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News Release 15-May-2018
Magnetic stimulation dampens brain response to drug cues in addiction
A new study in Biological Psychiatry: Cognitive Neuroscience and Neuroimaging lays the foundation for treating addiction with transcranial magnetic stimulation
Philadelphia, May 15, 2018 In a study investigating the use of transcranial magnetic stimulation (TMS) for drug addiction, researchers at Medical University of South Carolina are the first to demonstrate that the noninvasive brain stimulation technique can dampen brain activity in response to drug cues in chronic alcohol users and chronic cocaine users. The findings are published in Biological Psychiatry: Cognitive Neuroscience and Neuroimaging.
Although the last 50 years of clinical and preclinical research have demonstrated that addiction is a brain disease, there are still no neural circuit-based treatments for substance dependence or the brain functions involved in the disorder. "Here, for the first time, we demonstrate that a new non-invasive brain stimulation technique may be the first tool available to fill this critical void in addiction treatment development," said senior author Colleen Hanlon, PhD.
Elevated brain activity in response to drug cues—referred to as cue reactivity—occurs with many types of drugs, including nicotine, alcohol, marijuana, and cocaine. Cue reactivity also predicts relapse in addiction, so treatment approaches targeting the neural circuitry related to cue reactivity may directly impact cue-induced relapse in patients.
"Therefore, these results have a tremendous potential to impact both basic discovery neuroscience as well as targeted clinical treatment development for substance dependence," said Dr. Hanlon.
First author of the paper Tonisha Kearney-Ramos, PhD, and colleagues performed two independent studies at the same time, one involving 25 people with cocaine use disorder and the other involving 24 people with alcohol use disorder. The participants received one session of TMS, which targeted magnetic stimulation to circuitry critical for drug-taking behaviors—the ventromedial prefrontal cortex. The real stimulation session was compared against a sham session that mimicked the experience of receiving TMS without actual brain stimulation.
Brain imaging before and after TMS revealed that when alcohol users viewed images of alcohol-related cues, such as a liquor bottle, the single TMS session significantly reduced their drug cue reactivity. The same was true for cocaine users when viewing images of cocaine-related cues.
"Since cue reactivity has previously been associated with abstinence, these studies suggest a common mechanism for treatment effects across disorders, with fMRI serving as a promising neural readout of treatment effects," said Cameron Carter, MD, Editor of Biological Psychiatry: Cognitive Neuroscience and Neuroimaging.
However, it is still unclear if the changes in brain activity observed in the study will translate to reduced drug or alcohol use. The participants did not report any changes in their drug or alcohol craving after TMS. The authors think that repeated sessions of the targeted stimulation may be needed to see changes in self-reported craving. The researchers hope to answer this question in an ongoing clinical trial involving multiple TMS sessions in cocaine users.
In addition to substance abuse, elevated cue-reactivity is a core symptom of many diseases, such as post-traumatic stress disorder, generalized anxiety disorder, traumatic brain injury, smoking, and obesity, said Dr. Hanlon. "Therefore, the treatment described in this manuscript may have implications far beyond the substance abuse field."
Notes for editors
The article is "Transdiagnostic Effects of Ventromedial Prefrontal Cortex Transcranial Magnetic Stimulation on Cue Reactivity," by Tonisha E Kearney-Ramos, Logan T Dowdle, Daniel H Lench, Oliver L Mithoefer, William Devrie, Mark S George, Raymond F Anton, and Colleen A Hanlon. (https://doi.org/10.1016/j.bpsc.2018.03.016). It appears in Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, published by Elsevier.
Copies of this paper are available to credentialed journalists upon request; please contact Rhiannon Bugno at BPCNNI@UTSouthwestern.edu or +1 214 648 0880. Journalists wishing to interview the authors may contact Colleen Hanlon at hanlon@musc.edu">hanlon@musc.edu.
The authors' affiliations and disclosures of financial and conflicts of interests are available in the article.
Cameron S. Carter, MD, is Professor of Psychiatry and Psychology and Director of the Center for Neuroscience at the University of California, Davis. His disclosures of financial and conflicts of interests are available here.
About Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
Biological Psychiatry: Cognitive Neuroscience and Neuroimaging is an official journal of the Society of Biological Psychiatry, whose purpose is to promote excellence in scientific research and education in fields that investigate the nature, causes, mechanisms and treatments of disorders of thought, emotion, or behavior. In accord with this mission, this peer-reviewed, rapid-publication, international journal focuses on studies using the tools and constructs of cognitive neuroscience, including the full range of non-invasive neuroimaging and human extra- and intracranial physiological recording methodologies. It publishes both basic and clinical studies, including those that incorporate genetic data, pharmacological challenges, and computational modeling approaches.
About Elsevier Elsevier is a global information analytics business that helps institutions and professionals advance healthcare, open science and improve performance for the benefit of humanity. Elsevier provides digital solutions and tools in the areas of strategic research management, R&D performance, clinical decision support and professional education, including ScienceDirect, Scopus, SciVal, ClinicalKey and Sherpath. Elsevier publishes over 2,500 digitized journals, including The Lancet and Cell, more than 38,000 e-book titles and many iconic reference works, including Gray's Anatomy. Elsevier is part of RELX Group, a global provider of information and analytics for professionals and business customers across industries. http://www.elsevier.com
Rhiannon Bugno
Editorial Office, Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
BPCNNI@UTSouthwestern.edu
10.1016/j.bpsc.2018.03.016
/Life sciences/Neuroscience/Cognitive neuroscience
/Health and medicine/Medical specialties/Psychiatry
/Health and medicine/Clinical medicine/Medical treatments/Drug therapy
https://www.elsevier.com/about/press-releases/research-and-journals/magnetic-stimulation-dampens-brain-response-to-drug-cues-in-addiction


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Sci Spi TV
Shai Tubali is a speaker and prolific author on topics related to spiritual transformation and self-development. He focuses on Eastern and Western ancient enlightenment teachings as well as psychology and science to help others realize happiness and achieve emotional balance in an increasingly complex world that requires an integrative approach. As a principle, Shai opposes cults and promote free thinking, free self-inquiry and high inner autonomy.
In regard to his published works, Shai Tubali has focused on a wide range of topics and genres. His first prose was called "The Language of the Body," and he published this when he was 19. It was very well-received, and it even won the award of the ministry of culture. In 2003, Shai Tubali wrote "Good Morning World." This book was a compilation of spiritual teachings and become a bestseller in Israel. In addition to that, he has been a lecturer and speaker for over sixteen years. He has delivered lectures and seminars in Germany, Switzerland, Austria, Israel and India. Currently, Shai Tubali is the head of the "Chiro-Yoga" center in Berlin. Shai Tubali is well-known for the "White Light Expansion" method and "Power Psychology." Both were introduced in his books. He is also considered a leading expert in Yogic tradition. This show will focus on these concepts and teachings and how an integrative approach combining Ancient Eastern and Western teachings with psychology and science concepts can help Westerners live a fuller life.
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Shai Tubali is a leading authority in the field of self-development and self-empowerment. In his writings and teachings, he skillfully combines psychology, philosophy, Yogic traditions and Eastern thought and practices, into powerful processes of inner transformation.One of his most active methods of guidance are his numerous books, which have appeared internationally for the past two decades in five languages and have been published by major publishers. His most prominent writings have been awarded in the United States and in Israel and others have become best-sellers, inspiring many thousands on their inner journeys of mental, emotional and spiritual transformation.A trained Yogi, with 18 years of studies in the field of Eastern thought and Yogic traditions, Shai Tubali has become one of Europe's experts in the field of subtle bodies and, more specifically, the ancient chakra system. Based on his own direct and ongoing revelation of cosmic consciousness since the age of 23, he has guided thousands in Israel and Europe towards deeper experiences of the hidden potentials of their hearts and minds.
Shai Tubali's writings and teachings, however, are far from confined to Eastern thought. With time, he has created a significant list of methods that mix meditation, therapy and self-empowerment into highly effective, integral processes. His most established methods – the "Expansion Method", "Power Psychology", and "Chakra Psychology" – have been applied by psychologists and psychotherapists throughout Europe. His surprising psychological insights have been recognized by psychologists and academics for both their originality and depth.His integral approach has also lead him to combine mental and emotional transformation based on principles of Western Philosophy, such as Nietzsche and Socrates, as well as Western Psychology, such as Freud and Adler; Jewish and Christian mysticism, and even advanced brain research.Shai Tubali's active vision is a spirituality that does not lead away from the world, but rather straight into the heart of life. Strongly believing that to be a realised human means to stand exactly in the middle between humanity and spirit, it's his deep passion to bring about a much needed shift in contemporary spirituality: an inner transformation that leads to embracing all of our earthly and spiritual aspects, with the heart at its center.
Since 2012, Shai Tubali lives in Berlin where he runs the Human Greatness Center. At his center, he leads yearly schools and holds seminars, trainings, and talks, all broadcast online drawing participants from all over the world. Twice a year he leads silence retreats.Born in Israel in 1976, Shai became very early in his life an active journalist and columnist in Israel's major newspapers and one of its leading radio stations. His writing career started at the age of 19, where he became nationally recognized as a novelist. Though he is mainly dedicated to direct guidance, he has never neglected his artistic passions. His latest creation is as a filmmaker, writing and directing his first short film, "After The Future":
https://shaitubali.com/en/home/
Books by Shai ~ Click to Purchase
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US, China sign historic phase one trade deal
Jonathan Garber
Fox Business January 15, 2020
President Trump signed a landmark trade agreement with China, heralding a period of detente in a trade war between the world's two largest economies fueled by decades of complaints that Beijing was manipulating its currency and stealing trade secrets from American firms.
The pact, detailed in a 94-page document, is only the initial phase of a broader deal that Trump has said may come in as many as three sections.
"Together, we are writing the wrongs of the past," Trump said in a pomp-filled signing ceremony. "It doesn't get any bigger than this."
WHY 'PHASE ONE' CHINA TRADE DEAL DOESN'T NEED CONGRESSIONAL APPROVAL, UNLIKE USMCA
The agreement will help grow the U.S. economy in 2020 and 2021 by "at least a half a point of additional GDP" and "probably translate into another million jobs on top of what we've already done," Larry Kudlow, director of the National Economic Council, told FOX News' America's Newsroom on Wednesday.
During two years of negotiation, there were occasional setbacks because "on some issues, we don't see eye to eye," noted Liu He, the Chinese vice premier who represented President Xi Jinping at the signing, but "our economic teams didn't give up."
The agreement, which was first reported on Dec. 12, includes commitments from Beijing to halt intellectual property theft, refrain from currency manipulation, cooperate in financial services and purchase more than $200 billion of U.S. products over the next two years.
The purchases will include up to $50 billion of U.S. agriculture, according to Trump and Treasury Secretary Steven Mnuchin, $40 billion of which has been confirmed by Chinese sources. China will also buy $40 billion in services, $50 billion in energy and $75 billion to $80 billion worth of manufacturing, the sources said.
Lighthizer says the deal is "fully enforceable" if Beijing fails to live up to its end of the agreement, and the pact includes mechanisms for handling violations of intellectual property rights. Its dispute-resolution process will allow either side to appeal if it believes the other is "not acting in accordance" with the agreement.
The document specifies that both China and the U.S. "shall ensure fair and equitable market access" for businesses that depend on the safety of trade secrets. Specific measures that will protect pharmaceutical firms' intellectual property, govern patents, block counterfeiting on e-commerce platforms and prevent exports of brand-name knockoffs are detailed.
In return, the U.S. will reduce tariffs on some products made in China, but keep duties the White House has imposed on $375 billion worth of merchandise. Following the phase-one signing, $250 billion of Chinese imports will still be subject to a 25 percent tariff and $125 billion of Chinese goods will be under a 7.5 percent levy.
"These tariffs will stay in place until there is a phase two," Treasury Secretary Steven Mnuchin told FOX Business' Lou Dobbs. "If the president gets a phase two quickly, he'll consider releasing tariffs as part of phase two. If not, there won't be any tariff relief. It has nothing to do with the election or anything else. There's no secret agreement."
CLICK HERE TO READ MORE ON FOX BUSINESS
Trump says phase two negotiations will begin "immediately." though he pointed out Wednesday that China is "doing many more things in phase one than anyone thought possible."
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Trump May Have Dropped Another Clinton Bombshell
Best Buy Celebrates 50 Yrs With Saleathon; Will It Turn 60?
Recent developments surrounding the South China Sea
New York Times endorses Warren, Klobuchar for president
China moves on takeout containers in bid to reduce plastic waste
PA Media: World News
Iran Working on Final Step of Reducing Its Nuclear Commitments
India's snubbing of Jeff Bezos is bad optics, bad politics, and bad economics


