Case Study A8 was motivated by a case involving a student medical laboratory technologist during internship in a transfusion service.
This case study is partly fictionalized to include educational enhancements designed to emphasize learning points related to technical errors, root cause analysis, legal concepts, risk management, and student training.
This case's format is different from typical serologic cases (which focus on a patient's laboratory and clinical data and the resulting serologic investigation). Instead, various issues related to the case are discussed, along with links to external resources.
The case is relevant for all health professionals (practitioners, students, and educators).
This case concerns an adverse event involving a medical laboratory technology student in the transfusion service (TS) of a large tertiary care hospital. The student was being supervised by an experienced, exemplary technologist who was also responsible for working on the bench and processing routine work. The TS laboratory performs antibody screens using gel technology followed by an electronic crossmatch for patients who lack clinically significant antibodies.
The lab's policy is to initially supervise students very closely and then, depending on performance (which is documented daily), to gradually allow students to perform with less supervision. Regardless of the intensity of supervision, the policy requires that supervising technologists always read the results of student tests.
The student was in the second week of a 6-week TS rotation. On the day in question the student did gel antibody screens on a batch of 5 patients in the late afternoon.
One of the 5 patients had a positive (3+) antibody screen ("Patient A") but, because blood was not ordered and unlikely to be required for the type of surgery, the patient specimen was set aside for antibody identification the next day.
One of the 4 patients with a negative antibody screen ("Patient B" - an 70-year old male scheduled for liver resection for metastatic colorectal cancer) had an electronic crossmatch performed for 3 units of RBC.
Early the next morning Patient "B" was transfused with 2 units of RBC.
When the morning shift began in the laboratory, an antibody identification panel on Patient A was unexpectedly negative, as was the repeat antibody screen. Antibody screens were then repeated for all patients in the batch and one (Patient B) was positive. Patient B was later found to have an anti-Fya and anti-c.
Immediately upon discovering the mix-up and positive antibody screen on patient B, the ward was contacted to stop any transfusion in progress, to inquire about Patient B's condition, and to monitor him for signs of a possible hemolytic transfusion reaction (HTR). Subsequently, Patient B was found to be experiencing a severe HTR and the TS medical director was consulted to help manage it.
The student and supervising technologist were questioned in private, both individually and together, by the medical director and laboratory supervisor. The student could not recall making an error and thought that patient plasma had been pipetted correctly for each patient. The supervising technologist recalled not seeing the student actually pipette patient plasma into the gel cards but did read the results of all indirect antiglobulin tests (IATS) in the batch.
By chance, staff were able to retrieve gel cards from the biohazard garbage and identify that Patient B had less volume than usual in the antibody screen tests, consistent with no plasma having been added. The conclusion was that there was a pipetting error in which Patient B's plasma was not added to Patient B's gel antibody screen cards but rather to Patient A's tests.
A series of group meetings were held with the TS laboratory supervisor, student, supervising technologist, and TS clinical instructor all being present.
Chief Medical Examiner was notified and investigated the death.
The TS medical director disclosed and explained what had happened to the patient's family.
What is root cause analysis (RCA)? What types of adverse events merit RCA?
List examples of errors in the TS laboratory that can cause severe transfusion-related adverse events.
What is the purpose of risk management? Is it about avoiding litigation or improving quality of patient care or both?
What conditions must be present for negligence to occur?
Are staff who supervise students liable for errors made by students?
Are there standards related to what types of adverse events must be reported and to whom? Give an example.
The Medical Examiner's investigation concluded that the patient's condition was such that he would have died even if the incompatible RBC were not transfused, but that the transfusions and resulting transfusion reaction likely contributed to death happening faster.
The student who made the pipetting error was closely observed for the remainder of the internship and passed her clinical rotation.
The supervising medical technologist had acted within the framework of training in the department. Missing the abnormal volume in the gel card was deemed an inadvertent human error for which the technologist was not disciplined.
The transfusion service laboratory (leadership and staff) reviewed its processes for training and supervising students and new staff, its process for performing batch testing; the timing of follow-up investigations, and related risk management issues. Some processes were found to be suitable and others were changed to improve the system.
Despite the hospital lacking a policy of error disclosure, the medical director of the transfusion service, in consultation with the patient's physician and risk management office, and in the presence of a member of the facility's patient support team, disclosed and explained what had happened to the patient's family.
The patient's family conveyed to the medical director that they appreciated the honesty in explaining what had happened. After two years (the statute of limitations on law suits for personal injuries in the hospital's location), the family had not filed a law suit.
Kaplan HS, Callum JL, Fastman BR, Merkley LL. The medical event reporting system for transfusion medicine: Will it help get the right blood to the right patient? Transfus Med Rev 2002 Apr.;16(2):86-102.
Myhre BA, McRuer D. Human error-a significant cause of transfusion mortality. Transfusion 2000 Jul;40(7):879-85.
Berry DB. The physician's guide to medical malpractice. Proc (Bayl Univ Med Cent) 2001 January; 14(1): 109–112.
Hurwitz B. Legal and political considerations of clinical practice guidelines. Br Med J 1999 Mar 6;318:661-4.
Liang BA. A system of medical error disclosure. Qual Saf Health Care 2002;11:64-8.
Phillips E. Managing legal risks in preceptorships. Can Nurse 2002 Oct;98(9):25-6.
Washington University. Teaching module. Talking about harmful medical errors with patients.


Dos Cabezas Wineworks in Sonoita recently made a small release of sparkling Rosé bottled in a tall aluminum can. The Garnacha/Monastrell/Syrah blend is sourced from Cimarron Vineyard in Cochise County and drinks perfectly for a Baja Arizona summer. This sparkling Rosé is the same as their still Rosé wine, but dosed intensely with carbon dioxide (think Topo Chico). The label on the can is a reprinting of a tarnished painting that the father of Chris Bianco (of Bianco Pizzeria fame) painted for his mother on their wedding day. In the glass, the wine has a mandarin orange nose followed by kiwi, ripe honeydew, and some lychee flavors on the palate. The production run was fairly small this vintage, but a few cans may still be available around Tucson at Blu: A Wine & Cheese Shop, Bianco Pizzeria, and Tap & Bottle. 3248 Arizona Highway 82, Sonoita. 520.455-5141. DosCabezasWineworks.com.
Kalina Russian Cuisine and Tea House at Tanque Verde and Bear Canyon offers a complete Russian dining experience with its caviar and vodka pairings. Despite ubiquitous marketing for premium vodka brands, it is important to remember that vodka does hold a traditional dining and pairing tradition in Russian cuisine. Kalina's pairs bowfin caviar with Russian standard, paddlefish caviar with Russian platinum, and hackleback caviar with Russian Imperial. These are usually presented atop blini, but on a recent visit they were substituting bread and butter under the caviar (a more traditional service). I am not a caviar expert but the staff was extremely helpful in explaining the proper traditional way to eat and drink through the pairings. Tasting the caviars side to side helps to drive home the point that caviar is every bit the delicacy it is made out to be: fragile, subtle, with intense differences in flavor. After you've finished the vodka and caviar, Kalina's also has a great choice of Russian, Ukrainian, and Lithuanian beers to drink alongside a charcuterie board covered in hard-to-identify pickles. 8963 E. Tanque Verde Road. 520.360.4040. KalinaRestaurant.com.
When I started working in the Tucson service industry there were tons of new people to meet. Everyone is friendly and welcoming, but husband-and-wife Churchill Brauninger and Elizabeth Menke went out of their way to be the most welcoming and lovable characters around. For years they have been part of the dynamic team behind the bar La Cocina and The Dusty Monk Pub at Old Town Artisans. La Cocina was among the first wave of Tucson's bars taking their craft seriously with fresh juices, countless infusions, extensive beer and wine lists, and all the Underberg (a bitter German digestif) a person could ever want. Finally, after years in the industry, both in San Francisco and Tucson, Brauninger and Menke will be opening their own bar. The demolition and construction is underway for St. Charles Tavern at the building that most recently housed Barrio's Pizza on South Fourth Avenue—although it more famously housed The Paddock, a local legend of drunken debauchery, in the '90s. St. Charles will offer live music, pool tables, a garden to provide cocktail ingredients, and some of my favorite bartenders in town. Brauninger and Menke hope to open St. Charles Tavern by the end of summer.
Some friends and I traveled to visit Abe's Old Tumacacori Bar, located outside of Tubac, after hearing multiple stories from friends about the bar's incredible jukebox, wild crowds, and long history as the go-to dive bar on the I-19 corridor. We arrived around noon and saw no signs of life other than some men with leaf blowers at the house next door. They told me to come back at 3. After a few drinks at Tubac Jack's and some idle conversation with snowbirds wearing Harley-Davidson shirts, we tried to return and were met with a locked door again. After further investigation, we learned that the bar is being passed down to the next generation of the family and, for the moment, has irregular hours. With no more time to waste, we moved on to another storied watering hole: La Gitana Cantina, located less than 15 miles from the border in Arivaca. Originally built in 1880, La Gitana is filled with that favorite southern Arizona character: burnt out, artistic, chain-smoking, hippy cowboy. We ordered cheap beers, talked to some man in dirty jeans about cars, and I had my intelligence questioned when I didn't laugh at someone's dirty joke quickly enough. Anytime you walk into a tavern on a Tuesday afternoon and have trouble finding a seat on the patio, you know you've found somewhere important. Abe's Old Tumacacori Bar. 1900 E. Frontage Road, Tumacacori. 520.398.1227. La Gitana Cantina. 17205 W. Fifth St., Arivaca. 520.398.0810.


