Successfully and successfully diagnose and deal with trendy complete diversity of clotting and bleeding problems utilizing scientific case experiences that show real-world difficulties and ideas! for every tested, you are going to evaluate concise descriptions of its linked signs, besides laboratory findings, analysis, differential analysis, and remedy - the entire scientific counsel you wish - at your fingertips. it is the excellent real-life reference device for busy physicians!
A reader-friendly layout, coupled with approximately 385 illustrations and at-a-glance tables - many new to this variation - equip you to quick find the tips you need.
Abundant laboratory protocols enable you opt for and interpret lab assessments extra easily.
A whole part on women's future health concerns is helping you remain present during this evolving sector.
A new bankruptcy at the effect of natural drugs examines their impression on hemostasis and their interplay with different drugs.
New assurance of hemostatic concerns in traumatology, sepsis, interventional radiology, pulmonology, and cardiology lets you grasp the newest advances.
(Arnold) The fourth writer, Jo Armitage, is with Univ. of Nebraska, Omaha. offers absolutely referenced reports of all elements of malignant lymphoma. Covers pathogenesis and epidemiology intensive, however the significant concentration is scientific administration. good illustrated in colour and halftone.
Drawing on an in depth sequence of situations, this publication describes and illustrates intimately the FDG-PET/CT appearances of the most typical lymphomas in either adults and kids, overlaying displays at a variety of anatomic websites. furthermore, all different elements of the present program of FDG-PET/CT within the review and administration of sufferers with malignant lymphomas are defined. complete causes are supplied of the capability advantages and obstacles of complex PET/CT recommendations and applied sciences that aid novel chemotherapy and radiotherapy techniques within the therapy of lymphoma, and specific consciousness is paid to the main problem of incorporating development in quantitative imaging know-how into radiotherapy therapy making plans, information, and tracking. This medical case-based atlas can be a useful instrument for radiologists, hematologists, and medical oncologists.
This ebook studies, describes, categorizes and offers a severe review of all assays which were used for the tracking of antigen-specific immune responses. particularly, it emphasizes a world method of the research of T mobile mediated target/host interactions on the systemic and the peripheral point whilst such interactions are meant to ensue. additionally, the instruments defined right here should be applied for the quest of surrogate biomarkers predictive of remedy responsiveness and/or scientific consequence which are of curiosity to the biotechnology undefined. intimately, this e-book presents an outline of antigen-specific immune biology in human types of tumor and viral illness, discusses modulation of such responses via immune break out and offers mobile assays (cytoxicity, proliferation, cytokine creation utilizing ELISPOT, intracellular staining or cytometric evaluation, detection of antigen-specific T cells with tetrameric HLA/epitope complexes or MHC-IG dimers, T telephone receptor research, evaluation of T mobilephone receptor/HLA interactions utilizing peptide/HLA-Green Fluorescent Protein complexes incorporation) and molecular assays together with quantitative real-time PCR and gene profiling for evaluate of systemic and peripheral immune responses. "This ebook represents the 1st accomplished description and overview of crucial assays applied to observe immune responses opposed to tumor linked antigens. every one bankruptcy, ready via top investigators in tumor immunology and immunotherapy, information a particular immune subject or analytical technique. in particular adapted to the wishes of scientific researchers, simple scientist investigators, and biotechnology innovators, this publication presents details that's either sufficiently certain and eloquently succinct. All discussions are substantiated with a accomplished literature evaluation. The categorization and association of those sections is such that you will both pursue the total booklet or speedy locate valuable info on a selected assay or proposal of curiosity. a detailed description of the equipment used in the identity of tumor linked antigens is complemented by way of huge lists of HLA type I, and sophistication II limited antigens. This publication additionally addresses the basic subject of tumor cells?€™ skill to stay away from immune acceptance and destruction. the capability mechanisms concerning the disparity among the patients?€™ immunological and medical reaction following immunization are reviewed. Importantly, capability healing suggestions to beat the immune get away mechanisms were mentioned. In precis, reading T telephone Responses offers the main giant and broad evaluate of immune response-monitoring suggestions on hand so far. This abundant info is successfully conveyed in a concise demeanour acceptable for either starting investigators and skilled researchers."
So much hemorrhagic difficulties are emergencies, requiring fast prognosis and suggested administration to forestall bleeding. on occasion, similar to nostril bleeds, huge bruises and heavy menses, it's the clinician's accountability to parent no matter if the sufferer has a clinically major bleeding illness which may predispose to over the top or in all likelihood critical bleeding. speedy evidence: Bleeding issues retains a posh topic uncomplicated and clinically orientated. The authors have made a variety of updates to this moment version to make sure it presents crucial info in a without difficulty obtainable layout. Highlights contain: - knowledgeable review of ordinary hemostasis - a transparent overview pathway, from taking a correct historical past and targeted medical exam, to crucial laboratory investigations - target standards for diagnosing hereditary hemorrhagic telangiectasia - the newest guidance on diagnosing and treating fundamental immune thrombocytopenia - A dialogue of the advantages of prophylaxis in sufferers with hemophilia - up to date equipment for comparing and treating bleeding problems in being pregnant - an summary of the scoring approach for disseminated intravascular coagulation - details at the most up-to-date anticoagulants and antithrombotics, together with bleeding hazards and techniques to manage bleeding. quick proof: Bleeding issues continues to be a finished updated reference that displays the newest study and scientific instructions. it is going to help basic care prone, medical professional assistants, nurse-clinicians, pharmacists, citizens and medical professionals in education as they confront the demanding situations of controlling bleeding in sufferers with hemophilia, von Willebrand disorder, platelet issues and thrombosis, or because of antithrombotic or anticoagulant treatment. it's a small publication filled with vital info, designed to quickly increase sufferer remedy and results.
This quantity studies the elemental figuring out of this almost certainly life-threatening disorder and the advances in therapy which were accomplished with using the monoclonal antibody eculizumab. even if the PIGA gene has been identified for a few years, the mechanism of clonal dominance in paroxysmal nocturnal hemoglobinuria continues to be principally unknown. This e-book, Paroxysmal Nocturnal Hemoglobinuria, discusses the path of continuous learn during this quarter, in addition to the possibility of the improvement of administration directions. It serves as a priceless resource of data for either uncomplicated scientists and physicians, in particular immunologists focusing on GPI-anchored proteins and enhances, and hematologists focusing on bone marrow failure.
Written with a broader point of view and data, Cancer Supportive Care: Advances in healing Strategies provides cutting-edge administration innovations for the entire diversity of indicators, toxicities, and issues skilled by means of melanoma sufferers. as well as ''bread and butter'' subject matters resembling ache keep an eye on and nausea and vomiting, the booklet includes targeted, ground-breaking discussions of symptom dimension, the position of development components, and overdue results and melanoma survivorship.
Composed of the guts, blood vessels, and blood, the circulatory procedure gives you oxygen and nutrition to each tissue within the physique. on the middle of this particularly complicated procedure is the center, a powerful muscle that constantly pumps blood during the physique. Striving to advertise a simple realizing of the basic actual and organic rules underlying circulatory capabilities, "The Circulatory method" describes the anatomical positive factors of the procedure and examines the way it responds to a huge diversity of demanding situations, equivalent to elevated task, the microgravity of house, and hemorrhage.


You don't have to be an expert in global development to know that women and girls around the world still face gender-specific barriers to reaching their full potential. Nor should it come as a surprise that when women and girls are held back, the health and prosperity of their communities suffer, too. When former Secretary of State Hillary Clinton spoke the famous words "women's rights are human rights," it was more than just great rhetoric; it was a powerful reminder that the world can never achieve true progress if half our population is left behind.
Earlier this month, our foundation teamed up with the Clinton Foundation to release the Full Participation Report, a comprehensive look at the status of women and girls around the world. This report complements the U.N. secretary-general's global review of progress on gender equality, which was also released this spring. Together, these reports measure how women's and girls' lives have changed — for better or worse — in the 20 years since the historic U.N. Fourth World Conference on Women in Beijing.
For the optimist in me, the report contains a lot to celebrate. I was especially interested to see the gains and gaps in women's health — since health is an essential prerequisite to a full and productive life. The data tells us that in all of human history, there has never been a better time to be born female. Women are living longer, healthier lives than ever before. In the 20 years since the Beijing Conference, the number of women dying in pregnancy or childbirth has dropped by more than 40 percent. Mortality rates for girls under 5 have been cut in half. This is undeniable evidence that progress is possible — and that it's happening in our lifetimes.
For example, even though women in many parts of the world are living longer lives, life expectancy has actually fallen in some places. This is especially true in sub-Saharan Africa, which has been hit hard by the HIV and AIDS crisis. In Botswana, women's life expectancy at birth has plummeted from 60 years in 1995 to 46 years in 2012. Even though there has been a drop in HIV and AIDS cases around the world, young women between ages 15 and 24 are being infected at rates twice as high as young men. To turn the tide against this disease, we will need to make deliberate efforts to ensure that our treatment and prevention efforts are effectively reaching women and girls, too.
I also get impatient about the fact that pregnancy and childbirth remain the leading causes of death and disability among women of childbearing age. The World Health Organization estimates that causes related to pregnancy and childbirth kill 800 women each day. It's a staggering waste of life and human potential — and one with ripple effects into the next generation. Children whose mother dies in childbirth are significantly more likely to die before their second birthday.
What makes me even more impatient — but also ultimately optimistic — is that so many of these deaths are preventable with simple, proven health interventions. One in four women who dies in childbirth bleeds to death, something that can often be prevented with medicine costing less than a dollar. A key way to reach more women with these interventions is ensuring every woman has access to quality care throughout her pregnancy. When something goes wrong during labor or delivery, the presence of a skilled medical attendant can make the difference between life and death. Yet many women, especially women in poor and rural places, still give birth without skilled assistance. That is a gap we must close.
Another important aspect of achieving true gender equality is expanding women's access to family planning tools. While more women around the world are gaining access to these resources, there are still roughly 220 million women in developing countries who want to delay or prevent a pregnancy but are not using modern contraceptives. In my travels, women tell me that this is one of their most pressing health concerns — and that when they cannot plan and space their pregnancies, the whole family suffers.
Turning the tide against infectious diseases and improving reproductive care are only small parts of a larger picture. A better future starts with ensuring that all women and girls everywhere receive the quality care they need from birth through adulthood — including mental health services and treatment of noncommunicable diseases — so that they are empowered to live healthy, productive lives. And in all of these areas, we still have work to do.
Over the last two decades we have seen that incredible progress is possible. But progress in the aggregate doesn't change the life or the future of a girl who is on the wrong side of those statistics. That girl is why I'm impatient — and the potential she already holds within her is why I'm optimistic.
Interested in women's empowerment and gender equality? Learn about U.N. Women's Empowering Women — Empowering Humanity: Picture It! campaign in the lead-up to Beijing+20. Devex is a proud media partner.


