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RD: Week of 29 October
Mark your calendars: A Timeless Romance Anthology: Yuletide Regency Collection drops on Friday! (That's November 2nd.)
Be sure to pre-order your copy here.
This Week's Roaring Deals
Miss Armistead Makes Her Choice, by Heidi Ashworth
RONE Award Finalist for Historical: Post Medieval and the recipient of InD'tale Magazine's 4.5 star review and coveted Crowned Heart for excellence! Miss Elizabeth Armistead, India born and raised, is happily betrothed to British soldier, Duncan Cruikshank. When she arrives in London a month prior to the wedding she meets Mr. Lloyd-Jones and soon finds that he has invaded even her dreams. How can she betray the man she believes to love her for her virtues so as to indulge her love for a man she fears she cannot trust?
Right now, it's FREE
The Girl Who Chased the Moon, by Sarah Addison Allen
Mysteries aren't solved in Mullaby, they're a way of life: Here are rooms where the wallpaper changes to suit your mood. Unexplained lights skip across the yard at midnight. And a neighbor, Julia Winterson, bakes hope in the form of cakes, not only wishing to satisfy the town's sweet tooth but also dreaming of rekindling the love she fears might be lost forever.
Emily travels to the small town where her mother grew up, hoping to find answers, only to discover even more mysteries. A magical New York Times bestseller with over 15,000 five-star ratings on Goodreads.
On sale right now for $1.99
Time of Death, by J. D. Robb
Get THREE books from #1 New York Times bestselling author J. D. Robb's In Death stories, each spotlighting Lieutenant Eve Dallas doing what she does best: solving crime with skill, integrity, and passion.
Titles included: Eternity in Death, Ritual in Death, and Missing in Death
Get all three at the sale price of $1.99
One Breath Away: The Hiccup Girl - From Media Darling to Convicted Killer, by M. William Phelps
"Phelps is the Harlan Coben of real-life thrillers." --Allison Brennan
"Phelps dares to tread where few others will: into the mind of a killer." --TV Rage
At 15, Jennifer Mee developed an unrelenting case of the hiccups--hiccupping as many as 50 times a minute for months. Soon the Florida teen's strange story went viral. Dubbed the "Hiccup Girl" by the media, she gained international sympathy and appeared on a slew of popular TV shows. Eventually, Jennifer's hiccups went away--and so did her fame.
Depressed and craving affection, Jennifer hooked up with the wrong people and slipped into drug dealing and street life--a downward spiral that led to the murder of an innocent young man. Now, renowned investigative journalist M. William Phelps expertly recounts Jennifer's shocking true story of thwarted desires, betrayed trust, and deadly manipulation.
This true-crime thriller is on sale for just 99 cents
Anne Frank: The Book, The Life, The Afterlife, by Francine Prose
"A definitive, deeply moving inquiry into the life of the young, imperiled artist, and a masterful exegesis of Diary of a Young Girl…Extraordinary testimony to the power of literature and compassion" –Booklist (starred review)
In Anne Frank: The Book, the Life, the Afterlife, Francine Prose, author of Reading Like a Writer, deftly parses the artistry, ambition, and enduring influence of Anne Frank's beloved classic, The Diary of a Young Girl. Approved by both the Anne Frank House Foundation in Amsterdam and the Anne Frank-Fonds in Basel, run by the Frank family, this work of literary criticism unravels the complex, fascinating story of the diary and effectively makes the case for it being a work of art from a precociously gifted writer.
Learn about Anne Frank for just $1.99
Castles, by Julie Garwood
But when Alesandra is nearly abducted by her unscrupulous countrymen, Colin knows he must protect her and offers a marriage that should be in name alone—until their first kiss ignites a wildfire in his soul. As the lovely princess dashes headlong into unforseen dangers, Colin will risk his own life to save her and claim Alessandra as his own—forever...
Castles is on sale now for $1.99
My Spiritual Journey, by Dalai Lama
In this elegant self-portrait, the world's most outspoken and influential spiritual leader recounts his epic and engaging life story.
The Dalai Lama's most accessible and intimate book, My Spiritual Journey is an excellent introduction to the larger-than-life leader of Tibetan Buddhism—perfect for anyone curious about Eastern religion, invested in the Free Tibet movement, or simply seeking a richer spiritual life.
If you have Amazon Prime, get it now for FREE. Otherwise, it's just $1.99
The Baker's Daughter, by Sarah McCoy
In this New York Times bestseller, two women in different eras face similar life-altering decisions, the politics of exclusion, the terrible choices we face in wartime, and the redemptive power of love.
In 1945, Elsie Schmidt is a naive teenager, as eager for her first sip of champagne as she is for her first kiss. She and her family have been protected from the worst of the terror and desperation overtaking her country by a high-ranking Nazi who wishes to marry her. So when an escaped Jewish boy arrives on Elsie's doorstep on Christmas Eve, Elsie understands that opening the door would put all she loves in danger.
Sixty years later, in El Paso, Texas, Reba Adams is trying to file a feel-good Christmas piece for the local magazine, and she sits down with the owner of Elsie's German Bakery for what she expects will be an easy interview. But Reba finds herself returning to the bakery again and again, anxious to find the heart of the story—a story that resonates with her own turbulent past. For Elsie, Reba's questions are a stinging reminder of that last bleak year of World War II.
As the two women's lives become intertwined, both are forced to confront the uncomfortable truths of the past and seek out the courage to forgive.
The Baker's Daughter is on sale today for $1.99
The Witch's Trinity, by Erika Mailman
"A gripping, well-told story of faith and truth." —Khaled Hosseini, bestselling author of The Kite Runner
"A disturbingly effective historical novel." —Boston Globe
In 1507, when a severe famine strikes a small town in Germany, a friar arrives from a large city, claiming that the town is under the spell of witches in league with the devil. He brings with him a book called the Malleus Maleficarum—"The Witch's Hammer"—a guide to gaining confessions of witchcraft, and promises to identify the guilty woman who has brought God's anger upon the town, burn her, and restore bounty.
Güde Müller suffers stark and frightening visions—recently she has seen things that defy explanation. No one in the village know this, and Güde herself worries that perhaps her mind has begun to wander—certainly she has outlived all but one of her peers in Tierkinddorf. Yet of one thing she is absolutely certain: She has become an object of scorn and a burden to her son's wife. In these desperate times her daughter-in-law would prefer one less hungry mouth at the family table. As the friar turns his eye on each member of the tiny community, Güde dreads what her daughter-in-law might say to win his favor.
Then one terrible night Güde follows an unearthly voice and the scent of charred meat into the snow-filled woods. Come morning, she no longer knows if the horror she witnessed was real or imagined. She only knows that if the friar hears of it, she may be damned in this life as well as the next.
This powerful historical novel is on sale for $1.99
Disclaimer: The responsibility to confirm all prices before purchase is up to the reader, as sales may end without notice. Titles listed in deals posts may or may not be ones I've read, and determining what books are right for you, including any content issues, is also the reader's responsibility. Post includes Amazon affiliate links.
Labels: Roaring Deals
Roaring Deals: Week of October 22
As Halloween approaches . . .
Don't miss It's You, a romantic ghost story set in the Rockies of the early 1900s!
When Charlie and Anna both see the ghost of Nanny Mae, they think they're losing their minds. Anna tries to find out more about the ghost and uncovers a decades' old family secret. One that separated two people in love.
Now, the ghost of Nanny Mae must set her wrongs to right. As Charlie and Anna explore the past, and the truth of what happened, they discover that the mistakes of the past might lead to love of the future.
(Scary level: very mild.)
Snag It's You for $2.99
NOW ON TO THIS WEEK'S DEALS:
The Mountain Between Us, by Charles Martin
Now a major motion picture starring Kate Winslet and Idris Elba.
When a blizzard strands them in Salt Lake City, two strangers agree to charter a plane together, hoping to return home; Ben Payne is a gifted surgeon returning from a conference, and Ashley Knox, a magazine writer, is en route to her wedding. But when unthinkable tragedy strikes, the pair find themselves stranded in Utah's most remote wilderness in the dead of winter, badly injured and miles from civilization.
Without food or shelter, and only Ben's mountain climbing gear to protect themselves, Ashley and Ben's chances for survival look bleak, but their reliance on each other sparks an immediate connection, which soon evolves into something more.
On sale for just $2.99
Love, Christmas—Movies You Love Boxed Set
Sprinkle a little Christmas magic into your life with 26 ALL-NEW, never before released romances. Each title - exclusive to this set - is inspired by a favorite holiday movie, spun into a fantastic love story by a NY Times, USA Today, and/or award-winning, bestselling author and delivered to you in this wonderful collection full of cheer for the coming season.
