek to push the envelope of human potential. Whether his work was behind the scenes or on full view, his legacy will always be as one of the leaders who took America's first steps into the cosmos. And his spirit will go with us as we venture toward farther horizons."
Rest in peace, Michael Collins. You will always be remembered for your crucial role in the Apollo 11 flight.
Share this story to spread the word about this often-forgotten space hero.
Caitlyn Jenner appeared with no makeup for the first time and fans thought she looked great
Inside the life of 'Catwoman' Jocelyn Wildenstein, the Billionaire socialite
Vigilante justice: Meet the "Revenge mom" who shot her child's murder in the middle of his trail
Diver saves humpback whale's life – but it's the way the whale thanks him that's fascinating millions
Richard Gere's wife Alejandra shares details on their private life, confirms what we knew all along
'Duck Dynasty' Star Si Robertson shares update after lung surgery
Priscilla Presley reportedly fighting to keep Lisa Marie's ex-husband out of her estate
Family loses 2 children after negligent driver ran red light – they need all our prayers
Mother found dead at Ohio amusement park after riding rollercoaster with son
'Sopranos' star John Ventimiglia's daughter Odele found dead at 25
Fact Checking and Ethics


text:
The Bible and the Ballot: Evangelicals weigh in on the two main presidential candidates
Imogené Wofford, Entertainment Editor
This election year we have two clowns running the most important race that can be ran – the race to be the president of the United States. These two candidates are raising moral, controversial questions that have people of faith concerned with who they should vote for.
"The evangelicals that have talked to me tell me that they are confused," Joe Schmidt, director of the Baptist Student Ministry, said. "I think the majority of the evangelicals are probably supporting Trump because evangelicals have traditionally been anti-abortion and they're not pro same-sex marriage, and the Democratic platform is clearly both of those.
"Those are two hot button topics for most evangelicals; and so most evangelicals, I think, are leaning more towards Trump," Schmidt continued. "But, I also know that there are many evangelicals that are not going to vote for Trump because they see him as being unchristlike in his words and actions. He seems very anti-women and not very sympathetic towards immigrants—it's not that they're anti-immigrant, but they're anti-illegal immigration and that targets worry sometimes.
"But, there are a lot of evangelicals that feel that we're supposed to reach out to the world [and do good] and that would include immigrants, so there's not a consensus; I don't think among evangelicals about that issue," Schmidt said. "It seems like there's not a strong consensus among evangelicals about either of the two main candidates because they both have things that most evangelicals are against."
It's a battle of choosing the worse of the two evils with Democratic Nominee Hillary Clinton and her email drama, or Republican Nominee Donald Trump with his objectifying women hullabaloo.
"I've heard more talk among evangelicals about voting third party than I've ever heard before; so that's why I say confusion would be the one word description of where evangelicals are at in this election," he said.
Evangelicals are those who believe that people need to have a personal relationship with Jesus Christ, and that Jesus is supposed to be the one in control of their life, and that this is worked out through a personal relationship and a daily walk, or action, with God.
"Probably, the biggest reason I think evangelicals will end up leaning towards Trump is looking at the Supreme Court nominees that are likely to happen in the next four years; and realizing that the democratic platform is for revisionist judges on the Supreme Court, or activist judges who believe that it's okay for the courts to legislate and enact things by judicial decrees, as opposed to strict constitutionalist judges. I think that one issue, more than anything else, will cause the evangelicals—who do vote for Trump—to vote for Trump," he said.
Christians that don't identify themselves as evangelical are more sacramental. They believe that salvation is found through membership at the church and observing the sacraments. They place most of their emphasis on living a God honoring life, showing people God's love through their actions, and hoping that through that people see that the need to be a member of the church.
"As a pastor and a person of faith, I believe that everyone is created in the image of God, that everyone is a sacred child of God, and that God created Adam and Eve to be equal partners; so women are just as important as males, there's no discrimination—according to how I understand—the word of God. Everyone should be treated as equal creations of God because we're all his children; so any language or actions that degrade someone based on gender or any classification, I think is totally against the will of God," Rev. Brian Dierolf, associate pastor at First United Methodist Church-Commerce and campus minister at the Wesleyan, said.
Rev. Dierolf cannot advocate who to vote for, or who not to vote for.
"As a campus pastor, I strongly encourage students to vote and I strongly encourage them to have their faith and beliefs to influence who the vote for," he said. "I don't label myself as an evangelical. There are some United Methodists who would, but I don't think I fit that category. I'm evangelistic but evangelical usually means more conservative theologically, and I'm very progressive theologically.
"I think it is our responsibility as citizens to have an informed vote and to educate ourselves as to where all the candidates, not just the two major part candidates, fall on issues that are important to us, especially issues that relate to our faith," Dierolf said. "I would encourage all people of faith, not just Christians, to study their own faith tradition and their core values, and find a candidate who best represents those—not just what a candidate may say, but the history of the candidates and how they have stood for things in the past, and what they're saying are their hopes for the future.
"It's important to be educated on the Libertarian and the Green party as well, whereas most of the media attention is on the Republican and Democratic party; there are other options," Dierolf continued. "If faith is really important to you when voting for candidates, [you] should really research the different candidates and how much they do that in their own lives, and how it's lived out," Rev. Dierolf said.
"I think both of the candidates are really crappy, it's just a matter of praying for whoever gets in office," Kerry Wilson, student and opinion editor for The East Texan said, because whoever does get in office will need prayer to lead this country and to interact with other countries for the benefit of our country.
"They aren't the best candidates but we have to work with what we have," Wilson said. "Also, there are two other candidates that I just recently found out about, and I don't know anything about them; so I feel like I need to do my research on them, and find out what their values, morals and beliefs are.
"I don't like certain things that Hillary has done, and I definitely don't like the things Donald Trump has done; so I'm not going to say one is worse than the other, they're both crappy and they both suck."
Wilson concluded with, "We just have to pray because God is ultimately in control, we can say someone is over us and running us, but God is ultimately in control of everything."