These were made to compliment the Ice Caves necklace as per my client's wishes.
They are made from the same crystals used in the necklace and hilighted with sterling silver small round balls.
They are 1 1/2" or 3 3/4 cm drops on sterling silver posts and are very lightweight and super sparkly!


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text:
Analysis of the novel "The Odd Women" by George Gissing
English, Literature & Philosophy
The novel Odd Women focuses on three characters: Miss Rhoda Nunn, Miss Barfoot, and Everad Barfoot. Mr. Widdowson and Mr. Mickelthwaite clearly outline conservative processes. Gissin, in the novel The Odd Women tends to question by conditions of women and his arguments are concurrent with modernity Grand, 2013). Gissing majorly concentrates on the right of women to have adequate and appropriate education in the society. The rationale behind this is that women are also as intelligent as men and can also learn just like their male counterparts. This is an inquiry existing among the conservatives as Gissing examines the way his society tends to treat the women (Grand, 247).
It is common knowledge that Gissin perceived feminism in a broad scope by depicting the instances in which are referred to the situations of women and the time depending on their country. He suggests that feminist arguments tend to reflect on various sides of militancy. Gising, however, uses three of his characters to increase to communicate (Grand, 202). By this, Rhoda is perceived to be the most radical in the early 1970s children in the battlefield showing how a woman also needs a man's vision and the same extent a man needs a woman brother is perceived to have a concept of man and marriage in general.
In the novel, Rhoda stands strong against marriage. She suggests that women should operate like monks because loving and having feelings including sex are the weakness of women. Despite these, Rhoda does not explain the consequences of the nature of human species if there is nobody who gets married and has children. In the novel, this is the only part that Gissing went wrong as he did not predict the pill and contraception. It was through diverse thoughts that he learned of contraception which would safeguard women from unwanted pregnancies
Emerald buffet projects out the perspectives of a man. The main reason behind this is not Everett buffet standard support feminism by the idea that he viewed education as a result of intelligence (Sanders 265). Emerald buffet identifies this on the current chart of marriage and relationships between various management to determine the average capacity of individuals Emerald buffet conclude ok today brings out the attributes of a woman by analyzing the trends carefully.
Individually, I have never understood the reason why civil societies concentrated on maintaining women at home critically. Gissing questions the fact that women are not the same. He suggests that almost everything results from education (Grand, 247). This leads to a question on whether men and women have equal rights as human beings related to the basis of their gender. It is however evident that women appear to be weak due to simple restrictions laid upon them.
Gissing contemplates on the fact that women do not have the potential to swim. Additionally, the fact that women could not be able to swim was not because of nature rather than their clothes (Grand 249). This is even attributed to the title of the novel by Gissing which is substantially reflective of fashion. According to Gissing, women were not supposed to stay idle at home and take care of the children. He suggests that the rationale behind women staying at home is because they don't have any other choice to do with their lives.
Additionally, Gissing outlines the fact that womanly does not reflect into anything when it comes to profession. He also points out that womanish and womanly are two distinct words.
This is because women do not have to account for anything that they perceive as right for them. There is the essence of everybody having a choice to consider when deciding the kind of life one would want to live when it comes to women profession, it reflects into an occupation disdained by a man However the man does not analyze his words critically. Gissing is sure that women are there most prevalent enemies' two men. Here's Virginia Madden after her first conversation with Rhoda: She is quite like a man in energy and resources. I never imagined that one of our sex could resolve and plan and act as she does!' Grand, 258). The first idea is to ensure that women are encouraged to do more and that they have equal chances to live just like any other person in society.
Gissing perceives that education will ensure many women secure jobs and attain financial independence. The economic status gained by the women will enable them to progress into adults instead of being viewed as children who depend on their father and later on get married depending on their husband
The Odd Women is basically to the quest for women to attain freedom by considering that marriages are supposed to be structured on the aspect of free will. This is connected to the analysis and review of various characters in the novel (Chase, 226). The masterpiece is useful in exploring facets of human experience, intimate associations, politics, morality, social constructions, psychology, and cultural affiliations. Primarily, The Odd Women by George Gissing is structured on the quest to establish an aspect of feminism (Grylls, 219).
In conclusion, The Odd Women projects out to an intelligent piece of work and proves to be interesting to read. The ideologies brought about by Gissin have come to pass in the 19th century systematically. This is due to the reason that women have now accessed education and are increasingly being seen in the corporate world. Moreover, marriage is currently not a must to the women, and financial status tends to bring out the difference. Women are the central point in the novel since they described their disappointments and quest to attain a better future even if it takes time. Gutenberg is also a supportive text that outlines the way the British novels are designed about the human association and portraying the challenges that women encounter in society (Grand, 257). The novel describes how Rhoda, Virginia and other characters have a quest to attain a better life in future after disappointments of life about marriage breakups which challenge them to think of a better way to better their skills of income generation thus establishing their future.
Chase, Karen. "The Literal Heroine: A Study of Gissing's" The Odd Women." Criticism 26.3 (1984): 231-244.
Gissing, George. The Odd Women. Broadview Press, 1998.
Grand, Sarah. "The project Gutenberg e-book of the Beth Book, 2009.
Grylls, David. "The Teller Not the Tale: George Gissing and Biographical Criticism." English literature in transition, 1880-1920 32.4 (1989): 454-470.
Sanders, Lise Shapiro. "The Failures of the Romance: Boredom, Class, and Desire in George Gissing's The Odd Women and W. Somerset Maugham's Of Human Bondage." MFS Modern Fiction Studies 47.1 (2001): 190-228.

redpajama_set_name: RedPajamaCommonCrawl


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I'd like some more information about 500 Hollis, Elbridge NY. Thank you.
I'd like to request a showing for 500 Hollis, Elbridge NY. Thank you.