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One Home, One Garden Partnership
The Al-Imdaad Foundation recently partnered with the Provincial Department of Economic Development Trade and Environmental Affairs (EDTEA) and the Department of Agriculture for the relaunch of the One Home, One Garden initiative in KwaZulu-Natal's Inkosi Langalibalele Municipality.
The launch took place on August 20th to celebrate four gardens established to empower female beneficiaries as part of Women's month activities. EDTEA MEC and Operation Sukuma Sakhe champion, Ms Nomusa Dube-Ncube is spearheading the initiative which is also supported by the Department of Agriculture, and the Al-Imdaad Foundation's Community Garden and Green Grocer. During the programme MEC Dube-Ncube, Al-Imdaad Foundation representatives and other officials visited four gardens around the Inkosi Langalibalele Municipality. At three of the gardens, the delegates provided seedlings, tools and other supplies to the women gardeners and engaged in ceremonial planting. These gardens will be supported going forward by the Department of Agriculture and the Al-Imdaad Foundation in an attempt to graduate the beneficiaries out of poverty. The fourth garden is already in the implementation stage as an extension garden of the Al-Imdaad Foundation's Organic Community Garden project. This garden was established by one of the Al-Imdaad Foundation's gardeners for his grandmother, Gogo Ngcobo, and boasts 3000 cabbage plants. Gogo Ngcobo's garden sells its produce via the Al-Imdaad Foundation's Green Grocer, a mechanism which will help shape the economic model for the other gardens going forward. During the programme this garden was officially inaugurated with a ribbon cutting ceremony. With extensive experience in its own Organic Community Garden, established in 2014, the Al-Imdaad Foundation is an ideal partner for the One Home, One Garden initiative. The foundation will monitor the gardens in the Inkosi Langalibalele Municipality on behalf of the governmental partners and will also impart skills, provide training, and buy up produce. Al-Imdaad Foundation Special Projects coordinator, Mr Abed Karrim explained, "There will be ongoing monitoring. When produce is ready Al-Imdaad Foundation's Green Grocer store will purchase the produce. Alternatively, excess supply will be sold via the KZN government's bulk buying scheme in Mandeni." During the programme MEC Dube-Ncube expressed gratitude saying, "As you know, Al-Imdaad has been working hard to help us, during the hardships of our community. With One Home, One Garden, we are feeding the nation during this time when the prices of food are so high. We are very grateful for the coordination we are having with our local ground players, the provincial government, Al-Imdaad and our community." Mr Karrim expressed his hope in the initiative saying, "We are hopeful that this piloting phase will be successful and can be mirrored in other households and throughout the province."

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CBS News April 23, 2012, 9:11 AM
Cary Grant: Debonair dad
Cary Grant with daughter Jennifer Grant in an undated photo. The Hollywood star gave up acting in 1966 when his only child was born, and devoted himself to raising her.
Jennifer Grant/Random House
You might Cary Grant was one of our greatest actors NEVER to have won an Oscar for a particular role. With Rita Braver now, we're GOING HOLLYWOOD . . . remembering Cary Grant through the eyes of his greatest fan:
This story was originally broadcast in May 2011.
From "Charade" (1962):
Audrey Hepburn: Do you know what's wrong with you?
Cary Grant: No, what?
Hepburn: Nothing.
He is the definition of debonair! Twenty-five years after his death ... 45 years after his last film ... Cary Grant still delights us with his style, his dry wit, and his comic timing.
He was also a great Dad.
Grant daughter, Jennifer Grant, wants the world to know that her father's the persona - the charm - was real. "It wasn't some mask."
Cary Grant: Peerless
The iconic Hollywood star brought his debonair charm to screwball comedies, romantic dramas and thrillers
Jennifer was Cary's only child - his daughter with his fourth wife, actress Dyan Cannon. The couple separated shortly after Jennifer's birth in 1966, and Cary Grant ... then 62 ... retired from films in large part to help raise his daughter.
It was a family that stayed out of the public eye.
"I was trained to be private by a man who learned to keep his private life private," said Jennifer.
She called her recent book about life with her Dad "Good Stuff" (Random House).
"Why does that phrase have special meaning for you?" Braver asked.
"He used that phrase whenever he was pleased - "Good stuff!" " she replied.
And a lot of that good stuff revolved around Jennifer. He kept a huge archive for her ...
There are photos ... congratulatory notes on Jennifer's birth (from, among others, Audrey and Grace Kelly). He still made movies - home movies. They show a Cary Grant you've rarely seen before.
Cary Grant and his daughter Jennifer, in a photograph taken c. 1973 at the Hamptons. Jennifer Grant/Random House
Left: Cary Grant and Jennifer in a photo taken in the Hamptons c. 1973.
He even recorded phone conversations capturing Jennifer's baby talk.
It's almost as if he were making up for his own miserable childhood in Bristol, England: The boy who started out as Archibald Leach, his Mom institutionalized, his Dad neglectful.
He ran away from home to join an acrobatic troupe.
"When he was quite young, he became an acrobat and came to New York with that troupe, and that's where he learned gymnastics, I think," said director and film historian Peter Bogdanovich, who became friends with Grant.
He says Grant made good use of his gymnastic training when he got to Hollywood, in films like 1937's "The Awful Truth." That screwball comedy made Grant a comic star.
"And then he did 'Only Angels Have Wings' in 1939, and that made him a dramatic star," said Bogdanovich. "He could do anything. There's nobody like him before or since."
Grant found success early in his career, in "Blonde Venus" with Marlene Dietrich, and "She Done Him Wrong" with Mae West.
But Bogdanovich says, it took a while to perfect the urbane, unflappable Cary Grant image.
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Sherburne Conservation District (SWCD) can connect you with cost share, grant, and loan programs that protect land and water in Sherburne County. Contact SWCD staff to schedule a free site visit at your property and to learn which of these programs is right for you.
The SWCD manages the State Cost Share program, which provides technical, design, construction, and financial assistance to landowners to solve erosion and water quality problems. The program can provide up to 75% of the total project costs.
Survey and Engineering Assistance Funds are available for surveying and engineering assistance to design conservation projects. This fund is called the Non-Point Engineering and Assistance Program (NPEAP). NPEAP can be used with other grant and cost-share funds to help pay for much of the overall project costs.
The Natural Resources Conservation Service offers additional cost-share programs to protect water quality, improve wildlife habitat, and conserve soil resources. Contact the SWCD staff or the local NRCS office for more information on these programs.
EQIP The Environmental Quality Incentives Program (EQIP) is a voluntary program that provides financial and technical assistance to agricultural producers through contracts up to a maximum term of ten years in length.
ACEP The Agricultural Conservation Easement Program (ACEP) provides financial and technical assistance to help conserve agricultural lands and wetlands and their related benefits.
TSP Technical Service Providers (TSPs) are individuals or businesses that have technical expertise in conservation planning and design for a variety of conservation activities.
Annually, funds become available for special projects. These grants come from a variety of sources, including the Minnesota Department of Natural Resources, Board of Water and Soil Resources, Minnesota Pollution Control Agency, US Fish and Wildlife Service, and National Park Service and require more complex applications and coordination.
Provides low interest financing to farmers, rural landowners, and agriculture supply businesses to encourage agricultural best management practices (BMPs) that prevent or reduce runoff from feedlots and farm fields and other pollution problems. Provides loans for projects that reduce existing water quality problems caused by agricultural activities or failing septic systems. For more information on AgBMP Loan Progam, click here.


Los huéspedes pueden disfrutar de una visita al spa de servicio completo de este hotel, Vtality Spa. Se ofrecen servicios como masajes de tejido profundo, masajes con piedras calientes, masajes tailandeses y tratamientos faciales. El spa ofrece varios tratamientos, entre otros aromaterapia y tratamientos ayurvédicos. El spa está equipado con un sauna, una tina de hidromasaje y un baño de vapor.
The George Restaurant: restaurante con servicio de desayuno. Abre todos los días.
A very good hotel with super friendly staff. One of the best hotels I've stayed within the St. Julians area. Stayed at many of them.
Check in very slow, lost my booking information. Breakfast very average and started at 7am which was u usual as most hires start breakfast at 6:30am. Frye's eggs could only be cooked at 08:00.
After one night we went down to the brakefast and the amounts are very poor, the quality of the vegetables and fruits is low as you compare it with the local coffee shops & restaurants, no cheeses at all but some butter to spread on the bread, several cold and hot juices are served. I must say it seems clean but most of the eggs and food is tasteless.. I do not recommand it. Aside all that, The pool looks amazing and the water are clean but it is very very small. Staff is friendly and welcoming and overall stay is calming and comfy.
Apart from a weird smell when entering the room, the hotel was excellent with good service.
Shower was a nightmare to operate. Aircon would reset in the middle of the night to a higher temperature, meaning that you'd wake up in a sweat. The room condition could have been better as there was damage that they should really keep on top of. Also noise! I was on the top floor near the lifts, so I'd get noise from the lift, and sometime whistling from some tanks on the roof. Also, my legs were bitten during the night! They were under the sheets, so what does that tell you.