text:
Case Report: Do Hepatic Artery Infusion Pumps Cause Recurrent Pleural Effusions?
Emily Harris
Harris E, Castillon G. Case Report: Do Hepatic Artery Infusion Pumps Cause Recurrent Pleural Effusions?. March 2020. doi:10.25373/ctsnet.11977470
Introduction/Background
Hepatic artery infusion pump chemotherapy (HAIPC) for colorectal liver metastasis (CRLM) is a relatively new technique. Its side effects are not well studied, owing to its novelty. The purpose of this paper is to further understand the side effect profile of HAIPC as it relates to recurrent pleural effusions in this patient population. This case report describes a 48-year-old man with CRLM being treated with HAIPC, who presented with recurrent pleural effusions found to be benign/transudative after right video-assisted thoracoscopic surgery. This case suggests that HAIPC may cause recurrent pleural effusions as a side effect. Furthermore, the authors hypothesize that perihepatic inflammation causing a sympathetic pleural effusion could be a sign of hepatic toxicity from HAIPC, ranging from hepatitis to primary biliary sclerosis. Lastly, the authors aim to guide the differential diagnosis of pleural effusions in the cancer patient being treated with HAIPC.
In suspected patients with colorectal cancer, the liver is the most common site of metastasis, with 15% of patients presenting with metastatic disease at the time of diagnosis and up to 60% of patients developing liver metastases during the course of their disease (1-3). In colorectal cancer patients with liver only or liver dominant metastatic disease who have progressed on first line chemotherapy, HAIPC combined with systemic agents is a viable therapeutic option wherein the HAIPC demonstrates an improved liver tumor response rate compared to systemic therapy alone (43% vs 18%) (2). This success is owed to the fact that CRLM receive their blood supply predominantly through the hepatic artery, and therefore this technique provides high intratumoral chemotherapy concentrations (3). In this case report, the authors hypothesize that the local toxicity and inflammatory effects of the HAIPC could manifest as a subclinical hepatitis and stimulate a sympathetic pleural effusion.
A 48-year-old man with a history of metastatic rectal cancer to the liver status post folfox and bevacizumab, proctosigmoidectomy, coloanal anastomosis, loop ileostomy, hepatectomy segment VI, hepatic ablation of segments V and IVb, and hepatic artery infusion pump placement with FUDR. Seven months after pump placement, thoracic surgery was consulted regarding a recurrent right pleural effusion (Image 1).
Image 1: CT Chest
IMPRESSION: Moderate to large right-sided pleural effusion.
The only symptom the patient endorsed was right-sided subscapular pain which had been present for four months. This pain was temporally related to use of his infusion pump; the pain improved with the chemotherapy infusion but worsened with heparinized saline infusion. The patient's last dose of HAIPC with FUDR was performed one month prior to the consultation.
mg/dl
g/dl pH Lipase
Unit/L LDH
Unit/L Amylase
Units/L Albumin
g/dL Glucose
mg/dL Culture
w/ gram
Bacili
w/ smear
preop 42 4.9 7.40 10 127 15 3.1 119 Negative Negative
preop 51 4.6 7.61 100 2.7 97 Negative Negative Negative
Prior to surgery 55 4.5 116 111 Negative,
rare wbc Negative Negative
Table 1. Transudative Pathology
The patient notably had undergone two right thoracenteses demonstrating transudative fluid characteristics (Table 1). The patient had multiple interrogations of his hepatic artery infusion pump, including a nuclear medicine hepatic pump with SPECT/CT (Image 2) and an IR venogram (Image 3), demonstrating adequate position and functioning of the hepatic artery infusion pump with appropriate perfusion of the liver and no evidence of extrahepatic radiotracer. The patient's labs preoperatively were all within normal limits, including normal biliary labs with AST/ALT 23/15, AP 55, and total bilirubin .3.
Image 2. IR Procedure: NUC MED HEPATIC PUMP with SPECT/CT
IMPRESSION: Appropriate perfusion of the liver after injection of radiotracer into the hepatic arterial infusion pump. No evidence of extrahepatic radiotracer collection identified.