When my father in law fell sick and changed from a healthy fit guy into a bedridden parent in an instant, i thought this is how Allah is going to test us all as a family. And i started writing down some entries in Coping, thinking how this is going to be a long journey ahead of us. i thought of putting into words some of the memories in this hidey-hole.
The first month was spent in the hospital. juggling time to and fro the hospitals mainly. the next month came by and it was all about preparing for abahKama's coming home. and once he was home, days passed again as we were focusing on his needs. and things were slowly settling down by the third month as we were slowly coping with fulfilling our family's needs along with our needs too.
as for abahKama, he was slowly and steadily doing well. he tried his best mouthing some words when communicating, he understood most of what we tell him, he could smile and laugh awkwardly at my sister's jokes. he did small exercises with Ma. he could move most of the time, despite not really fully within his control. but we saw progress. and all the family members were coping well with taking care of abah: changing diapers, feeding milk via the tube, cleaning his tracheostomy etc. and me and Aizzat were coping in our own way, with Aizzat filling his time with extra working hours whenever he can to support the family.
We were doing well. Abah was doing well.
and we plan. but Allah is the best planner of all.
as 16th of April 2018 came.
I came home from work to an empty house as usual, as Aizzat was on his PM shift that would finish at 10pm. I was lazying around as Maghrib entered, when Aizzat called me saying we're heading home to Pasir Mas. "abah's having seizures."
We both didn't panic. my first thought was this is a complication for a stroke patient. it's bound to happen. maybe he had some small seizures and Aizzat said Ma had called the ambulance already. we packed swiftly and all i could think of in the car was "okay maybe a night or two in the hospital. I just hoped Abah's condition is not worsened by it." And Aizzat was pretty much thinking of the same thing too. We were calm doctors as opposed to panic-stricken daughter/son.
"yan, abah takdok dah." Ma said.
i didn't comprehend. did i hear wrong? but i started crying and sobbing istighfar as the words sink in.
we cried the whole way back to Pasir Mas. picking up aizzat's sister from UiTM along the way. but once we were home, nobody shed tears. we were doing our best to handle the funeral. which was all new to us. families including my parents came by to help us alhamdulillah.
Abah passed away in the ambulance, on his way to the hospital. we brought him home later that night after settling some paper work. we took turns reciting the Quran beside him until morning came. everybody looked spent. i watch my husband and all my in laws. and saw how strong they were in handling everything. no one cried.
until it was time to say our final goodbyes. each of us went to kiss his cold cheeks and forehead. abah looked good. handsome we'd all say. something that made us felt a little better from our broken hearts that day.
Semoga roh abah ditempatkan bersama orang-orang beriman. ameen ameen ya Rabb.
how do we handle losing our loved ones? there is no right way for us to do it actually. it's just something we don't want to think about let alone plan for it. but when it happens, we go through it. no matter how hard it is, we pray that Allah guide us through it. because Allah already wills it to happen. Abah's passing will always leave a hole in our hearts. and grief is nothing but a roller coaster ride. where we would smile and laugh at one moment, and find ourselves crying in our doa missing him at the next. but being Muslims, we take comfort knowing that he is still there, just in another phase of life. we'll all be there too one day. but for now, doa is the only thing that could reach him. so keeping him in our daily prayers is the only way to move forward.
we bear witness that you have been a great father to us, a great husband to Ma.
and it's time for you to have your rest alongside our Creator now, insyaAllah.
"sorang tu tak solat langsung. the other one said die solat tapi die qadha.
she said her uncle said it's okay to qadha solat everyday."
astaghfirullah. it was pretty much a little conversation i had with my sister about her circle of friends. and we're only talking about a bunch of girls. what about the community, our country, and the world as a whole? one can only wonder.
so i continued this conversation with my husband in the car. pretty much lamenting how scary the world is nowadays. because solat is the pillar of islam, and yet so many muslims are taking them lightly. so much so that even seeing people who don't perform solat doesn't seem that big of a deal anymore. astaghfirullah, may Allah protects.
one group who are very nice people, but they just don't adhere much to Allah's rules. taking some and leaving some. modest clothing, not really keen to cover the hair, but totally a soft well mannered lady. not praying 5 times a day, but is actively doing charity work. goes clubbing at night perhaps drinking some alcohol, but spends a lot of time helping the poor and the needy. by definition of human nature, they are nice people. and they go about feeling bliss with being the 'good' human.
the other group are those who adhere totally to Allah's rules, but they are just not that nice. you know, sometimes the ustaz we see on youtube who are calling other people 'bodoh / sombong / bongkak' and every other dirty words he could think of. those who totally cover their aurah from top to bottom, but go about sleeping with random boys in the end. those who pray 5 times a day, and yet doesn't have the decency to throw rubbish at the rightful place. those wearing serban or kopiah 24/7 but is also smoking 24/7, huffing and puffing in front of their kids. them, by definition, are 'practicing' muslims. they pray, they fast, they avoid haram food, they cover their aurah, and they go about feeling bliss with being the 'good' muslim.
and these two groups are what makes up most of our muslim community in Malaysia. the ones who settled with being nice. and the ones who settled with being a 'practicing muslim'.
but the truth is, a true muslim needs both hand-in-hand.
one is never complete without the other.
being a nice person is not enough, if we fail to adhere to Allah's commands. stop lying to ourselves that it's okay to not wear a hijab, or it's okay to show some skin, it's okay to touch our non-mahram friends, when they are all clear commands from Allah. and those things will be accountable for in our akhirah. but we now live in the world where those who reminds are being chastised instead. "awak bukan baik sangat. Allah tengok keikhlasan hati. jangan 'judge' orang lain. die buat banyak lagi benda baik." the list goes on.
and vice versa for the other end. adhering to Allah's rule but not all. avoiding all those big sins - pray 5 times a day, fasting in Ramadhan, paying your zakat - but taking those smaller sins for granted. going to work late, making empty promises, talking bad about others, writing harsh words over the net, spreading fitnah, gossiping, and the list goes on.
being a muslim is about building your relationship with Allah. and it entails adhering to His commandments in all aspect of life. picking some and leaving some is not the way to Him. being a better person requires us to be a good 'abid as well as a good human-being. yes, nobody is perfect aside from Rasulullah s.a.w, but aiming to perfect our iman and amal is not impossible, as it's an ongoing process. we may never be a perfect muslim, but Allah takes effort into account. istiqamah is always the key. and this effort requires us to be in both groups of people, not either. so stop choosing sides and try to be both.
most importantly loved by Allah s.w.t.
I'd be writing some entries in Coping. Perhaps as my way to cope with our new journey. Perhaps as my way to ask for some du'a from anyone who stumbles into any of my entries. Perhaps as a reminder for my future self of how Allah has guided us from the very beginning. Just perhaps.
In my last entry, Abah Kama was transferred to a general ward. and he was showing very minimal response. we were unsure of what would become.
and His plans enfolds smoothly for the weeks after, alhamdulillah. Abah Kama was initially transferred to a district hospital, whereby my mother in law decided that it's best if he stayed in the palliative ward for comfort. He stayed there for a couple of weeks and eventually was discharged home.
How is he? Alhamdulillah. Abah Kama is awake. He responds with nods and shakes back then. nowadays he tried mouthing some one-word answers whenever he can. his movements are very much limited, as he hasn't gain much control over his muscles yet. but he has a bit of strength around his neck muscles on and off.
The nearest clinic has a team who would come by once a week to monitor his progress. Alhamdulillah. sometimes bringing in medicines, or looking for any wounds on him. some things that we might have taken for granted had we not experience these ourselves. since my husband and i could only come back during weekends, those medical team coming over during the weekdays does eases our minds a bit.
To be honest we have a lot on our plate now, and sometimes it can be overwhelming for the both of us. but we tried our best by encouraging each other in those moments, that we need not worry, that we could go through this well, if we're in it together. :) Aizzat is doing well, alhamdulillah. His free time is spent at the local clinics now. finding some extra hours of work to cover the medical expenses and two full households. be strong honey!
Facing all these makes us very humbled and grateful, that despite everything, Allah has eases us more than we could ever imagine. we still have a home to come back to, food on the table and families around us that support us, alhamdulillah.
Nevertheless, we still have a long way to go. we're not sure yet where this is all heading, and what the future holds for us, but we're taking small steps at a time, insyaAllah. May Allah eases this journey through and through.
and perhaps you love a thing and it is bad for you.
And Allah Knows, while you know not.
"Allah swt knows the reality of everything while man's knowledge is limited. We assess things on the basis of our limited knowledge and often make wrong decisions. We must pray that Allah swt bless us with both hikmah [wisdom] and rushd [deeper understanding with guidance] so that we do not decide on things being good or bad as prompted by personal desires, rather, by the Wisdom of Allah swt. If we learn this art we will block the way of Shaytan who tries to instill doubts and negative thoughts in our minds."
Day 30. It's been a month since the day my father in law, Abah, fell sick. How time flies. We never thought we could pass those days, but we did. That's somehow the beauty of life. Or perhaps the scary part of it. That no matter how scared you are, time shall pass you by.
That moment shall pass you by.
What is meant for you, shall pass you by.
Abah has been transferred to the general ward last night. He was in the intensive care unit (ICU) for a good 3 weeks before being brought to the high dependency ward (HDW). Basically the difference between these wards is how Abah is taken care of. In both ICU and HDW, families are not allowed to stay with the patients. Nurses spent most time tendering to Abah. All those regular feeding, suctioning and so on.
Hence, Ma (mother in law) and Abby (little sister in law) has been playing the major role of visiting Abah on a daily basis. We found a small inn near the hospital for them to stay at, because there is nobody to drive them to the hospital while we are at work. And they have been walking back and forth for a-30 minutes-walk daily for almost a month now. Aizzat and I could only accompany them during weekends, bringing them to my parent's house to stay at. My other little sister in law has been trying to come back on weekends too from her university.
Everyone is trying their best, and trying their hard to be with one another.
Everyone has been strong through and through, Alhamdulillah.
I pray Allah keep us all this way for the rest of our journey, insyaAllah.
Stroke. Somehow I see this diagnosis differently nowadays. Almost a mysterious disease. For I can never tell what is truly going on.
Then there were times when Abah seems too restless or agitated. Those were the days when he was constantly put on sedatives because his movements became too aggressive at times, causing his mouth to bleed as he bites his inner cheek too much. Even causing his IV lines to come off. During these time, it hurts us the most. Because we cannot figure out what is happening. Is it just the stroke? Is it Abah trying to fight his own body that is out of his control? Is Abah in pain? Allahua'lam.
Abah has gone through a lot in the ICU. He was always on antibiotics from all the bugs in the ward, something that we have expected in prolonged hospital stay. His heart was also beating furiously for days. Atrial fibrillation is what we name it. We try to not look into those vital signs too much when we visit him.
Nowadays, Abah looked much calmer. Almost too calm. No longer any tears. Movements are too subtle. Are you sleeping Abah? Too tired to respond to us calling you everytime we visit? At times like this, I try not to ask Abah of anything. We'd just massage his arms, put lotion all over his body, rub Vaseline on his parched lips. We don't want to disturb your rest for too long. But deep down, this scares us the most, when you are lying there so silently.
Ma asked often, is Abah there? Is he alert of his surroundings? Our answers are pretty much the same since the beginning; we don't know, only Allah Knows.
Thinking of Abah's laughs and smiles, sometimes, all I wish for is that this sickness is just a test for us, those who are left behind, and not for Abah. That Abah is somehow in a different dimension, resting well. Even if he hears us, he is listening from a better place. Not from the hospital bed. Not through those beeping sounds around him. I hope that Abah doesn't feel lonely, and he is not struggling to fight his own body. That he is resting well, because he deserves it the most, for someone who has worked hard all his life and yet never forget to be thankful and to always smile. That is our Abah Kama.
and if He did not help you, who is there after Him who can help you?
And in Allah (Alone) let believers put their trust."
What Allah has granted us in life recently is only a small bit if i were to compare it with what others are facing. but to each and everyone, their own journey. and here is ours.
When you're a doctor, you're always on the other side of the curtain. You see deaths, sickness, and sadness in the hospitals. But because you're at work, and both your brain and your body needs to function; you detach yourself from whatever you see or feel. Fleeting moments of reflections, and then they disappeared.
to now be the doctors behind those curtains.
Where we waited patiently for the updates. Where we are waiting patiently beside Abah's bed, holding his still hands, accompanied by the beeping of his vitals. Where we are the ones following Abah being pushed into ICU. Where we are now the family who are sitting at the sofa area, meant to be the place of breaking bad news.
a part of the sadness.
My father in law, abah Kama (Aizzat's loving stepdad since he was six) got a stroke about 2 weeks ago. Day 18 to be exact. It was early Sunday morning. I was about to step out of the car when I heard Ma's frantic call to Aizzat. I could hear her crying. You felt that shiver. But Aizzat asked me to go ahead for work. The day went by not being able to focus well during my course. It was all well initially. Just a small stroke. Aizzat sounded fine during lunch. My parents dropped by the hospital too to visit Abah.
Then that short phone call from Aizzat. His cracked voice: "abah tak sedar. Diorang nak intubate." I wanted to be with him there and then. That's all I could think of. Alhamdulillah for my parents who drove all the way to pick me up from Besut. It was already 11pm when I saw Aizzat sitting tiredly beside abah's bed. My cheerful abah, now lying there on the hospital bed. The news kept becoming bigger and heavier. When the medical doctor came telling us shortly about a possible bleed and burr-hole surgery, simply put. Just as we were about to cope with the news, he gave us another big blow: conservative treatment, abah will be sent to the ICU.
To be honest, I wondered if we weren't medical doctors, we wouldn't have a single clue of what has been told, what the plan was, and why the sudden cancellation. It was all too fast. All too complicated to comprehend in that short time.
but our lives were already making so much turns.
Aizzat looked so spent. And yet so calm. Too calm. He even smiled and greeted all the ICU staff who remembered us when we sent abah to the ICU. We sat at the sofa area. Waiting for Kak Long (Aizzat's elder sister) to arrive from Kuala Lumpur. I talked to Aizzat. He was still stiff. I worried. We went home at 230am. A quick shower and he was already asleep when I joined him.
is the only way to move forward.
you know that feeling? that little tug in your heart. we'd usually get one of those when we're touched, or sometimes when we felt guilt. i had one today. mine is the latter one. or perhaps it's a mixture of guilt and sadness? or even perhaps helplessness?
being a doctor in small secluded place in Pasir Akar brings me into the lives of so many elderly. i know that i have always had this soft spot for grandpas and grandmas. and seeing that i have none left now in my life, i'd often imagine them as one of my own. but the grandpas and grandmas that i see here are not those who are happily coming in with their children. they'd usually come in with worn-clothes. they'd usually come alone looking scared. they'd usually looked confused. they're usually ones who live alone. and some are still busy working to put food on the table because they are left to fend for themselves.
and these breaks my heart in everyway.
and today, breaks me a little bit more.
i met a 72 year old lady today. she came from a nearby pondok. i find it a common thing nowadays, where these elderly would rather stay at a pondok on most days to fill their days with ibadah. when they're staying at a pondok, they'd be closer to the masjid, and they have their own peers to recite the Quran together, to listen to those kuliah Subuh together.
so back to my patient. she came with a slightly high blood pressure reading. telling me that she missed her medications for 3 days because she couldn't find any form of transportation to come to the clinic. and since it's already 3 days of missing medications, she could't wait any longer so she walked to the clinic.
walked a good 5km to the clinic.
i often heard these elderly taking the buses, or hitchhiking along the way. but this was a first. and there i was, not being able to do much. i asked around, but nobody was able to send her back. i didn't bring my car today and i don't think my boss would appreciate me leaving my job that early in the morning when i have other patients waiting for me. and all i could do at the end was ask her to rest first. to take her medications before she heads back.
i felt helpless. but i continued my work and forgotten all about her.
hence, this is the hardest part of this job as a doctor. when we have to detach our emotions while working. because they can't get tangled up or we wouldn't be able to move forward. you'd have those tugging moments along the way, but you move along. praying your best at that moment that Allah eases them. because almost all patients are people who are struggling to live. sometimes i do wonder, why are the ones who're sick are those who are poor, the ones who are already struggling with what's on their plate?
puts things back in perspective.
i pray that they are all granted with sabr.
i pray that Allah eases their sufferings.
i pray that Allah beautifies their hearts.
i pray that Jannah awaits them at the end.
Kami telah beriman, sedang mereka belum diuji?"
I've been watching this girl lately. Her name is Aida Azlin. I know very little about her as i haven't done much 'stalking' about who she really is, but i've watched a few of her videos that she posted in Facebook. For which reminded me of those years where i used to love sitting down and reflect on whatever events that had occurred in my life.
Her videos are just awesome and laid-back. As she talks about things in her life, and relate it back to how they can all make us closer to Allah. something that i think, i wanted to do all those years back in Dublin. but i guess life and job caught up with me, and whenever i feel like i wanted to write, so many things stopped me. i felt like i haven't been as good as i wanted to be, hence i can't write reminders or advices because of the state that i was in: forgetful of Allah. Astaghfirullah.
but then, as i watched some more of her videos today, somehow it made me realized, that nothing should be stopping me to write a good reminder, or a good advice. because waiting for oneself to be good, or so called 'pious' is a never-ending wait. you can never really know when you are good enough. and we all know that iman is a rollercoaster, we have our highs and lows. but as long as we find ourselves to still be in that path towards seeking Allah's redha, then wherever we are doesn't count. give good reminders if we want to, because who knows if those small reminders that we tell ourselves and others, will eventually become the pillars to strengthen our iman.
we all know that islam is about istiqamah. there's a bunch of good things you can do in life, but to keep doing them is the hardest part of them all, so whenever and wherever we are, let's pray for each other to keep doing good, even if it's a small part in this big world, because our effort is all that it takes.
we all know that Allah Watches over.
ever take anything that his hamba do, for granted.
so here's to us, in trying to be a better abid.
let's get an A for effort shall we?
"Islam is not about 'we're better than you'. Islam is about 'let me show you something that's better for you'."
Gadis ABG Mulus Bugil Super HOT!!!
bye2 kokok ayam. helo hon dan enjin2 kenderaan!
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theChocolateLover is the double identity of MissIzyanAriff since 2009. Awesome Inc. theme. Powered by Blogger.