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Israel Prime Minister Benjamin Netanyahu
Cabinet approves deal with Morocco
January 25, 2021 January 25, 2021 The African Mirror Israeli cabinet, Arab country, Morocco, Trump administration
MAAYAN LUBELL
ISRAEL'S cabinet approved a deal to upgrade ties with Morocco, the fourth Arab country to forge relations with Israel in a parting foreign policy push by the former Trump administration, Israel's N12 news reported.
The agreement will now go to Israel's parliament for ratification.
Last month, Morocco followed the United Arab Emirates, Bahrain and Sudan in moving towards normal relations with Israel in deals brokered in 2020 by the administration of former U.S. President Donald Trump.
Palestinians have censured the accords, seeing a betrayal of a long-standing demand that Israel first meet their demand for statehood.
As the Trump administration sought to isolate Israel's arch-enemy Iran, the deals were sweetened with promises of business opportunities or economic aid.
Israel's new partners have also enjoyed bilateral benefits from Washington – in Rabat's case, U.S. recognition of its sovereignty over the Western Sahara.
Israel's economy ministry announced on Sunday that the countries have reached an agreement to promote trade and economic collaboration in fields including regulation and innovation.
The ministry said both sides were interested in signing the deal in about two weeks.
The UAE on Sunday approved establishing an embassy in Tel Aviv, Israel's business centre. Israel and the UAE agreed to normalise relations in August.
Israeli head of mission arrives in Morocco, Israel says
Netanyahu expects ties visit by Morocco to Israel next week
Morocco hosts Israeli envoys, Kushner to flesh out new…
Oman welcomes Morocco, Israel normalisation as step towards…
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This hour-long webinar, organised by Health Care Without Harm (HCWH) Europe for the EcoQUIP project, will examine innovation procurement of food and catering services for the European healthcare sector, with case studies and policy context, as well as introduce the theories and practice of innovation procurement itself.
Gaynor Whyles, of Jera Consulting (a partner in the project), will talk about innovation procurement and the EcoQUIP project itself (a European project, the aim of which is to improve the efficiency, quality and environmental sustainability of healthcare through innovation procurement).
Grazia Cioci, Deputy Director of HCWH Europe, will discuss the procurement of food in the healthcare sector, the opportunities and challenges that exist, and the EU Green Public Procurement criteria for food & catering services, currently being developed by DG Env & the JRC. Grazia will also introduce EcoQUIP's Joint Statement of Demand on sustainable and healthy food for the healthcare sector, which will be launched shortly. The webinar will also launch HCWH Europe's report: 'Fresh, sustainable & healthy food - Best practices in European healthcare', which highlights some of the excellent work being done in the area in hospitals all over Europe.
Finally, John Cartwright, Director of Estates and Facilities at the Rotherham NHS Foundation Trust will showcase a hugely successful recent procurement project at Rotherham Hospital, whereby the hospital was able to revolutionise its catering service to make impressive cuts to its energy use and CO2 emissions, while at the same time improving the patient and staff experience.


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How are Post-Secondary Students Coping with the COVID-19 Pandemic?
Thursday, March 4, 2021 12:00 PM
YouTube Live Stream
Kathleen Massey
Associate Vice-President (Students) at University of Lethbridge
Moderator : SACPA administrator
The COVID-19 pandemic has caused many challenges for post-secondary students. Despite the flexibility, support and hard work of professors to create an engaging online learning experience, the change to at-home learning has been very difficult for some students. Isolation and uncertainty have affected the mental health of numerous others. Many students lost jobs, co-op, and internship experiences in 2020, affecting their financial sustainability, career development, and progress to complete their academic programs.
In short, the very important public health requirements required to protect the health and safety of the University community have limited or drastically changed many aspects of the student experience that are so fundamental to students' growth, development, and sense of connection. Whether it's making new friends on campus, participating in research, conferences, club activities, or being involved in sport, the well-known pre-pandemic transformative experience has given way to something less fulfilling for many students. Most are eager to return to the robust and engaging student experience that is familiar to them – the one they have come to expect.
The speaker will account for how students have been coping at the University of Lethbridge, describe what measures the university is taking to mitigate the effects on students during this pandemic, and will discuss the plans that are being developed regarding the future of the student experience in fall 2021.
Speaker: Kathleen Massey
Kathleen Massey is an Associate Vice-President (Students) at University of Lethbridge where she oversees the Registrar's Office, Enrolment Services and Student Services.
Massey holds a Bachelor of Political Science from York University and a Master of Leadership from Royal Roads University. Focused on advancing student achievement and creating a framework that supports student success, Massey was recognized in 2014 with an Outstanding Achievement Award from the Association of Registrars of the Universities and Colleges of Canada. She also won a 2003 Queen's Golden Jubilee Medal for Outstanding Leadership in Education.
Date and time: Thursday, March 4, 2021 at 10 am MST
YouTube Live link: https://youtu.be/o29DGchL8Gk
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'BioShock' Remastered Collection Comparison Video
By The Movie God | @ | Thursday, August 18th, 2016 at 6:00 pm
Last month fans of the BioShock games were elated to discover that a remastered collection of all three games in the series was being released called BioShock: The Collection.
If you've been anxiously awaiting a look at how different the remastered version will look from the older games, a new video has been released offering just that. The video compares the oldest game in the collection, the original BioShock from 2007, to the remastered version.
Click on over to the other side to check out the video, plus some bonus videos.
It's been nine years since Irrational Games and 2K took you on a terrifying journey to the depths of the underwater city of Rapture with BioShock. Five years since you returned to Rapture in BioShock 2. Three years since you grabbed a skyhook and sailed across the floating city of Columbia in BioShock Infinite. And on September 13, 2016 (September 15 in Australia and September 16 internationally), you can relive these award-winning adventures or experience them for the very first time remastered for current-gen consoles and digital PC with BioShock: The Collection.
Countless fans have asked for this since the PlayStation 4 and Xbox One arrived – and we listened! Working with Blind Squirrel Games, we've remastered BioShock, BioShock 2, and BioShock Infinite for PlayStation 4, Xbox One, and PC making them look better than ever*. BioShock: The Collection brings the three titles together for the first time, complete with all single-player DLC** and a never-before-seen video series, "Director's Commentary: Imagining BioShock," which includes insights from Ken Levine – over $100 of content – for only $59.99. It's a circus of values!
If you've never experienced the series before, now is the time to play it and see for yourself why the award-winning BioShock franchise has topped countless "Best-Of" lists and garnered more than 125 awards including two BAFTA honors, as well as many Best of E3, Best of Gamescom, and Game of the Year accolades from respected outlets such as IGN, GameSpot, Game Informer, and many more. The weapons, plasmids, levels, and character models that shocked you years ago have been reskinned and retextured to look better than ever. On top of that, all single-player DLC created for all three games comes loaded in one package. The bundled content for BioShock: The Collection includes:
The video series, "Director's Commentary: Imagining BioShock," featuring Ken Levine, creative director on BioShock and BioShock Infinite and Shawn Robertson, animation lead on BioShock and animation director on BioShock Infinite.
Museum of Orphaned Concepts: Walk through a Rapture-inspired virtual museum that gives you a behind-the-scenes look at discarded concepts that never made it into the original game.
Challenge Rooms: Outside the story of BioShock, tackle puzzles, splicers and Big Daddies. And achievements, of course.
BioShock 2 (**Multiplayer will not be included)
Minerva's Den: A self-contained BioShock story, presenting a side of Rapture you've never seen before. Use expanded combat abilities with the experimental Ion Laser and chaotic Gravity Well Plasmid, unique to Minerva's Den, as you face off against the Lancer Big Daddy.
Protector Trials: Take control of an Alpha Series Big Daddy woken out of hibernation just before the events of BioShock 2.
Burial at Sea – Episode 1 & 2 Add-On Packs: This major two-part DLC pack completes the BioShock trilogy by taking the series back to where it all began. Return to Rapture just before the events of the original BioShock!
Clash in the Clouds Add-On Pack: Face 60 waves of challenges across four additional maps for leaderboard glory and unlock areas to explore in The Columbian Archaeological Society hub museum.
Columbia's Finest Pack: Combines the contents of the Industrial Revolution Pack and the Upgrade Pack and includes 500 Silver Eagles, five Lock Picks, six unique Gear items, and two weapon upgrades: Comstock's China Broom Shotgun and Comstock's Eagle Eye Sniper Rifle.
In short, BioShock: The Collection offers more than $100 of content remastered for PlayStation 4, Xbox One, and digital PC for only $59.99.
Remember: A man chooses. A slave obeys. So, would you kindly follow the new @BioShock handle on Twitter, visit us on Facebook or go to the webpage and prepare for a remastered BioShock experience?
BioShock: The Collection for Xbox One, PlayStation 4, and PC will be available in North America on September 13, Australia on September 15, and internationally on September 16.
*BioShock Infinite is not being remastered on PC because it already meets current-gen console standards and runs smoothly on high visual settings.
**BioShock: The Collection will not include BioShock 2 multiplayer.
No, the remasters don't look quite as good as that Unreal Engine 4 version. But we already knew that was going to be the case. It would likely take an insane amount of work to pull that off, and most of us want to see BioShock 4 arrive at some point. As we were reminded recently, taking on a remaster can significantly delay new games.
All in all I'm happy with how things are looking. Cleaned up, polished versions of the originals, with a few little touches added in here and there, as we can see in the video with the jellies! PC players who already own the games probably won't have much need to buy the collection, but for the rest of us it should be a nice return to these worlds we love so dearly.
You can pre-order BioShock: The Collection on Xbox One and PS4 now.
Rapture and Columbia like you've never seen them before! Experience the opening of BioShock fully remastered in all its glory and see how your favorite locations are remastered for current-gen consoles in BioShock: The Collection.
Revisit the depths of Rapture, sail through Columbia, and experience a never-before-seen video series with commentary from Ken Levine. All three BioShock games, complete with all single-player DLC, are fully remastered for current-gen consoles in BioShock: The Collection. Available September 13, 2016 on PlayStation 4, Xbox One, and PC.
There's always a lighthouse.
Here's a sneak peek at the remastered version of BioShock.
Re-explore the depths of Rapture like you never imagined. Experience an exclusive look into the creation of Rapture in the never-before-seen video series, Imagining BioShock, with commentary from BioShock's Creative Director, Ken Levine.
Coming with BioShock: The Collection, Imagining BioShock takes you through the inspiration and creation of Rapture and its inhabitants. Play through the remastered version of BioShock to pick up golden reels and unlock the secrets behind Rapture.
Topics: News, Video Games, Videos
Tags: 2k Games, Bioshock, Bioshock 2, BioShock Infinite, BioShock: The Collection
Metallica Release First Video Single 'Hardwired' From Upcoming Album
Video: Obi-Wan Kenobi 'Star Wars' Spinoff Fan Trailer
• Video Shows Areas Of 'BioShock' You Can't Explore While Playing
• Win Halloween With These DIY 'Walking Dead,' 'Evil Dead,' and 'BioShock' Props (Videos)
• How 'Westworld' Was Inspired By Games Like 'Skyrim,' 'Red Dead,' 'Mass Effect,' and 'BioShock'
• Remastered 'BioShock': The Collection Announcement Trailer
• Must-Listen: 'BioShock: A Radio Drama'