Events pages should let me find all upcoming events your business provides. Focus on quickly and simply detailing each event, giving me the important information I'll need to choose whether I'll attend.
For each event think about what I'll be looking for. Make sure to list attributes such as: date, time, price, what's happening at the event, who's appearing and anything else that's specific to the event.
If you have special offers such as VIP events or special access events, tell me about them here. Draw my attention to them so I'm aware of the fantastic deals you can offer me.
Detail the event for me. Let me know; where, when, who and how much.


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Why is my penis curved? Peyronie's disease explained
Is your curved or lumpy penis driving you round the bend? Then check out our must-read advice.
By Mr Tet Yap - MB BChir MRCS GMC and Medically reviewed by Dr Juliet McGrattan
VladimirFLoydGetty Images
Noticing a penis lump or unexpected curvature can be a frightening experience and men are often concerned they might have developed cancer. Cancer within the penile shaft is in fact extremely rare and Peyronie's disease is by far the most common cause of penile lumps, bumps and curvature.
Peyronie's disease can be painful, embarrassing and lead to impotence – but despite the fact it might be something you wish to keep quiet about, it's important to seek professional medical help.
Mr Tet Yap, consultant urologist for London Urology Associates at the Princess Grace Hospital, part of HCA Healthcare UK, provides his expert advice on Peyronie's disease symptoms, signs and treatment options:
What is Peyronie's disease?
Peyronie's disease is a common condition (seen in one out of every 16 men at least) of unknown cause, which results in curvature of the penis. This can make sexual activity difficult (or even impossible). After an early painful stage, the disease usually passes into a chronic stable phase.
Some cases of Peyronie's disease are due to penile injury, but in most patients there is no obvious trigger.
There is an association with high blood pressure, diabetes, raised cholesterol levels, ischaemic heart disease and arteriosclerosis, as well as with certain drugs (such as beta blockers, antiulcer agents, antidepressants and antihistamines). About one in five men (20 per cent) with Peyronie's disease also develop fibrosis (scarring) in other elastic tissues of the body (for example, in the palms of the hands or the soles of the feet). The most common example is the condition known as Dupuytren's contracture of the hand.
Delayed ejaculation causes and treatments
What causes Peyronie's disease?
Some cases of Peyronie's disease are due to penile injury, but in most patients there is no obvious trigger for the condition to develop. It is characterised by a hard lump (plaque) in the erectile tissue of the penis.
This begins as a localised inflammation, which may then mature into a hardened scar. The scar is inelastic (stiff) and stops the penis stretching with erections, leading to the development of a curvature when the penis becomes erect. It's not a condition you can "catch" from sexual activity and you cannot pass it on. It is not a form of cancer, nor does it become malignant over time.
Penis lumps and bumps explained
How common is Peyronie's disease?
Peyronie's disease affects approximately one in every 16 men (six per cent). However, most urologists suspect that it is under-reported and may affect as many as one in 10 men (10 per cent). It can occur at any age, although it is seen mostly when men reach middle age.
Symptoms of Peyronie's disease
Peyronie's disease can affect the penis by causing:
• Curvature of the penis
This can then lead to pain as well as emotional distress. This may also limit sexual intercourse. Occasionally, there is pain without visible curvature, especially in the acute stage of the disease (the initial inflammatory phase, which usually lasts for three to six months). There is no way to tell when the acute phase has ended, but easing of the pain usually heralds it. A chronic or stable phase then ensues for at least six months after the pain has stopped. During this time, no new changes occur to the shape or curvature of the penis.
• Erectile dysfunction (impotence)
Erectile dysfunction occurs due to the effect of the plaque reducing blood flow in the penis, but it can also be due to a loss of sexual confidence because of the change in shape of the penis.
Spots on the penis: symptoms and causes
Peyronie's disease and erectile function
In a lot of cases, men will still maintain erectile function and be able to have sex. But in some cases, erectile dysfunction (impotence) occurs due the effect of the plaque reducing blood flow in the penis. A loss of sexual confidence (because of the change in shape of the penis) can also contribute. Occasionally, the bend is so severe that it limits penetrative sexual activity.
Is Peyronie's disease permanent?
Once Peyronie's disease develops, it usually changes the penis permanently. While most treatments can limit the effect of the condition on the penis, nothing can take the penis back to its original form.
Sore penis tip: symptoms, causes and treatment
Peyronie's disease treatment options
If you discover a lump in your penis, experience pain or start developing curvature, it's important to make an appointment to see your GP or local urologist.
Peyronie's disease sufferers usually seek medical attention in the acute phase because of painful erections or difficulty with intercourse. The goal of treatment is to maintain sexual activity. Providing education about the disease and its likely course is often all that is required. If there are no problems with penetration, no treatment may be needed.
If treatment is required, there are several options, which have varying degrees of success:
Sore penis: symptoms, causes and treatments
Peyronie's disease during the acute phase
• Medical therapy
Treatment with tablets has proved very disappointing. Nothing has been shown conclusively to make plaques disappear or to limit their growth. Some tablets can, however, limit the pain in the early inflammatory phase, or improve the quality of the erection if that is the main problem. Most clinicians favour one type of medical therapy over another, although the evidence for all is weak. Potassium paraaminobenzoate (Potaba®) or alternatively Vitamin E tablets have the best available evidence for improving pain. Tablets such as sildenafil, vardenafil, tadalafil and avanafil can help by improving erectile dysfunction in Peyronie's disease, and this may be all the treatment that is required.
• Traction devices
Traction devices have been used during the painful, inflammatory phase to limit the development and impact of curvature. Using a vacuum erection assistance device twice a day for 10 minutes (or a penile extender traction device for six hours each day) can, over a period of three to six months, help correct some of the curvature.
Solutions to the 10 most common penis problems
Peyronie's disease during the chronic phase
• Vacuum or traction devices
These can be used in the chronic phase as well as the acute stage (see above).
• Collagenase
This is an enzyme that breaks down collagen (the main component of fibrous tissue). Most patients see an improvement in their curvature, the average being a reduction of 18°. It is best for those with lower levels of curvature (less than 50°), where a small level of correction avoids the need for surgery. Current evidence from trials suggest that between six and eight injections are needed.
• Surgery
The aim of surgery is to get the penis functionally straight (with less than 20° of curvature). This can be achieved by shortening the longer side of the penis (plication) or lengthening the shorter side, by cutting into the plaque and filling the gap with a graft (plaque incision and grafting).
All penile straightening operations aim to correct the curvature of the penis, but they can never return it to exactly the same condition as it was before it started to curve. They will also cause penile shortening, as well as potentially worsening erectile function and affecting the sensation of the penile shaft and head. In cases of severe erectile dysfunction with curvature, a penile prosthesis can be implanted.
Itchy penis: symptoms, causes and cures
Other possible causes of penile curvature
Bending of the penis can be congenital, which means you were born with a bend. Congenital penile curvature does not involve scar tissue in the elastic coverings of the erectile chambers, as is the case with Peyronie's disease. Congenital penile curvature usually involves a downward curve, lateral curve or a combination of both.
For further possible causes of misshapen genitalia, read up on penis lumps and bumps.
Last updated: 18-09-19
Mr Tet Yap - MB BChir MRCS GMC Consultant urologist Consultant urologist for London Urology Associates at the Princess Grace Hospital, Tet Yap qualified from Cambridge in 2000, before completing specialised training at St George's, Bart's and University College London Hospital. He then underwent urology fellowships at Stanford, Memorial Sloane Kettering, University College London Hospital and Great Ormond Street Hospital specialising in andrology and paediatric urology.
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Myrlie Evers-Williams
Civil Rights Activist
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Myrlie Evers-Williams is a civil rights activist and former chairperson of the National Association for the Advancement of Colored People (NAACP) (1995-1998). The first female to chair the nation's oldest civil rights organization, she lifted the NAACP out of turmoil at a time when its debt amounted to $4 million and its image suffered from a scandal involving former executive director Benjamin Chavis's use of funds to ward off a sexual harassment lawsuit. Her frankness and optimism represented a new beginning for the organization. Read More >
Evers-Williams was born in Vicksburg, Mississippi, and enrolled at the then all-black Alcorn Agricultural and Mechanical College (now Alcorn State University) where she met Medgar Evers, her future husband and Mississippi state field secretary for the NAACP. She worked as his secretary and together they organized voter registration drives and civil rights demonstrations. As prominent civil rights leaders in Mississippi, the Everses became high-profile targets for pro-segregationist violence and terrorism. In 1962, their home in Jackson was firebombed in reaction to Medgar's organized boycott of downtown Jackson's white merchants. The violence reached its worst point the following year when Medgar was gunned down by a sniper in front of his home.
Byron De La Beckwith, the white assassin, was tried several times but was not convicted of the murder until 1994. Though devastated by the loss of her husband, Evers-Williams became a symbol of courage as well as tragedy in the civil rights movement. She and her three children moved to Claremont, California, where she enrolled at Pomona College and began working toward her bachelor's degree in sociology. In 1967, she co-wrote a book about her husband, For Us, the Living, with William Peters and she continued to make numerous personal appearances on behalf of the NAACP.
She remained active in civil rights work and politics, running unsuccessfully for Congress in 1970 and serving as commissioner of public works for Los Angeles in 1987. She also worked for two years for an advertising agency and for ten years she was the director of community affairs for a Los Angeles corporation. In 1988, she became the first black woman to be named to the five-member Board of Public Works by Los Angeles Mayor Tom Bradley, where she helped oversee a budget of nearly $1 billion.
After her term as NAACP chairperson ended in 1998, Evers-Williams decided not to run for another term and instead chose to pursue other ventures. In particular, she started the Medgar Evers Institute to promote education, training, and economic development.
In 1999, she published her memoir Watch Me Fly: What I Learned on the Way to Becoming the Woman I Was Meant to Be, which charts her journey from being the wife of an activist to becoming a community leader in her own right.
Evers-Williams has continued to preserve the memory of her first husband with one of her latest projects, serving as editor of The Autobiography of Medgar Evers: A Hero's Life and Legacy Revealed Through His Writings, Letters, and Speeches (2005). Read Less ^
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Not Exactly What You Thought
"Still smiling from the events of last night. Myrlie was outstanding. I found much of what she said to be mesmerizing and I hope to be a better human being because of her. Your PowerPoint was excellent and it made me so proud to see her so affected as she begun. Well done."
- Client
"Your presentation last night was awesome!! It is a great thing you do for our staff and for our students. Paco came along, and he loved it too! Thank you again for all you do. I know it took a lot or organization and planning to get this done and it shows. Everything was very organized and I think the presenter was surprised too by all your preparation and planning and the thorough research you did on the presenter's life and accomplishments."
"Mrs. Evers-Williams was wonderful! She captivated the audience with her stories, knowledge, and wisdom. Those who attended left feeling inspired and ready to act. Thanks so much for your help in making this happen and I hope to work with you again in the future."
- Northwestern University
Watch Me Fly: What I Learned on Becoming the Woman I Was Meant to Be
Kevin Powell
Civil & Human Rights Activist and Author of 14 Books
Charlayne Hunter-Gault
Award-Winning Journalist