Get the 26-title boxed set for only 99 cents.
Vanishing Girls: A Totally Heart-stopping Crime Thriller (Detective Josie Quinn Book 1), by Lisa Regan
Can Josie catch the killer before another victim loses their life?
When Isabelle Coleman, a blonde, beautiful young girl goes missing, everyone from the small town of Denton joins the search. They can find no trace of the town's darling, but Detective Josie Quinn finds another girl they didn't even know was missing. Mute and unresponsive, it's clear this mysterious girl has been damaged beyond repair...
Get this #1 bestseller in organized crime thrillers for just $1.49.
Firefly Hollow (Firefly Hollow series Book 1), by T. L. Haddix
In 1960, a tragic death in the family calls young Sarah Browning back from college to her Appalachian homestead. Unable to return to school and finish her degree, she finds herself facing a future that isn't what she'd planned. Lost and grieving, she wanders onto her reclusive neighbor's property where she stumbles across the all-too-attractive Owen Campbell, a man hiding secrets she'd only ever thought were legend.
"Firefly Hollow" is the first book in the Firefly Hollow series, which are Women's Fiction Romances set in Appalachia, featuring elements of traditional Appalachian folklore with a paranormal bent.
Right now, get the first title of the Firefly Hollow series for FREE.
Landry's Back in Town (Rocky Ridge Romance Book 1), by Margery Scott
A wrongly-convicted man: When he was released from prison, Landry Mitchell made the mistake of returning to his hometown. The residents of Rocky Ridge aren't the forgive-and-forget type.
A woman who needs to be needed: Olivia Harding is determined to help Landry rebuild his life, whether he likes it or not. He doesn't. And he sure doesn't like the way he's starting to care about Olivia. He can't offer her a future when he doesn't have one himself.
As their feelings for each other grow, Landry starts to believe they might have a future together. But then trouble comes back to town.
Get this Rocky Ridge Romance for FREE.
The Downfall of Catie Bloom, by Brooke Stanton
Catie's little white lies have finally caught up to her...
Catelyn Bloom has it all: A husband, a successful career, and she's America's #1 Domestic Goddess. Except, it's a big fat lie. She can't cook, she's a slob, and her husband left her years ago. But she's trying to change all that and become an honest woman.
Too bad someone has other ideas for her.
Get this romantic comedy for only 99 cents.
Emily Benedict has come to Mullaby, North Carolina, hoping to solve at least some of the riddles surrounding her mother's life. But the moment Emily enters the house where her mother grew up and meets the grandfather she never knew, she realizes that mysteries aren't solved in Mullaby, they're a way of life: Here are rooms where the wallpaper changes to suit your mood. Unexplained lights skip across the yard at midnight. And a neighbor, Julia Winterson, bakes hope in the form of cakes, not only wishing to satisfy the town's sweet tooth but also dreaming of rekindling the love she fears might be lost forever.
Can a hummingbird cake really bring back a lost love? Is there really a ghost dancing in Emily's backyard? The answers are never what you expect. But in this town of lovable misfits, the unexpected fits right in.
Get it right now for only $1.99
The Life List, by Lori Nelson Spielman
*INTERNATIONAL BESTSELLER* Perfect for fans of Cecelia Ahern's P.S., I Love You and Allison Winn Scotch's Time of My Life.
Brett Bohlinger seems to have it all: a plum job, a spacious loft, an irresistibly handsome boyfriend. All in all, a charmed life. That is, until her beloved mother passes away, leaving behind a will with one big stipulation: to receive her inheritance, Brett must first complete the life list of goals she'd written when she was a naïve girl of fourteen.
Grief-stricken, Brett can barely make sense of her mother's decision—her childhood dreams don't resemble her ambitions at age thirty-four in the slightest. Some seem impossible.
How can she possibly have a relationship with a father who died seven years ago? Other goals (Be an awesome teacher!) would require her to reinvent her entire future. As Brett reluctantly embarks on a perplexing journey in search of her adolescent dreams, one thing becomes clear. Sometimes life's sweetest gifts can be found in the most unexpected places.
Get The Life List for $1.99
Regular Disclaimer: The responsibility to confirm any price before purchase is up to the reader. Sales may end unexpectedly, so be sure to check the price. Titles listed in deals posts may or may not be ones read by the author of the blog, and inclusion of a title does not imply its endorsement or recommendation. Determining what books are right for you, including any content issues, is the responsibility of the individual purchasing and reading any given title. Posts include Amazon affiliate links.
Roaring Deals Week of October 1st
Know of a sale I missed?
Wreckage, by Emily Bleeker
I shared this book last time it was on sale too, and I'm sharing it again because it was one of my top reads of 2015. SO GOOD.
From the description:
Lillian Linden is a liar. On the surface, she looks like a brave survivor of a plane crash. But she's been lying to her family, her friends, and the whole world since rescue helicopters scooped her and her fellow survivor, Dave Hall, off a deserted island in the South Pacific. Missing for almost two years, the castaways are thrust into the spotlight after their rescue, becoming media darlings overnight. But they can't tell the real story—so they lie.
It's on sale for only $1.99
The Reckoners Series, by Brandon Sanderson
The entire trilogy is on sale, each volume only $1.99. It's an award-winning series by the famed fantasy novelist, now writing for young adults. If you're not quite into the huge epic fantasies but love super heroes, this is your series!
Get each book for only $1.99: SteelheartFirefightCalamity
The Princess and the Billionaire, by Barbara Bretton
A runaway princess looking to start a new life in New York City. A golden boy billionaire who likes his life just the way it is.
She grew up in a castle high in the French Alps. He was born in Queens.
She cut her teeth on caviar and champagne. He loves Big Macs and supersized fries.
From the snow-covered Alps to the noisy streets of Manhattan to the ramshackle cottage in the Pennsylvania Poconos, Isabelle and Daniel fight their attraction to each other every step of the way.
Sale price: 99 cents
The Last Goodbye, by Caroline Finnerty
Sometimes the decisions we make can last a lifetime . . . and sometimes we cannot shake off the shackles of decisions made by others in the past.
The Last Goodbye is a powerful story of love and loss, forgiveness and new beginnings - a heart-wrenching and emotional page-turner for mothers and daughters everywhere.
Sale price: FREE
Heart and Soul, by Jennifer Youngblood
Don't miss this heartwarming collection of 4 love stories that will feed your need for swoon-worthy romance.
Stories included:
"Kisses over Candlelight"
"The Cowboy and the Billionaire's Daughter"
"How To See With Your Heart"
"Seeking Mr. Perfect"
My Sister's Keeper, by Jodi Picoult
Sara and Brian Fitzgerald's life with their young son and their two-year-old daughter, Kate, is forever altered when they learn that Kate has leukemia. The parents' only hope is to conceive another child, specifically intended to save Kate's life. For some, such genetic engineering would raise both moral and ethical questions; for the Fitzgeralds, Sara in particular, there is no choice but to do whatever it takes to keep Kate alive.
And what it takes is Anna. Until Anna, now 11, says no. Seeking medical emancipation, she hires her own lawyer (Alec Baldwin), initiating a court case that divides the family and that could leave Kate's rapidly failing body in the hands of fate
Regular price: $9.00Sale price: $2.99
The Unbroken Line of the Moon, by Johanne Hildebrandt
For fans of Nordic mythology:
In this savage saga of love, war, lust, and magic set in the tenth century, young Sigrid is destined to be the mother of the king of the Nordic lands that would become Sweden, Norway, Denmark, and England.
Hare Brain, Tortoise Mind, by Guy Claxton
In these accelerated times, our decisive and businesslike ways of thinking are unprepared for ambiguity, paradox, and sleeping on it." We assume that the quick-thinking "hare brain" will beat out the slower Intuition of the "tortoise mind."
However, now research in cognitive science is changing this understanding of the human mind. It suggests that patience and confusion--rather than rigor and certainty--are the essential precursors of wisdom.
David Space Is Almost Interesting, The Memoir
A hilarious and biting memoir from the actor, comedian, and Saturday Night Live alumn David Spade.
David Spade is best known for his harsh "Hollywood" Minute Sketches on SNL, his starring roles in movies like Joe Dirt and Tommy Boy, and his seven-year stint as Dennis Finch on the television series Just Shoot Me.
Now, with a wit as dry as the weather in his home state of Arizona, the "comic brat extraordinaire" tells his story in Almost Interesting.
Disclaimer: If I find new deals throughout the week after the post has gone live, I'll update it and note anything new. As always, the responsibility to confirm any price before purchase is up to the reader. Titles listed in deals posts may or may not be ones I've read, and determining what books are right for you, including any content issues, is also the reader's responsibility. Posts include Amazon affiliate links
at October 01, 2018 1 comment:


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Marco Janssen at the School of Human Evolution and Social Change at ASU have set up a website (commons.asu.edu) to enable the sharing of software (open source) and protocols for the lab and field experiments they do to study how people govern common resources.
The group hopes to be able to host more games on common resources on this portal. Making software available as open source software enable them to collaborate with those which are interested also to use it for education and research to improve it over time. At the moment the software is not yet plug and play but various groups with more technical expertise start using it which enable them to solve the glitches.
The protocols for the field experiments (see Cardenas et al. in the "papers" are an easy and reliable place to start. Marco's group is implementing the field experiments also as a web-based games so that it can be used more conviently for larger groups, like in the classroom.
by Tayan Raj Gurung, Francois Bousquet, and Guy Trébuil.
Who work at the Ministry of Agriculture, Bhutan; CIRAD, France; and the CU-Cirad Project, Chulalongkorn University, Thailand.
The paper used multi-agent systems to facilitate water management negotiations in Bhutan. They nicely connect user resource management games with computer modelling to improve water management.
The BBC has created an online flash game – climate challenge – in which the player is president of the "European Nations". The player has to try to reduce green house gas emissions while maintaining the economy, energy, agriculture and water availability – while being re-elected. The game is meant to illustrate what options are trade-offs are available to politicians, as well as the need to have policies at different aspects of society. However, some of the game mechanics and feedbacks are unclear (particularly how the economic part of the game works). Nevertheless the game is fun to try.
give an understanding of some of the causes of climate change, particularly those related to carbon dioxide emissions.
give players an awareness of some of the policy options available to governments.
give a sense of the challenges facing international climate change negotiators.
On the anthropology blog Savage Minds, Kansas State University anthropologist Michael Wesch wrote a series of posts in 2006 on an large introduction to cultural anthropology class he teaches using a semester long world simulation game.
The class sounds really great, and based on his students comments in the comments of his post, really transformative for the students. The active learning, constructivist approach sounds similar to the philosophy to what the McGill School of the Environment is based upon and what I try to do in my courses. I've done a number of 1 1/2 hour long environmental management simulations in my Adaptive Management course, but never anything as complex as this project. Doing a similar type of world simulation could be a really interesting activity for one of the School of the Environment's trans-disciplinary introduction courses.
One of the main advantages of the semester long game is that students are asked to synthesize the course material to produce the rules of the game. What could be interesting to examine is how the game turns out differently with different rules. This could be done by running the game a number of different times – or breaking the class into multiple games – so that people could compare and think about the outcomes of different decisions. But of course, this type of approach isn't always practical.
Below I have combined extensive extracys from Mike Wesch's series of posts in a way that describes the simulation and the thinking behind it. His posts have even more details, including his reflections and concerns over various choices he makes, as well as a number of interesting comments from other people and former students.
A nice interactive game on solving dilemmas between different stakeholders can be found at http://www.alwayssunny.com/lab/lindissima/. The game is a simple-minded and optimistic story which is used as an excercise for people to learn the basics about scenario simulation, dynamical adaptive systems, sustainability attributes, multicriteria analysis, among others. In the first act, slash and burn maize farmers are compelled by the government to leave a biodiversity reserve zone and to intensify maize production in a smaller area using urea. The user plays the role of the farmer, explores scenarios and decides if he can sustain his family economy under the government´s proposal.
In act 3 farmers try to comply with such restriction imposed by the interests of the lake side people. The farmer, together with the lakesier and the government, first consider if its possible to do so under a maize moncrop system and later under a maize-leguminous shrub system. A simple agroforestry model is behind the curtains and the user currently has access only to a small set of its parameters.
Each act provides: the story with illustrations, a scenario simulator based on minimalist dynamical models, a number of excercises that must be solved before going further and a graphical tutorial.
Ethan Zuckerman writes about Ivan Marovic an important figure in the Otpor (Serbo-Croatian for resistance) Serbian democracy movement is working on a video game to help people learn to organize non-violent democracy movements.
The movement demonstrated their power in opposing Milosevic in the 2000 elections – by the time the election took place, it was quite obvious that Milosevic would lose to opposition leader Zoran Dindic. The real question was whether or not Milosevic would step down. (And, of course, he didn't.) So the movement took the next step, and organized to actually remove Milosevic from power.
And hundreds of thousands of activists eventually organized a nonviolent takeover of Parliament, forcing Milosevic out of power and eventually into trial at The Hague.
In some ways, this was just the beginning for Otpor – Kumara, a movement in Georgia that took down Shevrednadze, used the same symbolism and the same tactics as Otpor. And the Orange Revolution in Ukraine used many of the same tactics, and the movements were in close contact.
Ivan is less interested in writing another book about non-violent organizing or making another video – instead, he's helping build a game, called A Force More Powerful. It's a simulation game developed with Breakaway Games. It looks a little like Sim City or Civilization, but is focused on teaching organizers the tactics of non-violent resistance.


