text:
After Pakistani intrusion, Indian military on high alert: Services, Photo - IANS
After Pakistani intrusion, Indian military on high alert: Services
IANS March 1, 2019	National
The Indian Air Force (IAF), Army and Navy said on Thursday that they were on high alert and that Pakistani jets tried to target Indian military installations in Jammu and Kashmir a day earlier but were pushed back.
Air Vice Marshal R.G.K. Kapoor told the media at a tri-service press conference that the Pakistan Air Force (PAF) breached the Indian airspace west of Rajouri in Jammu and Kashmir on Wednesday.
The Pakistani attempt was to target Indian military installations but the Pakistani jets were forced to retreat by Indian MiG, Sukhoi and Mirage aircraft.
Air Vice Marshal Kapoor said while Pakistan claimed that its jets fired bombs in open areas, "the fact is that Pakistan targeted military installations but we thwarted their plans. The bombs were unable to cause any significant damage due to swift IAF action".
"IAF remains ever vigilant and ready to take on any eventuality," he said.
He refuted Pakistan's claims that it had not used F-16s on Wednesday and said that one F-16 was shot down by a MiG-21 Bison.
Major General S.S. Mahal said that PAF's targets on Wednesday included a Brigade Headquarters, a Battalion Headquarters and logistics installations in Jammu and Kashmir.
But their designs were foiled because of the high level of preparedness by the Indian armed forces, he said.
He said Indian weapons systems had been put on high alert and mechanized forces had been placed on standby. "We are fully prepared to respond to any provocation."
Rear Admiral D.S. Gujral said: "The Indian Navy is deployed in a high state of readiness and remains poised in three dimensions — surface, under the sea and in air to deter, prevent and defeat any misadventure by Pakistan in the maritime domain.
"I can assure you of a resolute, swift and strong response by the Navy whenever needed."
Previous Indian pilot to be freed Friday as 'peace gesture', says Imran
Next Army rescues stranded tourists from Sikkim's Changgu


If you need to talk, see our School Guidance Councellor, Catherine Baldock; she is available at school. To book an appointment, please text 021 072 5598. There is also a free National Helpline for children and teenagers, called 0800 WHATS UP, run by professional counsellors.


text:
©2019 by Peter da Silva Communications
Top 20 Unmissable Wine Tourism Experiences in 2020 with Winerist
Argentina / France / Italy / Moldova / Portugal / South Africa and UK
Filled with unique wine experiences, Winerist (Winerist.com) is the perfect booking platform for those looking for a wine, food and whisky experience on every continent! Winerist is like an encyclopaedia of tried and tested wine and food destinations around the world: 133 wine regions are celebrated on the Winerist platform; the largest online travel specialist for wine and food tours featuring wineries, wine tours, cooking classes, wine hotels and more. This is the website to use to find and book your perfect wine, food and whisky experience.
Winerist have joined forces with The Wine Show, UK television's most successful wine and travel show, back in 2020 with a third series. Ahead of that, Winerist select a Top 20 Unmissable Wine Tourism Experiences list for 2020.
Argentina - Finca Adalgisa – Fly to Buenos Aires – From £211 per night
Discover Finca Adalgisa, a little paradise situated within an old vineyard of Malbec vines. Finca Adalgisa is located in the village of Chacras de Coria, 20 minutes away from the city of Mendoza, at the heart of Mendoza's Wine Route, with many wineries and vineyards within easy reach. The Finca offers the perfect combination between the rural lifestyle and living in a small, but lively village. Guests can take a stroll in the garden, relax by the pool located in the vineyards. The Finca and its vineyard are almost 100 years old. The Furlotti-Moretti family who own it, have been living on the property for three generations. Visiting guests can wander through the Old House and its library and get a sense of how the family lived here in the past.
France - Château Pape Clément – Fly to Bordeaux – From £17 per person entry
A jewel in Bordeaux's famous Graves subregion. Wine tourists visiting this 700-year-old château will discover a haven of peacefulness and tranquillity, from the horses and oxen protecting the soil, to the use of music against vine disease. The château was built in the neo-Gothic style. The 60 hectares of vineyards are cared for combining traditional methods with the latest technologies.
France - Chateau de Massillan – Fly to either Marseille or Montpellier – From £101 per night
Discover Château de Massillan, a magnificent hotel situated near Orange, in northern Vaucluse, next to Châteauneuf du Pape and Avignon, in the heart of the Côtes du Rhône vineyards. The magnificent Château was built in 1555 and served as the hunting lodge of Henri II and Diane de Poitiers. With majestic trees filling the 10-acre grounds and a pastoral pond reflecting the azure Provençal sky, the Château offers visitors the perfect retreat where they can surround themselves with nature and refinement.
France - Château Prieuré Marquet – Fly to Bordeaux – From £101 per night
Discover Chateau Prieuré Marquet, located north of Bordeaux, near Libourne and Saint-Emilion, in the centre of the Bordeaux countryside. Beautiful in all seasons, the area boasts rolling hills, vineyards, charming villages and elegant chateaus. Located on a hill, the castle dominates its surroundings. From the large terrace, the view encompasses beautiful vineyards and forest landscape. A long pathway leads to the authentic "chartreuse" made from traditional Bordeaux limestone, characterized by its four main buildings arranged around a large open courtyard.
France - Château des Briottières – Fly to Angers or Nantes – From £128 per night
Travel the Loire Valley and discover all it has to offer when you stay in the heart of the region at the 4-star Château des Briottières. This 18th century château is perfectly located at the west end of the Châteaux of the Loire circuit, and is considered one of the most impressive in the region, so treat yourself to a stay in a grand castle and live like royalty. Situated in Anjou near Angers and only 2.5 hours from Paris, the Château des Briottières is the ideal base for opening the gateway to Brittany, Normandy and the Loire Valley and for visiting the Châteaux de la Loire.
France - Château Haut-Bailly – Fly to Bordeaux – From £17 per person entry
Discover Château Haut-Bailly, one of the special historic properties in Pessac-Léognan, possessing some of the oldest vines in the appellation and maintaining the same landmass for over a century. The Château is perched atop the gentle slopes of Bordeaux's historic Graves region. The Château was built in 1872. What is truly magical about Haut-Bailly is their adherence to a winemaking standard that has propelled them to one of the top properties in all of Bordeaux. Many consider this to be a must-see property because of its esteemed status and enchanting wines.
Italy - Borgo Alveria – Fly to Catania
Borgo Alveria country resort sits on a site full of history; on this site sat an ancient monastery built in 1451 and destroyed in the 1693 earthquake. Today, situated just 10 km away from the town of Noto Antica, the resort is submerged in beautiful natural surroundings whilst still preserving the architectural and historic traits of the past. This charming hotel contains 12 intimate rooms that envelope guests in their rustic atmosphere.
Italy - Venissa Wine Resort – Fly to Venice
Discover Venissa, a magical place where you can enjoy the peace and tranquillity and the perfect relaxing base for visiting Venice or discovering the beauty of the islands from which the city rose up. There are six modern style rooms in one of the most beautiful rustic buildings in the Lagoon Park. You can choose from ample and spacious suites under the roof with its exposed beams or rooms overlooking the lagoon and the vineyard.
Italy – Castello di Fonterutoli – Fly to Florence or Pisa – From £86 per night
A truly Italian experience. Hotel Castello di Fonterutoli offers luxury accommodation as part of its historic wine estate which dates back hundreds of years starting from the 1400s. With grounds spanning nearly 1,600 acres (650 hectares) it is located near Castellina in Chianti in the heart of the Chianti Classico region. This boutique, family-run hotel consists of 12 country-chic and cosy rooms inspired by the colours of Chianti. Each room has been restored to represent authentic Tuscan style by the family architect, Agnese Mazzei. The hotel presents a truly traditional Tuscan feel and guests staying here in the heart of the estate will feel like they are living in a real Tuscan country village.
Italy - Villa Di Geggiano – Fly to Florence or Pisa
Villa di Geggiano has been the family home and winery of the Bianchi Bandinelli family since 1527. Just six kilometres north-east of Siena, its facade looks out onto the enchanting hills of Chianti Classico, a region of Italy world famous for its wines, natural beauty and rich history.
Originally built in the 14th century, the Villa di Geggiano, its gardens and 18th century decorations have been completely renovated and restored. The Bandinelli family continue to manage the Villa and the precious surrounding vineyards and have recently opened two luxury guest suites to holiday visitors wanting to savour the real Tuscan lifestyle.
Italy - Ca' del Moro - Wine Retreat – Fly to Venice – From £258 per night
Just 17 km from Verona city centre, in the heart of Valpantena - DOC Valpolicella area – stands Ca' del Moro - Wine Retreat, between the CRU vineyards and the cherry trees orchard. Ca' del Moro is a modern hermitage that allows you to escape from everyday rhythms to find your own dimension in a "house" built with natural materials: wood, iron, stone. Ca' del Moro is the perfect place for winelovers: here you can taste great wines, visit La Collina dei Ciliegi winery, its vineyards and "Barricaia" and experience a unique enogastronomic tour.
Moldova – Purcari – Fly to Chisinau – From £8 per entry
Located in spectacular scenery close to the Dniester River (around 30 KM from the Black Sea), the Purcari Estate is a combination of both traditional delights and modern technologies. More than just a winery, Purcari is also a stunning wine hotel offering luxury rooms and two restaurants which effortlessly blend European and traditional Moldavian cuisine, all paired with fantastic local wines. The estate is the perfect place to relax away from city life, surrounded as it is by two scenic lakes on one side and rolling vineyards on the other, creating an unforgettable atmosphere.
Moldova - Castel Mimi Winery – Fly to Chisinau - From £13 per entry
Castel Mimi - the guest card of Moldova and the only tourist destination in the country, listed among Top 15 most beautiful architectural masterpieces of the Wine World. Actually, it's a unique concept of wine resort, spread over almost 200.000 m² of a land that connects past with present and future.
Built in 1893 by Costantin Mimi this has always been the only authentic Wine Castle in Moldova and even nowadays it proudly represents its Country and national heritage. Bulboaca wines were among the most popular in the country and beyond its borders since the year 1900. Kings and chiefs of state have visited and appreciated the castle and the vineyards since they were established.
Moldova - Et Cetera Guest House – Fly to Chisinau – From £49 per night
Discover Et Cetera Guest House, situated in the South-East of Moldova, in one of the most favourable zones of the country for viticulture. The Luchianov Family started growing grapes in 2003. The land was purchased in 2002 by Alexandru Luchianov, who named the estate Et Cetera. After the adventurous life travelling, he decided to settle down where the roots come from. He became fanatically enthusiastic with his new passion, traveling to wine countries, adopting experience from foreign specialists, learning about vineyards and tasting wines, all of that to find the perfect taste.
Moldova – Asconi – Private Wine tour, visit and tasting at Castel Mimi and Asconi Winery– Fly to Chisinau – From £80 per person
Every city has its own lifestyle and if you want to feel the real vibes of a city, the best place to discover it are the city markets. Chisinau Central Market is a huge open-air market that occupies several blocks within the city. Later, you will enjoy a guided tour and wine tasting at Asconi Winery. Founded in 1994, the winery has developed not only the production of high-quality wines, made both from local and European grape varieties like Feteasca, Traminer, Chardonnay, Pinot Franc, Cabernet-Sauvignon, but also created one of the most authentic places to spend time with family and friends. Enjoy your lunch at the winery restaurant which preserves the best Moldovan traditions. In the afternoon, you will be heading to Castel Mimi - listed among the most beautiful architectural masterpieces in the world of wine (see above).
Portugal - Cockburn's Port Lodge – Fly to Porto – From £10 per entry
Discover Cockburn's Lodge, the largest wooden Port cellar in the historic area of Vila Nova de Gaia, on the opposite bank of the River Douro from Porto. Cockburn's, which was bought by the Symington Family in 2010, is one of the diminishing numbers of Port houses that still chooses to continue the tradition of ageing Port in the historic centre of Vila Nova de Gaia.
Portugal - Taylor's Port – Fly to Porto – From £13 entry
Taylor's is the archetypal Port house and its wines the quintessential Ports. Established over three centuries ago in 1692, Taylor's is one of the oldest of the founding Port houses. It is dedicated entirely to the production of Port wine and in particular to its finest styles. Taylor's is regarded as the benchmark for Vintage Port.
Portugal - Pacheca The Wine House Hotel – Fly to Porto
Discover Pacheca The Wine House Hotel, one of Douro Valley's best-known country house hotels, integrated in the Quinta da Pacheca, a pioneer in the bottling of their own wine brand. The property, with its traditional 18th century architecture, was restored in 2009 and is now a boutique hotel with 15 rooms. The hotel retains its rural charm, but with contemporary features and modern comfort. With the vineyard and wine as its inspiration and environment, the hotel is entirely devoted to gastronomic and oenological tourism, combining a modern and 'avant-garde' image with sobriety and elegance. The main building also houses the Wine House Restaurant which offers a varied and tempting menu which respects the concept of traditional Portuguese cuisine and uses the typical products of Douro.
South Africa - Grand Dédale Country House – Fly to Cape Town – From £223 per night
Located on a secluded, award-winning wine estate in a valley just below the historic Bainskloof Pass and surrounded by 380 hectares of breath-taking mountain scenery, Grand Dédale offers exclusive and luxurious 5-star accommodation. The exclusive and elegantly restored Cape Dutch Manor House, formerly the private residence of the owners of Doolhof Wine Estate, comprises six luxurious and bespoke rooms and suites. A separate thatched cottage is enjoyed by honeymooners or guests seeking additional privacy. Grand Dédale welcomes its guests with sumptuous comfort, discreet service and complete privacy and exclusivity amidst beautiful mountain and vineyard scenery.
UK – Flint Barns – Fly to London – From £100 per night
Whether you are looking for a weekend away as a family, a couple or walking the South Downs Way with a group of friends, the Flint Barns are the perfect place to stay. These historic buildings in the Cradle Valley lie at the western end of the Estate, and have been beautifully restored to the highest standard, forming a beautifully appointed "home away from home". A large, welcoming dining room, serving locally sourced home-cooked meals, is complemented by a separate lounge and meeting areas, which makes this the ideal venue to welcome special interest and school groups, or companies looking for an unusual place to hold gatherings or meetings. The Flint Barns are a perfect and unique place to enjoy the beautiful landscape of the South Downs National Park and the rich history of the area. It sleeps up to 45 people in 10 en-suite bedrooms.
www.winerist.com
Winerist (Why-ner-ist) noun.
An individual who enjoys wine, food, travel and unforgettable experiences
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redpajama_set_name: RedPajamaCommonCrawl