Image 3. Procedure - IR venogram PROCEDURE: Hepatic Arterial Infusion Pump Evaluation, MAA Infusion
An angiogram was performed via the pump showing opacification of both right and left hepatic arteries. The MAA was infused. The pump was flushed with heparinized saline. The needle was removed.
The patient underwent a right VATS pleural biopsy, pleural fluid cytologic analysis, and PleurX catheter placement. At operation, approximately 600 cc of amber clear pleural fluid was present, there was no evidence of pleural implants, and several tan-looking areas were noted on the parietal pleura which were biopsied. Frozen pathology was negative for malignancy, and final pathology demonstrated reactive mesothelial cells with chronic and minimal acute inflammation (Pathology 1). The postoperative pleural fluid analysis was consistent with transudative pathology (Table 1).
Path 1- Surgical Pathology
Right parietal pleural biopsy, irregular tan pink soft tissue, 1.2 1.1 x .3 cm, reactive mesothelial cells, histiocytes, lymphocytes.
Right parietal pleural biopsy, 1.9 x 1.5 x .5 cm, reactive mesothelial cells, histiocytes, lymphoid aggregares, hemosiderin pigment and organization.
Negative for malignancy.
Path 2 - AP Cytology
R pleural fluid, 1500 cc amber fluid, benign mesothelial cells and histiocytes, negative for malignancy,
Right Pleural Fluid 400 cc bloody fluid, benign mesothelial cells, histiocytes, lymphocytes, negative for malignancy, negative for CDX2.
In this case report of an asymptomatic right-sided pleural effusion in a 48-year-old man with a history of CRLM being treated with HAIPC, the authors surmise that the hepatic artery infusion pump caused the pleural effusion.
There is a significant complication rate associated with HAIPC, including technical or chemotherapy-related adverse events. In regard to HAIPC-related adverse events, the most common toxicities are diarrhea, neutropenia, and neurotoxicity (2), and other local toxicities are related to hepatobiliary and upper gastrointestinal tract effects (gastritis/duodenitis/PUD) (3). Documented hepatic arterial infusion pump catheter complications occur in approximately 22% and include: arterial thrombosis (6%), catheter occlusion or dislodgement (6%), extrahepatic perfusion or incomplete perfusion (3%), pump site infection or hematoma (3%), and biliary sclerosis (5%) (2, 3).
There is no documentation in the literature involving the association of chronic pleural effusion with HAIPC therapy in patients with metastatic CRC. This paper serves to document this association, as the patient developed the transudative right pleural effusion after having his HAI pump placed and chemotherapy began, and pleural biopsy demonstrated markedly reactive mesothelial cells with chronic and minimal acute inflammation. Of note, this was a diagnosis of exclusion.
The physiology believed to cause the right-sided pleural effusion in this context is sympathetic hepatic inflammation due to local regional chemotherapy. This is supported by the fact that chemically induced hepatitis is common with HAI-FUDR ranging from 30-70% and manifests as serum biochemical abnormalities (3). Although the patient did have normal biliary labs around the time of his surgery, a subclinical hepatitis cannot be excluded, as the liver tissue receiving the toxic therapy likely has minimal function to manifest a hepatitis in the laboratory evaluation. This is reinforced by the fact that normal LFTs do not always mean that the liver is normal, as LFTs can be normal in patients with chronic liver disease, as evidenced by at least 1/3 of patients with chronic hepatitis having persistently normal serum ALT levels despite the presence of inflammation on liver biopsy (4).