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Home News A slice of Cape Cod is getting a massive injection of cash
A slice of Cape Cod is getting a massive injection of cash
Something unusual happened last Sunday at West Dennis Beach in the Nantucket Sound, town of Dennis, Massachusetts. The parking lot was full by 8 am.
Popular spots such as Mayflower and Corporation's beaches, eight miles north of Cape Cod, are always packed early with wealthy summer foreigners from Boston and New York. But at West Dennis Beach, a paradise for families and locals known for its laissez-faire atmosphere, anyone can get parking at any time.
Today, West Dennis Beach and Mid Cape, a middle-class town that includes Barnstable, Yarmouth, and Dennis, suddenly turned bright red.
This is a story that happened throughout the United States. Even relatively wealthy people were forced to consider options as the pandemic pushed prices into the stratosphere at luxury vacation destinations such as the Hamptons, Nantucket, Palm Beach, and Cape Cod. The result was once an affordable and even low-market real estate boom.
Crusaders in hats: Massachusetts' former middle-class slices, including Mayflower Beach, have gained a large influx of cash.
Today, driving along Central Cape along Route 28, you'll find candy shops, mini-golf, and family-owned restaurants, rather than hedgerows and country clubs. Nevertheless, you need a deep pocket to stay there.
According to the Cape Cod and Islands Association of Realters, the average selling price of single-family homes in central Cape in the first quarter of 2022 was $ 650,000 (a leap from the $ 590,000 already swelled in the same quarter last year). More than half of total sales exceeded the asking price, and one-third of total sales were closed in cash. In addition, compared to the first quarter of last year, the number of single-family homes listed for less than $ 500,000 was about half. Inventory is at historically low levels.
For your average Joe, it's tall and seeks a second home.
Mid-Cape offers Cape Cod's fascinating rubble homes to the beach.
Getty Images / iStockphoto
But for those who are priced from the towns of Cape Cod with deep pockets like Wellfleet and Chatham, or the Poscher markets like Nantucket and Martha's Vineyard, Central Cape is a valuable market.
"Five years ago, Cape Cod always sold about 2,700 detached homes. When I first started, there were about 7,200 detached homes for sale," said Cape Cod's lifetime resident. Mike Crow says. Real estate agent with William Laveys of Yarmmouth Port. "We used to take people on a marathon buyer trip, seeing eight homes in the morning and eight homes in the afternoon, spending about 15 minutes each. Show buyers three or four. If you can, you'll be lucky. "
Due to very low inventory, some agents sell the same house a year or two apart. Karras sold the home for $ 299,000 on behalf of the seller of 9 Orchid Lane in West Yarmouth in November 2018.
West Yarmouth's 9 Orchid Lane was sold for $ 450,000 in 2020 due to high demand and low inventory. This is 51% more than in 2018.
Alan Pierce
Two years later, on behalf of the 2018 buyers for sale in October 2020. Selling prices rose 51% in two years and closed at $ 450,000.
In another example, Karras represented the seller of Dennis Port's 11 Chase St., which sold for $ 595,000 in October 2020. In 2021, the same property sold for $ 825,000 (at the time with another agent), an increase of 39%.
Cassie Fruggiero-Lyons, a compass agent and local companion to the Cape, saw one of her listings in Dennis receive eight offers. Before the house hit the market, it eventually sold for $ 200,000 rather than demanding $ 1.51 million.
Dennis Port's 11 Chase Street was sold in 2021 for $ 825,000.
"It was all through word of mouth, and only through our internal compass network and neighborhood association," Fruggiero-Lyons said. "This market is crazy. Often things go on within a day and everything is sold in multiple offers."
The same is true for the rental market in the region.
"By February, most of the rental market will be booked," said Fruggiero-Lyons. "By the end of this summer, we almost need to plan a rental for next summer. Investors are coming in because we can rent something at the highest price and book it all summer."
"By the end of this summer, we almost need to plan a rental for next summer. Investors are coming in because we can rent something at the highest price and book it all summer."
Compass Agent Cassie Fruggiero-Lyons
The boom in central Cape is welcomed by the locals.
Karen Mumford, who works at Pretty Picky Properties in Brewster, Massachusetts, finds something interesting happening in a normal four-bedroom home across South Yarmouth.
"A woman across the street died and her daughter inherited the house," Manford said. "A few years ago, the house was sometimes rented for $ 1,500 a week. Her daughter refurbished the house instead of selling it, rented it all summer, and she rented it for it a week. I'm getting $ 5,500. "
… And $ 595,000 in 2020.
The area is not known for its flashy amenities, but the influx of new cash has brought some new perks to the area.
Lark Hotels, which owns real estate in Carmel-by-the-Sea and Nantucket, California, will open the Bluebird Dennis Port Inn in central Cape on June 3. Last November, it is a New York company that also owns EOS Investors. Attractive L'ErmitageBeverlyHills — Acquired Red Jacket Resorts for an undisclosed amount. The resort's portfolio is primarily sold to middle-class families, with $ 30 million planned for refurbishment after this summer season. EOS has also acquired Wequassett Resort and Golf Club (in the center of Harwich next to the Cape) for $ 102 million.
Tom Barnes, Managing Director of EOS, said:
Silent investors have injected $ 20 million into Pelham House Resort in Dennis Port.
Alex Gordias Photography, Inc.
During the pandemic, Dennis Port's Pelham House Resort raised $ 20 million from a group of silent investors and used the money to create a Pelham Hospitality Group consisting of a refurbished main hotel, an adjoining event space and a rooftop restaurant. Transformed into. Overlooking the Nantucket Sound. They also acquired two small inns (R's Peram and Main Peram) and a nearby farm that supplies produce to the resort's restaurants to accommodate the overflow when the main resort is sold out.
Today, Pelham's two-story oceanfront event facility is one of Cape's most sought-after wedding venues.
"I don't want to be a company. John McCarthy, managing partner and son of the first founder of Pelham House, said:" It took me a while to get used to the changes, but The product is worth it. We are receiving a higher level of service that we may not have had in central Cape a few years ago. "
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Betty Jane Carbaugh, 96, of Nederland, died Saturday, January 21, 2017.
Mahlon Paul Hardt, 12, of Nederland, died Tuesday, January 3, 2017.
David Berry, 62, of Nederland, died Monday, November 28, 2016. He was born on May 31, 1954, in Joplin, Missouri.
Nelly Gray Lee, 96, of Nederland died Thursday, November 17, 2016.