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The Art of Flight
The Art of Flight tells the story of refugees fleeing Sudan's civil war for Egypt and one journalist's struggle to get their story told. This......
Balseros
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Escapeland
"Escapeland" follows a love story that develops against-all-odds between Eshel, a young Israeli woman from a kibbutz and Adel, a Sudanese...
Freedom Runners
A heroic teacher fights for social justice for refugees at a time when the plight of refugees worldwide has never been of greater importance....
The blood, sweat and tears that go into every bottle of wine.
Kakehashi: A Portrait of Chef Nobuo Fukuda
'Kakehashi' simply means 'bridge,' and Chef Nobuo's father hoped that his son would some day create bridges of his own. Now Nobuo does just that....
Love During Wartime
A real, modern-day tale of Romeo and Juliet. Two fated lovers, one Israeli and one Palestinian, fight against the world with their only weapon:...
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Exiled from his racially-charged Florida town, African American basketball star Kevin Bradshaw finds redemption thousands of miles from home...
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"40 West": Through a series of events beyond her control, Maeve a Blues musician, finds herself trapped in a East Texas motel room with her violent husband, Colin, who, unbeknownst to her, has been released from prison early. Held hostage with her is Elijah a professed Good Samaritan and fan of Maeve's, whose interest in her seems disproportionate to his claims. Colin has tracked Maeve down and waylaid her in order to apologize for his past behavior with a special present he's picked out just for her - a twisted surprise that opens a raw and anguished chapter of their shared history. But Colin's carefully laid plan is interrupted by an unexpected visit from his jailhouse girlfriend Arlene and the imminent arrival of her jealous, homicidal husband Bud Sankey, whose sights are set on Colin. 40 WEST is an intense, violent, and darkly funny exploration of power, guilt, revenge, and the cost of redemption.
executive producers: David R. Miley & William J. Ryan Jr.
Minolta Freedom Dual Camera and CVS (Fuji) 200 film.
Go to the usage examples of 40 West to see it in context!