In the context of this case report, there is a question of insufficiency of the liver parenchyma owing to tumor burden in the liver as well as tumor necrosis; this would mask an inflammatory response of elevations in LFTs. This local regional toxicity of the diseased liver, which spares the healthy liver remnant, is reinforced by the high hepatic uptake of the chemotherapy administered via the hepatic artery, in which systemic toxicity is minimal (1, 2); this is owed to the fact that liver metastases are perfused almost exclusively by the hepatic artery and normal liver tissue receives its blood supply from mainly portal circulation (1). Furthermore, chemotherapeutic agents used in HAIPC such as FUDR, as in this patient, has a high first pass extraction and short plasma life, therefore systemic toxicity is very low (3).
Interestingly, the most limiting hepatic toxicity related to HAIPC is biliary sclerosis (6), which manifests by elevations in serum alkaline phosphatase, AST/ALT, and bilirubin (2, 5), and occurs in approximately 1-26% of patients (3). One phase II study of adjuvant HAI and oxaliplatin-based systemic therapy with or without bevacizumab was associated with increased biliary toxicity (2). Another study of 475 patients who received HAIPC from 1991-2008 noted a 5.5% incidence of biliary sclerosis. More recently it has been reported that the use of systemic bevacizumab in conjunction with HAI –FUDR significantly increases the risk of biliary sclerosis (3).
One question concerns whether the subclinical hepatitis in this case report is a marker of impending biliary cirrhosis (PBC). PBC is a chronic inflammatory cholestatic disease resulting from genetic and environmental triggers that results in sclerosis of small intrahepatic ducts causing elevations in A, AST, and ALT that are in proportion to the severity of the disease (5). However, in stage 1 PBC there is minimal portal inflammation without florid bile duct lesions (5), therefore it could be argued that in early stages of PBC, there may not be biochemical markers to suggest its presence. Although the patient had normal levels of serum AP, AST/ALT, and bilirubin, he did demonstrate evidence of hepatic inflammation as evidenced by his sympathetic right pleural effusion, suggesting that the patient could be in the early stages of primary biliary sclerosis and may warrant a liver biopsy for definitive diagnosis.
Furthermore, differentiating between a benign and malignant pleural effusion in a cancer patient is essential in a patient with CRLMS being treated with a HAIPC. This is owed to the fact that HAIPC chemotherapy is not recommended in the setting of extrahepatic disease outside of the context of a clinical trial (1). This paper sheds light on being aware of this potential side effect of HAIPC's in this patient population and not perceiving it as progression of their malignancy.
Recurrent pleural effusions in a patient with HAIPC for CRLM can be a side effect of the regionally directed HAIPC (rather than progression of the malignancy) and may warrant a PleurX catheter placement if the patient is to have continued HAIPC infusions. Subclinical hepatitis, as evidenced by sympathetic pleural effusions, should alert the clinician to the possible development of primary biliary sclerosis in this patient population and may warrant a liver biopsy for diagnosis.
Karanicolas PJ, Metrakos P, Chan K, Asmis T, Chen E, Kingham TP, et al. Hepatic arterial infusion pump chemotherapy in the management of colorectal liver metastases: expert consensus statement. Curr Oncol. 2014;21(1):e129-136.
Ko YJ, Karanicolas PJ. Hepatic arterial infusion pump chemotherapy for colorectal liver metastases: an old technology in a new era. Curr Oncol. 2014;21(1):e116-121.
Doussot A, Kemeny NE, D'Angelica MI. Hepatic arterial infusional chemotherapy in the management of colorectal cancer liver metastases. Hepat Oncol. 2015;2(3):275-290.
Johnston DE. Special considerations in interpreting liver function tests. Am Fam Physician. 1999;59(8):2223-2230.
Lindor KD, Gershwin ME, Poupon R, Kaplan M, Bergasa NV, Heathcote EJ, et al. Primary biliary cirrhosis. Hepatology. 2009;50(1):291-308.
Ito K, Ito H, Kemeny NE, Gonen M, Allen PJ, Paty PB, et al. Biliary sclerosis after hepatic arterial infusion pump chemotherapy for patients with colorectal cancer liver metastasis: incidence, clinical features, and risk factors. Ann Surg Oncol. 2012;19(5):1609-1617.
The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
You need to be logged in to vote
VATS
Benign disease