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Editorial: Don't give in to government terror!
Created: Thursday, 07 May 2009 13:44
On 22 March the House of Lords finally gave in to the government and allowed through the latest Terrorism Bill (Labour's fifth since coming to power in 1997), which will now become law. In the sixth round of a debate, centred in the main on the clauses that outlaw 'glorification of terrorism' and which has bounced between the Commons and Lords since last August, peers accepted the government plans by a majority of 112.
Baroness Scotland spoke for the government, warning the non-elected Lords in no uncertain terms that they 'should not seek to oppose the will of the elected Chamber for too long, or on too weak a basis'. She cited the government's insistence on specifically outlawing 'glorification', as well as 'encouragement' and 'incitement' as based on its need to 'send a strong message – a message that the press and the public and would-be terrorist proselytisers understand – that we will not tolerate those who glorify terrorism with a view to encouraging terrorist outrages'. Baroness Ramsay of Cartvale then went on to put forward the 'best example of that [as] the placard about the "magnificent four" [London suicide bombers] in the demonstration in London [against the publication in Denmark of anti-Islamic cartoons]'. In the context of the debate, this example, together with discussion as to when a celebration of the Dublin Easter Rising would and would not constitute 'glorification', makes it clear that any movement which is still actively engaged in struggle and which celebrates the heroes and martyrs of its past, can be criminalised.
When the Bill was first introduced in August 2005, it contained a specific and separate section outlawing 'glorification of terrorism'. This was then withdrawn but the government simply reinserted the ban on 'glorification' into a different part of the Bill covering 'indirect encouragement' of terrorism.
On 16 January this year the Lords voted 270 to 144 to remove the 'glorification' part of the Bill. The debate then returned to the Commons, where on 15 February MPs voted by 315 to 277 to reinstate it. A pathetic 17 'rebel' Labour MPs joined the Tories and Liberal Democrats to vote against the measure. Blair claimed the vote was a 'signal of strength'.
In the Commons debate Home Secretary Charles Clarke insisted that outlawing 'glorification of terrorism' was a 'manifesto commitment' and in line with UN Security Council resolution 1624, which was passed on 14 September 2005 and which condemns 'in the strongest terms the incitement of terrorist acts and repudiating attempts at the justification or glorification . . . of terrorist acts that may incite further terrorist acts'.
While MPs who oppose the Bill imaginatively cited numerous past and current examples of movements, the 'glorification' of which the government would have difficulty with or might not wish to outlaw (the Easter Rising, Robin Hood, the French and American Revolutions, the French Resistance to Nazism, the EOKA movement in Cyprus, Watt Tyler, the ANC) the specific example given by Clarke of exactly what the government is intending to curb was 'We glorify the memory of Mohammed Siddique Khan', one of the 7 July bombers.
Robert Burden MP raised the subject of Hamas, pointing out that 'Hamas was elected with a parliamentary majority in a free and fair vote' and asking if the government genuinely would wish to criminalise 'a young Muslim in the UK who hears about a Palestinian child being shot by Israeli troops – as happened a couple of weeks ago – [and] says that he supports Hamas and that Palestinians should take up arms against Israel.' Neither Clarke nor any other Labour Minister answered his question. Nor did Baroness Scotland respond in the final debate to the Bishop of Chelmsford who asked 'Are those who are fighting in Iraq insurgents or terrorists?'
It is precisely these questions about Palestine and the Iraqi Resistance which the government wants to avoid. Blair, Clarke and the rest of the Labour Cabinet are happy to make a public fuss about condemning anyone who supports the bombings of civilians in New York, London, Madrid, Bali and elsewhere. They can fend off questions about the struggle against apartheid South Africa or the French Revolution by stating that 'glorifying' these past events does not carry with it any incitement to do the same in future. But they do not want to reply to those who suggest, correctly, that this measure will be used to criminalise opposition to the ongoing war in the Middle East.
We must be completely clear – we oppose this draconian Terrorism Bill, as we have opposed all British 'anti-terrorist' legislation from the anti-Irish Prevention of Terrorism Act brought in by another Labour government in 1974. We will not be silenced and will continue to show active, vocal support for the Intifada in Palestine, the resistance in Iraq and the struggle of oppressed peoples around the world against injustice, occupation and imperialism.
Victory to the Intifada!
Victory to the Iraqi resistance!
FRFI 190 April / May 2006


MANILA, Philippines (AP) -- Philippine President Rodrigo Duterte declared a unilateral ceasefire with communist guerrillas effectively immediately Monday and asked the rebels to do the same to end decades of deadly violence and foster the resumption of peace talks.
In his first state of the nation address before Congress, Duterte said he wanted a "permanent and lasting peace" before the end of his six-year term, which commenced on June 30.
Addressing the New People's Army guerrillas, Duterte said: "Let us end these decades of ambuscades and skirmishes. We are going nowhere and it is getting bloodier by the day."
The Philippine military welcomed Duterte's announcement but said it "will remain alert, vigilant and ready to defend itself and pursue attackers if confronted by armed elements of the New People's Army."
"The commander-in-chief has initiated a very bold move and we fully support him in his effort to bring sustainable and lasting peace," military spokesman Brig. Gen. Restituto Padilla said.
The decades-long communist insurgency, one of Asia's longest, has left nearly 150,000 combatants and civilians dead and stalled economic development, especially in rural areas where the Maoist insurgents have had a long presence.
Government negotiators have met with rebel counterparts and agreed to restart peace talks in the next few months. A rebel leader in self-exile in Europe, Jose Maria Sison, plans to fly home soon to meet Duterte, his former student in a Manila university.
Duterte also said his administration was ready to pursue peace talks with Muslim guerrillas in the country's south, where he was a longtime mayor of Davao city, where he built a name for his tough crimebusting style before rising to the presidency.
"Let me say this, all of us want peace," Duterte said. "Not the peace of the dead, but the peace of the living."


Budge Studios, specialize in producing fun apps for kids that feature their favorite characters and stories. They use MXO2 to capture video of the game play from iPad 2 to use during the development process and to create promotional trailers.
Francesco Scartozzi, Matrox sales director for the Americas presents Thunderbolt-enabled Matrox MXO2 devices.
In this pre-recorded webinar Matrox product experts present a detailed discussion of H.264, the de-facto standard codec for delivering HD content to the web, mobile devices and Blu-ray. You will learn: how to accentuate the positive and overcome the negative aspects of working with H.264, ways to speed up rendering, the key to creating high quality video for low bandwidth web connections and much more. Benefits of Matrox MAX 2.0 are presented.
Shane Ross blogs and brags about how fast he can encode H.264 directly from Media Composer on his laptop using Matrox MXO2 Mini MAX.


Our ultra concentrated laundry liquid is a gentle yet effective formulation that leaves your laundry beautifully fresh and clean.
Formulated from the latest generation plant-based ingredients, our ultra concentrated laundry liquid cleans effectively and economically. Being free of things like optical brighteners, phosphates and synthetic fragrances means it is kinder to your skin and is ideal for those with sensitive skin or allergies.
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A dedicated Aussie user, I love your laundry liquid in my front loader!
I had been draining my laundry water onto my lemon tree and had all but killed it. Since using your laundry products my poor ailing tree has a new lease of life – New shiny leaves and even some flowers.
ecostore's laundry liquid leaves my sheets feeling fresh and soft after each wash. It's hard to believe that I can do such a big load with such a small about of liquid. Other products have irritated my skin in the past. With ecostore's laundry liquid I can quite literally go to sleep knowing their are no "nasties" that have been washed in to my sheets and clothes.
I've used your liquid exclusively in my new front loader. It's great!
I have just started using the ecostore laundry liquid and I would never go back to traditional laundry products. All of our clothes and towels feel incredibly soft, clean and smell divine! I personally think the product is so soft on the fabrics, they will last much longer.