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text:
Topical steroid therapy for the treatment of eosinophilic esophagitis (EoE) - A systematic review and meta-analysis
Anthony Chuang, Mohamed Chinnaratha, David Hancock, Richard Woodman, Geoffrey Wong, Charles Cock, Robert Fraser
OBJECTIVES: Current guidelines recommend topical steroids as first-line treatment for patients with eosinophilic esophagitis (EoE). However, the evidence for this approach has been inconsistent in earlier reports. This meta-analysis aimed to clarify the efficacy of topical steroid treatment in active EoE using updated evidence. METHODS: CENTRAL, MEDLINE and EMBASE databases were searched for randomized controlled trials (RCTs) published up to May 2014 that compared topical steroids with control treatments for active EoE. Study bias was assessed using the Cochrane Collaboration Tool, and outcomes were pooled using random effects models. The primary outcome was the mean change in eosinophil counts. Secondary outcomes were symptom responses and adverse events. RESULTS: In total, seven RCTs (226 patients) were included. Topical steroids were associated with a significant reduction in esophageal mucosal eosinophil counts compared with control therapy although substantial heterogeneity between studies was observed (weighted mean difference (WMD) -27.2, 95% confidence interval (CI) -45.3 to -9.1, I2 = 56.2%). Subgroup analysis indicated the reduction in eosinophil counts was only present in studies where a proton pump inhibitor (PPI) trial was used to exclude other diagnoses (WMD - 46.3, 95% CI - 61.3 to - 31.4, I2 = 0.0%). Subdivision of studies on the use of a PPI trial also accounted for the majority of heterogeneity among RCTs. No clear trends in symptom resolution were observed. Eleven out of 127 patients who received topical steroids developed asymptomatic esophageal candidiasis. CONCLUSIONS: These data provide updated high-quality evidence that support current guidelines for first-line EoE treatment with topical steroids after an initial PPI trial to exclude non-EoE pathologies (PROSPERO ID: CRD42014008828).
clinical and translational gastroenterology
https://doi.org/10.1038/ctg.2015.9
10.1038/ctg.2015.9
Fingerprint Dive into the research topics of 'Topical steroid therapy for the treatment of eosinophilic esophagitis (EoE) - A systematic review and meta-analysis'. Together they form a unique fingerprint.
Eosinophilic Esophagitis Medicine & Life Sciences
Steroids Medicine & Life Sciences
Eosinophils Medicine & Life Sciences
Randomized Controlled Trials Medicine & Life Sciences
Chuang, A., Chinnaratha, M., Hancock, D., Woodman, R., Wong, G., Cock, C., & Fraser, R. (2015). Topical steroid therapy for the treatment of eosinophilic esophagitis (EoE) - A systematic review and meta-analysis. clinical and translational gastroenterology, 6(3), e82. [e82]. https://doi.org/10.1038/ctg.2015.9
Chuang, Anthony ; Chinnaratha, Mohamed ; Hancock, David ; Woodman, Richard ; Wong, Geoffrey ; Cock, Charles ; Fraser, Robert. / Topical steroid therapy for the treatment of eosinophilic esophagitis (EoE) - A systematic review and meta-analysis. In: clinical and translational gastroenterology. 2015 ; Vol. 6, No. 3. pp. e82.
@article{f4fabc7a50a8495f99faab49cfee4131,
title = "Topical steroid therapy for the treatment of eosinophilic esophagitis (EoE) - A systematic review and meta-analysis",
abstract = "OBJECTIVES: Current guidelines recommend topical steroids as first-line treatment for patients with eosinophilic esophagitis (EoE). However, the evidence for this approach has been inconsistent in earlier reports. This meta-analysis aimed to clarify the efficacy of topical steroid treatment in active EoE using updated evidence. METHODS: CENTRAL, MEDLINE and EMBASE databases were searched for randomized controlled trials (RCTs) published up to May 2014 that compared topical steroids with control treatments for active EoE. Study bias was assessed using the Cochrane Collaboration Tool, and outcomes were pooled using random effects models. The primary outcome was the mean change in eosinophil counts. Secondary outcomes were symptom responses and adverse events. RESULTS: In total, seven RCTs (226 patients) were included. Topical steroids were associated with a significant reduction in esophageal mucosal eosinophil counts compared with control therapy although substantial heterogeneity between studies was observed (weighted mean difference (WMD) -27.2, 95% confidence interval (CI) -45.3 to -9.1, I2 = 56.2%). Subgroup analysis indicated the reduction in eosinophil counts was only present in studies where a proton pump inhibitor (PPI) trial was used to exclude other diagnoses (WMD - 46.3, 95% CI - 61.3 to - 31.4, I2 = 0.0%). Subdivision of studies on the use of a PPI trial also accounted for the majority of heterogeneity among RCTs. No clear trends in symptom resolution were observed. Eleven out of 127 patients who received topical steroids developed asymptomatic esophageal candidiasis. CONCLUSIONS: These data provide updated high-quality evidence that support current guidelines for first-line EoE treatment with topical steroids after an initial PPI trial to exclude non-EoE pathologies (PROSPERO ID: CRD42014008828).",
author = "Anthony Chuang and Mohamed Chinnaratha and David Hancock and Richard Woodman and Geoffrey Wong and Charles Cock and Robert Fraser",
doi = "10.1038/ctg.2015.9",
pages = "e82",
journal = "clinical and translational gastroenterology",
Chuang, A, Chinnaratha, M, Hancock, D, Woodman, R, Wong, G, Cock, C & Fraser, R 2015, 'Topical steroid therapy for the treatment of eosinophilic esophagitis (EoE) - A systematic review and meta-analysis', clinical and translational gastroenterology, vol. 6, no. 3, e82, pp. e82. https://doi.org/10.1038/ctg.2015.9
Topical steroid therapy for the treatment of eosinophilic esophagitis (EoE) - A systematic review and meta-analysis. / Chuang, Anthony; Chinnaratha, Mohamed; Hancock, David; Woodman, Richard; Wong, Geoffrey; Cock, Charles; Fraser, Robert.
In: clinical and translational gastroenterology, Vol. 6, No. 3, e82, 2015, p. e82.
T1 - Topical steroid therapy for the treatment of eosinophilic esophagitis (EoE) - A systematic review and meta-analysis
AU - Chuang, Anthony
AU - Chinnaratha, Mohamed
AU - Hancock, David
AU - Woodman, Richard
AU - Wong, Geoffrey
AU - Cock, Charles
AU - Fraser, Robert
N2 - OBJECTIVES: Current guidelines recommend topical steroids as first-line treatment for patients with eosinophilic esophagitis (EoE). However, the evidence for this approach has been inconsistent in earlier reports. This meta-analysis aimed to clarify the efficacy of topical steroid treatment in active EoE using updated evidence. METHODS: CENTRAL, MEDLINE and EMBASE databases were searched for randomized controlled trials (RCTs) published up to May 2014 that compared topical steroids with control treatments for active EoE. Study bias was assessed using the Cochrane Collaboration Tool, and outcomes were pooled using random effects models. The primary outcome was the mean change in eosinophil counts. Secondary outcomes were symptom responses and adverse events. RESULTS: In total, seven RCTs (226 patients) were included. Topical steroids were associated with a significant reduction in esophageal mucosal eosinophil counts compared with control therapy although substantial heterogeneity between studies was observed (weighted mean difference (WMD) -27.2, 95% confidence interval (CI) -45.3 to -9.1, I2 = 56.2%). Subgroup analysis indicated the reduction in eosinophil counts was only present in studies where a proton pump inhibitor (PPI) trial was used to exclude other diagnoses (WMD - 46.3, 95% CI - 61.3 to - 31.4, I2 = 0.0%). Subdivision of studies on the use of a PPI trial also accounted for the majority of heterogeneity among RCTs. No clear trends in symptom resolution were observed. Eleven out of 127 patients who received topical steroids developed asymptomatic esophageal candidiasis. CONCLUSIONS: These data provide updated high-quality evidence that support current guidelines for first-line EoE treatment with topical steroids after an initial PPI trial to exclude non-EoE pathologies (PROSPERO ID: CRD42014008828).
AB - OBJECTIVES: Current guidelines recommend topical steroids as first-line treatment for patients with eosinophilic esophagitis (EoE). However, the evidence for this approach has been inconsistent in earlier reports. This meta-analysis aimed to clarify the efficacy of topical steroid treatment in active EoE using updated evidence. METHODS: CENTRAL, MEDLINE and EMBASE databases were searched for randomized controlled trials (RCTs) published up to May 2014 that compared topical steroids with control treatments for active EoE. Study bias was assessed using the Cochrane Collaboration Tool, and outcomes were pooled using random effects models. The primary outcome was the mean change in eosinophil counts. Secondary outcomes were symptom responses and adverse events. RESULTS: In total, seven RCTs (226 patients) were included. Topical steroids were associated with a significant reduction in esophageal mucosal eosinophil counts compared with control therapy although substantial heterogeneity between studies was observed (weighted mean difference (WMD) -27.2, 95% confidence interval (CI) -45.3 to -9.1, I2 = 56.2%). Subgroup analysis indicated the reduction in eosinophil counts was only present in studies where a proton pump inhibitor (PPI) trial was used to exclude other diagnoses (WMD - 46.3, 95% CI - 61.3 to - 31.4, I2 = 0.0%). Subdivision of studies on the use of a PPI trial also accounted for the majority of heterogeneity among RCTs. No clear trends in symptom resolution were observed. Eleven out of 127 patients who received topical steroids developed asymptomatic esophageal candidiasis. CONCLUSIONS: These data provide updated high-quality evidence that support current guidelines for first-line EoE treatment with topical steroids after an initial PPI trial to exclude non-EoE pathologies (PROSPERO ID: CRD42014008828).
U2 - 10.1038/ctg.2015.9
DO - 10.1038/ctg.2015.9
SP - e82
JO - clinical and translational gastroenterology
JF - clinical and translational gastroenterology
M1 - e82
Chuang A, Chinnaratha M, Hancock D, Woodman R, Wong G, Cock C et al. Topical steroid therapy for the treatment of eosinophilic esophagitis (EoE) - A systematic review and meta-analysis. clinical and translational gastroenterology. 2015;6(3):e82. e82. https://doi.org/10.1038/ctg.2015.9


This latest release from Vintage Speed features a beefed up stainless steel shaft, 40% less travel for quick shifts, and a new pull-up style reverse lockout. It measures 12" from base to top, and comes with a black knob embossed with the VWs FIVE speed shift pattern. The powder coated aluminum shifter base features a new style stop plate that's easier to adjust than any other on the market. Stainless steel mounting hardware is included!
3. Shift knob with build in 5 speed shift pattern.
5. New design reverse and 5th speed lock-out.


text:
The Fade Out 9 (September 2015)
I don't know if I'd noticed before but probably not–Brubaker's narration for Fade Out has the possibility of not just being a noir touch but also an actual part of the narrative. There's like a single use of "you" referring to the reader so I'm reading a bunch into it like part of the mystery is figuring out who's telling the story at the end. I'm probably wrong.
But if Brubaker was going to wait to reveal that narrative device, this issue would be the one to reveal it in. Gil and Charlie duke it out and the flashback reveals their back stories, separate to some degree, but mostly together. And the reveals make you want to go back and reread the earlier issues to see how Brubaker constructed it all.
There's a lot in the flashback. Even though the present action takes place in a couple hours–at most–and is largely just one conversation leading up to the soft cliffhanger, Brubaker is able to make the issue dense with that flashback. It takes place over a decade or so, Phillips getting to illustrate a variety of settings, Brubaker able to work up tension in the flashback itself and not just how it relates to the present action.
Very cool; very good issue.
Living in a Memory; writer, Ed Brubaker; artist, Sean Phillips; colorist, Elizabeth Breitweiser; publisher, Image Comics.
Published by Andrew Wickliffe
View all posts by Andrew Wickliffe
Fade Out, Image
Ed Brubaker, Sean Phillips, The Fade Out
Crossed + One Hundred 8 (August 2015)
Manifest Destiny 17 (September 2015)
One thought on "The Fade Out 9 (September 2015)"
V Wiley says:
I swear, in the nine issues so far, the worst you can say about a given issue is that it was expository. These two guys (and of course, Ms Breitweiser), have shown the example of the best of their ilk at the peak of their powers. This leaves only the question of the big finish-and whether Brubaker can overcome his less than perfect track record with them. All we can do is hold our breath, and hang on with hope.


text:
Яблуні́вський зака́зник — ботанічний заказник загальнодержавного значення в Україні. Розташований поблизу сіл Яблунів, Тудорів, Майдан, Ємелівка та міста Копичинці Гусятинського району Тернопільської області, в кв. 1-16, 30-40, 46-56, 63-70, 73-74 Копичинецького лісництва Чортківського держлісгоспу, в межах лісового урочища «Дача Яблунів».