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Syrians Around the World Now Spend Their Eid Holiday with an Eye on the Past
By Hossain
· Citizen Journalism
Citizen Journalism Summer 2018 Student Stories
The following article was reported by a student in Paper Airplanes' online Citizen Journalism class in the summer of 2018. Subject matter and quotes do not represent or reflect Paper Airplanes' views as an organization.
Eid al-Adha is an important religious holiday for all Muslims. Often referred to as "The Feast of the Sacrifice," it's a four–day event and has customs like any other holiday. This year, Eid was celebrated the third week of August.
Still, it has been eight years since Syrians were able to celebrate Eid in peace because so many Syrians have lost their homes, their families, and also are unable to afford the cow or the sheep that is important to celebrating the holiday.
The history of Eid al-Adha goes back to the Prophet Ibrahim who, in a dream, was told by Allah to sacrifice his son Ismail as an act of faith. Ismail's life was later spared, and Ibrahim sacrificed a lamb instead.
Now the custom of Eid is for Muslims to sacrifice cattle if they can afford it and give the meat to the poor.
Syrians and Turks share the same Islamic background so for Syrians living in Istanbul, that allows them to participate in holiday's many traditional customs. Those customs start days before Eid where Syrians buy new clothes, perfumes, make or buy sweets, and get haircuts.
The first thing Syrians do for Eid is attend Eid prayer at the mosque, where they also greet neighbors. After that, people go home to have a traditional Eid breakfast that consists mostly of various pastries that symbolize the sweetness of life.
Still, for many Syrians living in Istanbul, Eid often feels very different; they simply don't feel the joy of the holiday and in some cases they would rather to spend their time resting or having some time off from their jobs, says Mohamed*, a Syrian refugee living in Turkey.
"In Syria people used to wait for Eid, but here in Turkey, it is just like any other day of the year," Mohamed* said. "Syrians here wait for Eid only because they will have a chance to take some time off from their jobs because Syrians can't do Eid traditions; for example, here in Turkey many Syrians don't have relatives or friends to visit. When I was in Syria, I used to get visits all the time from my neighbors but not here. In general it is very different between Syria and Turkey.
Eiad*, a Syrian refugee who lives in Istanbul, agrees that Eid feels very different to him now.
"In the past we used to wait for Eid even when we were children or even when we grew up," said Eiad*. "Eid has special customs, it's all about joy and happiness, and we used to wait for our friends or relatives who lived in different cities to get a chance to gather; for example, our family used to gather at our grandfather's house, about 60 people to spend time together, then go to Eid prayer."
Eiad* also remembers the joy of the holiday.
"I remember when I used to hear the mosques 'exclaiming God is great,' you could see the joy of Eid on people's faces even for old people; it is obvious they were very happy," he said. "My relatives used to give me Eidia (money for children) and you used to see children playing on swings and slides.
"We didn't have big amusement parks in my city, but we used to have a lot of fun. But now, I don't see or feel anything that indicates we are in Eid holiday, and (this year) I didn't hear mosques. No, I don't see the love I used to see with people. I don't know the reason but maybe because we are in a different country or maybe because we are very far from our families and our country, they must be living in fire (very tough circumstances inside Syria)."
Added Eiad*: "Although we have access to everything here in Turkey to do the traditions of Eid, Eid to me is when I am with my family and friends, paying visits or having fun with them, and I hope for the future that people of Syria who are displaced all around the world get a chance to go back to their country when this horrible and dirty regime leaves Syria so people can enjoy their victory. With this blessed revolution, a man without home, family or beloved ones is nothing!"
Syrians everywhere cherish the customs that come with Eid. In Syria, a local butcher would typically come to a family home to collect meat from a cow or a sheep that had been sacrificed for the holiday; he would then give the meat to neighbors and relatives. In Turkey, however, animal sacrifices are not permitted in homes and so Syrians go to places that each municipality has assigned as slaughter houses.
After the butcher's visit, Syrians typically pay visits to relatives and beloved ones. Syrians in Istanbul would love to keep that custom alive too, but again, most are separated from their families back home or from relatives living in different parts of Turkey, like those living in border cities where the cost of living is cheaper. Now the Turkish government allows Syrian refugees to visit their families in Syria who are living near border towns.
For Rania*, a Syrian refugee living in Istanbul, Eid is also about celebrating gatherings of families and neighbors, and she also remembers the joy in children's eyes when they would wear new clothes.
"We used to start by cleaning our house, making sweets and pastries and visiting the cemetery to read Quran over our dead beloved ones," Rania* said. "Most people will postpone important occasions like engagements or weddings (to coincide with) the Eid holiday."
Added Rania*: "We used to count the minutes waiting for Eid, but now unfortunately, it's all in sorrow, sadness and memories, nothing is left but memories. I don't think there is a Syrian who doesn't cry in the time of Eid, because he has lost someone from his family. The family isn't in one place, they are in different cities or countries, and there is no joy at all because we don't have a country, family or relatives anymore."
"The reason for the difference between the past and the present is the displacement because of the pig Bashar; he didn't leave anything without destroying it, and he didn't spare anyone from killing. But I still hope for the future to return to my country when it's pig-free, thug-free and everyone returns home, although there will be sadness when they return to see everything destroyed and everyone killed."
For Syrians like Rania*, Eid must never be forgotten.
"We ask God (for a chance) to teach our children and grandchildren the traditions of Eid," she said.
*Names changed for privacy.
Teachers, Students Disagree About Council of Higher...
Outcry for Peace