Meditation for Beginners, Meditation Program, Meditation for Peace of Mind.
Mr. Hiten Bhuta led the delegation of senior business leaders to Qatar and Muscat in Sept-2012.
The FICCI trade delegation supported by Government of India and trade bodies of Qatar and Oman was a major success. Mr. Bhuta implemented several innovative ideas to enable every participants to gain substantial benefit through their participation.
Under Mr. Bhuta's leadership, every delegate was accorded an opportunity to introduce themselves and their companies at every event. The delegates were also given a chance to speak with media and get their company highlighted in media.
Sakar Trust facilitated an innovative program in Bajipuar & Saroli, Gujarat for school children.
The school students were given an opportunity to create their vision and develop an action plan to fulfill their vision.
Every student was given free gift. Bajipuar & Saroli school authorities immensely appreciated the generosity and commitment of Sakar Trust.
Mr. Hiten Bhuta's valuable address to hotelier's in USA was featured and highlighted by America's leading news channel – Asia TV.
Following is the excerpt from the television channel report on Leuva Patidar Samaj's annual event and Mr. Bhuta's keynote speech at that event.


Minor disagreements are normal in healthy relationships. But when you get into a nasty fight with your better half, it's easy to lose control. You're overwhelmed by a whirlwind of emotions: fear, anger, sadness, regret. Often, both of you walk away hurt. Before you or your partner go head to head, take pause. Here are five ways to prevent a fight with your partner before it escalates.
Anger isn't a "bad" emotion. It helps us stand up for ourselves and set boundaries. But when your anger spirals out of control, you risk doing lasting damage to your relationship. If your partner isn't listening, don't raise your voice or yell to feel heard. Honestly and clearly state how you feel using "I" statements. For instance, "I feel that you're not actively listening, and that really hurts." Pay close attention to your body language: Watch out for trembling palms, teeth grinding, rapid heartbeat, restlessness, and feeling warm.
If things still escalate, don't let tensions get too high. When you are in an angry state, your body is in panic "fight or flight mode" and all you are thinking about is survival. This means either fighting or fleeing. Not working things out. "I messages" go out the window. You will likely say and do things that you regret–which may have long term consequences.
So if feel your temper rising, tell your partner you need to take a break. Calmly explain that you need a moment alone before you can keep talking.
Make sure you let your partner know you will need a break and will be back in x minutes or x hours. If you leave without saying anything, your partner will view your break as an abandonment. Or not wanting to deal with the issue.
This is the hardest part – – once you've left the scene, resist the urge to focus on the argument.
Don't rehash what you or your partner said — focus on getting yourself grounded. Drink a cold glass of water, watch your favorite kitten youtube videos, or go on a short walk. I once had a client who went to Costco when he got into an argument. It helped ground him and he was able to come home calm and ready to talk.
Communicating with your partner can be challenging, especially when you feel frustrated or misunderstood. But being vulnerable with your partner brings you closer together. If you need to have a tough talk, prepare by making a list of what you want to discuss. Honor your partner with mindful listening. Maintain eye contact and resist the temptation to interrupt. If you're confused, repeat what your partner said in your own words. When both of you feel heard, you're less likely to explode.
Diffusing an argument takes patience, compassion, and forgiveness. But some arguments are too difficult to solve on your own. If you and your partner are struggling to see eye to eye, seeking professional help is the next best step.
About the author: Lia Huynh, LMFT is a Licensed Marriage and Family Therapist practicing in the San Jose and Milpitas areas. She has been helping couples to reduce arguments and find love again for over 17 years. Learn more about her here.


BASKING RIDGE, N.J. – Avaya, a global leader in enterprise communications systems, software and services, today announced the Avaya Flare™ Experience, an industry-first family of next-generation, real-time enterprise video communications and collaboration products and services that delivers unique collaboration capabilities and an intuitive end-user experience across video, voice and text.
The new products, which range from personal desktop to multi-screen room systems, make high-definition, low-bandwidth video collaboration accessible to more employees in more enterprises. In addition, the solutions operate at one-third of the cost, using significantly less bandwidth than competing solutions.
Based on Avaya Aura™, the first true Session Initiation Protocol (SIP)-based architecture, the new offering makes video calls and conferencing as easy as making a telephone call by using the same platform for both. Businesses integrate real-time video into their core Avaya Aura infrastructure for better control of costs, quality of service, administration and management. Adding video functionality to the network is as simple as adding video-capable endpoints, since no overlay network is required.
The Avaya Flare Experience is initially sold with the Avaya Desktop Video Device but will soon be made available for other environments, including PCs, laptops, tablet PCs and smartphones.
The Avaya Desktop Video Device has been developed for the Avaya Flare Experience as a cost-effective, video-enabled desktop collaboration endpoint for executive desktops or power communicators that can also perform as a customer kiosk. It features a large 11.6" HD touch screen, supported by a HD 720-pixel camera and HD-quality voice supported by built-in dual microphones. It will enable campus-wide mobility via SIP and WiFi and also offers USB connectivity for an optional keyboard or handset, 3G/4G access or a thumb drive. Upcoming versions will support remote access over VPN connections and 4G access.
The Avaya Flare Experience for Avaya 96x1 Series Desk phones provides voice, conference control, instant messaging and presence capabilities plus desktop integration with Microsoft Outlook for contact management. These latest capabilities enable the user to have a sidebar chat while talking on the phone or to find experts from a variety of directories.
The Avaya Collaboration Server provides all of the Avaya Aura 6.0 core functions on a single server, enabling businesses to take advantage quickly of the Avaya Flare Experience, Avaya Desktop Video Device and Avaya Video Conferencing Solutions over existing, multi-vendor H.323 and/or SIP communications systems or support initial deployments up to 50 users.
Avaya Video Conferencing Solutions range from individual employee desktop video to small group systems to large, multi-screen conference rooms. They are easy to deploy to any location with centralized operation and management via Avaya Aura, which offers bandwidth control and eliminates the need for an overlay video network. Avaya Video Conferencing Solutions include the Avaya one-X® Communicator Desktop, Avaya Video Systems (1010, 1020, 1030, 1040, 1050) for workgroup through to multi-party conferencing, and Avaya Videoconferencing Manager 6.0.
Avaya Professional Services for Video offer a menu of consulting services to help ensure smooth, on-time, on-budget video implementations that deliver maximum ROI; user requirement assessment and business case development; design and planning; video readiness assessments; implementation and integration, including with existing H.323 environments; and optimization services.
Avaya Managed Video Services offer professionally-managed help desk and end-user support for setting up and managing video that includes scheduling, quality-of-service active monitoring and H.323 integration for internal or external videoconferences.
Avaya web.alive is now available via software-as-a-service. It is a virtual reality, meeting space business communications platform that uses personalized avatars and rich, spatial audio and visuals to bring a new dimension to training and distance learning, business meeting collaboration or role-playing that improves event outcomes, customer engagement and sales opportunities.
"Avaya continues to strengthen their position in the enterprise communications space with the launch of a suite of new people centric and context based products and solutions that enable its customers to drive the benefits of collaboration through their business," said Stephanie Watson, general manager, MZA.


Staggering. Coffee so dominant so long & cacáo's presence only felt, then almost equally revealed, in latter stages of logic-defying sequence. All add up to dramatic pulse-quickening double homicide – chocolate & coffee.
Sensational defiance – of all expectations, every aspect, on every level. C-5 = Colombia - Combined Chocolate & Coffee Capital at Level 5 flavor (beans can grow slowly for more concentrated flavor at an altitude of 5,000 feet in the Huíla district of southern Colombia). Quality selection of elements (the right coffee / cacáo complements), skilled processing, & deft proportions demonstrating a lot of game. A global contender.


On a hot day when you'd like something light for dinner, try these toasts. Get a good loaf of bread, and slice 1/2 to 3/4-inch thick. Grill on both sides until toasted. On a metal skewer, add the cherry or grape tomatoes leaving space between each. Lightly oil the hot grill and grill the tomatoes until hot and charred on the outside.
Lay think slices of fresh mozzarella on the toasted bread, top with the grilled tomatoes, and sprinkle with salt, olive oil, and balsamic vinegar. Nom. Nom.