Площа 695 га. Створений відповідно до постанови РМ УРСР № 617 від 16 грудня 1982 року. Перебуває у віданні Тернопільського обласного управління лісового господарства.

Під охороною — територія з ділянками різновіковох дубово-грабових насаджень і другорядних деревостанів, під якими зростають шафран Гейфеля, підсніжник звичайний, цибуля ведмежа, любка дволиста — види рослин, занесені до Червоної книги України.

Території природно-заповідного фонду у складі ЗК «Яблунівський»
До складу території заказника «Яблунівський» входять такі об'єкти ПЗФ України:
 Пам'ятка природи місцевого значення «Дуб «Яблунівський»», ботанічна
 Пам'ятка природи місцевого значення «Копичинецька бучина», ботанічна

Примітки

Література
 П'ятківський І. Яблунівський заказник //

Посилання
 Реєстр природно-заповідного фонду Гусятинського району // Управління екології та природних ресурсів Тернопільської ОДА.

Ботанічні заказники Тернопільської області
Природно-заповідний фонд Гусятинського району
Природоохоронні об'єкти, засновані 1982
Яблунів (Гусятинський район)

redpajama_set_name: RedPajamaWikipedia


No condition is permanent and the only constant thing in life is change!. No matter how long a story is, it must have an end. This is the situation right now in Zimbabwe as the 37 years old dictatorship rule came to a surprise end on Wednesday the 15th of October 2017, when the Zimbabwean military took over the seat of dictator-president Mugabe.
Although, unlike most military coups, where the president is killed or jailed instantly, the 93 year sold Mugabe who holds the record for the world's oldest president, has been placed under house arrest.
Early Wednesday, the military leader of the operation, Major General S.B. Moyo, announced on Zimbabwe state-run television, vehemently denying the operation was a coup but rather a cleanup process, to track down the criminals surrounding the government, who were causing social and economic suffering.
The military head, Major General S.B. Moyo, further made it clear that President Mugabe and his family were safe and normalcy will return to the southern African nation as soon as the military operation was over.
The problem of hyperinflation has been a thorn in the flesh of the Zimbabwean people and economy. It is no longer news that $1 is equivalent to 35 quadrillion Zimbabwean dollars.
The current political turmoil has made the inflation rate even worse and many Zimbabweans have adopted Bitcoin as a safe haven asset and store of value amid economic uncertainty in the nation.
Bitcoin climbed over 10 percent on Zimbabwe's local cryptocurrencies exchange, Golix after the military take over. Bitcoin is being traded at $13500, which is almost twice the price at which Bitcoin is traded on international markets.
Currently, demand for Bitcoin has skyrocketed amid the shortage of fiat currency.
In the past month alone, Golix, which is Zimbabwe's number one cryptocurrencies exchange, processed over $1million worth of bitcoin transactions, which is by far indicative of increasing demands for Bitcoin in Zimbabwe as compared to Golix's turnover of barely $100,000 in 2016.
Golix is an unregulated exchange in Zimbabwe, founded in 2014. The trades major cryptocurrencies.
On Golix, prices are set by demand and supply and sellers are paid in U.S dollars deposited electronically and can only be converted on the black market at a steep price.


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Manchester United forced to pay additional £8.7m fee to Monaco for Anthony Martial after his 25th Premier League goal
The attacker's equaliser against Newcastle has cost the Old Trafford club an extra amount
By Michael Benson
10th October 2018, 6:20 pm
Manchester United have now reportedly paid Monaco a total of £44.7million for Antony Martial.
The Red Devils initially signed the Frenchman for £36million, however his equalising goal against Newcastle on Saturday activated a cause in his contract which has cost them an additional fee.
Anthony Martial's goal against Newcastle was arguably priceless, as it helped Manchester United recover from 2-0 down to win 3-2
Martial's strike against the Magpies was his 25th Premier League goal and, according to the Telegraph, this triggered a part of his transfer agreement which therefore charged United €10million (£8.7million) extra.
It is understood that there were two other potential €10million (£8.7million) clauses in the 22-year-old's contract, neither of which are looking likely to be activated.
Latest Manchester United News
Klopp shocked as ref blows for half-time early with Mane through on goal vs Man United
Man United transfer news: Dortmund eye Sancho replacement, latest on Diallo debut
HE'S A SPUR
'Strange enough I supported Tottenham… not sure why', says Man United legend
Keane reveals 'doubts' over Man United's title credentials ahead of Liverpool clash
Liverpool make Matip decision, while Pogba is named in Man United team
Fernandes refuses to take credit for Man United's revival despite superb stats
Guardiola's all-time XI featuring Messi, De Bruyne and a former Man United defender
Jose Mourinho's men will probably escape having to pay any more than the current £44.7million, as one of the clauses was set to be triggered if Martial was nominated for the Ballon d'Or by the end of 2018/19 (which he hasn't been).
The other came into effect if Martial played 25 matches for France before the end of 2018/19.
He is currently out of favour with the side and has only played 18 times so far.


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There's always a debate on how to make all-star games more interesting. The NBA (National Basketball Association) will scrap the usual Western Conference vs. Eastern Conference gig. Instead they will appoint two team captains and let them pick the teams, just like the good 'ol playground. We'd be picked last, again.
In the wake of tragedy, we've seen local Las Vegas sports entities step up to the plate. The Vegas Golden Knights and the NHL, UFC (Ultimate Fighting Championship), Mike Tyson and the Oakland Raiders (soon to be the Las Vegas Raiders) have all made significant donations to the victims' fund. Want to help? Plan a vacation to Vegas!
It all comes down to this. The Minnesota Lynx and Los Angeles Sparks are tied 2-2 in the WNBA (Women's National Basketball Association) Finals, with the winner take all game tonight. In rematch of last year's finals, can the Sparks repeat? We'll find out.


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Bauhaus, Nick Cave, Interpol, JAMC, Molchat Doma, and Massive Attack to Perform at Primavera Sound 2022
Dust off your festival gear and prep your passports: Primavera Sound will return in 2022! The Barcelona festival emerges from a 2020/2021 hiatus due to the pandemic with a stellar lineup to make up for lost time.
Primavera Sound announces more than four hundred acts over the course of what promises to be two very eclectic, wild weekends: June 2-4, 2022 and June 9-11, 2022. There will also be a series of indoor shows through the week of June 5 -8, ending things with a "brunch on the beach" exit on June 12.
Rejoice, creatures of the night: the droll poet kings of baroque rock Bauhaus will be there, as well as Nick Cave and the Bad Seeds, Einstürzende Neubauten, Pavement, Massive Attack, Dinosaur Jr, Kim Gordon, Bikini Kill, The Jesus and Mary Chain, Slowdive, Molchat Doma, and more.
Headliners also include Tame Impala, Beck, The Strokes, Gorillaz, Interpol, the Yeah Yeah Yeahs, Parquet Courts, Fontaines DC, and Slowdive.
Check out the full lineup here, and here is additional information regarding tickets.
Further information can be found on Primavera Sound's social media:
*Bauhaus photo by Anton Corbijn
Alice Teeple is a photographer, multidisciplinary artist, and writer. She is not in Tin Machine.
Thymian Sings of Dreamlike Vertigo in his Croatian Post-Punk Anthem "ponavlja se"
Football and Synth-Driven Post-Punk in Don't Get Lemon's "Working Man's Ballet"
Experimental Duo Collapsing Scenery Debut Video for "You Already Know" From Acid Casual EP
Danny Elfman Summons a Mind-Melting Phantasmagoria with his Video for "In Time"
Seattle Shoegaze Act Darksoft Debuts Video for Looking "Backward" From New Album "Cryo"
Los Angeles Ambient Synth Musician and Graphic Designer Vijunns Debuts New Single "Apex"
LA Acid Deathrock Punks VR SEX Dial-in the Sleaze With Their Video for "Victim or Vixen"
German Darkwave Act Vlimmer Debuts Tenebrous New Single "Erdgeruch"
Barcelona-based Synth Duo Fatamorgana Journey Through the Circle of Memory in Their Video for "El Uróboro"
NYC Dark Alternative Artist D'Arcy Debuts Dream-laced New Single "Moon"