Kim Grant masterminds Grand Ole Echo and keeps the roots scene rocking in Los Angeles. She shares her LA-Roots-community-centric "Best of " 2010 list. Here are her favorite places to get rootsy around town.
1. Best Roots Radio in LA: KCSN tops my list with shows like; Americana Matinee, The Dylan Hours, Twang! Tangled Roots and Bluegrass Etcetera.
2. Best new Roots-Rock band on the scene: "Wheelhouse" with former members of The Broken West and Everest. They're so new they don't have a website, but you can read about the lead singer/guitarist, Brian Whelan here.
3. Best 'hidden' Roots music Venue: The Cactus Room at the Standard.
Former Pioneertown Motel Manager, Rachel Dean, has a hand in booking monthly some of the best roots music on Sunset Strip. Recently I saw Neal Casal (of Ryan Adam's fame), Susan James and Michelle Vidal play and most recently they had the great Americana Rocker, Tim Easton hit the stage playing against a backdrop of groovy desert wallpaper.
4. Best place to find your 1960s and '70s hippie dresses to wear to shows: Stuck on Vintage. And there's some '80s and '90s for the Indie folks, too!
5. Rolling with the times, the Grand Ole Echo gave up the BBQ on the backporch (we still have music out there!) and have been hiring food trucks to stop out front. Best Burger food truck: The Patty Wagon. They use grass-fed beef and pride themselves on sustainable local ingredients.
6. Best record of 2010: Dave Gleason's Turn and Fade. Dave Gleason's well-known as a Honky Tonker and one of the B-Bender Kings, and he retains that status on this record while departing for some soulful shores at the same time. The song, "Pale Blue" is a standout tune. Sadly, LA just lost him to Nashville.
7. Best new Western-inspired store: Ranch n' Roll.
Libby Knudson used to have this shop in Seattle and just recently opened in LA. Furniture, clothing, purses, totes, jewelry, art ..hand made goods that refect the Western lifestyle and a center for re-upholstery! She's now running with a brilliant idea, "Club Hotpad" where you can sign up to receive hand-made potholders monthly designed by folks like Excene Cervenka and Dave Alvin (to name a couple).
started presenting a "70s Show" bringing together various people in the roots and pop communities of L.A. and inviting them up with his "Chaos Band" to sing a '70s song of their choice. There's usually about 20 performers and some of the choices are surprisingly funny and well-done.
10. Best place to catch the Roots scene under one roof: Roots Roadhouse. Is it okay to toot my own horn?…2010 was the first time Liz Garo and I (along with the fabulous Echo crew) attempted to stage a Grand Ole Echo Festival. We used the Echo, Echoplex and the parking lot and had 20 bands including Dave Alvin & The Guilty Men, T-Model Ford, Chatham County Line, Frontier Ruckus and local acts such as I See Hawks in LA, Old Californio and Olin & the Moon. Most fun ever, and we hope for many more! To learn more, check out The Grand Ole Echo.


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Q: ASP.NET MVC AJAX Call to Controller Not Returning any Data I'm trying to call an ASP.NET MVC controller using an AJAX Call. Basically I want to return customer details based on the ID selected from a dropdownlist. On debugging, controller is being hit and returning data in JSON format however, on debugging javascript, it never gets to success, failure or error.
Here is the code I'm using:
View:
<script type="text/javascript">
    $(document).ready(function () {
        $("#CustomerId").select2({
            placeholder: "Select a customer"
        });

        $("#CustomerId").change(function () {
            var param = $("#CustomerId Option:Selected").val();

            $.ajax({
                type: 'GET',
                data: { Id: param },
                url: '/QuickInvoices/GetCustDetails',

                success: {
                    function(response) {

                        if (response != null) {
                            alert("hello");
                            $('customer_CompanyName').val(response.CompanyName);
                        }
                        else {
                            alert("something went wrong!");
                        }
                    }
                },
                failure: function (response) {
                    alert('failed');
                },
                error: function (response) {
                    alert('error' + response.responseText);
                }
            });
        });
    });
</script>

Controller:
[HttpGet]
public JsonResult GetCustDetails(int Id)
{
    Customer customer = db.Customers.Where(x => x.Id == Id)
                                    .SingleOrDefault<Customer>();

    return Json(customer, JsonRequestBehavior.AllowGet);
}

Can someone help please?

A: Please try below Code sample and check the Request & Response of network tab
you will get batter Idea
 $(document).ready(function () {
        $("#CustomerId").select2({
            placeholder: "Select a customer"
        });
        $("#CustomerId").change(function () {
            var param = $("#CustomerId Option:Selected").val();
                   $.ajax({
                        type: "POST",
                        url: '@Url.Action("GetCustDetails", "QuickInvoices")',
                        data: { Id: param },
                        dataType: "json"
                        contentType: 'application/json; charset=utf-8',
                        success: function(data) {
                            alert(data.msg);
                        },
                        error: function() {
                            alert("Error occured!!")
                        }
                    });
        });
    });

redpajama_set_name: RedPajamaStackExchange


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Feb	27, 2020
Railway station improvements coming down the line
Daniel Cattanach	2020-02-27T15:50:26+00:00	February 27th, 2020|
Railway stations across the region will have better access, after the West of England Combined Authority (WECA) secured £548,000 of Government funding. The investment will support access improvements at Freshford, Lawrence Hill, Nailsea &...
New community funding for renewable energy projects
comms	2020-02-20T10:50:56+00:00	February 20th, 2020|
Could your community benefit from its own supply of clean renewable energy? Funding is now available to kick-start green energy projects across the West of England. The West of England Combined Authority is offering grants...
Call for employers to help improve West of England's careers guidance
West of England Mayor Tim Bowles is asking employers - large and small - across the region to give their views on how to improve careers advice. The West of England Combined Authority (WECA) is...
Positive future for construction industry work begins on new Advanced Skills Centre
The construction industry is set to receive a welcome boost after Midas Construction began work on a new skills centre in the West of England. Generations of students will benefit from the new £9million Advanced...
Upgrade to Bristol East Junction is on track
West of England Mayor Tim Bowles has welcomed yesterday's announcement by the Prime Minister pledging to upgrade Bristol East Junction, so that passengers can travel in and out of Bristol more easily: "This is brilliant...
HMRC's new Bristol Regional Centre formally opens for business
HM Revenue and Customs' (HMRC) regional centre in Bristol was officially opened by Chief Executive Jim Harra today (Tuesday 11 February). 3 Glass Wharf at Temple Quay is the second of 13 new regional...
Up to £8m of Apprenticeships Levy could be unlocked in West of England by new scheme
comms	2020-10-13T19:33:11+01:00	February 6th, 2020|
Businesses and residents in the West of England could be given greater access to around £4-£8m of funding to support for new apprenticeships thank to a new pilot scheme launched by the West of England...
Thriving creative sector
It's an exciting time for the West of England's creative industries, and this year there have already been important developments which will help further cement our global reputation as a leading creative cluster. In January,...
We want your views on bus travel, cycling and walking
Local people are being encouraged to give their views on new plans to substantially improve bus travel, walking and cycling in the West of England. The West of England Combined Authority (WECA) is running consultations...


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There is stillness as a front appears at the northern end of the lake - a calm. Clouds gather. The light becomes brilliant then dark. The wind curls itself into a directed force. Rain comes. The visual drama of the lake is never the same.
Multiple conditions of light created by the time of day and the weather create textures in the water, patterns in the clouds, and juxtapositions of color that vibrate with one another to form the  visual experience of the lake. The morning light is slowly teased up over the horizon, gently lighting the clouds,  while the evening sunset feels like a race through the fire into the darkening sky.  These dynamic combinations of light, shape, pattern, and color inspire the images that artist Kirby Fredendall paints.
Fredendall enjoys the manipulation of material and how that process in itself contributes to the life and shape of the final image. Dramatic, gestural lines describe the play of light and wind across the water, while softer marks add life to the slow movement of rain laden clouds across the sky.  Areas of sky, water, and land are knit together to represent their seamless interaction under the common conditions of weather and time. Colors are intentionally juxtaposed to create passages that are beautifully compelling. The lake is a metaphor for the constantly changing energy of our relationship withourselves, those around us, and with our environment. Fredendall's paintings are a visual exploration of the unbreakable but changeable connections that exist between forces both within us and without. Her most recent artwork explores her relationship to a lake in the Adirondack Mountains.
Fredendall was raised in Bucks County amidst the vibrant arts culture that has defined the area since artists first arrived to establish residence on the old farms and in the eclectic river towns. Among her first memories was falling to sleep to the pianist Anna Ward, married to artist Charles Ward, as Anna practiced in her home across the street. Later, she remembers times shared swimming in the pool and marveling at the stacks of wood on George Nakashima's remarkable property with her friend, his granddaughter, Maria.
These memories, along with being raised by artists, forged deep ties to the arts for Fredendall who attended Duke University to study Art History, first in North Carolina and then in London. Following her studies in London she attended the Cordon Bleu, later to work as a pastry chef while she obtained her master's degree in Art Education and Painting.
Becoming a painter was a natural progression for Fredendall who had been drawing and painting throughout her life. Her first exhibitions were local, followed by numerous national group shows in Philadelphia, Hartford, Wilmington, Harrisburg, and later New York. Solo shows followed, including one at the Michener Art Museum. She received the honor of the Rauschenberg Foundation's "The Power of Art" grant.
Kirby Fredendall: Cathedral Series no. 1
Kirby Fredendall: Cathedral Series: Golden Fall Light
Kirby Fredendall: Cathedral Series: Hazy Summer Light
Kirby Fredendall: Crimson Lights in the Sky
Kirby Fredendall: Far Shore Pink Light
Kirby Fredendall: Luminous Morning


A month before Blockland holds its first "Solutions" conference, the blockchain group will challenge Clevelanders to come up with innovative ways to use the technology.
The two-day event at Cleveland State University will start with a workshop for people unfamiliar with blockchain technology. Blockchain is an online distributed-ledger system known for being the base of cryptocurrency such as bitcoin.