Judy is a great quilter….lots of variety in he projects so I never know what is coming my way. I like that. I start to think in all of my projects they all look the same….it's probably just because we all think that about our own works? IDK? But Judy always has a mix….I like them.
The first one is a little wall-hanging her Kokopellis. There were little swirls in the dress….so I mimicked them in the background and just high lighted each area with simple designs…all tribal-looking to make it match the theme. It turned out so cute!
The second one I quilted with Ribbons, Roses and vines. The fabrics were soft and Sweet. One of them had the breast cancer ribbon…so I thought it was suitable.
Thanks Judy! Always a pleasure working with you!


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Lutherans communed by Catholic clergy... in the Vatican
(NCRegister) - A Lutheran group from Finland, led by their bishop, Samuel Salmi of Oulu, reportedly received Holy Communion in St Peter's basilica this week, despite indicating to the priests present that they were ineligible to do so.
According to Finnish news agency Kotimaa, and reported here in Estonian, the priests celebrating the Mass were aware that they were Lutherans.
The report said that at the time of Communion, the Finnish Lutherans put their right hand on their left shoulder to show they could not receive the Eucharist and wanted to receive a blessing instead.
The Finnish Lutheran bishop said the priests distributing Communion ignored the sign and offered the Lutherans Communion anyway. The bishop also received the Eucharist.
The report said the youth choir from Finland sung at the Mass, and Bishop Salmi was asked to greet those present on behalf of the Finnish Lutherans. So there was no doubt who they were.
Bishop Salmi said Pope Francis was not present at the Mass, but said the Pope had repeatedly indicated he would like to develop unity between different denominations. The bishop, who in 2011 said homosexuals should have "full rights" in the Lutheran church, also told the news agency that Pope Francis has theological enemies in the Vatican and so may be limited in how freely he can speak.
In November, the Pope said that a Lutheran woman married to a Catholic should "talk to the Lord" before receiving Holy Communion, although Francis himself did not give her permission to do so.
The Pope's words were understood by Rome's Lutheran community to mean that Lutherans could receive Holy Communion, in accordance with their conscience, although such a reading was later refuted by Cardinal Gerhard Müller, prefect of the Congregation for the Doctrine of the Faith.
Robert January 22, 2016 at 11:47 PM
Not surprising!. The current Pope and most of his aging clergy want to be mainstream Protestants anyway. "Spirit of VII". Thank God for Orthodoxy!.

redpajama_set_name: RedPajamaCommonCrawl


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Sansar Chand: India's Deadliest Poacher
Source: Projectbiwan.com
By Raman Kirpal
Two hundred and fifty tigers, 2,000 leopards, 5,000 otters, 20,000 wild cats, 20,000 wild foxes and still counting. That's the number of wild animals that law enforcers have been able to count as falling prey to the deadly trade plied by Sansar Chand, 55, dubbed the Veerappan of the North, in the four decades since he took to a life of crime. He himself says they are "uncountable" and betrays no remorse about this mayhem.
The incorrigible poacher and his partners in crime, at least five of them family members, have been apprehended in as many as 57 cases in a bid to link him to seizure of large caches of animal parts. But thanks to shoddy investigations, apathy of State authorities, possible bribery of witnesses and weak laws, Sansar Chand has so far been acquitted in 10 cases and convicted only in one. Seven cases are still pending. Right now he is lodged in Jaipur central jail, but is looking forward to freedom after serving a five year term.
The sustained cruelty to animals — caught in iron traps, clubbed to death and then skinned — has brought rich dividends. Over the years, Sansar Chand amassed 45 properties, some of them covering an entire lane in Delhi's Sadar Bazar. A conservative estimate puts their cost at Rs 40 crore, but the present market value would be much more. He claims he has no bank account, but the rent from the shops and flats alone will keep him comfortable, should he walk free.
Sealing of these properties is not within the purview of the Indian Wildlife (Prevention) Act, 1972, under which the cases are being tried. He has also been dragged into the stranglehold of the more stringent Maharashtra Control of Organised Crime Act (MCOCA), 1999, but is trying to wriggle out on the technical ground that it can only be evoked for repeat offenders with more than two convictions. More....