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Watch Jake Voskuhl Now!
More on The 700 Club
Alonzo Mourning: Ultimate Warrior
Tamika Catchings: Champ On and Off the Court
Pat Summerall: Gridiron, God, and Graham
Looking for more Sports Figures? Glance through our 700 Club Guests and Interviews
Jake Voskuhl: Toronto Raptors' Center
By Will Dawson
CBN.com – He stands nearly seven feet tall and wears size 17 shoes. Toronto Raptors' Center, Jake Voskuhl, was born to play basketball. But with success came an ego as big as his sneakers. He's from Texas where everything is bigger. One look at 6 foot-eleven inch Jake and there's little doubt - this guy plays basketball.
CBN sports reporter Will Dawson interviewed Jake Voskuhl:
Will Dawson: You've obviously always been taller than most kids.
Jake Voskuhl: Yeah.
Will: But when did you realize you had something special in basketball?
Jake: When I was in high school, I played with two other and they were the marquee players. I was there and they said, "Hey, Jake's a very good player." But it wasn't like, "He's the guy." It wasn't until I got to high school when I kept growing at the same pace, and everyone started to slow down and I just kept going; two or three inches, two or three inches every single year. It's funny, because there's a picture of my wife and I in eighth grade in the yearbook together and we're the same height.
Will: Not the same right now?
Jake: Not the same anymore!
Will: Were you raised in a Christian home?
Jake: We went to church on Sundays and so I did that, but I never had a real relationship with the Lord. I went because I was supposed to go. I went because my mom and dad told me to go and that was kind of the extent of it.
For the most part, Jake walked the straight and narrow while he lived at home. But that changed when he accepted a full scholarship to play basketball at the University of Connecticut.
Jake: I'd be out every single night of the week partying. The only night I wouldn't be out was the night before a game; and that was because the coach took everyone to a hotel and we had curfew. But every other night I was out in the bar partying.
Will: Was there a celebrity status in play there?
Jake: Yeah there was. Connecticut was different from most schools because they're so crazy about basketball there. So everywhere you go, everyone knows who you are and it gets to you really fast. It got to me really fast.
But being well-known on campus didn't mean he was well-liked.
Jake: I'd go out to the bars. I had a car and it was a recognizable car. I'd come out and people would have thrown up on my car. One time somebody smeared pizza all over the side of it. Another time someone slashed one of my tires.
Will: What specifically instigated that? What were you doing to the other students?
Jake: I just think the attitude and arrogance and pride and talking down to people; and thinking and acting that you're better than people. It just affected my relationship with all the people around me.
Jake's high school sweetheart Jennifer also went to Connecticut. She didn't like the Jake she saw now and broke up with him. The summer after Jake's freshman year he called Jennifer. He realized she had changed, too.
"I said, 'Hey, let's get together.' And she was like, 'Absolutely not! I have no desire.' I was persistent with her and eventually she said, 'Yeah, I'll get together with you, but the only thing I'm going to do with you is talk about Jesus.' And it turned out she had gotten saved a week before I called her," Jake said. "She started talking to me about Jesus all the time. Jesus this, Jesus that. And I'm like, 'This is the last thing I want to hear.' Eventually I started going to church with her. One Sunday, I went up there and I did it. I asked Jesus to come into my heart. I realized I needed help and I wasn't doing things right and that was the beginning of it."
But when he returned to school that fall, Jake gave in to his old habits.
"My freshman year. it was just alcohol and drinking," he said. "My sophomore year I got back into drinking, but this time I got into drugs. But for the first time in my life, I didn't feel right about what I was doing, where in times past I didn't care. I just stayed high all the time and it was a way of numbing that empty feeling that I was feeling. Then I get to the end of that year and it was just like I was absolutely miserable. I was like, 'There has got to be more to life than this.' So that's when I said, 'You know what? I'm going to try and do it God's way. I'm going to start trying to read my Bible every single day and I'm going to give this thing a chance and see where it takes me.'"
Jake quit drinking and doing drugs. His classmates and teachers could tell something was different.
"I went from public enemy number one to being extremely liked on campus, teachers really respected me. It was a dramatic change," he said.
His junior year, Jake and the U-Conn Huskies won the NCAA Championship. In 2000, Jake married Jennifer and was drafted by the Chicago Bulls. He's since played with four other teams, including his current team, the Toronto Raptors. After nine years in the NBA, Jake's focus is clearer than ever.
"The Word says 'Seek ye first the kingdom of God and his righteousness and all these things will be added to you as well.' That's just one of those things - is keeping the Lord first in my life. You know, you go through ups, you go through downs, you go through good seasons, you go through bad seasons - that's just the nature of it. But when you have a focus on the Lord and you're keeping the Lord first in your life, it keeps things in perspective," Jake said. "It's like you don't get too up and you don't get too down. Jesus Christ to me is who I am. I look at the man that I've become, the father that I am, the husband that I am, the athlete that I am and it's a reflection of what God can do when you submit to him."


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Looking for Bruce Conner
From October Books
By Kevin Hatch
A new perspective on the enormously influential but insufficiently understood work of San Francisco-based artist Bruce Conner (1933–2008).
Hardcover $35.95 T £26.95
Paperback $34.95 T £27.00
ISBN: 9780262528894 360 pp. | 7 in x 9 in 53 color illus., 51 b&w illus. February 2016
Endorsement Small Arrow
Kevin Hatch's study is an overdue corrective to the near absence of Bruce Conner from the major chronicles of contemporary art. The book captures the singularity of each aspect of the artist's heterogeneous oeuvre and convincingly situates it at the very forefront of transformative practices in postwar art.
Professor, Department of Film, Video, New Media, and Animation, School of the Art Institute of Chicago
In a career that spanned five decades, most of them spent in San Francisco, Bruce Conner (1933–2008) produced a unique body of work that refused to be contained by medium or style. Whether making found-footage films, hallucinatory ink-blot graphics, enigmatic collages, or assemblages from castoffs, Conner took up genres as quickly as he abandoned them. In this first book-length study of Conner's enormously influential but insufficiently understood career, Kevin Hatch explores Conner's work as well as his position on the geographical, cultural, and critical margins.
Generously illustrated with many color images of Conner's works, Looking for Bruce Conner proceeds in roughly chronological fashion, from Conner's notorious assemblages (BLACK DAHLIA and RATBASTARD among them) through his experimental films (populated by images from what Conner called "the tremendous, fantastic movies going in my head from all the scenes I'd seen"), his little-known graphic work, and his collage and inkblot drawings.
Out of Print ISBN: 9780262016810 360 pp. | 7 in x 9 in 53 color illus., 51 b&w illus. February 2012
$34.95 T | £27.00 ISBN: 9780262528894 360 pp. | 7 in x 9 in 53 color illus., 51 b&w illus. February 2016
Kevin Hatch is Assistant Professor of Art History at Binghamton University.
At long last, a book that seeks to come to terms with the remarkable accomplishments and the pervasive mystery of Bruce Conner's art. Engagingly written and effectively and copiously illustrated, Looking for Bruce Conner is both tribute and analysis. Until now, the achievement of Conner's immense body of work has been lost through its dismemberment into cinema, assemblage, drawing, collage, inkblots, pranks, and so on. One can only be grateful to Kevin Hatch for re-membering the continuities of this achievement. Looking for Bruce Conner is chock-full of interesting and useful information about Conner's thinking and his working process; it will be an important resource for years to come.
Professor of Film History, Hamilton College; author of A Critical Cinema and other books
Bruce Conner has been a notoriously difficult artist for critics to come to terms with, and his wide-ranging influence on contemporary art and popular culture is only beginning to be understood. The brilliance of Kevin Hatch's approach is not just his intelligent, deep engagement with Conner's work and persona but the insightful and respectful manner in which he lets Conner simply be what he was—a remarkable, ornery, elusive master, impossible and inappropriate to categorize.
Mark Toscano
Film Archivist and Curator
The Barbarian Invasions
Éric Michaud
Toward Fewer Images
https://mitpress.mit.edu/books/looking-bruce-conner


What is Negative Mindset? We are all guilty of negative thinking at one time or another. What is negative thinking? It is when we find the worst possible outcome in a situation so we end up lowering our expectations.
We think we are not good enough, not smart enough and the more negative we feel.. We start believing it. According to. John teasdale at the department of Psychiatry at Oxford University, article found on science direct(dot com), negative thinking can lead to depression. If we do not change our way of thinking it can make us feel anxious as well. This can lead to anxiety and spiraling depression.
So what do we do? How do you change your way of thinking?
Think about why you feel the way you do.
Are you comparing yourself to someone else? This is a no no. Instead of comparing yourself to others why don't you try learning from them. Do you feel stuck? Can't figure out where to start or how to get better at something? Ask for help. Find books on the topic you're trying to learn.
Write everything thing out, get all of your negative thoughts on paper then crumble it up and throw it away! 5 Bullet Journal Ideas to help write things out.
A negative mindset takes time to overcome, it starts with believing in yourself.
However you like to exercise. Exercising has many benefits, it keeps you healthy, it is good for your brain, and it helps clear your mind. Take a few deep breaths and think of stuff that makes you happy. What lights you up inside. Think about why you like those things? What is it about those people you admire, Or that song that inspires you? Again write it all out. Do you feel better? no more negative thoughts?
Clear your mind for just 10 minutes. Use breathing techniques. Breathe in and out slowly. You can make progress and Positive thinking can happen but takes time. This does not mean it gets rid of all you negative thinking all the time. These are just tips to help you through those negative thoughts. Like anything in life these thoughts will run their course. It is all in how you deal with those thoughts or any thoughts, that is what matters.
This will take time and practice, do not give up on it. Think of something you are really grateful for? Did you smile? that is a start.. Positive Thinking starts with you and your attitude towards it. Go make things Happen! believe in yourself. Comment below and tell me how you cope with negative thinking? What are your tips to make things more positive?
I use positive self talk. I was feeling pretty low today, with a set of circumstances I'm in. I allowed myself to feel those feelings for a bit, but I did not allow myself to wallow in them. When I started wallowing, I talked myself back out of it, by reminding myself that I'm no stranger to this situation. I've been here before, and I've made it through. And I just followed down that path of thinking instead. It's hard, to deliberately change your thoughts, but it does work!
I so agree. It is hard but working towards a better way of thinking can help. it might not happen right away that is true.
Negativity is indeed a buzzkill. I personally feel that a positive attitude is the only way to get things done. So do what you have to in order to feel good about yourself and your life.
It is! So true. Positivity all the way! thank you.
Thank you. yes for sure gratefulness is a must.
So agree with the importance of mindset and your suggestions to change it. This works. Usually don't care about quotes, but wrote yours down. Thank you. They are above my workspace now.
Thanks so much Verla! I hope it helps! I am very big on quotes myself.