text:
Hypnum setschwanicum är en bladmossart som beskrevs av Hisatsugu Ando 1973. Hypnum setschwanicum ingår i släktet flätmossor, och familjen Hypnaceae. Inga underarter finns listade i Catalogue of Life.

Källor

Flätmossor
setschwanicum

redpajama_set_name: RedPajamaWikipedia


text:
Great Expectation
" Mirror O Mirror,
Look at me and tell my future.
What is it that I have to be,
or to be or not to be."
Strangely, its this particular question that boggs me a lot. To be or not to be. I don't know what it means nor do I know if it means any thing. Do I have to be something or nothing?
Since everyone's childhood society keeps checking on your progress. They look at your each move and warns you of so called DANGER. They tell you what to do and what not to do. Do you know why? Because since the begining of the human race, individualism has been nothing but a danger to the society. History justifies that. Know why? Donno myself but it seems its the nature of the society and nothing else.
Society needs balance in their thoughts. It needs to feel secure of it-self cause human race needs to exist and survive the time. It needs to exist forever. Isn't that the whole reason for our growth? We need to exist. But what if one individual rises to question the whole existance? Well its a threat to the human race. Cause that will make human race insecure, that is why society checks people to see that they don't digress from the rudimentry thought be it wrong or right.
When you are young and just learning to walk the path and feeling free to think on your own, society confuses your mind by asking you one very particular question. "So..., what do you want to be in your future?" Looks like a plain and mundane question. But No. Its this particular question that suddenly breaks the freedom in your thought process and forces you to think about your future. "Hmm, what do I want to be?"
You start to look everywhere to see what is it that you want to be. Some are forced, some simply fall under the trap, some stay confused and some stay strong and fearless. And it is this person who rejects the whole society's values and norms and become a threat. Do you want examples of it? I don't think I have to give any, its so obvious. But thats not the end, in climax, he wins. But the victory comes at a price, a dreadful price and a painful one. But finally society learns to think his way, the way which is suppose to be the truth. But this too doesn't last, cause the new HE rises again. It can also be SHE. So the process continues to infinity bringing unexpected changes in the society. But the challenge always remains.
May be it is this challege that one has to face everytime. Some takes the challenge while some submits itself to it. This challenge is the core cause of revolution. The new begining but with a definite end.
But am I wrong? Does every new thought has an end? Can we think of a way to bring this whole oscillation to an end? But will that bring anything? Think again. May be it is THE CHALLENGE that is a trap. My whole reason is to make everyone think one their own and come to their own conclusion and not to follow unlesss you yourself come to a similair conclusion.
But one thing is sure, the society keeps expecting from each individual. Everyone is expected to do something, cause we all are one living organisms fighting to exist, be it a right way or a wrong way.
Why Predict?
Source and Noise
Something on Life
Introducing Analytics
Disclosure of the Blog


text:
Q: get_footer not showing for Wordpress site For some reason my footer disappeared for my site http://juliannaspizza.com.
I checked the template file for the home page and get_footer is being called as shown below. Any idea why my footer is still not showing up?
  <?php
  /**
  * Template Name: Full Width Page
  *
  * @package Fortune
  */

 get_header();

 get_template_part( 'parts/single', 'page-header' ); ?>

        <?php
        while ( have_posts() ) : the_post();

            get_template_part( 'content', 'page' );

            if ( comments_open() || get_comments_number() ) {
                comments_template();
            }

        endwhile; ?>

<?php
get_footer();

This is what my footer used to look like (https://certifagift.blog/):

A: Your widgets are gone. From the markup, it looks like your footer (which does appear) is expecting to have widgets, but those are not appearing. Go to Appearance -> Widgets in your dashboard and add your widgets back in, and you should be good.

redpajama_set_name: RedPajamaStackExchange


Maybe pain isn't telling you that you're doing something wrong, but that you're just not ready for that full range movement, or that your range of motion has to be a more gradual progression not be 0 to 60 right out the gate.
In June 2015 I experienced a dislocation of my knee. I was moving lateral down a rocky hill and as I progressed down that hill I experienced the dislocation in my right leg. My foot stayed in place as I kept moving and that's where my knee experience came with the very loud pop and I felt the top of my leg and the bottom of my leg literally separate.
Next came the swelling, but during the race my endorphins and adrenaline were so high all of that was ignored so I kept on going. The next few days my leg was swollen to the size of a softball and kept getting bigger.
The swelling went above the top of my thigh to the base of my knee basically kept me from using my knee.
That's where the pain came in and that's where the pain started showing me how far I should move.
I basically overworked my leg instead of concentrating on stability, strengthening, and even most of all giving it rest I kept working it till I over trained it and my knee gave out, so is pain the best teacher…………. I say yes. Now here's why.
Any time you experience an injury of some sort or a discomfort, the measurement of pain present will let you know if you are running close to an area that your body's threshold cannot withstand in that current range of motion.
That doesn't necessarily mean that the range of motion that you are completing is incorrect it just means that you cannot support that range of motion at the current time. You will need longer time of training to include programming, periodization, rest, recovery, rehab, or even low impact cardiovascular training.
Now if something hurts, should you continue with what you're doing?
Yes you should and safely, take your pain and give it a scale one through 10. Ten being the highest pain and you cannot even deal with at all and one being you feel it, but it's more of a nuisance than it is painful.
Obviously we don't want to be in the 10, but if the range of motion is in a 10, aim to decrease that range of motion. Increase the quality of movement being careful not to deviate the movement.
Doing that will put you into something called the "Cumulative Injury Cycle" where a deviation occurs, then the movement compensation, and possibly incur another potential injury or worsen an existing.
That cycle will continue to circle back and forth back and forth until your body either gives up or gives out. How can you fix it?
Listen to the pain. When entering a movement feel the pain, scale it 1-10 and then find where you can comfortably increase the movement with control, steady speed, and most of all fully without compensating or deviating.
When the pain from 10 decreases down to one, then you can change the pieces add balancing, stability, unconventional tools adding more weight is just adding more weight into the pain. Your goal is to decrease the pain and increase its ability and not increase the weight to increase the pain.