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For All the Obvious Reasons
By: Lynn Stegner
Narrated by: Bernadette Dunne
Categories: Literature & Fiction, Anthologies & Short Stories
By: Elayne Klasson
Narrated by: Kimberly M. Wetherell
This tale of a 60-year love affair examines the age-old question of why we love the people we do. A beautiful, charismatic, and wildly successful man is adored by a woman. Even as children, he held the power. Though bound by tragedy and friendship, he defined the terms of their relationship, until finally, in old age, the power shifts. Looking at the roles of beauty, insanity, magic, deceit, consolation, sensory fulfillment and, finally, being seen, Judith explores why she loved Elliot — a relationship that impinged on every other in her life.
Widowish
A Memoir of Love, Loss & Love Again
By: Melissa Gould
Narrated by: Rachel Botchan
When Melissa Gould's husband, Joel, was unexpectedly hospitalized, she could not imagine how her life was about to change. Overwhelmed with uncertainty as Joel's condition tragically worsened, she offered him the only thing she could: her love and devotion. Her dedication didn't end with his death. Melissa soon realized that her and Joel's love lived on. She found she didn't fit the typical mold of widowhood or meet the expectations of mourning. She didn't look like a widow or act like a widow, but she felt like one. Melissa was widowish.
Growing Up for Beginners
By: Claire Calman
Narrated by: Charlotte Strevens
When Eleanor waves her daughter off for a gap-year trip, she finds herself stuck as a satellite wife, spinning in faithful orbit around her domineering husband, with only her clever but judgemental father, Conrad, for comfort Andrew isn't mastering the art of growing up either. But when he finds his belongings dumped in bin bags on the drive, even he can see that his girlfriend is hinting he should move out. With no other options, he moves back in with his parents.
In Short Measures
Three Novellas
By: Michael Ruhlman
Narrated by: Lydia Mackay, Robert McCollum, Lauren Davis
In his three novellas, In Short Measures, Strong Conspirators, and Sally Forth, Michael Ruhlman delves deeply into the nuanced complexity of romantic and sexual love - and the inevitable evolution of the heart over the span of years and decades. Each novella asks questions about the nature of love in terms of loyalty and fidelity - what are one's obligations toward one's spouse, one's family, and one's heart?
No Day like Today
By: Amy Teegan
Narrated by: Tia Rider Sorensen
In the backyard of a Southern California home, a group of family, friends, and strangers come together to celebrate the wedding of two people in love, but each brings with them conflicts they can't leave behind. The bride's brother Ian brings upheaval as he shakes off responsibility. Kristy, the photographer, is overwhelmed by her anxiety. The whole foundation of Leah's life has been destroyed, distracting her from her critical job as wedding coordinator. Amber, the maid of honor, fights to keep a smile on her face as her loneliness crushes her.
A Live Coal in the Sea
By: Madeleine L'Engle
Narrated by: Joyce Bean
When her teenage granddaughter comes to her with a troubling question, Camilla Dickinson must confront the painful history she's long kept hidden. Forced to relive her past, she relates a complex saga involving her beautiful, adulterous mother, her troubled son, and the difficult choices that have affected three generations of her family. As she goes through the difficult process of revealing her secrets, Camilla also lets go of the burden of lies she's told. A testament to the power of acceptance and forgiveness, A Live Coal in the Sea is ultimately an exploration of the lengths to which people will go for love—and the things they'll do to protect family.
I Am a Bacha Posh
My Life as a Woman Living as a Man in Afghanistan
By: Ukmina Manoori, Stephanie Lebrun, Peter E. Chianchiano (translator)
Narrated by: Ariana Delawari
"You will be a son, my daughter." With these stunning words Ukmina learned that she was to spend her childhood as a boy. In Afghanistan there is a widespread practice of girls dressing as boys to play the role of a son. These children are called bacha posh: literally "girls dressed as boys." This practice offers families the freedom to allow their child to shop and work - and in some cases, it saves them from the disgrace of not having a male heir. But in adolescence, religion restores the natural law.
We're All Damaged
By: Matthew Norman
Narrated by: Scott Merriman
Andy Carter was happy. He had a solid job. He ran 5Ks for charity. He was living a nice, safe Midwestern existence. And then his wife left him for a handsome paramedic down the street. We're All Damaged begins after Andy has lost his job, ruined his best friend's wedding, and moved to New York City, where he lives in a tiny apartment with an angry cat named Jeter that isn't technically his. But before long he needs to go back to Omaha to say good-bye to his dying grandfather.
Pleasant but not much more
By jacqueline rozenfeld on 09-06-2017
By: Jean Hegland
Narrated by: Joe Barrett
Until John Wilson met the warm, wise woman who became his fourth wife, the object of his most intense devotion had always been the work of William Shakespeare. From his feat of memorizing Romeo and Juliet and half a dozen other plays as a student to his evangelical zeal as a professor, John's faith in the Bard has shaped his life. But now his mental powers have been diminished by dementia, and his wife has reluctantly moved him to a residential care facility.
Daughter of Heaven
A Memoir with Earthly Recipes
By: Leslie Li
Narrated by: Bernadette Flaggler
The powerful yet touching memoir of a Chinese-American woman and her grandmother by an extraordinarily talented author who has been compared to Amy Tan and Maxine Hong Kingston. Leslie Li belongs to the illustrious Li family of Guilin, China. Her paternal grandfather, Li Zongren, was China's first elected vice president, to whom Chiang Kai-shek left control of the country when he fled to Formosa. Leslie's father was studying in the US when he met and married her American-born mother.
How a Grumpy American Fell in Love with France
By: Allen Johnson
Narrated by: David de Vries
In France, Johnson is like an alien from another planet. Everything is strange to him. His goal is to speak French without going to prison, drive without being squashed like a bug, dance the tango without losing his marriage, and belt out a tune with a world-class jazz combo without being booed off the stage. Repeatedly, the author fearlessly steps into harm's way. He joins a summer acting troop and witnesses the French version of sexual liberation.
Seabreeze Inn
Summer Beach, Book 1
By: Jan Moran
Narrated by: Erin Bennett
Ivy Marin's life implodes after discovering that her late husband had spent their life savings on a beach house. Strapped for cash as an art teacher and with nowhere to go, Ivy and her recently jilted sister head to Summer Beach to recreate their lives. If only renovating a historical home didn't unveil a host of hidden secrets in the beachside community - and the mayor wasn't her former high school crush.
The Missing Pieces of Nancy Moon
By: Sarah Steele
Narrated by: Ellie Heydon
Florence Connelly is broken-hearted; her beloved grandmother has just died and her marriage has collapsed. But things change when she opens a box of vintage 1960s dress patterns, discovered inside her grandmother's wardrobe. Inside each pattern packet is a fabric swatch, a postcard from Europe and a faded photograph of a young woman wearing the hand-made dress. Why did Flo's grandmother never speak of this mysterious woman - Nancy Moon? Her life in tatters, Flo decides to remake Nancy's dresses and to head across to the Continent to re-create Nancy's Grand Tour of 1962.
The Misremembered Man
By: Christina McKenna
Narrated by: Gary Furlong
The Misremembered Man is a beautifully rendered portrait of life in rural Ireland which charms and delights with its authentic characters and gentle humor. This vivid portrayal of the universal search for love brings with it a darker tale, heartbreaking in its poignancy.
Wonderful Story
By Belinda on 26-10-2018
Eightysomethings
A Practical Guide to Letting Go, Aging Well, and Finding Unexpected Happiness
By: Katharine Esty PhD
Narrated by: Janet Metzger
Old age is not what it used to be. For the first time ever, most people in the United States are living into their eighties. The first guide of its kind, Eightysomethings changes our understanding of old age with an upbeat and emotionally savvy view of the uncharted territory of the last stage of life. With insight and humor, Dr. Katharine Esty describes the series of dramatic and difficult transitions that eightysomethings usually experience and how, despite their losses, they so often find themselves unexpectedly happy.
When I Was Seven
By: Mary Ellen Bramwell
Narrated by: Greg Walston
Lucas is thrilled when his grandmother comes to live with him. She's his best friend after Justin from down the street. But when she starts remembering things from her past, is he the only one who will listen? If no one else believes her, how can he fulfill her dying wish? A compelling story about the complexity and value of family as seen through the eyes of a seven-year-old boy.
The Right Place
By: Carla Caruso
Narrated by: Kathryn Hartman
With her dreams of dominating Melbourne's fashion scene in tatters, Nella Martini returns to Torrente Blu, the market garden inherited from her late nonna Esta. She just needs to clean up the property and sell it quickly before taking on the fashion world once more, while avoiding run-ins with her neighbour, surly Adrian Tomaso. But when Nella comes across her nonna's cookbook, things start to change. The place, with its endless tomato plants and gallons of olive oil in storage, gets under her skin, as does Adrian....
A Woman Like Her
By: Marc Levy, Kate Deimling - translator
Narrated by: Neil Shah, Megan Tusing
An unexpected love story from Marc Levy, international bestselling author of The Last of the Stanfields, and the most widely read French author in the world.
For All the Obvious Reasons is Lynn Stegner's superb collection of nine remarkably distinct tales of passion, clear-eyed wisdom, and honesty honed to a cutting edge. These are stories the listener can't shake: A woman living a marital shadow life realizes that her long compensating heart has begun to ominously decompensate. An affluent New Yorker becomes a hoarder to escape a future he cannot bear to take up. A baby dies in a miasma of sibling resentments, and from that the secrets of culpability unravel. A construction worker and a bereaved young neighbor together find a way to be in a broken world. And in the beautifully moving narrative that closes the volume, a story about the depth of goodness and duty and of the profound love they both define and prevent.
From the wild rivers of British Columbia to the cement jungle of Manhattan, Stegner pulls us from our own worlds into her own. With luminous particulars and in richly orchestrated language, these stories sound the vibrant, sometimes anguished music that composes human lives.
Skyhorse Publishing, as well as our Arcade, Yucca, and Good Books imprints, are proud to publish a broad range of books for listeners interested in fiction - novels; novellas; political and medical thrillers; comedy; satire; historical fiction; romance; erotic and love stories; mystery; classic literature; folklore and mythology; literary classics including Shakespeare, Dumas, Wilde, and Cather; and much more. While not every title we publish becomes a New York Times best seller or a national best seller, we are committed to books on subjects that are sometimes overlooked and to authors whose work might not otherwise find a home.
©2016 Lynn Stegner (P)2016 Audible, Inc.
Mindset - Updated Edition
MaddAddam
What listeners say about For All the Obvious Reasons
George Denny
Excellent Collection
A number of great stories, intimately told and beautifully written. Many set in American West.