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Thu, 02 Nov 2017
Burgled shop owner praises community support
Gang struck family-run Hermitage business on Monday
THE owner of a family-run business has thanked the community for rallying behind him following a burglary.
A gang of at least six burglars raided Montagne Sports in Hermitage in the early hours of Monday.
Owner Alan Barrie arrived to find that the doors to the shop and a window had been smashed in.
Computer equipment and a television were also trashed.
It took just 11 minutes between the burglars breaking in and the CCTV feed cutting out.
The gang left with winter clothing, ski gear, cash and, strangely, Panama hats.
Mr Barrie said: "They didn't need to do both. One was enough but they did it out of nastiness, I think.
"They were all covered so we have no idea who they are. They had thick jackets, hoods and gloves.
"One guy was on the phone so I'm guessing he was asking what was worth nicking.
"It has taken a couple of days to sort it out. We just have to pick ourselves up
"The ski wear was very important to us, that's our main business. I'm worried about where the weak points are now, and we will sort this."
Mr Barrie, who has run the business in Priors Court Road for two years, said he was hopeful that the damage would be covered on his insurance.
But he said the real assurance had come from the community rallying round to support him.
He said: "We have had so many offers, I have been humbled.
"I feel like crying because people are so kind and so helpful."
Mr Barrie takes part in Cold Ash's Castle Inn pub quiz and other members cancelled to go and help at the shop.
His daughter's old schoolteacher had also asked what he could do to help out.
He said: "I'm so impressed with the local community. I thank everybody for showing that there is humanity out there."
With the community's help, the business re-opened yesterday (Wednesday).
Anyone with any information about the incident should call 101 and quote reference 84 30/10.
Anger as council approve 'friends' planning application
Police release CCTV in connection with indecent exposure incident in Newbury
Rosemary Appeal delivers 'best community hospital in the country'
Downs School's 'After 18' Day
Thatcham Town Council declares climate emergency


text:
Posted: June 30th, 2021
NRMC'S Kirk Soileau, CEO, Speaks on Preventing Physician Burnout
Article from 6/28/21 www.lhatrustfunds.com
Physician Burnout in the Wake of COVID-19 and Beyond
In the wake of COVID-19, physician and clinical staff burnout has been a huge concern in healthcare facilities and physician practices nationwide.
The situation is no different in Louisiana, where healthcare leaders are making the effort to stay connected with providers and offering as much support as possible to prevent burnout symptoms from occurring.
"I would say it's about communication, having an open platform of communication where your providers can voice their concerns and be able to have a pulse on them so that none of your providers or your associates are strangers," CEO of Natchitoches Regional Medical Center Kirk Soileau says.
At St. James Parish Hospital, COVID-19 has been a trigger for burnout, CEO Mary Ellen Pratt says. The facility experienced the pandemic in waves, culminating in the death of a staff member due to the disease. The loss spurred hospital leadership to invest in grief counseling and land a grant that allowed the facility to offer access to mental health professionals for free.
"As much as I would have loved to, we can't make COVID go away with a snap of a finger," Pratt says. "There are certain things I can't control. But what I can control, to the best of my ability, is to make things as good as I can for the staff and make sure they have the support they need."
Natchitoches Regional has also observed more burnout in clinical staff rather than physicians due to COVID-19, Soileau says. Hospital administration tackled the issue head-on by increasing leadership rounding, creating clearer processes for physicians and staff to voice concerns, and even tweaking the facility's emergency text message system. Natchitoches Regional also implemented online wellness and screening, offered through the system's employee assistance program. The program also offers health coaches and counselors off-site that associates can use anonymously.
Improving Physician Engagement
While COVID-19 provides the most recent clear examples of burnout, both facilities work hard to improve physician engagement and make it easier to practice within their organization. For example, St. James Parish Hospital is converting to a new information management platform that Pratt hopes will make parts of the care process, particularly, clinical documentation, easier and more automated. The new system will also allow physicians to access patient data remotely without having to rely on their physical office computer systems.
"Doctors want to take care of patients," Pratt says. "The more we can leverage their time in that space, the more engaged we'll keep them because their engagement, I believe, stems directly from taking care of people."
Natchitoches Regional has also partnered with physicians to shift some of the burdens of documentation and other back-office activities to enable physicians to spend more time with patients. The creation of a clear process to voice any issues or concerns physicians may have when practicing medicine at the facility has also been very successful, Soileau says.
To do this, Natchitoches Regional created a customer concern committee to deal specifically with physician complaints, reaching resolutions and solving problems without allowing them to fall through the cracks. Soileau says the committee has garnered much physician praise and allows the leadership team to eliminate a barrier that causes frustration – and possible burnout – for physicians.
"We want to create an ease of practice and we want to make sure that [physicians] they are comfortable with the quality of care, that they feel their patients are safe being here," Soileau says. "Because those are the two things that really unnerve physicians, those two things are what we drive for, to focus on physician burnout."
While all of SJPH's healthcare providers were committed to treating patients at the height of the pandemic, the facility is looking at several retirements from both clinical staff and physicians over the coming year now that COVID-19 admissions have slowed, and a vaccine is now available. The facility is currently looking at stepping up recruitment and making arrangements to fill any gaps.
"I don't think COVID was the only reason, but it certainly put some things into perspective for people," Pratt says. "It is a challenge, but you've got to plan ahead. Fortunately, these staff members have let me know what their plans are so we can do that."
Creating Communication
Creating open channels of communication with clinical staff and physicians plays the biggest role in helping to prevent burnout and to quickly address issues if they do occur, Soileau says.
"In healthcare, we are a labor-intensive industry. With that being said, your biggest resource is your people and your providers," Soileau says. "And so my challenge to everyone and what I think it's allowed us to be successful here, is that we stay in front of our people so there are no surprises. And we try to help them along the way as best we can."
Denial is not an option, Pratt says. Healthcare organizations should acknowledge that burnout amongst clinical staff and physicians is a very real issue and plan to address it in whatever way makes the most sense for each organization.
"We cannot deny that it's [burnout] not in our organization. That's just not true," Pratt says. "You have to acknowledge it. Then listen to what the needs are and try to respond to them. But the first step is acknowledging that it's there."