Grizzly bears are one of the most majestic predators on the planet, and there are not many places in the world where you can observe them up close, in their natural habitat. The Great Bear Rainforest, a vast stretch of wilderness on Canada's remote west coast is also one of the most beautiful – and remote places – to visit. You can only get there by small boat or floatplane, and the area is an ecological paradise - from the big mammals (Grizzly and Black bears; Humpback and Orca whales), to the schools of migrating salmon and the bald eagles that feed on them, down to the infinitely diverse and colorful tidal estuaries. It is also an area rich in aboriginal culture and history.
It's nearly impossible to describe seeing your first Grizzly – breathtaking, thrilling and humbling all in one moment. Keep an eye out too for Black bears, wolves, Bald Eagles and Killer Whales. A photographer's dream!
There are not many places in North America that are more remote. There are no roads to get you there. Typically we fly into Vancouver then travel to the east coast of Vancouver Island, then take a small boat or a floatplane across the Inside Passage to an area of mainland Canada that is a patchwork of deep fjiords and high mountains.
The weather can be unpredictable on the north coast but even when the mist and rain is rolling over this temperate rainforest, it is awesomely beautiful and peaceful.
After each game drive, you'll return to a lovely floating lodge nestled on the edge of land and sea. Your hosts include wildlife biologists and nature guides, and in the evening everyone relaxes and shares stories over a gourmet meal and a glass of wine.
Overnight at the Sutton Place Hotel. This hotel is situated in the heart of downtown Vancouver, steps from Robson Street's shopping, and near restaurants, galleries, and nightlife. The property boasts premium accommodations and first-class amenities, including an indoor pool and fitness centre, spa, fine dining restaurant, landmark lounge, and an on-site wine merchant.
You have a full day to explore Vancouver. Included is a small group tour, to explore Vancouver's beautiful North Shore, where you'll see beautiful ocean vistas and stunning old growth rainforest.
This tour takes you to the amazing temperate rainforest of Vancouver's North Shore. Enjoy light adventure on this half-day excursion into the stunning nature that surrounds the city of Vancouver.
This morning you will be taken by private transfer to Vancouver Airport's South Terminal for your flight to Port Hardy. Enjoy the bird's eye view of British Columbia's rugged coast line on your journey to the northern tip of Vancouver Island. Upon arrival make your way to your charming Port Hardy hotel. Be sure to get lots of rest, tomorrow your Great Bear Lodge experience begins.
A private vehicle and driver will meet you at your hotel and take you in comfort to Vancouver South Terminal Airport.
Today a flight takes you from the Vancouver Airport's South Terminal to Port Hardy.


text:
Старотатышевский сельсове́т — упразднённая в 2008 году административно-территориальная единица и сельское поселение (тип муниципального образования) в составе Илишевского района. Почтовый индекс — 452275. Код ОКАТО — 80230866000. Объединён с сельским поселением Ябалаковский сельсовет. Образован в 1991 году.

Состав сельсовета
село Старотатышево — административный центр

История
Указ Президиума ВС Башкирской АССР от 25.07.1989 N 6-2/268 "Об образовании Старотатышевского сельсовета в Илишевском районе" гласил:
1. Образовать в Илишевском районе Старотатышевский сельсовет с административным центром в селе Старотатышево.

2. Включить в состав Старотатышевского сельсовета село Старотатышево, исключив его из состава Ябалаковского сельсовета.

3. Установить границу Старотатышевского сельсовета согласно представленной схематической карте.

Обратное движение произошло в 2008 году.