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Ask TON: Nailing Physical Descriptions
February 3, 2015 TON Editors
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Welcome back for another installment of Ask TON. Here's our latest question:
"I don't feel very confident about physical descriptions of sources. When I'm reporting, everyone I meet seems to basically look 'regular' to me. It doesn't seem worth saying that this scientist wears glasses or has smoothly brushed hair or has a kind of large nose. I know I'm supposed to look for physical things that seem to mean something, but I never seem to see such things, at least while interviewing people in offices and labs. What am I doing wrong?"
Emily Anthes, freelance science journalist and author:
First of all, I empathize. In my experience, it's rare to find a subject whose physical appearance alone is deeply symbolic of some larger theme in the story. Most people are average looking (by definition).
For me, the solution is to give the physical details some context. There are several ways to do this. One technique is to fold a physical detail into a description of someone's behavior. So, instead of "Dr. Smith had brown eyes," you could write: "Dr. Smith's brown eyes brightened as he recalled the discovery." Or: "As Dr. Smith discussed his critics, his brown eyes narrowed." Or: "As Dr. Smith stared at the equation, he began pulling at his salt-and-pepper beard." Or: "Before the meeting, Dr. Smith managed to tame his normally unruly hair." You get the idea. Embedding a physical detail in a behavioral detail can make an aspect of your subject's appearance more informative and interesting.
The other approach, which I have also used, is to compare and contrast the appearances of different characters. Maybe your tall, blond source has a short, dark business partner and you can describe them walking down the hall together. Maybe the primary investigator has a lab full of researchers who are all fit and attractive. If the characters in your story look starkly different—or remarkably similar—that can be interesting to note.
Douglas Starr, science journalist, author, and codirector of the Graduate Program in Science and Medical Journalism at Boston University:
I have the same problem. I'm not a visually oriented person, and physical descriptions often escape me. I do a few things to capture physical details. If I'm using a recorder I'll take a few moments to jot down some visual notes; if I'm taking notes by hand I might ask a less-than-crucial question and take some quick notes during the answer. The best method, I find, is to write down some details immediately after the interview. Those are the descriptors that stayed with you, so they must in some way be the most memorable.
It's important not to overemphasize description. Elmore Leonard once said that the less physical descriptions the better, and I agree. Readers can get a strong sense of character from a gesture or the bare minimum of distinguishing characteristics. I try to use only those descriptions that matter—either part of an action or as a quick glimpse of character. In a recent magazine piece I'd written an overly long description of a fast-talking Chicago guy, complete with the caricature accent. I scratched that and wrote that he looked like the comedian Dan Aykroyd, with glasses. I think that took care of it.
Virginia Gewin, freelance science writer:
You aren't doing anything wrong. This is a constant struggle. But looking at the descriptions you mention, there's one that makes me want to know more: "smoothly brushed hair." Why would they have smoothly brushed hair? That seems telling of something—a perfectionist, a vain person, OCD? The goal, as I see it, is to capture those essential details that make a person interesting or tease the reader into wanting to know more—rather than focus (distractingly) on a physical feature of no consequence. I've got a few tricks to help identify those types of details. First, I take note of the first things I notice about the subject. Later, I ask myself if my first impression of the subject differs wildly from a later opinion? If so, why? What did I get distracted by initially? I also try to look for personality or character traits that translate into physical features. For example, is the person kinetic (muscular), regimented (kempt), musical (calloused hands), insomniac (bags under eyes), a drinker (beer belly), a worrier (furrowed brow)? It's those little details that will bring a person to life more than the size of their schnoz.
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text:
Economic cost of expanded criteria donors in cadaveric renal transplantation: Analysis of medicare payments
James F. Whiting, Robert S. Woodward, Edward Y. Zavala, David S. Cohen, Jill E. Martin, Gary G. Singer, Jeffrey A. Lowell, M. Roy First, Daniel C. Brennan, Mark A. Schnitzler
Background. The use of expanded criteria donors (ECDs) in cadaveric renal transplantation is increasing in the US. We assess the economic impact of the use of ECDs to the Medicare end stage renal disease program. Methods. The United Nations for Organ Sharing renal transplant registry was merged to Medicare claims data for 42,868 cadaveric renal transplants performed between 1991-1996 using USRDS identifiers. Only recipients for whom Medicare was the primary payer were considered, leaving 34,534 transplants. An ECD was defined as (1) age ≤5 or ≥55 years, (2) nonheart-beating donors, donor history of (3) hypertension or (4) diabetes. High-risk recipients (HRR) were age >60 years, or a retransplant. Medicare payments from the pretransplant dialysis period were projected forward to provide a financial 'breakeven point' with transplantation. Results. There were 25,600 non-HRR transplants, with 5,718 (22%) using ECDs, and 8,934 HRR transplants, of which 2,200 (25%) used ECDs. The 5-year present value of payments for non-ECD/non-HRR donor/recipient pairings was $121,698 vs. $143,329 for ECD/non-HRR pairings (P<0.0001) and, similarly was $134,185 for non-ECD/HRR pairings vs. $165,716 for ECD/HRR pairings (P<0.0001). The break even point with hemodialysis ranged from 4.4 years for non-ECD/non-HRR pairings to 13 years for the ECD/HRR combinations but was sensitive to small changes in graft survival. Transplantation was always less expensive than hemodialysis in the long run. Conclusions. The impact of ECDs on Medicare payments is most pronounced in high-risk recipients. Cadaveric renal transplantation is a cost-saving treatment strategy for the Medicare ESRD program regardless of recipient risk status or the use of ECDs.
Dive into the research topics of 'Economic cost of expanded criteria donors in cadaveric renal transplantation: Analysis of medicare payments'. Together they form a unique fingerprint.
Medicare Medicine & Life Sciences 100%
Kidney Transplantation Medicine & Life Sciences 91%
Tissue Donors Medicine & Life Sciences 75%
Economics Medicine & Life Sciences 75%
Transplant Recipients Medicine & Life Sciences 11%
Whiting, J. F., Woodward, R. S., Zavala, E. Y., Cohen, D. S., Martin, J. E., Singer, G. G., Lowell, J. A., First, M. R., Brennan, D. C., & Schnitzler, M. A. (2000). Economic cost of expanded criteria donors in cadaveric renal transplantation: Analysis of medicare payments. Transplantation, 70(5), 755-760. https://doi.org/10.1097/00007890-200009150-00007
Economic cost of expanded criteria donors in cadaveric renal transplantation : Analysis of medicare payments. / Whiting, James F.; Woodward, Robert S.; Zavala, Edward Y.; Cohen, David S.; Martin, Jill E.; Singer, Gary G.; Lowell, Jeffrey A.; First, M. Roy; Brennan, Daniel C.; Schnitzler, Mark A.
In: Transplantation, Vol. 70, No. 5, 15.09.2000, p. 755-760.
Whiting, JF, Woodward, RS, Zavala, EY, Cohen, DS, Martin, JE, Singer, GG, Lowell, JA, First, MR, Brennan, DC & Schnitzler, MA 2000, 'Economic cost of expanded criteria donors in cadaveric renal transplantation: Analysis of medicare payments', Transplantation, vol. 70, no. 5, pp. 755-760. https://doi.org/10.1097/00007890-200009150-00007
Whiting JF, Woodward RS, Zavala EY, Cohen DS, Martin JE, Singer GG et al. Economic cost of expanded criteria donors in cadaveric renal transplantation: Analysis of medicare payments. Transplantation. 2000 Sep 15;70(5):755-760. https://doi.org/10.1097/00007890-200009150-00007
Whiting, James F. ; Woodward, Robert S. ; Zavala, Edward Y. ; Cohen, David S. ; Martin, Jill E. ; Singer, Gary G. ; Lowell, Jeffrey A. ; First, M. Roy ; Brennan, Daniel C. ; Schnitzler, Mark A. / Economic cost of expanded criteria donors in cadaveric renal transplantation : Analysis of medicare payments. In: Transplantation. 2000 ; Vol. 70, No. 5. pp. 755-760.
@article{d6e4b00f99694c66b61b99f2cbaea042,
title = "Economic cost of expanded criteria donors in cadaveric renal transplantation: Analysis of medicare payments",
abstract = "Background. The use of expanded criteria donors (ECDs) in cadaveric renal transplantation is increasing in the US. We assess the economic impact of the use of ECDs to the Medicare end stage renal disease program. Methods. The United Nations for Organ Sharing renal transplant registry was merged to Medicare claims data for 42,868 cadaveric renal transplants performed between 1991-1996 using USRDS identifiers. Only recipients for whom Medicare was the primary payer were considered, leaving 34,534 transplants. An ECD was defined as (1) age ≤5 or ≥55 years, (2) nonheart-beating donors, donor history of (3) hypertension or (4) diabetes. High-risk recipients (HRR) were age >60 years, or a retransplant. Medicare payments from the pretransplant dialysis period were projected forward to provide a financial 'breakeven point' with transplantation. Results. There were 25,600 non-HRR transplants, with 5,718 (22%) using ECDs, and 8,934 HRR transplants, of which 2,200 (25%) used ECDs. The 5-year present value of payments for non-ECD/non-HRR donor/recipient pairings was $121,698 vs. $143,329 for ECD/non-HRR pairings (P<0.0001) and, similarly was $134,185 for non-ECD/HRR pairings vs. $165,716 for ECD/HRR pairings (P<0.0001). The break even point with hemodialysis ranged from 4.4 years for non-ECD/non-HRR pairings to 13 years for the ECD/HRR combinations but was sensitive to small changes in graft survival. Transplantation was always less expensive than hemodialysis in the long run. Conclusions. The impact of ECDs on Medicare payments is most pronounced in high-risk recipients. Cadaveric renal transplantation is a cost-saving treatment strategy for the Medicare ESRD program regardless of recipient risk status or the use of ECDs.",
author = "Whiting, {James F.} and Woodward, {Robert S.} and Zavala, {Edward Y.} and Cohen, {David S.} and Martin, {Jill E.} and Singer, {Gary G.} and Lowell, {Jeffrey A.} and First, {M. Roy} and Brennan, {Daniel C.} and Schnitzler, {Mark A.}",
journal = "Transplantation",
T1 - Economic cost of expanded criteria donors in cadaveric renal transplantation
T2 - Analysis of medicare payments
AU - Whiting, James F.
AU - Woodward, Robert S.
AU - Zavala, Edward Y.
AU - Cohen, David S.
AU - Martin, Jill E.
AU - Singer, Gary G.
AU - Lowell, Jeffrey A.
AU - First, M. Roy
AU - Brennan, Daniel C.
AU - Schnitzler, Mark A.
N2 - Background. The use of expanded criteria donors (ECDs) in cadaveric renal transplantation is increasing in the US. We assess the economic impact of the use of ECDs to the Medicare end stage renal disease program. Methods. The United Nations for Organ Sharing renal transplant registry was merged to Medicare claims data for 42,868 cadaveric renal transplants performed between 1991-1996 using USRDS identifiers. Only recipients for whom Medicare was the primary payer were considered, leaving 34,534 transplants. An ECD was defined as (1) age ≤5 or ≥55 years, (2) nonheart-beating donors, donor history of (3) hypertension or (4) diabetes. High-risk recipients (HRR) were age >60 years, or a retransplant. Medicare payments from the pretransplant dialysis period were projected forward to provide a financial 'breakeven point' with transplantation. Results. There were 25,600 non-HRR transplants, with 5,718 (22%) using ECDs, and 8,934 HRR transplants, of which 2,200 (25%) used ECDs. The 5-year present value of payments for non-ECD/non-HRR donor/recipient pairings was $121,698 vs. $143,329 for ECD/non-HRR pairings (P<0.0001) and, similarly was $134,185 for non-ECD/HRR pairings vs. $165,716 for ECD/HRR pairings (P<0.0001). The break even point with hemodialysis ranged from 4.4 years for non-ECD/non-HRR pairings to 13 years for the ECD/HRR combinations but was sensitive to small changes in graft survival. Transplantation was always less expensive than hemodialysis in the long run. Conclusions. The impact of ECDs on Medicare payments is most pronounced in high-risk recipients. Cadaveric renal transplantation is a cost-saving treatment strategy for the Medicare ESRD program regardless of recipient risk status or the use of ECDs.
AB - Background. The use of expanded criteria donors (ECDs) in cadaveric renal transplantation is increasing in the US. We assess the economic impact of the use of ECDs to the Medicare end stage renal disease program. Methods. The United Nations for Organ Sharing renal transplant registry was merged to Medicare claims data for 42,868 cadaveric renal transplants performed between 1991-1996 using USRDS identifiers. Only recipients for whom Medicare was the primary payer were considered, leaving 34,534 transplants. An ECD was defined as (1) age ≤5 or ≥55 years, (2) nonheart-beating donors, donor history of (3) hypertension or (4) diabetes. High-risk recipients (HRR) were age >60 years, or a retransplant. Medicare payments from the pretransplant dialysis period were projected forward to provide a financial 'breakeven point' with transplantation. Results. There were 25,600 non-HRR transplants, with 5,718 (22%) using ECDs, and 8,934 HRR transplants, of which 2,200 (25%) used ECDs. The 5-year present value of payments for non-ECD/non-HRR donor/recipient pairings was $121,698 vs. $143,329 for ECD/non-HRR pairings (P<0.0001) and, similarly was $134,185 for non-ECD/HRR pairings vs. $165,716 for ECD/HRR pairings (P<0.0001). The break even point with hemodialysis ranged from 4.4 years for non-ECD/non-HRR pairings to 13 years for the ECD/HRR combinations but was sensitive to small changes in graft survival. Transplantation was always less expensive than hemodialysis in the long run. Conclusions. The impact of ECDs on Medicare payments is most pronounced in high-risk recipients. Cadaveric renal transplantation is a cost-saving treatment strategy for the Medicare ESRD program regardless of recipient risk status or the use of ECDs.
JO - Transplantation
JF - Transplantation