Posted on December 20, 2011 at 9:30 am.
Oftentimes children who have been in foster care and have experienced the trauma of abuse or neglect have issues with attachment, even if they have been a member in your family for years. Attachment refers to your child's ability to create and maintain healthy, safe and trusting relationship with parents & caregivers, siblings and peers. Due to trauma, abuse and neglect, many children may have behaviors that include, but are not limited to: a difficult time navigating relationships and poor impulse control. They may also exhibit controlling and manipulative behaviors. Attachment-based therapy is an effective way to work on the challenges that children and families face when the child has had early disruptions to healthy development. Many parents wonder, what is this kind of family therapy and how, exactly, will it help?


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text:
John Lamont MP
Berwickshire, Roxburgh & Selkirk
About John Lamont
Brexit to be delivered
The UK is due to leave the European Union this Friday, January 31st. After the election in late 2019, where the Conservatives won a majority, the government was able to pass the Withdrawal Agreement, allowing the UK to leave. This was a key pledge made during the election.
The leaving date comes almost 4 years after the referendum result showed that the UK wanted to leave.
Commenting John Lamont MP said: "It is almost 4 years since the United Kingdom voted to leave the EU. Since that decision, there has been much delay and uncertainty so I think most people will now be relieved that this stage of Brexit is concluding. It is now important that politicians, from all parties, work to bring our society together again and end the politics of division.
"Despite the demands from Nicola Sturgeon and the SNP, we do not need another divisive independence referendum which will simply create more disruption and chaos.
"I know that the Prime Minister and the government will now be working hard to secure a trade deal that is good for the whole of the country. There will be many challenges in the months and years ahead, but Brexit gives our country a unique opportunity to move in a new direction on the world stage. I am sure that the Borders and all of Scotland will embrace those opportunities."
Brexit is one of the most important decisions that the UK has made and it is important that politicians get it right.
I campaigned and voted for the UK to remain part of the EU. However, I accept the result of the UK wide vote and believe it is the UK Parliament's job to implement this decision, as voters were promised would happen ahead of the vote.
Ofcom consultation would see most phone boxes removed from the Borders
Wednesday, 12 January, 2022
Borders MP, John Lamont, has criticised plans that would lead to the removal of most of the remaining phone boxes in the Borders.
Holyrood News
Speeches in Parliament
John Lamont MP for Berwickshire, Roxburgh & Selkirk
About John Lamont MP
Promoted by E Douglas on behalf of John Lamont, both of Conservative HQ, Lower Langbrae, Main Street, St Boswells TD6 0AP
Copyright 2022 John Lamont MP for Berwickshire, Roxburgh & Selkirk. All rights reserved.


text:
Ørsted trials turning offshore wind turbine foundations into safe havens for corals
Ørsted, the world's most sustainable energy company, is planning a world-first attempt to support coral reefs by growing corals on offshore wind turbine foundations. Together with Taiwanese partners, the company will test the concept in the tropical waters of Taiwan this summer. The aims are to determine whether corals can be successfully grown on offshore wind turbine foundations and to evaluate the potential positive biodiversity impact of scaling up the initiative.
Artist's impression of future coral growth potential. This is not a scientific illustration of the possible scale, species, or size of the corals.
According to the UN Environment Programme, coral reefs provide habitat for an estimated 32% of all marine species and benefit 1 billion people worldwide, directly or indirectly. But global warming is increasing sea surface temperatures, which can create a bleaching effect that threatens the survival of tropical coral reef ecosystems, adding to the global biodiversity crisis.
Climate change is becoming the biggest driver of biodiversity loss, and a substantial expansion of offshore wind is central to tackling these interlinked crises. Governments are planning a substantial build-out of green energy infrastructure at sea, and if done right, Ørsted believes the expansion of offshore wind energy needed to fight climate change can also integrate solutions that support and enhance ocean biodiversity. That is why Ørsted has set an industry-leading ambition to deliver a net-positive impact on biodiversity across all the new energy projects it commissions from 2030 at the latest.
Adding to its efforts to leave nature healthier than before, Ørsted, the global leader in offshore wind, is exploring innovative new ways to protect and enhance biodiversity. ReCoral by ØrstedTM is one example of the company exploring how to achieve this. The project aims to implement a non-invasive approach for collecting surplus indigenous coral spawn as it washes ashore and for growing healthy coral colonies on the foundations of nearby offshore wind turbines.
Increased surface temperatures in shallow waters can lead to coral bleaching. At offshore wind farm locations further offshore, temperatures are more stable due to vertical mixing in the water column, preventing extreme temperature increases.
The innovative idea behind ReCoral is that the relatively stable water temperatures at offshore wind farm locations will limit the risk of coral bleaching and allow healthy corals to grow on wind turbine foundations. Corals will be grown close to the water's surface to ensure sufficient sunlight.
In 2020, biologists and marine specialists in Ørsted teamed up with private and academic coral experts to mature and test the concept. In 2021, the ReCoral team successfully grew juvenile corals on underwater steel and concrete substrates at a quayside test facility for the first time.
In June this year, the offshore proof-of-concept trial will begin at the Greater Changhua offshore wind farms in Taiwan to test the concept in open waters on four separate wind turbine foundations.
Mads Nipper, Group President and CEO of Ørsted, said: "To halt climate change and create a sustainable future for the planet, its ecosystems, and its people, we must speed up the transition from fossil fuels to renewables. Governments are preparing a significant expansion of offshore wind energy, and I'm confident that if done right, the offshore wind build-out can support and enhance ocean biodiversity." He continues: "If we succeed with ReCoral and the concept proves to be scalable, this Ørsted innovation could create a significant positive impact on ocean biodiversity."
Working with coral experts
Ørsted collaborates with the Penghu Marine Biology Research Center in Taiwan, and together they have developed a non-invasive methodology for coral seeding, in vitro fertilisation, larvae transport, and larvae attachment to wind turbine foundations. Rather than removing anything from existing coral ecosystems, ReCoral's non-invasive approach relies on the collection of surplus coral egg bundles that wash up on shorelines and would not otherwise survive.
Hern-Yi Hsieh, Director of Penghu Marine Biology Research Center, said: "We're excited to take part in such a great initiative and partner up with the world's most significant player in offshore wind. Environmental protection and marine biodiversity will continue to be one of the key topics of the world in the coming decade. It's great to see that, apart from its effort to supply clean energy, Ørsted is also launching its coral project here in Taiwan to promote environmental friendliness. We're honoured to participate in the project, and we look forward to more such initiatives in the future."
If the proof-of-concept trial is successful, Ørsted will explore opportunities for scaling up the initiative, with the ultimate aim of using additional coral larvae generated at offshore wind farm locations to restore and enhance threatened near-shore reef systems.
The ReCoral concept could be applied to offshore foundations of any kind in tropical waters around the world. Ørsted will share learnings and the techniques the ReCoral team develops with the broader coral conservation community, and with other wind farm developers, expecting that the findings will be useful regardless of whether the ReCoral pilot succeeds.
To learn more about the ReCoral by ØrstedTM method and how it differs from other approaches to coral restoration, please visit https://orsted.com/sustainability/our-priorities/nature/recoral
2018: Ørsted began developing the ReCoral project.
2019-20: Technical and ecological aspects of the concept were matured, including the larvae sourcing and attachment methodologies.
2021: The Penghu Marine Biology Research Center completed a pilot test using surplus indigenous coral spawn collected from the coastline of the Penghu Islands. The coral spawn was matured to larvae in one of their onshore laboratories and settled onto underwater steel and concrete substrates at a quayside test facility.
2022: In June, Ørsted will carry out a proof-of-concept trial, attempting to settle larvae and grow healthy corals at its Greater Changhua 1 Offshore Wind Farm, located 35-60 kilometres off the coast of Taiwan. For the trial, 1m2 areas on four separate foundations will be used.
Net-positive biodiversity impact
Net-positive biodiversity impact is Ørsted's ambition for all renewable energy projects the company commissions from 2030 at the latest. Net-positive biodiversity impact means a measurable contribution that improves biodiversity overall and leaves nature as a whole in better shape than before. Unavoidable impacts are minimised and mitigated, and active steps are taken beyond this to enhance biodiversity and repair ecosystems currently under threat from both the crises of climate and biodiversity. Ørsted's offshore wind farms do not harm naturally occurring coral reefs, and Ørsted's biodiversity ambition does not depend on ReCoral to deliver a net-positive impact for biodiversity at the Greater Changua wind farms, however, it will provide vital learnings on how Ørsted and others might provide wider biodiversity benefits. Find out more about Ørsted's net-positive biodiversity ambition here.
Greater Changhua 1 Offshore Wind Farm
As part of the 900 MW Greater Changhua 1 and 2a offshore wind farms, Greater Changhua 1 has a total capacity of 605 MW and is co-owned by Ørsted (50 %) as well as Caisse de dépôt et placement du Québec (CDPQ) and Cathay PE, who have a combined ownership stake of 50 %.
Explainer video, illustrations, and pictures of the progress of ReCoral are available for download and editorial use here. Please credit Ørsted. The explainer video is also available on YouTube.