Food products are substances that can be used food for the animals. It is important for persons to consume the organic types of foods since they are chemical free. Here, is the list of advantages of food products.
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Pulse consumption is beneficial to the individual's health since they provide protein and fiber. These types of foods, really help in reduction of chances of contracting the heart related illness as well as diabetes.


text:
AJBlogCentral
ArtsJournal
Terry Teachout on the arts in New York City
TT: Let God sort 'em out
October 6, 2003 by Terry Teachout
I just received in the mail a copy of Paul Johnson's Art: A New History. Like all his books, it is fabulously energetic and violently opinionated, and thus as a result irresistibly readable–you can open it almost at random and find gems. It also contains, as advertised, a categorical rejection of the modern movement in art, whose values and virtues Johnson denies virtually in toto (he does like Edward Hopper).
I've always been fascinated by this kind of clean-sweep rejectionism, in part because it speaks to a quirk in my own temperament. I vividly remember the thrill of guilty pleasure with which I read for the first time this oft-quoted passage from Evelyn Waugh's 1957 novel The Ordeal of Gilbert Pinfold:
His strongest tastes were negative. He abhorred plastics, Picasso, sunbathing and jazz–everything in fact that had happened in his own lifetime. The tiny kindling of charity which came to him through his religion sufficed only to temper his disgust and change it to boredom. There was a phrase in the 'thirties: "It is later than you think," which was designed to cause uneasiness. It was never later than Mr. Pinfold thought.
I don't feel this way, but I think I know what it would feel like to feel this way, and I confess to finding it more than a little bit tempting. Since there is, after all, so much about the modern era that is worthy of loathing, why not simply loathe it all and be done with it? The problem is that I've never been able to reject the evidence of my senses, which tell me that Stravinsky was a great composer (usually) and Picasso a great painter (sometimes). For me, pretending otherwise would be a pose, and I don't like poseurs.
It also helps that I have a good many interesting friends who are a good deal younger than I, and that insofar as possible I try not to waste their time telling them what things were like when I was their age. I feel the temptation to live in the past, but one can truly live only in the moment, and the last thing I want to do is end up like the pathetic narrator of "Hey Nineteen," the Steely Dan song about a no-longer-young baby boomer who tries to tell his teenaged girlfriend about Aretha Franklin but discovers that "she don't remember/The Queen of Soul," subsequently realizing that "we got nothing in common/No, we can't talk at all." On the whole, I prefer to hear about the world they live in (though sometimes their stories make me shiver), and not infrequently they draw my attention to wonderful things about which I wouldn't have known had I not been paying attention to what they had to say.
Nevertheless, the fact remains that the world is full of rejectionists of various kinds–not so many as when I was younger, but still quite a few. I have a number of older musician friends who claim to hate all kinds of post-Sinatra pop music, for example, and I also get occasional letters from readers who want to know how I could possibly admire the music of Benjamin Britten or the paintings of Giorgio Morandi, or take a movie like Ghost World seriously. What nearly all these latter correspondents seem to have in common is that they really, truly don't like any modern art, a position which puzzles me. Now, I freely admit to having problems with large tracts of the modern movement, and I long ago brought in guilty verdicts on atonal music and minimalist art, but at no time in my life has it ever occurred to me to dismiss all modernism as a snare and a delusion.
Are these anti-modernists poseurs? Some probably are, but I can't imagine that many of them are merely playing at the old-fogy game. A greater number, I suspect, are rejecting something about which they know nothing, or at least not nearly enough to have an informed opinion. (H.L. Mencken was like that, as I explain in The Skeptic.)
Not knowing much about modernism, needless to say, is an affliction not limited to the ranks of the confirmed modernism-haters. Hanging on the walls of my apartment are works on paper by William Bailey, Nell Blaine, Helen Frankenthaler, Jane Freilicher, Wolf Kahn, Alex Katz, John Marin, Fairfield Porter, and Neil Welliver, and I never cease to be amazed by the high percentage of my visitors who don't recognize any of their names–though most of them do like the art, or at least claim to. I'd be interested in knowing whether the author of the following amazon.com customer review of Art: A New History is familiar with the work of any of the above-mentioned artists, all of whom are "modern" but only one of whom is an abstractionist in the conventional sense of the word:
This excellent, irreverent survey of art history is a breath of fresh air for those struggling artists and art historians who are dissenters from the contemporary art establishment. I hope that Johnson's emphasis on training, technique, and realism will aid in the post-modern renaissance that is now quietly occuring, especially among younger artists who are burnt out on the stifling sameness of the arts community and want a return to classical training, beauty, and order in an arts climate that has for decades been inhospitable to those values.
But even after allowing for the effects of ignorance, there still remains a not insignificant residue of what I suppose must be called well-informed clean-sweep rejectionism, though I prefer to think of it as Pinfoldism. Paul Johnson is a prime example. He's not even slightly ignorant (though judging by the index to Art: A New History, I suspect he doesn't know as much as he should about the less radical forms of modern American art), and while I don't know him personally, he doesn't strike me as a poseur, either. He just doesn't like modern art–modern visual art, that is, though my guess is that his rejectionism encompasses music and literature as well. I wouldn't dream of arguing with him, either, since he seems perfectly happy to live without the fruits of the modern movement.
What's more, Johnson's rejectionism hasn't stopped him from writing a good book. You don't have to be right to be interesting. Insofar as possible, though, I'd rather be both.
Filed Under: main
Terry Teachout, who writes this blog, is the drama critic of The Wall Street Journal and the critic-at-large of Commentary. In addition to his Wall Street Journal drama column and his monthly essays … [Read More...]
About "About Last Night"
This is a blog about the arts in New York City and the rest of America, written by Terry Teachout. Terry is a critic, biographer, playwright, director, librettist, recovering musician, and inveterate blogger. In addition to theater, he writes here and elsewhere about all of the other arts--books, … [Read More...]
About My Plays and Opera Libretti
Billy and Me, my second play, received its world premiere on December 8, 2017, at Palm Beach Dramaworks in West Palm Beach, Fla. Satchmo at the Waldorf, my first play, closed off Broadway at the Westside Theatre on June 29, 2014, after 18 previews and 136 performances. That production was directed … [Read More...]
About My Podcast
Peter Marks, Elisabeth Vincentelli, and I are the panelists on "Three on the Aisle," a bimonthly podcast from New York about theater in America. … [Read More...]
My latest book is Duke: A Life of Duke Ellington, published in 2013 by Gotham Books in the U.S. and the Robson Press in England and now available in paperback. I have also written biographies of Louis Armstrong, George Balanchine, and H.L. Mencken, as well as a volume of my collected essays called A … [Read More...]
To read all three installments of "The Long Goodbye," a multi-part posting about the experience of watching a parent die, go here. … [Read More...]
@Terryteachout1
Tweets by TerryTeachout1
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An ArtsJournal Blog
Just because: Merv Griffin interviews Martin Luther King Jr.
Almanac: Martin Luther King Jr. on the ultimate futility of revenge
Replay: Perry Como's cue-card holders appear on What's My Line?
Almanac: Dorothy Sayers on memory
So you want to see a show?