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Tag: DRC Motorsports Media
Curran Scores 5th Victory on Emotional Weekend For The Curran Family
While every victory obviously means a lot to a racecar driver, Saturday night at Antioch Speedway meant so much more for B Mod winner Brent Curran. In the past 4 years, Curran has lost 3 extremely close family members, each passing on in the first week of July. With Curran unsure if he'd be able to race Saturday, he knew they'd want him out at the track doing what he loves, thus Curran made the decision to race Saturday night.
The night kicked off with heat race action, with an unfortunate pill draw lining Curran up last in the 5 car race. In the first two laps Curran made 2 quick moves, passing last week's winner Scott Savell and point leader Tommy Fraser to slide into 3rd position. Though he was able to catch 2nd place runner Les Friend, Curran would have to settle for 3rd in the heat.
For the feature, Curran would roll off 5th, but by the end of the opening lap, he was already up to 2nd. Just one lap later, Curran would capitalize on a mistake by race leader Kevin Brown to grab the top spot.
While Brown was able to hang close to Curran for a couple of laps, Curran quickly began pulling away and opening a huge gap back to 2nd. By the time the first caution waved 7 laps in, Curran had amassed a full straightaway's length lead over Brown and the rest of the field.
Once the race got back underway it was right back to business for Curran, this time with a new challenger in Les Friend riding behind in 2nd. Just like before the caution, once a few laps had passed, Curran was once again ahead by a sizeable margin.
When all was said and done, Curran would go on to win the feature by nearly half a lap. The feature netted Curran an increased $500 win winnings, as well as narrowing the points battle with Fraser to just 2 points.
When asked for a comment about his night, Curran said "This last week has been a very tough week for me emotionally. I lost 3 family members very close to me within a few days of each other in the last 4 years. My Dena on 7/3/17, my Grandpa Barry on 7/5/17 and my Grandpa Jerry on 7/7/15… It was even up in the air that I was going to race Saturday with where my head was this week. They would've wanted me to race my heart out so I did. Had a solid heat race on one of the best track surfaces I've seen all year at Antioch. Car was solid and only needed to make a few minor adjustments for the main as the track dried out a bit. Went out with the intention in the main to take it easy the first few laps and keep the nose clean and go racing once everyone got sorted out. The car felt great the first few laps and within a couple laps found myself out front. Moved around a bit trying to see where the car felt the best but finally settled in on the bottom and never looked back. All in all another great week for points and an emotional win to top that."
Brent would like to thank all of his sponsors and supporters, including:
Steel City Motorsports
Steadfast Construction
GRT Race Cars Inc.
Empire RC
All Flow Muffler & Auto Repair
Jeff Fields (Brandit Designs)
Red Six RaceGear
Velocita-USA
DRC Motorsports Media	Brent Curran, Racing	Leave a comment July 8, 2019 July 8, 2019 3 Minutes
Sorensen Does it Again, Now a 5 Time Winner in 2019
What a start to the 2019 race season it's been for El Sobrante native Chris Sorensen. The defending Antioch Speedway Hobby Stock champ has set a ridiculous pace so far, picking up 5 wins and 5 runner up finishes across his 1st 10 starts of the season. Sorensen's 5th and most recent win came this past Saturday night, extending his points lead to 50 points heading into the final weekend of June.
Sorensen's night kicked off with heat race action, where he'd roll off 3rd of the 3 cars that made the call. Sorensen immediately took 2nd on the start, than settled in behind race leader Trevor Clymens. Though he looked to the inside of Clymens multiple times over the next 7 laps, he couldn't find the right spot to make a pass, taking 2nd in the heat race.
For the feature, Sorensen would start 9th in the 11 car field. Sorensen was a busy man early, making 5 passes in the opening 2 circuits, including dodging a car that was sideways directly in front of him.
A lap later Sorensen found himself in 3rd, and knocking on the door for 2nd. The 10 lap battle for 2nd eventually evolved into a 3 car battle for the lead as Sorensen and Clymens tracked down race leader Breanna Troen.
With 8 to go, Sorensen grabbed 2nd from Troen, leaving just Clymens ahead. Sorensen and Clymens would race door to door lap after lap, with Sorensen gaining the upper hand as the leaders came to 2 to go. Sorensen would get lucky on the last lap. As he got out of shape coming out of turn 2, so did Clymens in 2nd, allowing Sorensen to maintain his advantage and walk away victorious yet again at Antioch Speedway.
Chris would like to thank all of his sponsors and supporters, including:
Brc Race Cars
GET OUT OF TOWN! Professional Pet Care
LRT Graphics
Lucky Dog Racing League
Hotshots Motorsports Photography
Montalvo Motorsports
Interested in having writeups like these done for your race team throughout the season? Contact Daren Ricks of DRC Motorsports Media here on Facebook, at darenricks999@gmail.com or at (530) 828-0112 to discuss a plan that fits your team's needs
DRC Motorsports Media	Racing	Leave a comment June 24, 2019 1 Minute
Curran Returns to Victory Lane in Dramatic Fashion at Antioch Speedway
(6/17/2019) (PC Katrina Kniss)
In a wild finish that you'll see discussed across social media over the next few days, Antioch native Brent Curran once again found victory lane at Antioch Speedway this past Saturday night. Curran's last lap pass has already been a big point of discussion across Facebook the past two days, drawing loud responses from fans and friends on either side of the story.
Saturday night as always kicked off with heat race action, where Curran would start 2nd. Though pole sitter Tommy Fraser stayed side by side with Curran for the majority of the opening lap, Curran quickly found himself pulling away from the pack. Curran would hold a consistent four car-lengths lead for the remainder of the race, going on to win ahead of Fraser and Cameron Swank.
For the feature, Curran would roll off 5th. With the high line being the preferred line around the track Saturday night, Curran would fall back to 6th on the first circuit, before regaining 5th on Lap 2. A few seconds later, the first and only caution of the race would fly for a crash in turn 4.
Curran was on a mission on the ensuing restart, flying from 5th to 2nd in a matter of two turns. This left race leader Chris Sieweke as the only driver ahead of Curran. Once he had taken 2nd, Curran looked underneath Sieweke a few times before realizing there was little to no grip on the bottom, eventually settling in behind Sieweke.
While Curran practically traced Sieweke's tire tracks for much of the next 16 laps, he began looking for a spot to make his move, trying to maybe find a weakness in the line Sieweke was running.
Curran would again look to the inside of Sieweke multiple times as the laps wound down, at one point pulling up to his door as the two battled through lapped traffic before having to back out to avoid a collision.
With one lap left, Curran had to make his move. Curran would carry a great run through Turns 1 and 2 as he sped down the backstretch. As both drivers drove into Turn 3, Sieweke left the bottom open, giving Curran the chance to dive to his inside. Curran would get just far enough ahead of Sieweke to complete the pass, and went on to take the win in one of the most thrilling finishes of 2019.
After the race, Curran said: "Well Saturday was definitely exciting to say the least. Already could tell in the heat that the car had speed and if the track was racey enough the fans were in for a good one to make up for the week before. Our invert draw set us back a bit but was confident enough in our long run speed that we could still get to the front. Had a great time racing the 74 car the whole race and sucks that the finish ended up the way it did but no racer shows up to finish second. I admit there was contact and rubbing involved but after asking officials and fellow racers I'm content moving forward. I'd expect the same hard racing from anyone when it comes to a win on the last lap. That's what the sports about and it attracts fans one way or another. Everyone has their opinion and I respect all of them. Can't make everyone happy. On to next week for 2 days in Oregon."
DRC Motorsports Media	Brent Curran, Racing	Leave a comment June 18, 2019 June 18, 2019 3 Minutes
Curran Perseveres Through Challenging Track Conditions to Take 2 Top 10's at Merced and Antioch
Though the team's primary focus is on winning the Antioch Speedway B Mod title, Curran headed down to Merced Speedway this past Wednesday to compete in their annual Fair Race. The team wanted a chance to test their dry slick setup, and with the track's water truck breaking down early on a hot night, Curran got a bit drier of a surface than he had been expecting.
Due to IMCA point average lineups, Curran would start last in his 9 car heat. With only 3 cars transferring to the feature he would have plenty of work to do if he wanted to transfer directly from the heat race. Despite being in a stacked heat race, Curran would climb up to 5th to set himself up with a solid starting position in the B Main.
Though Curran rolled off 4th in the B Main, he quickly found his way to the front. Once Curran took the lead, there wasn't anyone even close to being able to catch him, as he lead the remainder of the race to win by nearly 5 seconds.
Curran's B Main win would start him towards the back for the feature as he started 14th. Over the course of the 25 lap feature, Curran carefully picked his spots, moving into the Top 10 in the early going. As the laps wound down, however, Curran just couldn't find the room to move much further forward, and would ultimately come home with an 8th place finish.
Saturday night at Antioch started much better for Curran, who drew the pole for his heat race. Curran would go on to lead all 8 laps, leading by nearly a straightaway, as he picked up the heat race win in dominating fashion.
Since Curran had won the previous race, he would be forced to start 10th for the main event. With track conditions drier than many had ever seen at the speedway, the thick cloud of dust made it difficult to make moves in traffic.
Despite the dust, Curran was on the move early, moving up to 7th before a Lap 5 caution. A few laps later, Curran would grab 6th after a fellow competitor spun ahead of him.
On the restart, Curran would quickly grab 5th from Chris Sieweke, and was all over the back of Kevin Brown for 4th. Though it looked like Curran easily had the speed to get around Brown, there just wasn't room on the track to make a move stick. Curran would go on to run the remainder of the race in 5th, where he'd ultimately finish.
DRC Motorsports Media	Brent Curran, Racing	Leave a comment June 10, 2019 2 Minutes
Curran Returns to Victory Lane at Antioch Speedway For the 3rd Time in 2019
(6/2/2019) (PC Katrina Kniss)
As we head into the month of June, Antioch's Brent Curran has found himself right where he wants to be, tied for the Antioch Speedway B Mod points lead. It's been a strong run of finishes as of late for Curran, including 3 wins in his past 5 starts. If Curran is able to continue to ride this wave of momentum, he could very well find himself as the track champ at the end of the season.
Curran would start 4th in his heat race, before moving to 3rd on the opening lap. Curran then went to work on Tommy Fraser for 2nd, but as he looked inside, he clipped an inside tire, bending a few suspension pieces in the process. Noticeably slower for the rest of the race, Curran would limp across the finish line in 4th.
With plenty of work to do for the main, Curran and his crew went to work, getting the car as close to where it had been as possible. The team's hard work would be worth it as the inversion gave Curran the pole for the feature.
From the drop of the green flag, Curran was gone. Curran had managed to open a nearly 4 second lead before the lone caution of the race waved 7 laps into the event.
On the restart, 2nd place runner Kenny Shrader gave Curran a good run for his money, but Curran would again begin to pull away after a couple laps, leaving Shrader and Todd Gomez to battle over 2nd. From there it was smooth sailing for Curran, who would lead all 20 laps en route to his 3rd win of the season, and 8th of his B Mod career.
After the race, Curran said: "This weekend was probably the most laid back I've felt at the track in awhile. Walked in the gate with no pressure on my shoulders, was just excited to be there and drive my racecar. Car felt good in the heat just made a rookie mistake running the bottom and clipped the infield tire. Bent a few things in the front end but we were able to get it back in working condition in the main. Still had a couple bent parts but it was drivable. For the main we made some changes on the car that we weren't really sure of with the rear end still being a bit new to us. Starting on the pole I knew if I could get the start I needed I could get out front and hopefully get some clean laps with the setup changes we made and see how the car reacted. First few laps I could tell that the car was now doing what I needed it to through the dry and it was our race to lose at that point and was able to pull off another win. 3 wins this year is obviously pretty cool but still a long way from our long term goal of a championship this year. We still have some work to do and still need some solid finishes but I'm just glad the last few races have been much better than our first 2. The whole team has needed the runs we've had lately."
DRC Motorsports Media	Brent Curran, Racing	Leave a comment June 2, 2019 June 2, 2019 3 Minutes