Many Hands Make Light Work Asking a first-time novice to scissor-snip a tote full of Chef's Garden micro-arugula is like asking a kindergartner for a haircut the day before prom. Talk about pressure.
As we look forward to serving creative chefs and cooks in 2019 and beyond (and we ARE looking forward to that!), we think it is just human nature to feel a gentle tug of nostalgia as the year comes to a close.


Fabulous Beano comic panel featuring Dennis the Menace and Gnasher asleep on the comic logo.
This is a cotton blend with the images printed on a white background. I have made some great cushions with similar images before now but it would also look great as part of a larger patchwork.
This dates to the early 1980's and shows the original Dennis and Gnasher characters. It's in good condition with bright colours. I spotted a couple of tiny marks near the bottom (see picture) which may come out with a specialist wash.
Dennis and Gnasher measure 68cm across x 38cm deep.


text:
  As of version 2.0.3-RC4 JNRPE gives you a simple way to test plugins and
  commands through the use of the JNRPE interactive console.

  To run JNRPE in console mode, use the --interactive parameter:

        ./jnrpe --conf ../etc/jnrpe.ini --interactive
        Listening on 127.0.0.1:5666
        JNRPE>

  JNRPE is now ready to receive your commands.

## Getting help

  If you issue 'help' without any parameter, you sill get the list of
  available commands.

        JNRPE> help
          * command:check_test
          * exit
          * help
          * plugin:CHECK_DISK
          * plugin:CHECK_FILE

  Now, if you need help about any of the listed command, you can run:

        help [command_name]

  where command_name can be any of the listed commands:

        JNRPE> help plugin:check_disk
        Command Line:
          plugin:CHECK_DISK  [-p <path> -w <range> -c <range> -T <arg>]

        Usage:
          -p|-w|-c|-T
          -p (--path) path         The path to check
          -w (--warning) range     The used space warning threshold (percent)
          -c (--critical) range    The used space critical threshold (percent)
          -T (--th) arg            Configure a threshold. Format :
                                   metric={metric},ok={range},warn={range},crit={range
                                   },unit={unit},prefix={SI prefix}

  Be aware that the console is case insensitive: plugin:check_disk is the same
  as PLUGIN:CHECK_DISK.

  If you want to run the check_disk plugin to test some parameters, you can
  issue, for example:

        JNRPE> plugin:check_disk -p /tmp -w 20 -c 10
        CHECK_DISK : CRITICAL - Used: 246678 MB(89%) Free: 28967 MB(10%)|freepct=10.000000;20;10;0.000000;100.000000

  The same can be done with the commands:

        JNRPE> command:check_test HELLO
        TEST : HELLO

redpajama_set_name: RedPajamaGithub


Very beautiful one bedroom one bath on the South Pointe neighborhood. Walking distance to the shops. 6 blocks to the beach. Very good maintenance. Kitchen fully equiped with range, oven, microwave, dishwasher and fridge. Walking closet in the bedroom.


text:
Q: ViewContext.Writer() doesn't exist in ASP.NET MVC 1.0? I have the following code in an ASP.NET MVC 2 application.
internal TextWriter _writer;
// some stuff
_writer = _viewContext.Writer;
_writer.Write(_tag.ToString(TagRenderMode.EndTag));

I tried to move it to MVC 1 and now it doesn't build any more. I'm getting this error:
'System.Web.Mvc.ViewContext' does not contain a definition for 'Writer'

Can someone point out how I can resolve this?

A: I figured it out:
using (TextWriter textWriter = new StreamWriter(_viewContext.HttpContext.Response.OutputStream))
{
    textWriter.Write(_tag.ToString(TagRenderMode.EndTag));
}

redpajama_set_name: RedPajamaStackExchange


text:
Seeking CPC Nomination from Scarborough Centre
Seeking CPC Nomination from Scarborough CentreSeeking CPC Nomination from Scarborough CentreSeeking CPC Nomination from Scarborough Centre
Join our movement now!
Join our movement now!Join our movement now!Join our movement now!
Join/renew CPC membership
About Zia Choudhary
A Realtor-Broker, Financial Advisor and an IT expert by profession, Zia initially migrated to Canada with his wife and two kids. He had a dream of being a part of this very diverse yet unified society and wished to be an active contributor to an environment conducive to equal opportunities for all.
Zia holds an MBA in Technology Management and has over thirty years of experience in the corporate sector. He has served in prominent positions as manufacturing, marketing and Group IT head in the Plastic, Leather and Auto industry.
Zia has been associated with different communities for the past 8 plus years.
A local volunteer and an advocate of the small business sector, he believes that the small business sector is the prime contributor to the nation's economy and is the backbone of a thriving workforce.
Zia feels that there is a need for a strong representation in the Federal Government to ensure an active federal participation in affordable housing and transportation. He is not running for a position of power but for a position to empower.
Our community needs a voice that is collective and diverse and a voice that will have the courage to express its issues.
Zia envisions a strong and a safe community centered towards youth empowerment and education with a focus on easy access to employment opportunities, healthcare and aid for senior citizens.
He also believes in a fair and lawful immigration system for people in need and aims to work for lowering taxes for families He intends to take formidable steps to alleviate poverty in the Community.
Zia strongly agrees with Hon. Erin O'Toole policy – To bring Canada's economy back on track as quickly as possible to create jobs & secure a strong future for all Canadians & full accountability of Government. Welcomes all Canadians regardless of race, religion, economic standing, education or sexual orientation.
Photo Gallery - Few memories never fade (Community & Political touch).
Zia Choudhary
Values I Believe In
If you need a representative that will support your ideas, fight for the needs of your community and earn your respect. For someone who truly cares for your community, look no further.
United By A Common Goal
Zia Choudhary has been part of your community and has been an active member of Rotary Club & others for many years, working tirelessly to make it a better place.
Zia Choudhary knows the value of being connected. That's why he is planning to run for this position. Help him help you.
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Benue killings: Govs, Ogbeh, Danbazzau meet, propo...
Home » »Unlabelled » Benue killings: Govs, Ogbeh, Danbazzau meet, propose cattle colonies
Benue killings: Govs, Ogbeh, Danbazzau meet, propose cattle colonies
Minister of Interior, Lt. Gen. Abdulrahman Dambazau (retd.)
The Minister of Interior, Abdulrahman Dambazau, his agriculture counterpart, Audu Ogbeh, on Monday in Abuja, held a security meeting with the governors of Kaduna, Benue, Niger, Nasarawa, Taraba and Adamawa states over the violent attacks and herdsmen killings in their states.
The meeting, which was at the instance of the interior minister, discussed strategies and measures to end the crisis rocking the states in which hundreds of people have lost their lives.
Speaking earlier before the meeting went into a closed-door session, Ogbeh said the Federal Government had decided to set up cattle colonies on 5,000 hectares where herdsmen could live and keep their livestock.
Ogbeh explained that security would also be provided for the colony by agro-rangers, noting that these measures would be speedily implemented to curb the killings.
He said, "We are planning a programme called cattle colonies not ranches, but colonies where at least 5, 000 hectares of land would be made available, adequate water, adequate pasture would be made available. We also want to stop cattle rearers from roaming about; the culture of cattle roaming about will be stopped.
"The cattle will be provided with water and adequate security by the rangers, adequate pasture, milk collection, even security against rustlers to enable them to lead a normal life. This has been done elsewhere in India, Ethiopia and even Brazil," Ogbeh explained.
He stated that the government had in the past assisted farmers in various ways, while neglecting herdsmen.
The minister noted that this negligence was to blame for the current situation in the states affected by the violent crisis.
He conceded that the Federal Government had not done enough to cater for the needs of the herdsmen, noting that the government had not looked seriously into livestock development over the years.
He stated that the lives of farmers and herdsmen should not be under threat by the circumstances of their profession.
"People ask the question why should government get involve? Why shouldn't the herdsmen manage their own livestock? I am sad to tell you that in the last 50 years until recently we may have done enough for the rice farmer, the cassava farmer, the maize farmer, the cocoa farmer, but we haven't done much for herdsmen and that inability and omission on our part is resulting in the crises we are witnessing today," he submitted.
Ogbeh added, "In Europe, every cow that is farmed gets a subsidy of six Euros per day; we have done next to nothing for the cattle rearers here and as a result its operation has become a threat to the existence of our farmers and that is what this communique will seek to resolve."
Dambazau, in his remarks, established a nexus between communal and electoral violence, saying; "Knowing that general elections are fast approaching and considering the history of political and election violence in Nigeria, all necessary steps must be taken to ensure that the recently witnessed crimes and violent conflicts are curtailed with utmost dispatch."
He warned that threats to peace and public safety in any form and at any location would not be tolerated, stressing that it is the responsibility of governments at all levels to provide, unconditionally, sustainable peace and public safety within their territorial boundaries.
"The immediate repercussion of this menace includes hunger due to acute shortage of food, diseases, criminal activities and deepening animosity between ethnic and religious groups. The current situation is very dangerous for the northern part of the country in particular and the country in general," the minister emphasised.
The meeting, which held for over six hours, later presented a communique which was delivered by Governor Samuel Ortom of Benue State, supported by his Taraba counterpart, Darius Ishaku.
The men explained that the meeting agreed that all herdsmen must ranch their cattle and livestock, adding that the livestock farmers would be educated and enlightened on the benefits of keeping their animals in a location.
It also admonished Nigerians to live in peace, noting that this was the only way to resolve the perennial clashes between the herdsmen and farmers.
The parley also cautioned Nigerians against hate speeches, noting that anyone found engaging in it should be dealt with by the security agencies.
"The meeting noted that all animal farmers must ranch their cattle and livestock for better productivity. It also observed the existing synergy between the security agencies and between the states and the Federal Government," the communique read partly.
The meeting was also attended by the Inspector-General of Police, Director General, Department of State Services and Commandant-General of the Nigeria Security and Civil Defence Corps.
Meanwhile, the Coalition of Middle Belt Interest Groups on Monday called on President Muhammadu Buhari and the six governors in the region to declare killer herdsmen as terrorists.
The group made the call in reaction to the recurrent killings in Benue, Plateau, Taraba, Kaduna and Adamawa states, describing them as genocide.
The call by COMBIG is contained in a communiqué signed by its convener, Chief Banabas Ejisi, and Chairman, Steve Aluko, after an emergency meeting held in Jos, the Plateau State capital.
The group advised that in addition to belonging to the northern governors and governors' forums, the six governors in the Middle Belt region should also form a forum for the zone that would enable them to discuss issues affecting them.
It called on President Muhammadu Buhari to use the same military might with which he dealt with the Indigenous People of Biafra and Boko Haram on the rampaging herdsmen.
Also, the Committee for the Defence of Human Rights on Monday condemned the Federal Government's alleged "inability to curtail the activities of herdsmen and criminals," who killed Nigerians in Rivers, Benue, Kaduna and Kwara states on New Year's Day.
He said the development was a sign that the President Muhammadu Buhari-led Federal Government was failing in its primary responsibility.
He said, "If the protection of lives and property are the primary responsibility of the government, then this government is failing in its duties."