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President Clinton's Trip to France, Netherlands,
and the United Kingdom
On this beautiful spring day in Paris, in the twilight of the 20th century, we look toward a new century with a new Russia and a new NATO, working together in a new Europe of unlimited possibility. The NATO-Russia Founding Act we have just signed joins a great nation and history's most successful alliance in common cause for a long-sought but never before realized goal --a peaceful, democratic, undivided Europe.
President William Clinton
NATO-Russia Founding Act Signing
On Monday, May 26, President Clinton departed on a historic four-day trip to France, the Netherlands and England. The trip consists of three distinct and complementary parts: the historic signing of the NATO-Russia Founding Act in Paris, the commemoration of the 50th anniversary of the Marshall Plan in the Hague, and President Clinton's first official visit with newly elected British Prime Minister Tony Blair. Together, these events highlight the progress that the transatlantic community has made towards the President's vision of an undivided, democratic and peaceful European continent, and reinforce the President's commitment to keeping the United States engaged in Europe to promote security and prosperity on both sides of the Atlantic. Visit this site during the week for regular trip updates, including briefings, remarks and event information.
Today on the Trip
Trip Remarks
Trip Briefings


You learned the "rules of the road" before you sat behind the wheel of a car and you should do the same before taking the helm. Just like studying to get your driver's license, it is very important to have the boating information and certifications you need to be a safe boater before you hit the water. In fact, a number of states require powerboat operators to take a boater's education course and carry a license or certificate proving successful course completion any time they're on the water. By consulting a safe boating guide and obtaining the required certificates beforehand, you not only protect yourself and family but other boaters on the water.
It's just as important to have the right safety gear and equipment on your boat, as required by regulation. Our pre-departure checklist ensures you have everything you need for a day on the water and you can have a safe vessel year round with our semi-annual maintenance guide.


Bio-Nexus Medical's innovative mobile-based, cross-platform solution provides an interactive and proactive workflow. These includes automatic generation and update of Electronic Medical Record (EMR), real-time online Synchronization through all levels, and real-time supervision of the entire personnel. Both military and civil organizations can now benefit from real-time supervision, assistance and control of off-site senior medical professionals.
The Bio Nexus solution provides full remote Telemedicine capabilities. Using Bio Nexus, you can remotely control all medical devices, regardless of the device type or manufacturer, and over any communication network type. On-field crews can now better handle challenges and provide better, faster, and more efficient treatment. This results in a much quicker, more efficient evacuation of patients, and in saving the maximum number of lives.
Rather than follow paper-based procedures that are performed separately and without a clear flow and prioritization, the mobile-based, cross-platform solution developed by Bio-Nexus provides an interactive and proactive workflow. This solution enables on-site crews to provide medical treatment better and faster, thus significantly reducing the probability of human error.
A care provider places a wristband with a unique RFID identification on the patient's wrist. Using the application, the RFID is scanned and a digital medical file is uploaded. This file is then constantly updated and made available to any care provider attending that patient.
The system guides the medical personnel on-site pertaining to the next steps, based on interactive medical treatment protocols and various predefined scenarios. A single touch of a button or a voice command is all it takes to proceed to the next stage.
The system updates the team at all levels, enabling higher ranking, off-site expert staff to make judicious critical decisions in real-time and issue instructions as to which patients should be evacuated first, whether to continue with certain tasks at the site in view of the patients' medical condition and so on.
2019 © Bio-Nexus. Crafted with love by SiteOrigin.


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Elias: Biden makes a difference as California is no longer a federal target
Thomas Elias
California Focus
California spent most of the last four years as a target, the object of continual presidential resentment from Donald Trump because he lost here in 2016 by almost a 62-38 margin, the state's differential providing all 3 million votes by which Hillary Clinton defeated him in the popular vote that fall.
But with the end of successor Joseph Biden's first 100 days in office drawing near, things look very different for California today.
First, a look back at California's background with Trump.
The popular vote numbers against Trump were somewhat higher last fall than in 2016, but the percentage was virtually the same, this time slightly more than 64-34 percent, suggesting few minds changed over four years.
Trump took out his resentment in myriad ways, refusing to come here for almost anything but visits to his vaunted border wall and a couple of fundraising dinners. More substantially, his presidency meant less money for California schools than before, and less funding for police, highways, parks and almost anything else the federal government helps pay for.
When it came to new federal projects and climate change measures, forget about it. As for top appointments, almost no one from California except big donors to Trump campaigns got any. The big exception was Stephen Miller, the only close adviser who was not family that lasted the length of Trump's term.
Miller, a Santa Monica High School graduate whose family suffered financial losses during his youth that forced a move from the most affluent part of his hometown to a lesser area, became the ideologue behind Trump's extreme hard-line policies on immigration.
With Biden's accession — something Trump fought to stop right up to inauguration day — things quickly turned around for California.
Start with the vaccination program against the COVID-19 plague. Under Trump, there was virtually no program. Some health care workers managed to get inoculated before Biden took over, but there were no mass vaccination sites, small supplies for hospitals and health systems and tiny numbers of people getting the shots.
Within less than a month after Biden's arrival, California had dozens of large-scale vaccine centers, and six weeks into his term, about one-third of Californians (13.5 million) had been jabbed. There was some confusion, but except for weather-caused shipping problems, there have been no supply shortages or vaccination stoppages. With the advent of the one-shot Johnson & Johnson version of the vaccine, the rollout gained speed and hurtled toward herd immunity, slowed only by a chemical mixup in one J&J plant in Baltimore.
Gavin Newsom for president? In 2024, the Democrats might have no one else. With fuel prices soaring, is it time for a California gas-tax holiday? As California continues to burn, finally a pushback against wildland development Are Gavin Newsom, Ron DeSantis headed for dueling White House runs? Sure seems like it California politicians talk tough on crime, but 'three-strikes' law quietly threatened
Biden aimed for 100 million vaccinations in his first 100 days, but the campaign far exceeded what at first seemed an impossible goal.
California also ceased to be the center of resistance to federal policy, that role shifting to states like Texas and Arizona, run by conservative Republicans.
Instead, Californians — none part of the Biden family — moved into one top policy-making role after another. UC Berkeley Prof. Janet Yellen became Treasury secretary, state Attorney General Xavier Becerra became head of Health and Human Services, former Michigan Gov. Jennifer Granholm — a Berkeley professor most of the time since she left office in 2011 — is Energy secretary. Many more Californians got sub-cabinet jobs.
For California, this means treatment as a most-favored state rather than the least favored. It means California Democratic Sen. Dianne Feinstein's new bill to permanently ban offshore oil drilling along the West Coast — a direct descendant of the anti-drilling movement that began with the Santa Barbara oil spill of 1968 — stands a good chance.
Plus, Biden ordered a moratorium for new oil drilling from federal land and waters within less than a week of taking office.
Biden's arrival also means the million or so Dreamers whose status under the Deferred Action for Childhood Arrivals (DACA) program established by ex-President Barack Obama and targeted by Trump, now breathe easier. Immigration raids and deportations of the undocumented, some of whom have lived and worked here for decades, are much reduced and targeted more to known criminals than others.
It leaves California's universal mail balloting unmolested by federal interference.
For California, then, Biden has meant the last election had consequences that figure to increase every day.
Email Thomas Elias at tdelias@aol.com.


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Asturcon
The Asturcon or Asturian pony originating in the North western region of Spain, developed about 3000 years ago. Because of its smooth and comfortable movements, it was popularly used as mounts for the women folk in France and England.
Asturcon Pictures
Asturcon Horse
Asturcon Horses
Other Names Asturian Pony
Temperament/ Personality Good-natured, calm, easy going, and obedient
Physical Characteristics Small but heavy head; straight profile; thin neck; large mane; low withers; deep chest; strong legs; straight shoulders; sloping croup and low-set tail
Colors Generally comes in colors of black and brown with minimum markings of white
Common Use As pack horses, for driving as well as leisure riding
Height Approximately 11.2 to 12.2 hands while some may extend to 13 hands
Health No major health concerns as such
Gaits Smooth and ambling natural gait
Popular Traits Hardy, resourceful, can survive in extremely harsh conditions, easy-to-maintain, and smooth, free flowing movements.
Feeding/ Diet Hay and grain
Country of Origin Spain, Asturias
Ancestors Sorraia, Garrano and Celtic pony
Asturcon Horse Video:
Being one of the oldest breeds, they are said to be indigenous to the Asturian region of Northern Spain that has a temperate and humid climate along with a rugged topography. The Romans used it for serving various purposes and spoke positively about this breed, while Pliny, the Roman philosopher mentioned about the unique movement of these horses. Because of its natural ambling gait, most of them were highly prized and transported to Ireland for the purpose of creating the Irish Hobby horse.
Although not much detail have been derived about the actual ancestry of this breed, it said to be a result of crossing the Sorraia and Garrano horses of the Iberian Peninsula as well as the ancient Celtic pony as the Asturcon seems to possess traits similar to them. Other equine breeds from China, Siberia, Mongolia and Turkey are thought to play a part in the Asturcon's development because of the similarity in characteristic traits.
After the year 1981, this breed seemed to be on the verge of extinction and has been classified under the category of "endangered species". Certain initiatives have been taken by activist groups for preserving these ponies and at present many hundreds of them are said to move about freely in a semi-wild form along the mountains of Asturia.
As these horses were well-suited for female riders they were called palfreys in England and haubini in France.