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Il Seguros Bolivar Open Bogotá 2007 è stato un torneo di tennis facente parte della categoria ATP Challenger Series nell'ambito dell'ATP Challenger Series 2007. Il torneo si è giocato a Bogotà in Colombia dal 9 al 15 luglio 2007 su campi in terra rossa.

Vincitori

Singolare

 Carlos Salamanca ha battuto in finale  Thomaz Bellucci 4-6, 6-3, 6-2

Doppio

 Brian Dabul /  Santiago González hanno battuto in finale  Pablo González /  Leonardo Mayer 6-2, 6-2

Collegamenti esterni

redpajama_set_name: RedPajamaWikipedia


text:
The preparation of the proposed Central El Dorado Hills Specific Plan and its associated applications and environmental analysis is a complex process involving agency, stakeholder and public input over several months. The environmental review process, which includes the preparation of an Environmental Impact Report (EIR) pursuant to the California Environmental Quality Act (CEQA), is necessary to identify any impacts associated with the proposed land uses and is essential to the decision-making process for the County of El Dorado. The County cannot make a decision based on the merits of the project until after the conclusion of the environmental analysis, and more importantly, after a series of public hearings to gather community input.
Please visit the El Dorado Long Range Planning County website for information about the Central El Dorado Hills Specific Plan and application process.
The information that follows is a brief overview of the environmental review process as required by the California Environmental Quality Act. For complete information, please visit the Governor's Office of Planning and Research.
What is CEQA?
CEQA stands for the California Environmental Quality Act, a law enacted in 1970 for the protection of environmental resources. It requires California agencies to identify the significant environmental impacts of their actions and describes measures to avoid or mitigate those impacts, if feasible.
What is a Lead Agency?
A Lead Agency is the public agency that has the primary responsibility for approving a project that may have a significant impact upon the environment. The Lead Agency for the Central El Dorado Hills Specific Plan is the County of El Dorado.
What is an EIR and why is it prepared?
An EIR (Environmental Impact Report) is a document required by CEQA when a Lead Agency determines that a proposed project may have a significant effect on the environment. The Lead Agency has determined that an EIR is needed for the Central El Dorado Hills Specific Plan and the EIR will describe the proposed specific plan project, the existing environmental conditions, the impacts from construction and operation of the proposed project, mitigation measures to reduce or eliminate impacts, alternatives to the proposed project, and cumulative impacts.
Information in the Draft DEIR enables decision-makers, interested parties and the public to evaluate the proposed project and its environmental effects prior to decision-making, discusses ways to mitigate or avoid environmental impacts, and discloses to the public any potentially unavoidable impacts.
How does the public participate in the EIR process?
A Notice of Preparation (NOP) is issued at the beginning of the environmental review process and its purpose is to inform agencies and interested parties of a Lead Agency's decision to prepare an Environmental Impact Report. The NOP is circulated for a 30-day review period, followed by a public Scoping Meeting. The purpose of the NOP and Scoping Meeting is to solicit input from agencies and interested parties, and identify the scope of the potential environmental impacts. All comments received by the Lead Agency during the NOP/Scoping phase will be considered during the preparation of the DEIR.
Several months after the NOP and Scoping Meeting, the Lead Agency prepares and releases the Draft EIR (DEIR) in hard copy or electronic format for public review for 45 days (minimum). During this 45-day review period, the public, agencies and other stakeholders may voice their opinions by submitting written comments to the Lead Agency.
What happens to the public comments that are received?
Under CEQA, the Lead Agency must respond to each written comment received during the DEIR review period. Each individual comment is evaluated for relevance to the DEIR and a response is prepared. In some instances, a comment may result in revision to the DEIR. The collection of comments and responses together with the DEIR constitute the Final EIR (FEIR). The FEIR must then be certified by the Lead Agency as adequate and in compliance with CEQA before a project can be approved.
What happens at the conclusion of the Final EIR?
The Final EIR (FEIR) includes all written comments received during the DEIR review period, including the Response to Comments and any revisions made resulting from public input. The FEIR is presented to the Planning Commission, which then votes on a recommendation to the Board of Supervisors to approve or deny the project.
Processing Schedule
Current Project Status
The County and their consultant are preparing Responses to Comments in preparation of the Final EIR and public hearings before the Planning Commission and Board of Supervisors.
Prior Chronology
County approves contracts with consultants to prepare the Environmental Impact Report (EIR)
Serrano Associates, LLC / Parker Development Company files applications with the County
November 2012 to February 2013
Serrano Associates, LLC / Parker Development Company hold public outreach meetings prior to beginning the EIR process
County issues Notice of Preparation (NOP)
Scoping Meeting 6:30 pm to 8:30 pm, Oak Meadow School Multi-Purpose Room, 7701 Silva Valley Parkway, El Dorado Hills, CA 95762
Written comments on the NOP are due to the County by 5 pm.
March 22, 2013 to November 20, 2015
The County and their environmental consultant prepare the Draft Environmental Impact Report
The County releases the Draft Environmental Impact Report (DEIR) and supporting documents for public and agency review for a 60-day review period. For additional information and to access the documents, please visit the Long Range Planning Division's website.
The County hosts an informational Open House about the proposed project and the DEIR. 6:00 p.m. to 8:00 p.m., Oak Meadow Elementary School Gymnasium, 7701 Silva Valley Parkway, El Dorado Hills, CA 95762
Comments on the DEIR are due to the County by 5 pm
The County releases a Notice of Availability (NOA) of a Partial Recirculated Draft Environmental Impact Report (RDEIR). The RDEIR includes revisions to Section 3.6 (Greenhouse Gas Emissions), Chapter 4 (Alternatives Analysis), and Chapter 5 (Other CEQA Considerations), which included information pertaining to GHGs. The remainder of the previously released Draft EIR is not part of this recirculation. The RDEIR is available for public and agency review for a 45-day review period at the Long Range Planning Department's website.
Public comments on the RDEIR are due to the County by 5 pm


Which causes can make OS6860E-U28 have no any swlogd when the issue is happening?
My customer have 3 OS6860E, one of them OS6860E-U28 (switchA) have an issue, it was hung and would recover only after a reboot. During this stage the respective switch can be consoled or telnet but time response is very high and about 50-80% ping drop due to client cannot access to internet, no logs would be printed in the swlogs. I can not find logs because when the issue happening have no any logs recorded on swlod file.
When i remove switchA out of network, the system is fine unless the issue can happen on other OS6860E-U28(switchB), the switchC is OS6860E-24.
After update to lastest firmware 8.5R02 the issue is still happen on switchA.