text:
Prisoner complained of chest pain and needed psychiatric care, inquest told
By court reporter Rebecca Opie
Photo: The court heard the man died after missing an psychiatric appointment because the prison was in lockdown. (ABC News: Leah Maclennan, file)
Map: Yalata 5690
An Aboriginal prisoner was left unsupervised in his cell despite being assessed as requiring urgent psychiatric care and complaining of chest pain, an inquest has heard.
The Deputy State Coroner is investigating the death of an Aboriginal prisoner in 2015
The inquest heard his psychiatric assessment was cancelled
He had also complained of chest pain
He died after a suicide attempt, which triggered a heart attack.
Deputy State Coroner Anthony Schapel is investigating the 68-year-old's death while on remand at Yatala Labour Prison.
His family has asked that he not be named for cultural reasons.
He had been in custody at Port Augusta Prison for four weeks after being refused bail on an assault charge.
The court heard he was transferred to Yatala for an urgent psychiatric assessment after attempting to self harm because psychiatric appointments were not regularly available at the Port Augusta Prison.
In her opening address, counsel assisting the coroner Kathryn Waite said the man was not kept under camera surveillance or in a "canvas cell" for his own safety as recommended by the prison doctor.
Instead, he was placed in a normal cell with another inmate, who at the time of his death had been escorted from the cell for a parole board appointment.
If you or anyone you know needs help:
Lifeline on 13 11 14
Kids Helpline on 1800 551 800
MensLine Australia on 1300 789 978
Suicide Call Back Service on 1300 659 467
Beyond Blue on 1300 22 46 36
Headspace on 1800 650 890
QLife on 1800 184 527
Veterans and Veterans Families Counselling Service on 1800 011 046
SANE Australia, ReachOut and Beyond Blue provide online support forums
Ms Waite questioned why the level of surveillance the inmate received at Port Augusta Prison did not continue when he was transferred to Yatala.
"Was there a communication issue between the two prisons which led to a failure to maintain observation and support?" she asked.
"If putting someone in a double-up cell is deemed an appropriate protective measure against self harm then is it ever appropriate to leave a double-up prisoner alone if their cellmate has been taken somewhere?"
Death happened during prison lockdown
The inquest heard the man's psychiatric assessment was cancelled because the prison was sent into lockdown and a corrections officer was not available to escort him to the appointment.
It was during the lockdown that he attempted suicide.
Ms Waite questioned whether there was a failure to provide the prisoner with psychiatric assistance in a timely manner, especially given his transfer from Port Augusta had been deemed urgent.
"Was he appropriately triaged at the Yatala Labour Prison?" she asked.
"Questions of appropriateness of mental health care may also lead to questions regarding the psychiatric service that prisoners receive generally."
The court heard in the lead up to his death, he asked several times if he could go to hospital because he was having chest pains.
Ms Waite said a doctor at the prison's health clinic conducted an electrocardiogram (ECG test) on him but he was cleared to return to his cell.
"Was there a failure to recognise the symptoms he was describing?" she asked.
"Should have [he] been transferred to hospital? Was the chest pain protocol complied with?
"This court will be invited to consider that if [he] had been properly evaluated for a heart-related incident then he would have never been put in lockdown, let alone, by himself."
A number of staff have been called to give evidence at the inquest over the next five days.
Topics: courts-and-trials, law-crime-and-justice, yalata-5690, port-augusta-5700, sa
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Key moments, key players, key dates. Consider this your complete guide to what's about to unfold.
Why this photo has sent the Chinese internet into a frenzy


All GhostWipes are approved by AIHA. This product eases sample preparation and analysis of surface lead or Beryllium dust. The GhostWipe is a sturdy wiping material that holds together even on the roughest wiping surfaces. GhostWipes meet all ASTM Designation E1792 specifications for sampling materials for lead in surface dust. Wipes are 15cm x 15cm, pre-moistened with deionized water and come in individually sealed packets. This package includes 50-mL Digestion cups are molded from the same polypropylene resin you've come to trust.


My name is James Kendrick and I love mobile technology. You know, those gadgets and devices that fit in your pocket or, shudder, on your belt. They are also the ones you throw in your briefcase or gadget bag before dashing out the door. I write about the latest and greatest gadgets but more importantly, how to incorporate them in your daily routine. I have a firm belief that if mobile device does not enable you to acheive greater productivity every day then it is just a toy. Not that there's anything wrong with toys, it's just that you usually won't keep it around for very long unless it helps you out. So you're asking yourself "so who is this guy and why should I care about OnTheRun"? That's a fair question so let me shed some light on it. As I said earlier my name is James Kendrick, although some of you probably know me as JK from jkOnTheRun. Notice the similarity? I have been writing about mobile technology and how to best leverage it for years and have many articles in print magazines and all over the web. There are so many of them I don't think I could find all of them if I tried. I have been awarded Most Valuable Professional status by Microsoft in the Tablet PC category due to continued work in the user community. I love mobile tech and I especially love writing about it. I also co-host two podcasts, techADDICTION and The Tablet PC Show, both hosted by The Podcast Network. I sense a theme, here. :) I will be bringing you news of interest for mobile professionals and from time to time will publish some articles that are more in-depth. You never know what you might find here so be sure and subscribe to the RSS feed and check back often. I look forward to hearing from you, especially if there are specific topics along these lines you'd like to see.


BRYAN BLANKEN | Freed Photography, Inc.
Bryan has studied and worked with some of the best wedding and portrait photographers in the country, and continues to hone his skills by attending seminars, workshops, and conferences.
Bryan loves spending his free time with friends and family. Bryan and his wife Jackie are native Washingtonians. He is an avid sports fan, watching as well as playing. Bryan and his wife Jackie (a chef by training) have three children- Ellie, Simon, and Sophie.


Parrots Doin' The Cool Things That They Do! The Animal Video Of The Day!!!
funny in this cool video uploaded by MashupZone on June 22, 2015.
Sure, They're Cute. Just Don't Feed Them -- The Animal Video Of The Day!!!
What Would We Do Without Rubber Snakes? The Animal Video of the Day!!!


Why is it that we always think our dogs or kids are the most misbehaved, our homes the messiest? This morning I visited my friend's house to help take Christmas pictures of her dog. As her schipperke and Chihuahua/dachshund mix ran about the house, my friend kept telling me how her schipperke would need to calm down before I could snap a picture. She saw a wild beast I saw a little clown. When she brought out treats he even sat on his hindquarters and begged. When I brought Waffles to a dinner party, my friends said they saw no sign of the Tasmanian Devil I had spoken about. They probably wouldn't think she resembled Gollum much either. Often, I have walked in to a friend's house and had them apologize for the mess when I saw nothing but a lived-in home. People in stores and restaurants often apologize to me for their kids peering over the booth or darting around the corners, all the while I am engaged in a game of peek-a-boo with them. We worry too much when all around us the things we worry about are not signs of our inadequacy, but testaments to a full life. So, rejoice in the whirling and the spinning, the darting and the clutter. Most people probably aren't noticing it and to some, it may even bring a gentle smile or a happy laugh.