text:
Critics Slam AT&T Plan to Charge App-Makers For Data Use
DON EMMERT / AFP / Getty Images
AT&T Plan Would Let App Makers Pay for Subscribers' Data Use WSJ
AT&T's plan to ask application developers to pay the mobile giant for data use by their customers hit a buzzsaw of criticism Monday, hours after a top company executive floated the idea in an interview with The Wall Street Journal. AT&T executive John Donovan told the paper that the company is preparing a feature that could shift the burden of paying for data-intensive mobile apps away from the consumer and onto the developer.
AT&T's plan, which Donovan said wouldn't appear until next year, would create another revenue stream for the wireless giant at a time when mobile data usage is exploding. "A feature that we're hoping to have out sometime next year is the equivalent of 800 numbers that would say, if you take this app, this app will come without any network usage," Donovan told the paper.
(MORE: AT&T Is Pulled — Unwillingly — Into the Great Patent Wars)
If implemented, the plan could effectively force data-heavy application-makers like YouTube, Spotify, or even Facebook to pay for the use of AT&T's "pipes." This idea — jacking up fees for both users and content/app-makers — has been a long-term goal of many wireless companies. In fact, many observers were reminded of now-infamous remarks made in 2005 by Ed Whitacre, who would shortly become CEO of AT&T, when asked about "Internet upstarts" like Google.
Now what they would like to do is use my pipes free, but I ain't going to let them do that because we have spent this capital and we have to have a return on it. So there's going to have to be some mechanism for these people who use these pipes to pay for the portion they're using. Why should they be allowed to use my pipes?
Public interest groups and wireless industry observers slammed the idea as an attempt by AT&T to place a "toll" on its network at a time when consumers and content/app-makers already pay dearly for access to the company's bandwidth.
(MORE: Why the Wireless Spectrum Deal is a Win for Consumers and Industry)
"This new plan is unfortunate because it shows how fraudulent the AT&T data cap is, and calls into question the whole rationale of the data caps," Harold Feld, legal director of Public Knowledge, said in a statement. "Apparently it has nothing to do with network management. It's a tool to get more revenue from developers and customers."
"The plan creates two new groups of customers and app developers — those who pay AT&T extra for the privilege of being exempt from the cap and those who don't," Feld added.
The new scheme comes on the heels of a ruling in California in which a judge awarded a user $850 after finding that AT&T had "throttled" data on his iPhone even though he had an unlimited data plan. AT&T has said it plans to appeal.
AT&T says it needs to throttle unlimited data plans to address network congestion, but that claim seems questionable in light of a recent study that found that there is almost no difference between the amount of data used by customers on limited plans and the amount used by customers on unlimited data plans.
(MORE: Solar Eclipsed: Could U.S. Solar Industry be growing faster?)
"When we look at the Top 5 percent of data users, there is virtually no difference in data consumption between those on unlimited and those on tiered plans — and yet the unlimited consumers are the ones at risk of getting their service turned off," wireless industry research firm Validas found recently.
Wireless industry observers from around the web were roundly critical.
— GigaOm: AT&T's mad, mad plan to charge wireless app developers
— TechCrunch: AT&T's Latest Boondoggle Is To Let App Makers Pay For Users' Data
— DSL Reports: AT&T Devises Entirely New Wireless Troll Toll
MORE: How Apple's iPhone Actually Hurts AT&T, Verizon and Sprint
VIDEO: Does AT&T's First 4G Phone Truly Inspire?


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New Hampshire Medical Supply
Leading Medical Supply store in USA 2022
At New Hampshire Medical Supply, we are committed to provide quality medical equipment supplies when you need them. Our service specialists are available to assist you in selecting essential supplies and provide important information about your insurance coverage.
5001 New Hampshire Ave NW
Washington District of Columbia 20011
About Washington
Washington most commonly refers to: Washington (state), United States Washington, D.C., the capital of the United States A metonym for the federal government of the United States Washington metropolitan area, the metropolitan area centered on Washington, D.C. George Washington (1732–1799), the first president of the United StatesWashington may also refer to: == Places == === England === Washington, Tyne and Wear, a town in the City of Sunderland metropolitan borough Washington Old Hall, ancestral home of the family of George Washington Washington, West Sussex, a village and civil parish === Greenland === Cape Washington, Greenland Washington Land === Philippines === New Washington, Aklan, a municipality Washington, a barangay in Catarman, Northern Samar Washington, a barangay in Escalante, Negros Occidental Washington, a barangay in San Jacinto, Masbate Washington, a barangay in Surigao City === United States === Washington, Wisconsin (disambiguation) Fort Washington (disambiguation) Lake Washington (disambiguation) Mount Washington (disambiguation) Port Washington (disambiguation) Washington Avenue (disambiguation) Washington Boulevard (disambiguation) Washington Bridge (disambiguation) Washington County (disambiguation) Washington district (disambiguation) Washington Island (disambiguation) Washington Park (disambiguation) Washington Square (disambiguation) Washington Street (disambiguation) Washington Township (disambiguation) Washington Valley (disambiguation) ==== Cities and communities ==== Washington, Alabama Washington, Arkansas Washington, California, in Nevada County Washington, Yolo County, California Washington, Connecticut Washington, Georgia Washington, Illinois Washington, Indiana Washington, Iowa Washington, Kansas Washington, Kentucky Washington, Louisiana Washington, Maine Washington, Massachusetts Washington, Michigan, an unincorporated community in Washington Township Washington, Mississippi Washington, Missouri Washington, Nebraska Washington, New Hampshire Washington, New Jersey Washington, New York Washington, North Carolina Washington, Oklahoma Washington, Pennsylvania Fort Washington, Pennsylvania Washington, Rhode Island Washington, Utah Washington, Vermont Washington, Virginia Washington, West Virginia Washington Court House, Ohio Washington-on-the-Brazos, Texas Washington Square (Philadelphia) Washington Square West, Philadelphia === Elsewhere === Washington Escarpment, Antarctica Washington, Ontario, Canada Washington Island (French Polynesia) Washington Island (Kiribati) Washington, Guyana, a community in Mahaica-Berbice, Guyana == Education == === Higher education === ==== In Washington (state) ==== Central Washington University, Ellensburg, Washington Eastern Washington University, Cheney, Washington University of Washington, Seattle, Washington Washington State University, Pullman, Washington Western Washington University, Bellingham, Washington ==== Elsewhere in the United States ==== George Washington University, Washington, D.C. Harold Washington College, Chicago, Illinois University of Mary Washington, Fredericksburg, Virginia Washington & Jefferson College, Washington, Pennsylvania Washington College (Pennsylvania), merged with Jefferson College (Pennsylvania) in 1865 to form Washington & Jefferson College Washington College (California), formerly in Irvington, Fremont, California Washington College, Chestertown, Maryland Washington College, Connecticut, the original name of Trinity College Washington College of Law, at American University, Washington, D.C. Washington and Lee University, Lexington, Virginia Washington Female Seminary, Washington, Pennsylvania Washington University (medical school), a defunct institution formerly in Baltimore, Maryland Washington University in St. Louis, Missouri ==== Outside of the United States ==== Washington International University, unaccredited institution in the British Virgin Islands Washington University of Barbados, named as part of an international medical school scam === Secondary education === Lake Washington High School, Kirkland, Washington Washington Academy (disambiguation) Washington College Academy, Limestone, Tennessee Booker T. Washington High School (disambiguation) George Washington High School (disambiguation) Washington County High School (disambiguation) Washington High School (disambiguation) Washington International School, Washington, D.C. Washington School (disambiguation) == People == Washington (name), a given name or surname shared by several people Washington (musician), the stage name of Australian musician Megan Washington Washington (footballer, born 1953), full name Washington Luiz de Paula, Brazilian football forward Washington (footballer, born 1 April 1975), full name Washington Stecanela Cerqueira, Brazilian football manager and former striker Washington (footballer, born 10 April 1975), full name Washington Luiz Pereira dos Santos, Brazilian football striker Washington (footballer, born August 1978), full name Washington Luiz Mascarenhas Silva, Brazilian football forward Washington (footballer, born November 1978), full name Washington Luigi Garcia, Brazilian football forward Washington (footballer, born 1985), full name Washington Roberto Mariano da Silva, Brazilian football striker Washington (footballer, born May 1986), full name Washington de Mesquista Ferreira, Brazilian football striker Washington (footballer, born November 1986), full name Cezar Washington Alves Portela, Brazilian football midfielder Washington (footballer, born 1989), full name Washington Santana da Silva, Brazilian football midfielder == Sports == === In the Washington D.C. metropolitan area === Washington Capitals, professional ice hockey team of the National Hockey League Washington Nationals, professional baseball team of Major League Baseball Washington Mystics, professional basketball team of the Women's National Basketball Association Washington Commanders, formerly Washington Redskins, professional American football team of the National Football League Washington Wizards, professional basketball team of the National Basketball Association === In Washington (state) === ==== Division I ==== Eastern Washington Eagles, athletic teams of Eastern Washington University in Cheney, Washington Washington Huskies, athletic teams of the University of Washington in Seattle, Washington Washington State Cougars, athletic teams of Washington State University in Pullman, Washington ==== Division II ==== Central Washington Wildcats, athletic teams of Central Washington University in Ellensburg, Washington Western Washington Vikings, athletic teams of Western Washington University in Bellingham, Washington === Elsewhere === Washington F.C., a football club based in Washington, Tyne and Wear, England Washington University Bears, athletic teams of Washington University in St.
Neighborhoods in Washington, District of Columbia
ANC 4A, Anacostia Neighborhood Library, Arboretum, Capitol View Neighborhood Library, Chinatown, Columbia Heights, Crestwood, DC Advisory Neighborhood Commn, DC Advisory Neighborhood Commn, DC Advisory Neighborhood Commn, DC Advisory Neighborhood Commn, DC Advisory Neighborhood Commn, DC Advisory Neighborhood Commn, DC Advisory Neighborhood Commn, DC Office of Neighborhood Safety and Engagement
Things to do in Washington, District of Columbia
Basilica of the National Shrine of the Immaculate Conception
Constitution Gardens
Dumbarton Oaks Museum
Dupont Underground
Ford's Theatre
Frederick Douglass National Historic Site
Friendship Archway
Heurich House Museum
Hillwood Estate, Museum & Gardens
Hirshhorn Museum
John F. Kennedy Center for the Performing Arts
Kenilworth Park & Aquatic Gardens
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Three labor experts weigh in.
What could socialism look like?
We need to greatly increase members' democratic involvement in their unions.
US bosses fight unions with a ferocity that is unmatched in the so-called free world.
Here comes the anti-union crackdown.
Union supporters had reason to cheer when Wisconsin Gov. Scott Walker's hated "right to work" law was overturned.
They just want to kill the unions, and they're used to getting their way.
Labor activists and leaders have to figure out more strategies to revive the strike today.