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// /* tslint:disable:no-unused-variable */

// import { TestBed, async, inject } from '@angular/core/testing';
// import { WomensGameHandicapService } from './womens-game-handicap.service';

// describe('WomensGameHandicapService', () => {
//   beforeEach(() => {
//     TestBed.configureTestingModule({
//       providers: [WomensGameHandicapService]
//     });
//   });

//   it('should ...', inject([WomensGameHandicapService], (service: WomensGameHandicapService) => {
//     expect(service).toBeTruthy();
//   }));
// });


Who is the Cody of the Cody's Cozy Pals Team?
While there are many things I could tell you about my past and how I got here. This is now about the future, since it is no longer a Cody on her own. It is now a Team of professionals following their passions together as one, each adding their own unique flair.
That being said, here are a few fun facts about me so you can get to know what unique things I bring to the table of our team.
Caring for all animals and the Earth has been a part of my genetic make up since I was a little girl. From walking the neighborhood and saving butterflies, to anything that needed help that I could find. It then turned into pet sitting for people, doing a zoo keeper program and animal photography. I have personally had horses, cats, dogs, rabbits and even hamsters. I started building a business in my home and it became so large it out grew my space and turned into the Cody's Cozy Pals you have all come to know and love! Now I am excited to share with you the new version of Cody's Cozy pals, I know you all will love even more!
Moving forward will hold the same promises of continued growth and observance to that which is around us, hearing what the animals have to say, honoring the new things we learn and sharing with others so it may help them as well. My sole/soul purpose is always to find, try out, and create that which is the best for animals and their humans.
I strive to bring balance, compassion and love to our team. To remind those around me to find that which resonates with them. To remember self love and care so that we may always have more to give. Through these strengths the perfect blend of people have been brought together to care for your pets.
Hello! This is Kate, I am the general manager here at Cody's Cozy Pals and if you have called the facility you have probably spoken with me! I started working with Cody in 2015 after working for 5 years in the food service industry. I had previous experience supervising/managing when working in food service and after a few short months I was promoted to be Cody's manager! It was freaky how much we thought alike and that's what helps make us work well together! I was unhappy working in food service and decided to change careers in 2014 when I took an online pet care course through HVCC online. Taking care of animals was my true passion and I am so glad I found Cody's! In January 2018 I became a certified Reiki practitioner and I look forward to offering that to our client's pets while they are here! I am also very passionate about pet nutrition and am looking forward to sharing my knowledge about raw food and more with our public seminars coming soon! Outside of Cody's Cozy Pals I have my own 2 dogs, Iggy and Milo along with 2 cats Brewster and Dahmer. I personally take pride in my knowledge of Cat behavior and needs, I'm definitely a cat person.
I first started working at Cody's in May of 2014 so I could start getting experience in the animal field while I was studying to get my Bachelor's Degree in Animal Science at the University of Vermont. After I graduated I took a short break but ended up coming back as the Daycare Manager due to the quality of the care we provide, the wonderful staff, and Cody's support. Since then I have been working to keep all of our furry clients happy and healthy during their play time! Currently I am learning more about the dog training world so that we may be able to offer more than basic obedience down the line, as well as other fun activities!
Hey there! My name is Kayla and I am the boarding supervisor for Cody's Cozy Pals. I'm also learning grooming to expand the grooming portion at the facility. I first came across this amazing job at a softball tournament! I was waiting for my next game and a client of Cody's, who was also on my softball team, called to check on her dogs who were boarding that weekend. She was so happy to hear her pups were doing well and two minutes later brought up the idea that it would be a perfect job for me! I went home and immediately applied and before my next tournament, I became part of CCP, and I've made it my second home ever since. Growing up I was always around dogs, they're amazing pets. Every dog, cat, or exotic that we bring into CCP is different and unique in their own way and that's what makes the job so great! The love I have for animals and helping them is something of mine that will never get lost. It's safe to say, the job found me. I had a long tough journey growing up, battling cancer was one. Fortunately, with the help of my big family, I knew I could conquer anything I put my mind to and now I'm nineteen years in remission from leukemia. I've always made sure everything I wanted to do in life, I would. Now I am almost 21 years old and have a whole future for me and my dogs. I'm striving, helping animals, and learning new things every day being at CCP.


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Chase Elliott Fastest in NASCAR Test at Kansas Speedway
NASCAR teams prep for the playoff round-two elimination race with two-day test at Kansas.
By Amanda VincentSeptember 26, 2018
Sarah Crabill—Getty Images
Twelve Monster Energy NASCAR Cup Series teams and drivers, along with a test team from each of three manufacturers, participated in a two-day Monster Energy NASCAR Cup Series test at Kansas Speedway on Monday and Tuesday. This was in preparation for the Hollywood Casino 400. The race, the elimination event of the second round of the 2018 playoffs, is scheduled for Oct. 21.
Six playoff drivers participated in the test, but reigning champion Martin Truex Jr. and his No. 78 Furniture Row Racing team only participated on the first day.
Getty Images for NASCAR
NASCAR takes on Kansas Speedway in October
The Monster Energy NASCAR Cup Series runs a 2017 playoff race at Kansas Speedway on Oct. 21, 2017.
Playoff driver Chase Elliott led the opening day, posting the fastest lap, which clocked in at 186.477 mph. That lap was the fastest, overall, of the test.
"It's been fun," Elliott said in a press release from Hendrick Motorsports. "I just want to make laps here. It's not a boring racetrack to come test at. It's actually fun. Being up at the wall and having to hustle the cars, I enjoy that, and if you're going to be testing, I'd rather it be something like that for sure."
Elliott was encouraged by the ability to run the high line on the race track.
"Typically, you come to a test and the lane doesn't move up until you come back to the race," Elliott said. "We were already up high yesterday trying to make time, so it's very friendly to move around here. It doesn't seem like the track gets a lot of sand or grid on it, so you can move around and do it pretty easily when it's fresh for a weekend. Yeah, it's fun."
Chris Buescher, a non-playoff driver, led day two with a 185.989 mph lap. Kyle Busch was the only driver in the top-three both days, turning in the third-fastest lap on opening day and second on day two.
Chris Buescher leads day two
The No. 37 JTG-Daugherty Racing Chevrolet of Chris Buescher
Teams participating in the test included Elliott's No. 9 Hendrick Motorsports team, Buescher's No. 37 JTG-Daugherty Racing team, Busch's No. 18 Joe Gibbs Racing team, Truex Jr.'s No. 78 Furniture Row Racing team, the No. 1 Chip Ganassi Racing team of Jamie McMurray, the No. 22 Team Penske team of Joey Logano, the No. 21 Wood Brothers Racing team of Paul Menard, the No. 41 Stewart-Haas Racing team of Kurt Busch, the No. 13 Germain Racing team of Ty Dillon, and the No. 3 Richard Childress Racing team of Austin Dillon. The No. 17 Roush Fenway Racing team also participated but had Matt Kenseth in its car instead of regular driver Ricky Stenhouse Jr. Drew Herring, Justin Allgaier, and David Ragan drove manufacturer test cars for Toyota, Chevrolet, and Ford, respectively.
Cup Series organizations each were allowed to send one team to the test.
"Sometimes, you'll hit on something and you might get a little bit better, so I think that's the goal," Elliott said. "We come to these things and we spend two days and we might find one thing that helps us a little bit, it seems like."
Twelve teams will be in the playoffs when the series reaches Kansas. The bottom four of the 16 drivers now in the playoffs will be eliminated after Sunday's Bank of America Roval 400 at Charlotte Motor Speedway. Clint Bowyer, Jimmie Johnson, Erik Jones, and Denny Hamlin are in the bottom four heading into the Charlotte race. Ryan Blaney and Alex Bowman are in the final two provisional advancing positions.
NASCAR: A.J. Allmendinger Won't Return to JTG-Daugherty Racing in 2019
NASCAR Xfinity Series driver Ryan Preece is rumored to be a candidate for Allmendinger's forthcomingly vacant seat.
Lowe's Reaffirms Its Departure From Jimmie Johnson's NASCAR Team
After multiple reports of Lowe's reopening discussions with Hendrick Motorsports, the home improvement retailer makes its move clear.
NASCAR: Ryan Newman to Drive No. 6 Roush Fenway Racing Entry in 2019
The NASCAR veteran will make the move from Richard Childress Racing to his new home at RFR next season.
Christopher Bell Kicks Off NASCAR Xfinity Series Playoffs With Richmond Win
Bell claims his fifth win of the 2018 NASCAR Xfinity Series season and advances to the playoff round of eight.
NASCAR Executive Swap Promotes Steve Phelps to President
Brent Dewar steps down from his position as NASCAR president after just over year on the job.