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China Open 2014 steht für:

 China Open 2014 (9-Ball), Poolbillardturnier
 China Open 2014 (Snooker), Snookerturnier
 China Open 2014 (Squash), Squashturnier
 China Open 2014 (Tennis), Tennisturnier
 China Open Super Series 2014, Badmintonturnier

redpajama_set_name: RedPajamaWikipedia


text:
Q: $q.when promise rejection when boolean value passed I have the below segment in my code, I know $q.when will resolve the promise with the given value and never going to be rejected. In my case, I pass the boolean value either true or false to this segment and I can see error call back function is executed after success call back function.
In a Nutshell, once the value(true/false) is passed to 'when', first then in $q.when is executed once after this execution next then section is executed.
My question is why its calling error call back function after successful resolve?
   $q.when(true/false)
        .then(function(data) {
            if (data) {
                return doSave();
            }
        })
        .then(function() {
            goNextPage();
        });

A: Use .catch() for the error callback. .then() is the success callback. You have added two success callbacks.

redpajama_set_name: RedPajamaStackExchange


We assessed the impact of trade liberalization on food security using the interrupted time series analysis. Result showed a mixed impact on food security. We recommend policy focus on improving the value chain of agricultural crops for global competitiveness and food security.
Till date knowledge of impact of trade policies on food security is limited. We assess this by extracting data on per-capita food supply of selected staples and commodity crops from 1961 to 2012 from the Food and Agricultural Organisation Statistics (FAOSTAT) database. This data provided us with 51 years observations, with a focus on the 1986 Structural Agricultural Policy. In our analysis, we assessed the trend of each staples and commodity crops before and after trade liberalization. The next step was application of a single treatment group interrupted time series analysis model (itsa). We checked for auto-correlation between data points using Durbin Watson Test and auto-correlation plots in our generalized least squares regression. The result of our analysis revealed significant increase in per capita food supply in most domestic staple crops except a decrease in wheat, groundnut and rice in the first year of intervention. Relative to pre-intervention, there were indication of slight increase in per capita food supply of yam, wheat, cassava, rice and cocoa, significant decrease were obvious for groundnut and sorghum. While this study could not disentangle other policies interventions along the line that may have had exogenous impact on per-capita supply. It established a mixed effect in the interference of trade liberalization. While trade liberalization is partly positive for certain agricultural output especially commodity crops, it remains a barrier for growth and global competitiveness for some domestic crops. Policy intervention should focus on improving the value chain of agricultural crops for global competitiveness and food security.


Nominations are now being accepted for the university's annual MHealthy Ergonomics Awards for Departments.
To qualify, the ergonomic solution must have been implemented during 2016. Applications are accepted throughout the month of March and can be submitted online. Entries are reviewed by the Ergonomics Awareness Team and judged on the significance of the ergonomic issue and the success of the ergonomic solution. Winners are announced in May.
The Ergonomics Awareness Team includes representatives from MHealthy; Environment, Health and Safety (EH&S) in Ann Arbor; Michigan Medicine Safety Management Services; Environmental Health and Safety in Dearborn; and Environment, Health and Safety in Flint.
"This award aims to recognize those university areas that have been proactive in implementing ergonomic solutions — large or small — to create safer work methods, work processes, and higher employee satisfaction," says Pam Koczman, manager of operational safety and community health for EH&S.
Nominations also are being accepted year-round for Individual Ergo Hero Awards, which recognize employees for independently reducing their chance of discomfort or other ergonomic risks by using recommended postures, work strategies or equipment.
It also recognizes managers, supervisors and other university leaders who support staff by applying ergonomic solutions in the workplace. New winners are recognized monthly with an Ergo Hero lapel pin and a congratulatory certificate.


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Home » Posts tagged 'Election 2018'
Tag Archives: Election 2018
Election Preview: GOP's Southern U.S. House wall faces Democratic challenge in suburbs
November 3, 2018 10:25 pm / Leave a comment
Democrats have put 31 Republican-held seats in play across the South
♦By Rich Shumate, ChickenFriedPolitics.com editor
(CFP) — Will the Republican's big, blue Southern wall that has been the linchpin of their U.S. House majority hold, or will Democrats reverse a decade of disappointment and eat away at GOP dominance in the South?
That question will be answered in Tuesday's midterm elections, in which voters will decide all 152 House seats in 14 Southern states.
Heading into the vote, Republicans hold a 112-to-40 advantage across the region. But at least 31 GOP-held seats are on the Democrats' radar for possible takeaways in 2018, which could portend the biggest comeback for the party in Congress since 1994, when scores of traditionally Democratic seats in the South melted away, seemingly for good.
By contrast, none of the 40 Democrat-held seats in the region are expected to flip.
The possible Republican-to-Democrat flips are concentrated in four states — Florida, with nine; Texas, with eight; and Virginia and North Carolina, with four each.
But Democrats have also targeted Republican seats in West Virginia, Arkansas and Oklahoma, where they were shut out in 2016, and South Carolina, where they won but a single seat.
Many of the most competitive races are in suburban areas around major cities that have traditionally been solidly Republican, including districts in and around Dallas, Houston, Austin, Atlanta, Tampa, Miami, Richmond, Raleigh, Charlotte, Little Rock, Oklahoma City and Washington, D.C.
The elephant in the room in all of these races has been President Donald Trump, with Democrats trying to make inroads in normally Republican districts where Trump underperformed in 2016, as he was overperforming in rural areas on his way to capturing the White House.
This election might also portend the revival of what has in recent years become something of a endangered species in Congress — the white Southern Democrat.
Currently, just 13 white Democrats who are not Latino or Asian hold Southern House seats. But of the 31 competitive seats this year, 22 feature a white Democrat trying to oust a Republican.
Among the Southern races drawing the most national attention are in Kentucky's 6th District, where Democratic newcomer Amy McGrath, a former Marine fighter pilot, raised more than $7.8 million in a bid to unseat Republican U.S. Rep. Andy Barr — a race which drew a visit from Trump on Barr's behalf.
Kentucky has the nation's earliest poll closing, at 6 p.m. in the part of the state located in Eastern time zone. So the McGrath-Barr race should provide an early indication of how the national results may develop.
Another possible bellweather race: West Virginia's 3rd District, where Democratic State Senator Richard Ojeda is battling Republican State Rep. Carol Miller for an open seat in a district that Trump carried by a whopping 49 points in 2016.
Polls close in the Mountaineer State at 7:30 p.m. ET; an Ojeda win or a close vote could be a harbinger of a difficult night for the GOP.
In Texas, Republican U.S. Rep. Pete Sessions is in the fight of his political life in suburban Dallas, where he faces Colin Allred, a lawyer and former NFL linebacker who worked in the Obama administration.
Sessions, first elected in 1996, is the chairman of the House Rules Committee and was one of the architects of the Republican wave in 2010, which swept the party back into control of Congress.
While he won re-election with 71 percent of the vote in 2016, Hillary Clinton was narrowly carrying his district, which made him a top Democratic target in2018.
Another Texas Republican whose race is a toss-up is U.S. Rep. John Culberson, whose metro Houston district was also carried by Clinton in 2016. He faces Lizzie Pannill Fletcher, a Democratic attorney.
Culberson's district has been in Republican hands since former President George H.B. Bush won it in 1966.
Barbara Comstock
The most endangered Southern Republican is U.S. Rep. Barbara Comstock, who represents a district in Virginia suburbs of Washington, D.C. Polls have shown her trailing Democratic State Senator Jennifer Wexton in a district where Clinton scored a 10-point win.
In Florida, Democrat Donna Shalala, President Bill Clinton's former health secretary and former president of the University of Miami, is trying to win an open Republican-held seat in a district Clinton won by 20 points. But she has run into a stiff challenge from Republican Maria Elvira Salazar, a popular journalist on Spanish-language TV.
Karen Handel
Meanwhile, in suburban Atlanta, Republican U.S. Rep. Karen Handel — who won her seat in a sensational 2017 special election in which $50 million was spent — is in a tight race with Democrat Lucy McBath, a gun control advocate whose son died in a racially charged shooting.
In Virginia, U.S. Rep. Dave Brat, the giant-killer who ousted former House Majority Leader Eric Cantor in a 2014 primary, is being challenged by Abigail Spanberger, a former CIA operative.
In North Carolina, three Republican incumbents find themselves in competitive races — George Holding, Richard Hudson and Ted Budd — and the GOP is trying to keep control of an open seat in metro Charlotte.
The news is better in Alabama, Mississippi, Louisiana and Tennessee, where Republican incumbents are all expected to survive without any trouble.
See ChickenFriedPolitics.com's latest ratings for hot U.S. House races.
We tweet @ChkFriPolitics. Join us!


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Der Kanton Évian-les-Bains ist eine französische Verwaltungseinheit im Département Haute-Savoie in der Region Auvergne-Rhône-Alpes. Er umfasst 33 Gemeinden aus den Arrondissements Bonneville und Thonon-les-Bains, sein Hauptort (frz.: bureau centralisateur) ist Évian-les-Bains. Im Rahmen der landesweiten Neuordnung der französischen Kantone wurde er im Frühjahr 2015 erheblich erweitert.

Gemeinden
Der Kanton besteht aus 33 Gemeinden und Gemeindeteilen mit insgesamt  Einwohnern (Stand: ) auf einer Gesamtfläche von  km²:

Bis zur landesweiten Neuordnung der französischen Kantone im März 2015 gehörten zum Kanton Évian-les-Bains die 15 Gemeinden Bernex, Champanges, Évian-les-Bains, Féternes, Larringes, Lugrin, Maxilly-sur-Léman, Meillerie, Neuvecelle, Novel, Publier, Saint-Gingolph, Saint-Paul-en-Chablais, Thollon-les-Mémises und Vinzier. Sein Zuschnitt entsprach einer Fläche von 138,63 km2. Er besaß vor 2015 einen anderen INSEE-Code als heute, nämlich 7413.

Politik

EvianlesBains


17 hours ago · Representatives Steven Palazzo of Mississippi and Andy Harris of Maryland, both members of the House Appropriations Committee, introduced the Border Bonds for America Act of 2019 - …... iShares MSCI Mexico ETF ($) The Hypothetical Growth of $10,000 chart reflects a hypothetical $10,000 investment and assumes reinvestment of dividends and capital gains. Fund expenses, including management fees and other expenses were deducted.
A sign beside a highway, reads in Spanish, "Here is the construction site of the new Mexico City International Airport", in Texcoco on the outskirts of Mexico City, Mexico, December 3, 2018.
the offers for MEXICAN BONDS do change. We have new offer for PETROBRAS BONDS, BRAZILIA, 1959, CR$ 1000, no EC, no SKR, netotiated Buyer / Seller.
Mexico Government Bond 10Y Generally, a government bond is issued by a national government and is denominated in the country`s own currency. Bonds issued by national governments in foreign currencies are normally referred to as sovereign bonds.
Mexico's local bond market offers investors exposure to local fixed income, and thus, inherent investment risks include interest rate risk, credit risk (for corporate bonds), and liquidity risk.