text:
Cardiology > PCI
Eyeballing Stenosis Is Inaccurate in China, Too
Average 16 percentage point overestimation likely yields unnecessary PCIs
by Nicole Lou, Reporter, MedPage Today/CRTonline.org January 16, 2018
Gross overestimation of stenosis severity by visual assessment has found its way into clinical practice in China, where the oculostenotic reflex may be even worse than in the U.S., a retrospective study suggested.
Among recipients of percutaneous coronary intervention (PCI) in China who did not have acute MI, mean percent diameter stenosis was 87.7% when estimated visually and 71.7% with core lab-derived quantitative coronary angiography (QCA), an absolute difference of 16.0% (P<0.001). People with acute MI had a similar tendency to have stenoses overestimated this way (93.7% versus 83.6%, P<0.001).
Half of lesions said to have crossed the 70% stenosis threshold actually turned out to be less severe by QCA in patients without acute MI; this was similar but less pronounced in the case of acute MI patients, according to Lixin Jiang, MD, PhD, of China's Fuwai Hospital, and colleagues in their report published online in JAMA Internal Medicine.
Across the hospitals included in the study, visual overestimation of stenosis severity ranged 7.6% to 21.3% for non-acute MI and 5.4% to 20.0% for acute MI. Individual physicians differed from QCA results by a range of 6.9% to 26.4% and 0.6% to 26.9%, respectively.
A similar study from 2013 found that the absolute difference between visually- and QCA-estimated stenosis severity was 8% in the U.S., half what is currently being reported for non-acute MI cases from China.
"Large variations across hospitals and among physicians suggest that efforts are urgently needed to improve the accuracy of interpretations of coronary angiograms and to optimize the selection of patients for PCI in current clinical practice," Jiang's group concluded.
"Despite being challenged as long as 40 years ago, owing to its convenience, efficiency, and ease of implementation, visual assessment is still the main method used to determine percent diameter stenosis in China and other countries. Given that the clinical standard, physician visual assessment, frequently resulted in an overestimate of lesion severity compared with the less subjective QCA, it is possible that revascularization would not have been pursued in some lesions -- an implication that is similar to findings from the United States."
"This carefully performed analysis from the China PEACE study adds to the concern of overuse of PCI," according to an editor's note from Rita Redberg, MD, MSc, of the University of California San Francisco. "Visual assessments tend to systematically overestimate the magnitude of the stenosis, meaning that patients will get an intervention on a lesion that is not hemodynamically significant."
Jiang and colleagues looked at a random 1,295-person subset of the China PEACE Prospective PCI Study. Participants had gotten PCI at 35 hospitals. Coronary angiograms were sent to two independent core laboratories for review by QCA.
Things may be even worse than they seem, the investigators said: Participating sites constituted a group of tertiary care hospitals, so the degree of misinterpretation could have been even worse if other Chinese hospitals were included.
"As has been amply documented, the oculostenotic reflex takes over in the catheterization laboratory. This enthusiasm for use of PCI, whether motivated by our love for technology, feeling like we are doing something when we open a stenosis, or related to our fee-for-service healthcare system, is hard to resist once a patient reaches the catheterization laboratory," Redberg wrote.
"The best approach is not to refer these stable patients to the catheterization laboratory in the first place, but rather to start medical therapy and follow the patient clinically."
Jiang and Redberg disclosed no relevant conflicts of interest.
Study co-authors reported several significant ties to industry.
JAMA Internal Medicine
Source Reference: Zhang H, et al "Comparison of physician visual assessment with quantitative coronary angiography in assessment of stenosis severity in China" JAMA Intern Med 2018; DOI: 10.1001/jamainternmed.2017.7821.
Source Reference: Redberg RF "Overuse of percutaneous coronary interventions" JAMA Intern Med 2018


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Dominic Calvert-Lewin in focus: Everton striker proves he is central to success
Posted on January 25, 2021 in Articles
Daring yet clinical, the striker's first performance in the FA Cup since injury bodes well for
Everton's League chances, writes Amarachi Orie.
While Everton were the favourites to win their fourth-round FA Cup tie versus Sheffield Wednesday at Goodison Park on Sunday, there was one man who most fiercely made his mark.
Making a timely return from injury to lead Everton to a 3-0 victory, Dominic Calvert- Lewin's reinvigorated form is a good omen for the club. Blues fans will hope he could be the one to help Everton jostle their way further into the Premier League top 6.
Calvert-Lewin was making his first appearance since New Year's Day after being out with a hamstring injury and slotted seamlessly back into his number nine role, replacing Cenk Tosun who had provided the first goal for Everton in the third round.
It proved a smart choice from Carlo Ancelotti.
Initially it was Richarlison trying to give his team the lead. However, his eighth-minute chance was tipped over the bar and four minutes later his goal was ruled offside.
Ciaran Brennan was worked hard by Calvert-Lewin, who was constantly anticipating balls into the box. However, the Wednesday defender could not hold him off for long.
Andre Gomes provided the cross and Calvert-Lewin came sliding in at the back post to tuck home the opener just before the half-hour mark ending a 50-day goal drought.
His attempt was daring and clinical. The England striker has become renowned for his aerial ability – having
netted four headers for Everton already this season – but it is a sign of a much more potent characteristic.
He is adventurous. He is unafraid. He will be flexible, aerobatic, leap, run, slide, as long he can get onto the ball and shoot.
There was no doubt that the ex-Sheffield United player still felt the fire of rivalry within him. With Calvert-Lewin leading the press, the aim was simple. Everton were to keep driving forward. After all, they could be confident knowing they had a lot of talent up front.
They continued this way in the second half, and more goals came as a result. Richarlison finally got
his breakthrough when he headed home from a corner in the 59th minute. And Yerry Mina
followed suit just three minutes later to add the third and final goal.
Calvert-Lewin was taken off in the 67th minute having scored and inspired his team – his job was done with the Toffees safely through to the fifth round and his ambition clear for all to see.
Everton will face either Wycombe Wanderers or Tottenham next. Until then, Calvert-Lewin can continue to build on his current form. It is clear why the Toffees currently sit at sixth place on the Premier League table, and Calvert-Lewin could be the returning secret weapon to help them climb even higher.
Follow Amarachi on Twitter @amarachii
Dominic Calvert-Lewin


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The cross-section of the weld bead for 6061/6061 blank: (a) Optical photograph of the welded blank, and (b) Schematic illustration of the four distinct zones at the welded blank.
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LA VISTA, Neb. – Nov. 4, 2015 – Securities America, a wholly owned subsidiary of Ladenburg Thalmann Financial Services Inc. (NYSE MKT: LTS), is pleased to announce the Financial Planning Association of Minnesota (FPA of Minn.) has awarded Julieann E. Schroeder its Distinguished Service Award.
Julieann is a CERTIFIED FINANCIAL PLANNER™ and Accredited Investment Fiduciary® (AIF®) of USAdvisors Network and one of its top advisors as well as a registered representative of Securities America. She was honored with the award in recognition of her distinguished service as a CFP® practitioner and her volunteer work for the FPA.
Julieann has been an FPA member for 22 years. During that time, she has served as a director and chairwoman of the Minnesota board. She also mentored new members as a chapter guide, organized a free financial planning day for the public and has twice chaired and emceed the chapter's two-day symposium. Both the symposium and the financial planning day events drew record attendance in 2015.
In addition to her volunteer work with FPA, Julieann is also active in her church and serves as a literacy volunteer in her local schools.
Julieann was nominated by the 896-member Minnesota state chapter for the Distinguished Service Award. That award is given out only when a qualified individual is recognized by FPA. As a recipient, she will be nominated by the Minnesota Chapter for FPA's national Heart of Financial Planning Award, which will be presented in October 2016.
"We are happy to congratulate Julieann on this outstanding achievement. This distinguished award is a reflection of her selfless service to FPA, her clients and her community. We are proud to have an advisor of her caliber as a member of our team," said Securities America CEO and President Jim Nagengast.
Advisory services offered through USAdvisors Wealth Management, an SEC Registered Investment Advisory Firm. Securities offered through Securities America, Inc., member FINRA/SIPC. USAdvisors Network and Securities America are separate, unaffiliated entities.