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Robert Ketchell, Gardener
Robert Ketchell has over 30 years of designing and creating gardens in the UK and beyond. He initially trained in horticulture at Askham Bryan College of Horticulture, York, and then subsequently worked for several years in Kyoto, Japan, as a garden apprentice. This unusual background has allowed him to draw on both garden traditions and an ability to blend both western and eastern approaches to garden creation, which gives his gardens a distinctive and enduring quality.
He has worked on projects for both private and commercial clients in Britain, Europe, the US and Japan.
Commissioned to create an extensive new garden for the Dojima Sake Brewery , near Newmarket, Cambs.
Numerous commissions to create new gardens completed.
Awarded Order of the Rising Sun with Golden Rays and Rosette by the Japanese government in recognition of promoting Japanese garden culture in the UK.
Commissioned to restore several sections of a historic Japanese garden at Cottered, Hertfordshire. This work will be carried out in several phases of a period of time.
Appointed Japanese garden consultant to Raymond Blanc at Le Manoir aux Quat Saisons, and tasked with the redevelopment of the tea garden Fugetsu-an.
Design for new garden project for Willowbrook Hospice.
Garden of Contemplation at Norwich Cathedral, to compliment new Hostery building opened by Her Majesty Queen Elizabeth II.
Garden of Sionna. A garden for the World Academy of Music and Dance, University of Limerick, Ireland.
Garden of Reflection and Reconciliation for Willowbrook Hospice, England.
Commissioned to create a large themed garden for children at Spalding, England.
Wrote and directed video documentary film, Shishu ('Poetic Beauty'). A study of the Japanese garden tradition (available through www.worldspirit.org.uk).
Author of 'Japanese Gardens in a Weekend', published by Hamlyn Press, which appeared in several imprints and has been subsequently translated into several languages. Also published numerous articles for magazines and periodicals.
Garden of the Ox and Oxherder, designed and created for Osmosis Spa, Sonoma County California.
Founding committee member of the Japanese Garden Society, now a 700+ member organisation. Served as Editor of Shakkei, the Society magazine, and also as Chairman for seven years.
Garden project at Walkden Gardens, a public garden in Manchester, England.
Tea garden, 'Fugetsu-an', and Tea house at Le Manoir aux Quat Saisons, hotel and restaurant near Oxford, England.
Teaching and lecturing at the School of Oriental Garden Studies, Tatton Park, Cheshire, England.
Email: info@robertketchell.com
© Robert Ketchell Garden Design
Website by Datrim Web Design Ltd.


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Search results for 'Jim Hopson' | Search again
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1. TVA workers have until Nov. 22 for COVID shots - Friday, September 24, 2021
NASHVILLE (AP) — The Tennessee Valley Authority is requiring its workers to get fully vaccinated against COVID-19 by Nov. 22.
TVA spokesperson Jim Hopson says the nation's largest public utility is working on developing the processes and procedures to implement the new requirement, including a secure system for employees to document their vaccination status.
2. TVA plans to switch 1,200 vehicles to electric by 2030 - Friday, August 13, 2021
NASHVILLE (AP) — The nation's largest public utility plans to switch out 1,200 of its vehicles for electric ones by 2030, furthering its role in that market for a power supplier that also plans to help add charging stations across the region, the utility's top official said Wednesday.
3. Commission says TVA exec retaliated over safety concerns - Friday, August 28, 2020
KNOXVILLE (AP) — The U.S. Nuclear Regulatory Commission has concluded that a Tennessee Valley Authority executive retaliated against a safety whistleblower.
Vice President Joseph Shea "played a significant role" in the 2018 firing of nuclear engineer Beth Wetzel after she repeatedly raised safety concerns about TVA's nuclear power program, the Knoxville News Sentinel reported, citing a statement from the agency. The panel concluded Shea's actions were intentional and banned him from working in any activities that require licensing by the commission for five years.
4. Trump fires TVA chair, cites hiring of foreign workers - Friday, July 31, 2020
WASHINGTON (AP) — President Donald Trump said Monday that he had fired the chair of the Tennessee Valley Authority, criticizing the federally owned corporation for hiring foreign workers.
Trump told reporters at the White House that he was formally removing chair Skip Thompson and another member of the board, and he threatened to remove other board members if they continued to hire foreign labor. Thompson was appointed to the post by Trump.
5. TVA fined $145K for inaccurate nuke plant info - Friday, November 29, 2019
NASHVILLE (AP) — Federal regulators have fined the nation's largest public utility $145,000 for submitting incomplete and inaccurate information on a backup system at its Watts Bar Nuclear Plant.
6. Coal investor offers to buy power plant slated for closure - Friday, March 22, 2019
CHATTANOOGA (AP) — A coal investor has offered to purchase a Tennessee Valley Authority plant in Kentucky that's slated for closure next year.
The TVA board voted last month to close the coal-fired Paradise Fossil Plant in Muhlenberg County, Kentucky, rejecting pleas from President Donald Trump and U.S. Senate Majority Leader Mitch McConnell to keep it open.
7. Trump's coal pledge could be tested by TVA vote this week - Friday, February 8, 2019
FRANKFORT, Ky. (AP) — President Donald Trump's support for the coal industry — and for a particular power plant — will face a test this week when a utility board he appoints considers whether to close a coal-fired Kentucky plant whose suppliers include a mine owned by one of his campaign donors.
8. Audit: Tennessee Valley Authority helicopter use broke rules - Friday, November 2, 2018
KNOXVILLE (AP) — The Tennessee Valley Authority's use of a nearly $7 million executive helicopter was not always cost effective, and broke federal travel rules and its own policies, the organization's inspector general said in a new report.
9. Bredesen to push for TVA to help expand broadband access - Friday, June 22, 2018
CLARKSVILLE (AP) — U.S. Senate candidate Phil Bredesen said Tuesday he would push to get the Tennessee Valley Authority to help expand broadband internet access to rural areas if elected.
Bredesen is a Democrat and a former Tennessee governor. He is seeking to replace Sen. Bob Corker, a two-term Republican who is not seeking re-election.
10. TVA rate structure change riles conservers - Friday, May 4, 2018
A proposed rate structure change from the Tennessee Valley Authority is causing uncertainty in Tennessee's solar business, an industry hit by import duties in 2017 and now facing steel and aluminum tariffs.
11. Group wants probe of TVA's jets, luxury helicopter - Friday, February 9, 2018
NASHVILLE (AP) — A clean-energy advocacy group wants an investigation after the Tennessee Valley Authority bought two corporate jets, a Mercedes-Benz helicopter and another plane.
The Southern Alliance for Clean Energy says the 2015 and 2017 model jets, the used 2013 model Style helicopter and 2015 turboprop were worth $40 million when new.
12. Alexander: Trump exploration of selling TVA assets a 'looney idea' - Friday, February 9, 2018
NASHVILLE (AP) — The infrastructure plan outlined by President Donald Trump on Monday suggests studying whether the nation's largest public utility should sell its transmission assets, which Tennessee Republican Sen. Lamar Alexander called "a looney idea" with "zero chance of becoming law."
13. Bill pushes prosecution for improper transcript changes - Friday, January 19, 2018
With a grade-changing scandal at Trezevant High rocking Shelby County Schools, Rep. Antonio Parkinson is pushing legislation designed to put a harsh "deterrent" on illicit transcript changes: criminal prosecution.
14. Judge to decide terms of injunction in TVA lawsuit - Friday, June 23, 2017
KNOXVILLE (AP) — A federal judge is expected to rule on the terms of an injunction that regulates how the Tennessee Valley Authority removes trees along right of ways while TVA works on an Environmental Impact Statement.
15. Environmental groups challenge TVA nuclear reactor plan - Friday, June 23, 2017
OAK RIDGE (AP) — Environmental groups are challenging the Tennessee Valley Authority's proposal to use a Tennessee nuclear reactor design site abandoned in the 1970s to develop new small modular reactors.


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