Wow, looks amazing. I can't wait to try some of these places next time I'm home!
Yes, there are some great places to eat in San Francisco – as I am sure you already know.
Congratulations to Sarah and Evan!
Thanks, Shanna. I'll bet you're counting the days to the blessed event. Keep us posted.
Congratulations to your entire family on the new baby boy, how wonderful. It sounds like you celebrated in grand style with the meal you described.
Thanks for your good wishes. Our outing to give the new family some of their own time turned out better than we had ever anticipated.


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02/09/2017: TURKEY – SEEMO URGES TURKISH AUTHORITIES TO RELEASE TEN JAILED SOCIAL MEDIA USERS
Vienna, 02/09/2017
The South East Europe Media Organisation (SEEMO) expressed disapproval after it was revealed that 10 social media users were sent to prison in Turkey on charges of "having membership in a terrorist organization" and "disseminating terrorist propaganda".</p>
On 24 August, Turkish police forces conducted 20 simultaneous raids in 13 districts of Istanbul, detaining a total of 10 Kurdish individuals. They were put in pre-trial detention and accused of "making propaganda" on social media, on the behalf of the outlawed Kurdistan Workers' Party (PKK).
SEEMO expressed aversion for the decisions and actions of Turkish authorities, and called on them to release these individuals. Once again, these are accusations and charges that state institutions commonly use when persecuting individuals for no reason other than a differing or critical opinion expressed publicly or online. Freedom of speech and thought must be introduced to Turkish authorities, and they must begin adopting and respecting them.
SEEMO is a network of editors, media executives and leading journalists in South, East and Central Europe and its press freedom work is supported by the European Centre for Press and Media Freedom (ECPMF) project, as part of a grant by the European Commission.


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Celebrating New Beginnings – Canberra
May24 by pastpres
Residential district and Hotel Ainslie in North Central part of Canberra lowland.
This week is a time to celebrate New Beginnings at The Past Present. Not only are we finally launching our blog, but we are celebrating 100 years since Canberra, Australia's Capital City, received its name. To celebrate, the Past Present presents an image of a Canberra which is long gone.
When Canberra received its name in 1913 it marked a new beginning for the area. Europeans had been in the Canberra region since the 1820s, and Aboriginal occupation by the Ngunnawal People dates back even further, to 21000 years ago. Yet up until the new name was given to the area, Canberra had simply been a farming community. The new name commemorated the past, being derived from the name Canberry, which was the name of the sheep station established by the first European settler in the area, Joshua John Moore. The sheep station in turn had possibly taken its name from the Aboriginal word for the area. Yet the name also pointed to a more illustrious future for the region. In 1901 Australia had become Federated and a National Capital had to be decided on where Federal Parliament could sit. The Canberra area was chosen as the site in 1908 and the Australian Capital Territory was declared in 1911. A competition was held to design the Capital City for the area, which of course Walter Burley Griffin went on to win. The city would need a name though and when this name, Canberra, was officially declared in 1913, Canberra's future was assured.
This photo was taken in 1936 by an unknown photographer. It shows Canberra as young city, with few buildings. Indeed many of the buildings we recognise today were not yet completed, and some were not even underway. (Old) Parliament House had opened less than 10 years before, the Australian War Memorial would not be completed for another 5 years, the National Library as we recognise it would not be opened for more than 30 years and the National Gallery would not even be built for nearly 50 years. The Canberra captured in this image is still a small, rural community, with an important future ahead.
This entry was posted in Australian Captial Territory, Canberra and tagged 1930s, black and white, canberra, photographic collection.
Hyde Park, circa 1940 →


Purpose: There is an association between winter birth and developmental dysplasia of the hip, formerly termed congenital dislocation of the hip. The purpose of this study was to clarify the relationship between the month and season of birth and hip osteoarthritis in Japanese patients who had undergone total hip arthroplasty or transpositional osteotomy of the acetabulum. Methods: One thousand eight hundred and 52 female patients that presented for the surgical treatment of hip osteoarthritis between 1999 and 2005 were included in this study. Female out-patients who were seen at the initial visit during same period were used as controls to correct the bias of the month of birth. Results: There was a significant deviation of the observed number of births from the expected values calculated on a monthly basis (p<0.001). A comparison by seasons (periods of 3 months) revealed more births than expected in winter (p<0.001). The risk of hip osteoarthritis was significantly associated with the month of birth. Namely, it was highest for births in January (p<0.001). Conclusions: These data clearly revealed that the prevalence of hip osteoarthritis was significantly higher in those patients born in winter. The seasonal trend in hip osteoarthritis might be due to the winter prevalence of congenital dislocation of the hip in childhood.


I've been dating this guy for about 5 years. Our dating has consistently been watching TV and the occasional meal out on special occasions. I always assumed he couldn't afford to spend much for dates. However, last summer he and his mother went on several vacations together. I told him I was jealous because he would go and do things with her but not me. He will give me nice gifts and money or other provisions when I'm short of cash. I like him and he's good to me. I often feel that the relationship is on his terms – he will do what he wants, but when I express an expectation, he bucks and tells me to just go by myself. What is going on with him?
You say that you like (not love) him, and you don't say whether there is anything sexual going on. If there isn't, then decide whether you want to keep this guy for a friend because that sounds like the basis of your relationship right now – a friendship that keeps you both from being too lonely and gives you someone to lean on from time to time. If that is the case, then "what is going on with him" is that he is content with the depth of your friendship. If you are not, then I would suggest you make some new friends.
If you are sexually intimate with him, then I would say "what is going on with him" is that he is getting what he wants without having to make real compromises or commitments. God intended our long-term, romantic relationships to reflect His own relationship with His people (Eph. 5:31-32) — which means an emotionally intimate and sacrificial relationship. It doesn't sound like that's what you have. If not, then maybe the real question is… what is going on with you? Why are you willing to stay in a relationship that is not pleasing to God and not pleasing to you? That might be worth exploring with a pastor or a counselor.


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Harmon's Histories: Missoula's fair was a long time coming, but worth the wait
By Jim HarmonJuly 14, 2019
July 14, 2019 By Missoula Current
Jim Harmon is a longtime Missoula news broadcaster, now retired, who writes a weekly history column for Missoula Current. You can contact Jim at harmonshistories@gmail.com.
They quietly observed as the crowd approached the gates to the fairgrounds. Occasionally, each would make a note.
They were "The Committee."
They took a particular interest in the Flaherty couple – especially Mrs. Flaherty (the former Miss Elsie Cyr), as they strode along the promenade. Later they compared notes and agreed. They would reveal their decision that evening.
It was late September, 1914. Everyone wanted to see the brand new fairgrounds.
The earliest attempts at creating a fair (between 1876 and 1878) had not been particularly successful. The 1879 fair is formally recognized as the true beginning of what is now the Western Montana Fair.
In the early 1900s, the site used for the local fair was privately owned and leased to the fair association. But the old buildings fell into disrepair and the landowner finally announced in 1909 that the site, west of town, would be sold to Thomas Greenough.
With that, Missoula's fair ended – for six years.
There was much talk of bringing it back, but it wasn't until 1913 that an appropriate piece of land was found and Missoula County voters approved a $50,000 bond to purchase the site and equip it for the purposes of proper publicly owned fairground.
Even then, a handful of folks filed a lawsuit and were granted a series of injunctions delaying the county's plan until the matter could be decided by state supreme court.
The county finally prevailed but, given the timing of the decision and all that had to be done, the fairgrounds wasn't able to host its first event for another year.
Well-known local architect Ole Bakke was hired to draw up plans for the major structures, and in the spring of 1914 the Board of County Commissioners advertised for individual bids on a grandstand, judge's stand, two exhibition buildings (one for dairy cattle and one for horses) and two racetrack stables.
The cost of the 40-acre tract of land for the fairgrounds had already reduced the $50,000 budget by $14,000, so it was critical that the bids for the buildings not exceed the remaining balance.
F. Harrington was selected to build the grandstand for $10,472.95, the four barns would be built by Davis Graham at a cost of $7,547, and E. S. Newton was the low bidder on the judge's stand at $202.
Interestingly, when you look at photos of the buildings constructed in 1914, today's centerpiece "Commercial Building" appears to be among them.
But it's not – it wouldn't be built for another year.
The look-alike building (a virtual twin) was actually the Exhibition Stock Barn for cattle, later renamed the 4H Livestock Barn.
The 1914 fair opened at 10 a.m. on September 29 and by noon there was a continuous line of cars motoring from downtown onto the newly created road to the fairgrounds entrance.
County Commission Chairman Frank Nelson told the crowd, "(We) bid you a hearty welcome at this, the opening of Missoula County's new fair plant.
"In time to come we know that this will become the fair of Montana next in importance to the state fair. I ask you to accept this fair plant today. It is yours; you have paid for it. Now take it and enjoy it."
At mid-afternoon, Harry Wright of the Walter Raub Balloon company mesmerized fair-goers, lifting off in lighter-than-air contraption ascending straight upward from the front of the grandstands, until it became "but a tiny speck against the cloudless sky."
Wright then detached from the balloon, opened his parachute, and drifted down, landing just outside the south fairgrounds fence. The balloon followed a short time later, landing west of the fairgrounds. The exhibition was so popular it was booked repeatedly in future years.
Over the next four days, more than 12,000 people wandered the new fairgrounds complex, enjoying livestock and horticulture displays, horse racing, as well as entertainment and food venues.
The dairy and beef stock displays were termed the finest "ever assembled in western Montana."
Also among the fine assemblages were the beautiful ladies attending the fair, and even they were being judged.
That's right – that secret committee had been "scoring" each woman as she entered the gates!
On the opening night of the fair, the committee approached Mr. & Mrs. George L. Flaherty, presenting Elsie with "a bouquet of flowers and conveying the information that she had been adjudged the most beautiful lady at the fair on Missoula day." Her photo appeared in the next day's newspaper.
There is so much more fascinating history relating to the fairgrounds – including the construction of the grand old Commercial building (built in 1915 and now refurbished, awaiting public reviews) and the 1941 fire that destroyed its year-older "twin."
But those stories will have to wait until next week.