Закон Республики Башкортостан от 19.11.2008 N 49-з «Об изменениях в административно-территориальном устройстве Республики Башкортостан в связи с объединением отдельных сельсоветов и передачей населённых пунктов», ст.1 п. 24) в) гласил:
 "Внести следующие изменения в административно-территориальное устройство Республики Башкортостан: в) объединить Ябалаковский и Старотатышевский сельсоветы с сохранением наименования «Ябалаковский» с административным центром в селе Ябалаково.
Включить село Старотатышево Старотатышевского сельсовета в состав
Ябалаковского сельсовета.
Утвердить границы Ябалаковского сельсовета согласно представленной схематической карте.
Исключить из учётных данных Старотатышевский сельсовет

Географическое положение
На 2008 год граничил  с Республикой Татарстан, Краснокамским районом, с  муниципальными образованиями: Ябалаковский сельсовет, Новомедведевский сельсовет  («Закон Республики Башкортостан от 17.12.2004 N 126-з (ред. от 19.11.2008) "О границах, статусе и административных центрах муниципальных образований в Республике Башкортостан"»).

Примечания

Упразднённые сельсоветы Илишевского района
Сельсоветы, упразднённые в 2008 году
Сельсоветы, образованные в 1991 году
Сельские поселения, упразднённые в 2008 году
Упразднённые муниципальные образования Илишевского района


This is an overview of the Food and Drug Administration requirements for Sponsors with an Investigational Device Exemption (IDE). The overview is divided into two sections: Responsibilities of Sponsors for Significant Risk Device Studies & Responsibilities of Sponsors for Nonsignificant Risk Device Studies. The overview cites the appropriate FDA regulation for each item. Before using the overview, review the federal regulations [21 CFR 812.3(m)] to determine if the device is a Significant Risk or a Nonsignificant Risk Device.
This document is only a summary of the FDA's requirements for Sponsors with an IDE. Please review the federal regulations before performing any sponsor's duties. If you are the sponsor and the investigator for the device, you must meet the requirements for the sponsor and the investigator. Additional information is available at the FDA website.
This document was prepared as a handout by Joe Brown of the University of Kentucky Office of Research Integrity.
This article was posted on March 12, 2005.


WASHINGTON — IRS Criminal Investigation (CI) today released its Annual Report for fiscal 2012, highlighting strong gains in enforcement actions and penalties imposed on convicted tax criminals.
The 28-page report summarizes a wide variety of IRS CI activity on a range of tax related issues during the year ending Sept. 30, 2012. CI investigates potential criminal violations of the Internal Revenue Code and related financial crimes in a manner to foster confidence in the tax system and compliance with the law.
"The key to our successes is perseverance and dedication to working complex financial investigations aimed at stopping tax fraud, identity theft, offshore tax evasion, public corruption, money laundering and other financial crimes," said Richard Weber, Chief of Criminal Investigation.
Investigations initiated and prosecution recommendations were both up nearly 9 percent in fiscal 2012 compared to the prior year. Filings of indictments and other charging documents rose 13 percent. Meanwhile, convictions and those sentenced both gained roughly 12 percent from the prior year.
Criminal investigation initiations totaled 5,125 cases in fiscal 2012 while investigations completed were 4,937 – up 5 percent from fiscal 2011. Convictions totaled 2,634 in fiscal 2012 while the conviction rate edged up slightly to 93 percent.
"This annual report showcases some of the many significant cases that were completed by CI during fiscal year 2012 and the many program areas we cover as an organization. These cases are just a few examples of the thousands of investigations initiated by CI last year, as we continue to make our mark as the finest financial investigators in the world," Weber said.


text:
UK Government will review lockdown measures in three weeks time
At the daily Downing Street press conference, deputy chief medical officer Dr Jenny Harries explained, "over time, probably over the next six months, we will have a three-week review."
Laura FergusonJournalist
(Image: via REUTERS)
The UK Government will review the country's coronavirus lockdown measures in three weeks, deputy chief medical officer Dr Jenny Harries has said.
At the daily Downing Street press conference, Dr Harries said people had taken "quite some time to get used to this new way of living", but there was evidence the country was getting better at social distancing.
Emergency legislation to stop all evictions during coronavirus crisis announced
Scotland recruiting army of volunteers to help beat coronavirus, says First Minister
She also emphasised that, if the review shows that the lockdown measures have been effective, it is critical that the country does not return to normal life.
She added: "The issue of the three weeks is for us to review where we are and see if we've had an impact jointly on the slope of that curve.
"But I think to make it clear to the public if we are successful we will have squashed the top of that curve, which is brilliant, but we must not then suddenly revert to our normal way of living that would be quite dangerous.
"If we stop then all of our efforts will be wasted and we could potentially see a second peak.
"So over time, probably over the next six months, we will have a three-week review."
Ongoing incident shuts city centre roads
Two jailed for brutal rape of same woman
M&Ds bought out of administration
Why outdoor drinking ban won't be lifted
She added: "This is not to say we would be in complete lockdown for six months, but as a nation we have to be really, really responsible and keep doing what we're all doing until we're sure we can gradually start lifting various interventions which are likely to be spaced, based on the science and our data, until we gradually come back to a normal way of living."