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Q: Is it possible to determine in __getattr__ whether an attribute or method is accessed? I'm aware that methods are just objects that can be accessed via getattr(obj, 'method_name'). Is the method does not exist, this will trigger obj.__getattr__(method_name). However, is it possible in the __getattr__ implementation to distinct whether the attribute is called directly by the user or not? It seems to me that descriptors might allow this, but I'm not entirely sure.
My motivation is a proxy class that forwards both attribute access and method calls to a wrapped object to which communication is slow. For attribute access, we necessarily have to block and wait for the result. But for method access, I'd like to inject a _blocking parameter that allows to receive a non-blocking promise object:
proxy = Proxy(Inner())
proxy.value  # Block and wait for inner.value
promise = proxy.method(arg1, args2, _blocking=False)  # Non-blocking
promise()  # Wait for the return value of inner.method(arg1, arg2)


text:
The Medical Center is proud to announce the following addition to its faculty and leadership staff.
Neelakanta A. Dadi, M.B.B.S.
Dr. Neelakanta A. Dadi, an academic hospitalist at Indiana University Health Ball Memorial Hospital, Muncie, has joined the Medical Center faculty as an assistant professor of medicine.
After studying biology at Andhra University, Visakhapatnam, India, Dadi earned his M.B.B.S. at Andhra Medical College in 2003. A senior house officer at North Cambria University Hospitals, Carlisle, U.K., from 2003-09, Dadi received his M.R.C.P. (Member of Royal College of Physicians) from the Royal College of Physicians, United Kingdom, in 2009. He had an internship in medicine from 2009-10 and a residency in medicine from 2010-12 at the University of Utah. A fellow in nephrology at the Henry Ford Hospital, Detroit, from 2012-13, Dadi joined IU Health Ball Memorial Hospital in 2013.
An active member of several professional organizations, including the American Society of Clinical Oncology, the American College of Physicians and the American Medical Association, Dadi has coauthored three scientific abstracts or posters and has given several presentations internationally. His areas of interest include medical education and research, quality improvement, and transitions of care.


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The transportation business is booming in Tennessee and CEC is right smack in the middle of it … on a variety of fronts in its work for the Tennessee Department of Transportation.
CEC offers a clear understanding of regulatory responsibilities and an integrated approach to engineering, design, construction, and consulting. We work hand-in-hand to provide comprehensive and reliable, cost-effective solutions that address the challenges of the state's unique infrastructure and economic development projects. From the unprecedented Blue Oval City to Stormwater Pollution Prevention Plans to stream mitigation, CEC's experts have been busy meeting TDOT needs.
The massive 4,100-acre site will be home to an assembly plant, as well a facility that will manufacture electric vehicle batteries, as well as a battery recycling operation.
Blue Oval City
Blue Oval City is a planned $5.6 billion automotive assembly complex near Stanton, Tennessee, which will be operated by Ford Motor Co. and SK Innovation. The facility, named for the Ford logo, will consist of an assembly plant which will produce electric Ford F-150 Lightning pickup trucks. Trucks are expected to roll off the assembly line in 2025.
The massive 4,100-acre site will also be home to a plant that will manufacture electric vehicle batteries, as well as a battery recycling facility.
"It is the biggest thing going on in this state," says Matthew Skelton, a Project Manager in CEC Nashville's Ecological Services practice.
Given the network of roadways needed to accommodate this immense plant, TDOT called upon CEC to handle everything from initial environmental studies to permitting and mitigation needs to road and interchange design on the previously undeveloped farmland and forest.
"It's a very rural area but its proximity to Memphis allows quick access. It's the only place in Tennessee with this many contiguous acres to all modes of transportation and a nearby Foreign Trade Zone," Skelton said.
"We evaluated 1,500 acres for stream/wetland delineations. We had people walking the entire site during the data collection," says Tim Nehus, Ecological Services Practice Lead in the Nashville office. "We were on a very tight timeline, as the technical studies were in a constant state of adjustment."
Road work around the site has been underway since October 2021, with 16 miles of roads needed to service the plant. A new interchange is on tap at Interstate 40, while another nearby interchange will be upgraded to handle the increased traffic in the area.
"Our strong relationship with TDOT is the reason we got this project. There is a lot of infrastructure improvements and development associated with the construction and operation of Blue Oval on and CEC is positioned to take this work on as it develops. We will we gather more work because of it," Nehus added.
CEC's On-Call Construction Quality Assurance and Corrective Action Contract and the Permits Contract call for monthly quality assurance site inspections for active TDOT roadway projects in TDOT Region 3.
SWPPP development
CEC also lends its extensive expertise in Stormwater Pollution Prevention Plans (SWPPP) to TDOT. "We can be assigned to projects anywhere across the state, concentrating mostly in central Tennessee," says Janette L. Wolf, P.E., Senior Project Manager in the Nashville office.
She leads CEC's On-Call Construction Quality Assurance and Corrective Action Contract and the Permits Contract for TDOT Region 3, performing monthly inspections for quality assurance site inspections for active TDOT roadway projects. Project responsibilities include assessing active construction projects for SWPPP implementation and permit compliance. The project team is responsible for authoring photo journals and assessment reports, documenting erosion and sediment control measures in place throughout construction and providing comments to facilitate the project's implementation of erosion control measures, and compliance with applicable water quality permits. The contract management responsibilities include administration, estimate preparation, invoicing, and staff coordination.
CEC's involvement with TDOT's SWPPP projects is cradle to grave and a complex process. "The sheer number of people involved is just phenomenal. We are working toward one collaborative goal," Wolf says.
CEC has had contracts with TDOT for every period, except for one, since 2004 and will again re-apply in 2024 for the next three-year period.
As the SWPPP consultant, CEC is ensuring established standards are met at every phase of the project — the roadway design guides, the TDOT drainage manual guidelines, as well as the TDOT standards. "We are directly coordinating with the designer," Wolf says, adding CEC is not designing the projects. "The bulk of what we do is commenting on compliance to TDOT standards." CEC is directly coordinating with the designer and commenting collectively as the job moves along toward completion.
"I enjoy the diversity of people — consultants, designers, engineers — I get to work with. I like to see how to apply the standards in a practical manner," she adds.
CEC handles four to five TDOT stream mitigation work orders per year.
Stream mitigation
With more than 20 years civil engineering, water resources, and project management experience in both the public and private sectors, CEC Nashville's Senior Project Manager Jeffrey B. Shaver, P.E., CFM, is a guiding force for a number of TDOT stream mitigation projects.
CEC truly offers start to finish, A to Z services in stream mitigation. "Nashville has had some level of stream mitigation work with TDOT since the early 2000s," Shaver says.
"We have an on-call contract with TDOT. They send us a work order for natural channel design for streams that will be impacted during a proposed road project. The projects may be for streams being relocated within the roadway right-of-way or for restoring another degraded stream to offset the impacts from the roadway project.
We then evaluate the existing streams to determine the best restoration approach to return their natural/historic functions," Shaver says. CEC handles four to five TDOT work orders per year.
The process starts in the field. "We evaluate the existing stream and "score" it using the Tennessee Stream Quantification Tool (TN SQT). The primary purpose of the TN SQT is to calculate functional lift and loss associated with stream impact and restoration projects, Shaver says.
CEC then uses the TN SQT throughout design to estimate the "score" of the relocated or restored stream to show the functional lift. "Staff in our Ecological, Survey, and Water Resources practices work together to make the restoration plan," he says.
"A typical stream restoration plan includes incorporating meanders, pools, and riffles into the stream Wood and stone structures along with a vegetation plan for the stream buffers are also part of the plan to provide habitat. As part of TN SQT, we look at the aquatic organisms at the beginning and then regularly during the five to seven year monitoring of the restored stream."
Sounds pretty impressive, right? It certainly is. "If we do the design work, then we can manage the project and then oversee the stream construction," he says.
A true partner
Building trust, familiarity, and confidence is paramount in CEC's relationships with its clients. When public officials and agencies are facing funding challenges, aging infrastructure, and regulatory uncertainties, we offer a clear understanding of regulatory responsibilities and an integrated approach to engineering, design, construction, and consulting.
CEC works hand in hand to provide comprehensive, turn-key services and reliable, cost-effective solutions that address the challenges of a community's unique infrastructure and economic development projects.
Tags Public Sector, SWPPP, transportation, stream mitigation, CEC Nashville
CECW Hosts LinkedIn Workshop at Columbus Office


This is my destiny! At last Funko launches the Pops of the classic Disney movie "Hercules", with the Funko Pop HADES.
Hercules, a seemingly ordinary boy, is much more than a mere man, even by many he comes to be considered a God. It is the son of Zeus, and both have a superhuman power that makes them possess an almost infinite force, which is why they have a series of enemies who plan to take away this gift and prevent them from reigning the planet. Therefore, as soon as he arrived in the world, Hercules was stripped of his divine right of birth. Everything happened when he was robbed of his cradle by Hades, the God of evil and the underworld, who maliciously made him drink a magic potion that transformed him into a mortal. Now, armed only with his natural strength and his flying horse Pegasus, Hercules must regain his rightful place on Mount Olympus.