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Geelong Victoria Australia
Home Places To Go Victoria Geelong & the Bellarine Geelong
Geelong, VIC
The port city of Geelong lies along protected Corio Bay, on the estuary of the River Barwon, and is a major Victoria city second only to Melbourne. Briefly a gold-rush town in the mid-19th century for its location near the Ballarat goldfields, Geelong is now the centre for Victoria's service industries. To its west are the Bellarine Hills and the flatlands of the Bellarine Peninsula, the starting point for the Great Ocean Road and its scenic drive of a lifetime.
The city is a hub for the arts, entertainment, dining, pubbing, clubbing and shopping, and is known for its variety of live music concerts, music festivals and related events such as the National Celtic Festival, the Royal Geelong Show and the city's Gala Day Parade and Geelong Heritage Festival. It's located in the heart of Victoria's wineries region, and its waterfront is a magnificent combination of old and new.
Geelong is home to two fascinating museums illustrating the commercial history of the city. The Geelong Maritime Museum takes visitors through almost 200 years of the port's activity and the National Wool Museum offers a glimpse into the lives of the early herders and breeders who established Australia's wool and meat trades with their massive flocks.
Gourmets will love this city for its wide choice of sophisticated waterfront restaurants serving excellent food and the region's famous wines and, for a special treat, the Bellarine Taste Trail takes foodies through the region's gourmet offerings. Wineries, cafés and restaurants known for their delicious cuisine, breweries and fresh products, such as goat's cheese, seafood, olive oil and organic products, are all offered.
Geelong's outdoor activities are second to none and include water sports, walking, hiking, cycling, horseback riding, fishing and golfing. For the adventurous, there's sky diving and four-wheel driving in the remote backlands, and the surfing here is sensational.
Geelong Map
Show Geelong Map
About Geelong
Locality: Major urban locality
Geelong Postcode: 3220
State: Victoria
Region: Geelong & the Bellarine
Elevation: 22m
Population: 5210
Timezone: Australia/Melbourne
Accommodation In Geelong
Discover some of the accommodation in and around Geelong
Aberdeen Motor Inn
Ardara House
Comfort Inn Eastern Sands
Corio Villa
Four Points by Sheraton Geelong
Mercure Hotel Geelong
Geelong & the Bellarine VIC


In the construction industry, there is never time to rest. While workers perform a multitude of tasks at the job site, the foreman oversees all the activity, and the owner handles the inside operations. Everyone keeps busy, even on smaller projects. Then, for larger projects, the responsibilities can become even more challenging. That means there is little to no time to worry about debris removal.
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Property of the Week: Trisha Reger Designed Park Avenue Beauty
by MB Wang
625 Park Avenue, Apt 1A-D, New York, NY
With a price tag of almost 16 million, this unit in New York's historic 625 Park Avenue co-op is unabashedly one of the most luxurious homes we've featured, and the trendy, opulent decorating does a great deal to convey that sense of luxury. Designer Trisha Reger has taken favorite contemporary interior looks and deployed them to particularly stunning effect in this expansive nine-room dwelling.
In this case, the modern styling is particularly accentuated by features that suggest a classical touch. Combining old and new is not a new approach, but the effect is striking here. Take, for example, the parquet flooring (beautifully paired here with an ornate gilded accent table), the coffered ceilings, and the wide, intricate millwork. These traditional touches keep the look grounded with a reminder of heritage and class, especially in juxtaposition with fresh, neutral shades, modern lighting, and clean lines.
Outside / 625 Park Avenue, Apt 1A-D, New York, NY/ Photo credit: Heidi Solander
This same effect gives this bright, glittering bathroom its charm: a fashionable, eye-catching mirrored vanity hovers over vintage-style basketweave floor tiles. Oversized subway tiles in the shower reference the past, but with an updated twist.
Bathroom/ 625 Park Avenue, Apt 1A-D, New York, NY/ Photo credit: Heidi Solander
We're intrigued by the padded wall coverings in the main bedroom and adjacent sitting room.
They do a wonderful job of hiding an immense amount of storage space and contribute to a luxurious, cozy, and restful atmosphere.
Main Bedroom/ 625 Park Avenue, Apt 1A-D, New York, NY/ Photo credit: Heidi Solander
Sitting Room/ 625 Park Avenue, Apt 1A-D, New York, NY/ Photo credit: Heidi Solander
The kitchen is outfitted with the best from all the top brands: Miele, Sub-Zero, Wolf, and Gaggenau, all housed or integrated in custom cabinetry and glossy glass countertops.
Step outside to enjoy a secluded garden terrace roomy enough for dining and relaxing, as well as proximity to Central Park and Park Avenue's shopping and dining experiences.
Bathoom 2
625 Park Avenue, Apt 1A-D, New York, NY/ Photo credit: Heidi Solander
MB Wang
MB is a designer, educator, and all-around maker. She has contributed to major exhibits at the Museum of Science and Industry, where she helped thousands of people learn design and fabrication techniques. She now designs and writes independently and is renovating a Chicago bungalow.
12 Fun Things to Do in St Lucia According to a Local


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Average bodily therapist wage charges fluctuate, however you may be assured that you're going to obtain the most competitive charges doable with Med Travelers. According to the Bureau of Labor Statistics, a full-time physical therapist working in the U.S. can expect a mean hourly wage of approximately $36 to $38, with annual incomes ranging as high as $eighty,000 in some areas. Van Name said Benchmark is rising at a good quicker pace than the industry as a whole, and the corporate is searching for more acquisitions in an trade that at the moment has almost 50,000 bodily remedy businesses throughout the nation. Develop a plan for sufferers following completion of their Plan of Treatment with applicable in-dwelling care providers.
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The ship's dramatic transformation — part of the THE CELEBRITY REVOLUTION — is just the beginning of Celebrity Cruises' biggest fleet-wide modernization ever, with more than $500 million in luxurious upgrades taking the brand's fleet to the Edge.
● And all this is just the beginning.
Guests are not the only ones who will get to experience THE CELEBRITY REVOLUTION, as "revolutionary" enhancements were made across the crew areas, including accommodations.
Celebrity Millennium is just the first revolutionary revitalization for the brand. Celebrity Summit has already entered dry-dock in the Bahamas for its own stunning transformation, with seven more ships to be modernized by 2023.


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It seems like each new generation is more anxious than the last—and from a financial perspective, they have an increasing number of reasons to feel that way.
A 2018 survey from the American Psychological Association found that 81% of Gen Z said money was a major stressor for them, compared to 64% of all adults. About 33% said personal debt was a source of anxiety. In terms of general anxiety, less than half of Gen Z said their mental health was "excellent" or "very good", falling behind all other generations.
Gen Z said money is a major stress
Personal debt is main source of anxiety
So what factors are influencing this troubling trend, and more importantly, what can members of Gen Z do to avoid becoming a statistic?
What Gen Z is Anxious About
My husband's cousin, Rachel, is 23. We recently talked about how financial anxiety plays a big role in the lives of her and her friends. Their biggest concerns are rent, student loan payments and the scarcity of available financial opportunities.
This fits with the rest of Gen Z. The APA survey said that personal debt, including student loans and credit cards, and housing instability were "a significant source of stress" for more than 30% of the cohort.
"I think the opportunities can be limited," she said. "Sometimes internships are not an option for people because they don't have enough money to live off the little to no pay interns receive."
Rachel and her friends don't think about saving for retirement, buying a house or how they'll pay for health insurance. They assume that money for those things will come in the future, when their incomes hopefully increase.
When it comes to financial anxiety, social media makes matters worse. Rachel said seeing status updates and photos on Instagram only fuels the desire to keep up appearances.
"Whether it's a trip, activity or a cute outfit, the perception that other people are living their lives 'perfectly' makes me want to as well," she said.
How Gen Z Can Get Past Their Money Anxiety
Since social media can affect how Gen Z spends money, limiting exposure to it can reduce anxiety and depression. A 2018 study published in Preventive Medicine Reports on the association between screen time and psychological well-being reported that 45% of teens said social media made them feel judged and 38% of them said it affected their self-esteem.
Limiting social media use or being more selective of who to follow could also reduce this figure. A 2018 study from the University of Pennsylvania found that adults between 18 and 22—squarely in the Gen Z age range—who limited social media use to 30 minutes a day reported decreased depression and loneliness.
Financial therapist Amanda Clayman said news coverage about millennials and student loans also affects Gen Z, especially those deciding where to attend college. The student loan debt crisis makes them more aware of their financial future – not necessarily a bad thing—but according to Clayman, even productive money conversations can be anxiety-producing.
Clayman said anxiety of any kind can serve as a wake-up call. If you're feeling anxious about your student loans or get nervous logging onto your bank account, see if there's something you can do about it.
Make a list of questions, like if you qualify for student loan refinancing or how to sign up for your company's 401(k) plan. Taking just a small step towards addressing your financial concerns is often enough to positively impact your outlook, and those benefits will only increase as you gain momentum.
Learn to differentiate
If you can't change your financial circumstances, try to identify your specific anxieties and how they manifest. Writing down your concerns in a journal and working with a licensed therapist can also help.
Clayman said that while anxiety can be a sign to do something, it can also just be noise. The key is learning to differentiate what your anxiety means, and knowing when—and how—to let those worries go.
The worst thing Gen Z can do is reinforce anxious habits, like checking a bank account several times a day. It may feel like an itch that needs to be scratched, but this type of behavior only strengthens the neural pathways to anxiety.
"We don't want to feed that tiger," Clayman said.
Clayman suggests a more productive approach: set aside a certain time every week to tackle your financial chores, like checking your budget and tracking your expenses. You should also attach something pleasant to the task, like doing it at your favorite coffee shop or having a friend with you.
Consider counseling
If possible, find a counselor or therapist to work with. You can find discount therapy services through a university's psychology program, where you'll meet with a student under professional supervision. Apps like Moodnotes and Talkspace are also more affordable solutions. Look through your insurance plan and see if there are any low-cost medical clinics in your network. Some of these have therapists on staff.
A therapist can help you accurately identify your mental health issues and give you a more specific framework to deal with them.
Talk to your friends
Money anxiety isn't a problem that can go away just with some professional help. It's a holistic issue that requires a multi-pronged approach. Learn how to negotiate your salary, track your expenses, face your financial concerns and above all, talk to your friends. Even if they can't fix your problems, sharing your concerns will make you feel less alone and more supported.
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By Zina Kumok
Zina is a freelance writer for Stash.
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