text:
Marathon Training: Flocks Kookaburra & NightHawk
by anthonysum | Apr 15, 2013 | Uncategorized | 0 comments
Operation Kookaburra, the 12-week marathon training program to prepare runners for the July Gold Coast Airport Marathon (GCAM) got underway from the eastern Changi Beach area. A good group of enthusiastic runners were already registering their attendance and having a couple of group pics to warm things up. As the weather was not looking too good earlier (although it did turn out to be cool and dry by start time), a number of Kookaburras might not have turned up for their first training session.
With the arrival of the NightHawks, the other larger group of runners training for the Sundown Marathon in May/June, there were lots of happy chatter and din, bringing to live the otherwise 'evening winding down' beach area. With some effort, we managed to get the large group for the training and route briefing, at the same time providing intelligence updates of the group of Infantry 'patrolling' along the main Changi Coastal axis for their advance into the Floating Platform for their POP mission.
The Kookaburras, being new to the game but with their own trainers/marshals, ran alongside the NightHawks for what would be an interesting training format for them. The run alongside the serene Changi Beach was rather refreshing, and a sight to behold with all the flashing and blinking of headlights and other light sources coming off the Pacers and trainees.
The target was to hold a sustainable target Marathon Pace (MP) for the 13km, 21km and 28km distances for the various pace groupings, and to build up a good foundation and base to eventually tackle the entire Half or Full Marathon distances at the GCAM or Sundown.
When we reached the Changi Coastal axis after about 3km, we ran smack into the long lines of Infantry POPers (Passing Out Paraders) executing their mission finale. They were organized to afford a narrow, but passable access for our runners…as we ran pass the lines, there were lots of encouragement for our runners from the friendly troopers. It was quite entertaining to listen to the troops singing along to keep motivation levels high, and that perked our own flock to fly at very good paces as we headed towards the NSRCC.
The Trainers and Pacers were working overtime to lead and guide the flocks of Kookaburras and NightHawks along the mentally-challenging Changi Coastal route all the way to their respective U-turn points at Changi Coastal mid (13km), NSRCC (21km) and ECP F2 (28km). Because of the dark areas of our advance routes, the extra lighting and observance of night running protocols helped us to attain the smooth paces we were targeting.
The return onto the Changi Coastal axis provided the final 'killer' touch to the training as the mentally-drained runners were fighting the zzz-monsters as well as fatigue along that LONG and LONELY stretch. There was just too much temptation to slow down, and even walk. If not for the groups running together, it would be difficult for many of the runners to keep up with their target paces.
There were delightful faces at the Changi Beach toilet point where the runners finally got out from that 'challenging' stretch to get a good breather in that humid weather. It was close to 11pm, and with 3km to the end point, the runners had to make one final mental push to get their machinery moving towards completion. TRAIN HARD, RACE EASY is what we always hope for our trainees to attain – overcoming the different challenges during training will put us in good stead for an easier but fruitful race day.
Everyone received cheers at the end as they crossed the finish of the night's training, and recorded with pride their distances and timings covered. It was definitely a hard day at the office, but it brought a sense of satisfaction to many of the trainees and trainers as well, knowing that we put in our best efforts to prepare for and eventually complete well the training.
The Kookaburras have done a great job and cleared their initiation with the team. They will now look forward to steady progression in building their bases and paces up for July. A number of the Kookaburras are already training with the NightHawk program, and will be using the Sundown Marathon as their final long run/test trials before their GCAM race a month later. Some element of periodization have been built to ensure smooth overlap and sustainable progression.
Run Kookaburras, Run Kookaburras,
Gold Your Race Will Be!
The NightHawks will advance into week #7 with the Sundown Lead Up Run #2 (21km, 30km) as an intermediate trials of sorts, and it will be interesting to see how their foundation will take them to sustain MP for 30km (a point where the 'wall' will be seen for many runners in a marathon). The Kookaburras are encouraged to join in the Lead Up Run (albeit for a shorter distance as they are still base-building) for a good trial of where they stand in in terms of ability to tackle their target distances.
NightHawks, NightHawks, Cleared The Test!
NightHawks, NightHawks, You're The Best!
Operation Kookaburra Facebook Photos
Operation NightHawk Facebook Photos